Rescue has no effect.

Sun Lien leaned against the wall next to her sweat, feeling that his legs were completely hollowed out by something - there seemed to be no bones inside.

The status bar is still faithfully traveling with his responsibilities, but this time is different from the past. On Huang Bingxian's status bar, the number of prompts followed by the "ventricular fibrillation" status is (there are still times before the defibrillation is successful).

Continuous chest compression and electric shock defibrillation have been performed for more than thirty minutes, 30 mg of epinephrine were used, and atropine was given and continuous chest compressions were continued. Even lidocaine was given nearly 30 ml.

However, the number of prompts still maintained the "????" state without any wavering at all.

However, the rescue lasted for half an hour and still did not stop. Two minutes after Huang Bingxian's ventricular fibrillation, Sun Lien issued an instruction to use amiodarone. After 150 mg of amiodarone intravenous injection, the theoretical starting time was about 30 minutes.

If amiodarone is useless, there is really nothing we can do about it.

During the rescue process, the use of adrenaline in large doses is originally a reverse indicator. The more adrenaline is used during the rescue process, the worse the prognosis of the patient. However, it is obviously impossible not to use adrenaline. As a first-line rescue drug that dilates blood vessels and reduces peripheral vascular resistance, adrenaline plays a very important role in the rescue of ventricular fibrillation.

However, it is also adrenaline, norepinephrine and isoproterenol have completely different effects from adrenaline... Well, I guess I will take the exam when I was in the doctor. Sun Lien was a little surprised that he could consider the difference between these three drugs now. He was in a very complicated mood and sat on the ground, watching Yuan Ping'an and Bruen continue to rescue.

Norepinephrine is generally used to strongly contract blood vessels, quickly increase blood pressure and reduce blood flow in important organs and organs. Therefore, the most common application scenario is to rescue patients with hemorrhagic shock - intravenous administration is required. Although in extreme cases, it can also be injected intravenously, the risk is extremely high and generally not operated like this. Isoprene is usually used as a function of alleviating asthma and diastolic bronchial smooth muscle, mainly aerosol or sublingually taking...

Sun Lien looked at Huang Bingxian's hospital bed in a daze. Bruen had already undergone three rounds of chest compressions, and the next one to take over was Dr. Pascal.

"No..." Dr. Pascal did two rounds of chest compressions. It was Yuan Ping'an's turn to get started again. Sun Lien slowly stood up and looked at the cardiopulmonary monitor that showed a straight line, "It's useless."

"Diet time, at 3:21 pm on January 3." Xu Yourong glanced at the wall clock in the rescue room, "Put the electrocardiogram."

Although everyone had expected Huang Bingxian's death, his ventricular fibrillation was a bit too sudden. He did not even have any signs of an abnormal electrocardiogram. Moreover, the ventricular fibrillation attack was extremely stubborn. From the ventricular fibrillation attack at 2:45 minutes to the announcement of death at 3:21. In more than half an hour of rescue, Sun Lien and the doctors in the entire treatment group did not even have the chance to successfully restore sinus rhythm.

Generally, in other patients, after taking medication and defibrillation in time after ventricular fibrillation, they can restore the sinus rhythm. Some may be able to support doctors in treating the diseases that cause ventricular fibrillation, while others may have ventricular fibrillation attacks again without waiting for treatment or even diagnosis.

But Huang Bingxian's ventricular fibrillation attack was a bit too firm. It was 30 mg of adrenaline, which had thirty consecutive defibrillation. Even if it was a stone, it was time to move after so much adrenaline was injected into it.

"The rest is left to the forensic doctor." Dr. Bruen walked to Sun Lien and sat next to him on the ground. The Texan hit Sun Lien with his shoulder, "You are too weak in physical fitness."

"My wound has not healed yet." Sun Lien glared at Brunn, "Your skill is too poor."

Dr. Pascal reached out and pulled Sun Lien from the ground, and then sympathized with him, "You shouldn't let him do it, even if you find an intern to sew it carefully!"

Sun Lien nodded seriously, "At least the interns will not pat them hard with their hands after sewing the wound."

"Hey!" Dr. Bruen was angry, "I have sewned it very carefully! I usually use staples to nail the wounds like you!"

Sun Lien laughed, "Then you will get me one thousand dollars at a time? You are too unscrupulous, a doctor."

The staple has a civilized name - a disposable skin stapler. However, doctors still like to use "super stapler" to call it. The reason why doctors do this is very simple. The name of a staple is more intuitive. Although it is expensive, the working principle of a disposable skin stapler is indeed not much different from a stapler. Through pressing, the sterile titanium nail pierces the skin and pulls the skin on both sides tightly and closes it. The operation is convenient and fast. The most important thing is that when dealing with larger wounds, the staple is much easier than suture.

It takes about one minute for Zhou Jun to suture a patient five stitches. The stapler takes about two minutes. When the wound is relatively small, the doctors actually suture faster. However, if Zhou Jun wants to suture the seventeen stitches on Sun Lien, it takes at least ten minutes. Because when manual multiple stitches are sutured, not only should the suture method be considered, but the tension of the suture line must be constantly adjusted to ensure that the wounds on both sides have enough tension to combine together. The tension is too small, the wound does not heal, and the tension is too large, leaving a centipede-like scar.

The stapler is sutured seventeen times in a row, which only takes about five minutes. And since each titanium nail is independent of each other and the tension provided is constant, the probability of severe scars is also lower - if the stapler that can only be used once for one thousand yuan is not effective, no one will use it.

"You physicians are so unsavory." Dr. Bruen muttered, "It only took me 20 minutes to slap the 17-stitch stitches by hand in the chest and abdomen, and there was no need to remove the needle or fail in the middle!"

Sun Lien blinked and decided not to use Zhou army to attack Bruen. After working in Ningyuan for a year, Bruen's stitching speed will definitely be much faster.

The number of patients in large hospitals in China is much higher than that in the United States.

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In large emergency centers, the most unabashed thing is always a variety of trauma patients.

The Fourth Courtyard seemed to have stabbed a knife today. From 4:30 pm, on average, at least one unlucky person hurried to the Fourth Courtyard with his head, arm or something else in less than thirty minutes. In the past two hours, there were eight scalp tearing and cutting injuries alone. The cleaning aunts of the property wiped the floor even at a speed that the floor was contaminated with blood.

"I just complained that there were too few patients who needed suture." Dr. Bruen stretched his arms hard, trying to relieve the pain caused by finger cramps. "There is no need to get so many people at once, right?"

Sun Lien said without looking back, "When I get off work, Lao Bu, go and find Dr. Cao Yanhua."

"Doctor Cao?" Bruen asked with a frown, "What are you looking for him?"

"Let him get a special education in emergency room - never think that the work is too easy." After completing the last stitch, Sun Lien put down the arm in front of him and said to the owner of the arm, "Okay, remember not to let the wound get water, don't exercise too much, start tomorrow, and come to the hospital outpatient clinic every day to change the dressings. It lasts for a week."

The young man looked at his arm very depressedly and asked, "What if the outpatient clinic is on vacation?"

"If you don't want to make trouble, you can go to your community hospital to change the medicine." Sun Lien lowered his head and prescribed the medicine again, and instructed him again, "If you have to come to the Fourth Hospital to change the medicine, then you can come to the emergency department during the outpatient clinic. However, the emergency department cannot be handled in sequence. If you come to change the medicine, you may have to wait for a while."

"I know, the emergency department must first deal with critical and severe diseases." The young man sighed, put on his clothes and left, "Thank you, doctor."

"Okay, I see that there are no patients at the door that need debridement." Yuan Ping'an took off the gloves on his hand and looked at Dr. Bruen with a squinting eyes. "Old Bu, I beg you, don't say anything randomly."

Dr. Bruen was confused, "What did I say? I mean the patient who needed suture recently..." Before he finished speaking, Yuan Ping'an blocked his mouth with his hands, "Just this sentence, just this sentence! Don't say it!"

"A little less." Bruen still said the last few words vaguely, "What's wrong? I'm talking about the facts!"

Yuan Ping'an covered his face in pain, "Bruen, your uncle!"

"Dingling!" The phone at the duty desk suddenly rang, and Xu Yourong answered the phone, "The Fourth Hospital Rescue Room."

"I know." After a brief silence, Xu Yourong hung up the phone, "Ningyuan 120 forecast, a male patient, with steel bars inserted from his thighs and stabbed out from his left shoulder, and delivered in 15 minutes."

After a brief silence in the rescue room, many doctors calmed down, and then a neatly erupted, "Bruen, your uncle!"

Bruen, who was scolded, scratched his head, "So evil?"

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This forecast of severe trauma means that the entire rescue room will be busy next. No, it is not only the rescue room, but also the orthopedics, general surgery, liver and gallbladder, transfusion medicine, imaging, and even external chest and neurosurgery. Which departments are busy mainly depends on how many organs the patient has injured by the steel bars.

The Fourth Hospital has not been exposed to such patients before, but it is like ordinary people intuitively feel it - this situation is very dangerous. Punching from the right leg and out of the left shoulder means that almost all organs in the patient's abdominal cavity may be injured. At the same time, the spine, aorta, and the respiratory system, including the diaphragm, may be damaged.

The fifteen minutes of forecasting in advance are the best time for Sun Lien and the others to call support.

Hello, Brother Shanji? Dongxing’s sack has caused a big deal!
Chapter completed!