This chapter is added to thank the whole blood donated by the book friend "Lonely Soviet Veteran" on April 23, 2020, and the whole blood donated by the leader "Neiyun Ruoyu Forgot Account" on October 17, 2019. There are two chapters to update the "Neiyun Ruoyu Forgot Account" afterwards.

After connecting Wu Xiuli with the necessary channels for crrt treatment, Sun Lien turned around and moved a wheelchair to the nurse's station for Shen Guohua to sit down. The old man probably wouldn't want to leave the ward for a while - he was holding his wife's hand beside the bed and whispering something.

"You can stay here for a while, but you have to go back to North Sixth District to rest and sleep at night." Sun Lien could see that the old man would probably not leave even if he was tired. So he made it clear in advance and said, "You and the aunt will chat for at most half an hour. Don't keep talking. She has poor blood oxygen now, and talking too much is not good for her health."

Chen Guohua asked with some difficulty and embarrassment, "Then... I can just talk to her if I don't want her to reply?"

"This...it's better not to be too long." Sun Lien said helplessly, "She must stay awake when she hears you. This way, let her sleep after you see her sleepy. Now it will be good for her health."

After much persuasion, Chen Guohua reluctantly agreed to the arrangement of "looking around for a while, but trying to keep quiet and let Wu Xiuli sleep. He must return to North Sixth District at 5 pm."

After arranging these things, Sun Lien was about to return to the red zone office to adjust the doctor's orders, but was called for a rescue halfway through. The blood oxygen saturation and blood pressure of the patients in the second bed suddenly dropped, and their heart rate began to soar rapidly. The alarm sounded at the red zone workstation pulled over more than a dozen doctors and nurses.

The second bed patient is a thin, 43-year-old middle-aged man. His condition has been not very good since he was admitted to the hospital on February 4. He had unstable vital signs and needed rescue in the two days of the 7th and 9th. On the 7th, the patient had tachycardia, while on the 9th, he had a heart rate of excessively slowed down.

The situation this time seemed to be different from before. When Sun Lien arrived at the second bed, Yuan Ping'an and others had already started commanding the rescue on the spot.

Because this patient had alcoholic cirrhosis before, his vital signs have always been the focus of doctors. Liver protection drugs such as polyolefinylcholine have become an important part of his treatment, but this is just to prevent his liver function from deteriorating too quickly and too severely.

The patient's condition is very clear when his blood oxygen saturation and blood pressure drop but his heart rate rises rapidly - he has severe bleeding, and the location of the bleeding is likely to be in the lungs.

Yuan Ping'an had asked the blood bank to send blood to support him and used vitamin K for the patient. The sample for urgent checking the clotting time has also been sent. The current rescue method is mainly to maintain blood volume by quickly injecting crystal fluid.

After looking at the patient's status bar, Sun Lien said to Yuan Ping'an on the side, "Pull the atomizer over, add 5 milliliters of normal saline, give him atomization and inhalation first to see if he can stop the blood first."

Fibrobronchoscopy treatment is the most ideal method for respiratory bleeding treatment, but due to the unstable vital signs of the patient, Yuan Ping'an and Sun Lien dare not hand the patient over to a doctor in the respiratory department for treatment immediately. They must now stabilize the patient's vital signs, at least wait until the blood volume is filled.

For emergency doctors, patients with bleeding are always the most troublesome type. Especially for patients whose bleeding affects the heart and oxygen saturation at the same time, the situation is often a little more difficult. Common hemostasis drugs cannot stop bleeding in time and effectively most of the time, and the harder hemostasis method exceeds the treatment range that the emergency department can provide. If patients with severe bleeding receive other treatments, they first need to stabilize their vital signs. Therefore, in the emergency department, there are often no-resolved cycles such as "I don't have a mask, so I have to go out to buy a mask, but because I don't have a mask, I can't go out, and I can't buy a mask."

Therefore, as a qualified emergency department, Sun Lien immediately thought of a hemostatic technique that was often used in local grassroots hospitals - adrenaline.

Adrenaline is a very important first aid drug in the emergency room. It can promote the increase of heart contraction force, accelerate breathing, dilate blood vessels in the heart, liver and other organs, and contract blood vessels on the skin and mucosa. It is the first choice for heart rate hyperactivity or sudden suspension and allergic shock rescue.

Oral adrenaline is mainly used to use this drug to efficiently shrink mucosa and small blood vessels to stop bleeding - this treatment method is very useful for less severe upper gastrointestinal bleeding.

When using bronchiectasis to treat bleeding, epinephrine is also a very useful hemostatic agent. But the problem now is that there is no room for branchiectasis to use bronchiectasis in the second bed.

Faced with the "violent cycle" of buying masks, Sun Lien decided to use his brain and move the mask factory directly to the homes of people who need masks - through the ventilator pipe after tracheotomy, the atomized adrenaline was sent directly to the bronchial of the two beds of patients.

As long as the bleeding can be stopped, other things can be discussed later. Only by saving human life can we have a way to think about other things.

In addition to recommending the use of adrenaline atomization and inhalation, Sun Lien has not intervened in Yuan Ping'an's other rescue plans. It is not because the second bed has no value for rescuing, but because Yuan Ping'an's plan does not have other room to adjust.

This is just such a patient who uses mechanical ventilation due to severe viral pneumonia, and lung bleeding caused by alcoholic cirrhosis and lung damage caused by ventilators... It is actually very difficult to treat such patients.

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After struggling for about an hour, the blood from the two beds was temporarily stopped, but at the cost, Yuan Ping'an was so tired that he could hardly stand.

"You go and rest." Although it was not yet a four-hour shift, Sun Lien decided to let his colleagues rest for a while. "Let's lie down in the green area and wait for the bus to arrive before going back to the hotel together."

"No." Yuan Ping'an shook his head, "I just didn't sleep well yesterday, so I'll just take it a little bit."

Zhou Ce glanced at Yuan Ping'an from the side, then smiled and asked, "Anyway, you have to slow down, so why not just take off your protective clothing and go to the green area - it will be time to rotate in fifty minutes."

Yuan Ping'an couldn't figure out what the relationship between "replacement in another fifty minutes" and "take off the protective suit and go to the green area". Sun Lien sighed, called nurse Xiao Guo from the nurse station, and then pointed at Yuan Ping'an at Guo Yu, "Your Brother Yuan may have a little hypoxia today. Please keep an eye on him and let him go out to rest as soon as possible. If he refuses, just lift him out - be careful when lifting, don't tear the protective suit."

Guo Yulai nodded and said yes, then blocked Yuan Ping'an with his "huge" body and said in a muffled voice, "Brother Yuan, you have to take a break."

"Director Sun, I'm really fine... Xiaotian, don't block me!" Yuan Ping'an tried to bypass Guo Yu's chest muscles blocking him, but this move was blocked by Xiao Guo.

Guo Yulai said helplessly, "Brother Yuan, you are really too tired - I am Guo Yulai."

After a long struggle, Yuan Ping'an was finally convinced by Sun Lien and Guo Yu, mainly relying on Xiao Guo's good posture, and decided to go to the green area to take a break. Looking at Yuan Ping'an's back, Sun Lien thought for a few seconds and decided to take Yuan Ping'an to go on a business with him when he changed shifts later.

According to Zhu Minhua's feedback, Liu Lianzhi, who had been to ecmo, had improved his condition. He was able to open his eyes and have some simple communication with the doctors. However, since the lung lesion area is still large, Zhu Minhua and the others have no idea to temporarily close ecmo and let Liu Lianzhi try to rely on his breath to maintain blood oxygen.

Professor Zhu felt that Liu Lianzhi would have to be stable for about three days before considering the issue of gradually taking off the line.

There are about twenty minutes left to change shifts. Sun Lien was about to take his cell phone and say to Zhu Minhua. He was going to go through something with Yuan Ping'an later. A familiar voice suddenly sounded behind Sun Lien, "Doctor Sun, are you free now?"

Turning his head, Sun Lien saw Qian Guojian wearing a hospital uniform with an expectant expression on his face.

"I was discharged from the hospital this afternoon. I just heard from the sixth district that Director Sun, you will be changing your class today. I'm afraid that I won't be able to meet you if I'm late... Can we take a photo together?"

Qian Guojian was holding his cell phone in his hand, and his expression was a little embarrassed, "If you disturb your work, I can come back later..."

"Are you going to be discharged from the hospital?" Sun Lien was stunned for a moment, and then suddenly became happy, "Good thing! Take a photo, right? No problem! You wait a moment, I'll call your bed nurse over here and take a photo together."

The term "The nurse in the hospitalization department" is usually fine, but when the medical team takes over, the "Bed Nurse" becomes a "false name". All nurses have to take care of all the patients. The 22-year-old man who took the initiative to transfer to North Six District and give his bed to patients who need it more outside. Before he transferred to North Six District, he tried to remember these doctors and nurses from Ningyuan through his memory. In this way, after he was discharged from the hospital, he could invite everyone to have a bowl of excellent hot dry noodles after the epidemic was over.

But this attempt failed three hours later. The young man finally took his mobile phone and started taking photos of every doctor and nurse who entered the ward. After taking the photos, he found that many nurses had nicknames or nicknames. Anyway, Guo Yulai's protective clothing was written as "Xiao Yu", and I don't know which part of Xiao Guo deserves this name.

With Sun Lien's active "response", the doctors and nurses present rushed to participate in the photo shoot. Everyone has heard about Qian Guojian, and such a patient who had repeatedly refused treatment and had no desire to survive was now discharged from the hospital. This sense of accomplishment can make all doctors happy to eat more rice.

After completing the group photo, everyone enthusiastically encouraged Qian Guojian to work hard to live a good life. Sun Lien took advantage of this moment and began to enter the buffer zone to take off his protective suits. He just suddenly remembered a question, and he didn't know if Zhu Minhua was on duty now. If he took Yuan Ping'an over and couldn't see Professor Zhu, the effect of cheering Yuan Ping'an would be greatly reduced.

Fortunately, Yuan Ping'an himself or Sun Lien is lucky. Zhu Minhua said on WeChat that he was preparing to be on duty and that he is still in the hotel.

"Brother Yuan, let's go, I'll take you to a place." Ascertaining that the owner was in the hospital, Sun Lien happily pushed open the door of the green area lounge, and then pulled Yuan Ping'an, who was sleeping in a daze, from the bed. "The car is almost here, hurry up, I can't catch up if I'm late."

"What?" Yuan Ping'an, who had just fallen asleep, looked at Sun Lien without looking back. He looked at him sleepyly. It took several seconds to realize who he was, "What are you doing?"

"Go to meet an acquaintance." Sun Lien urged with great enthusiasm, "I have something else to do later, let's leave quickly."

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"Teacher Zhu?" Yuan Ping'an, who was confused all the way and had fallen asleep at least three times, saw a familiar figure at the gate of the High-tech Campus of Tongde Hospital. The bald head, 1.72 meters tall, likes to walk around in place with his hands behind his back. In addition, there is a line of eye-catching words "Capital Union Hospital" printed on his jacket, Yuan Ping'an recognized Zhu Minhua at a glance through dozens of meters.

"I only knew when I came here for consultation before that Professor Zhu was there." Sun Lien excitedly solved the mystery, and he was so busy that he forgot to tell Yuan Ping'an that he slid over, "You haven't met Professor Zhu for a long time, right?"

Yuan Ping'an has indeed not met Professor Zhu for a long time. A few years ago, when he got married and got a marriage certificate with Yanan, Yuan Ping'an returned to the hospital with wedding candy and other things, but he and Zhu Minhua met at that time.

As Yuan Ping'an's doctoral supervisor, Zhu Minhua has always liked his student very much. When Yuan Ping'an abducted the orthopedic artery of the association, the group of carpenters in the orthopedic artery were all indignant and wanted to remove all the joints of Yuan Ping'an's body and install them again. It was Zhu Minhua who heard the news and came out to organize a friendship between the two departments. Then he was fed a mess at the table to calm the matter down.

Zhu Minhua, who works in the emergency department and also serves as a teaching position in the Tonghui Medical College, is really nothing to say about Yuan Ping'an. However, the scene between the master and apprentice met in Yunhe, but the scene was a little awkward.

Yuan Ping'an is now in a state of excitement but not awake enough. I don't know if it's because he's separated from his wife for too long or because he hasn't had a good rest recently. The dark circles on Yuan Ping'an's face are obviously like he's wearing smoky makeup. Zhu Minhua, the old emergency department, felt a little distressed.

"You can't have a good rest." Zhu Minhua patted Yuan Ping'an on the shoulder and said earnestly to his students, "If you stay up late, you will become stupid."
Chapter completed!