607 Simple and rude
What's going on?
The doctor in the 120th car was stunned.
No one knows the patient better than him, after all, he watches the patient from hemorrhagic shock to sudden respiratory circulatory arrest.
Such patients can still get back heart compression? It’s nonsense.
Could it be that I was busy all night and my eyes were so tired that I was blurred?
The doctor in the 120th car asked the nurse beside him in a low voice: "Did you see the patient live?"
The nurse exclaimed and said, "The First Hospital of the City is rescued. What's so strange? Hand over quickly. There are no patients on the expressway. Now I can sleep for an hour or two when I rush back. I'm so tired. But the doctor who took the patient away just now looks so good. If I were on duty with him, I wouldn't feel tired for a few 24 hours."
As he said that, the nurse glanced at the doctor in the 120 car with disgust.
He is old and ugly. He has been busy all night and his face is pale. He really can't see it.
Damn! It's really alive! The doctor in the 120 car didn't pay attention to the little nurse's eyes and was surprised.
"You are here to hand over, right?" Zheng Ren stood at the door of the emergency room, waved his hand, and said, "This is the case, this is the case."
"Brother Yuan, you can hand over it with them."
The doctor in the car walked over in a daze and saw that Zheng Ren was very young, but his eyes were bright, and even his hair, which was flattened by the sterile cap, seemed to have a different look.
If you were in a TV series, you would be the kind of person who would know that you would win the game at a glance.
"Did you rescue it?" The doctor in the 120 car asked carefully.
"Yeah." Zheng Ren nodded and called Yuan Li to go through the handover procedures with him.
Zheng Ren doesn't want to interfere in such trivial matters.
Yuan Li was not doing well all night, and his beard was long and he looked particularly miserable.
"Would you like your surname?" asked the doctor in the 120 car.
"The surname is Zheng, the hospitalization director of the emergency department." Zheng Ren said.
"Mr. Zheng, how did you press it back?"
The doctor in the car was very curious. The patient's condition was very clear. He also had a cardiopulmonary resuscitation in the car for more than 4 minutes, plus several defibrillation.
The CPR I do is extremely standard. No one dares to go to the 120 ambulance without practicing CPR.
A few years ago, he won the first place in the hospital emergency emergency competition.
His own operations are completely textbook-like, and he can guarantee this.
But the fact was that the patient who could not save him and thought he was dead came to the first hospital of the city and came alive in less than a minute.
It is nonsense to say that you are lively and jumping around, but the patient just opened his eyes and still had to talk... This is what he saw with his own eyes.
So he was very curious and asked.
"If the cardiac arrest is over 3 minutes, there is no need to control the strength of the heart. Of course, this is my understanding. This is not what the book says. I am doing surgery, it is simple, rough and direct." Zheng Ren knew what he was asking, but he was not busy now, so he explained to him: "If you press it, your ribs will break, and the heart will receive greater strength, and the possibility of saving it is much greater."
"..." The doctor in the 120 car was stunned. This is not the standard process. If that were the case...
"Mr. Zheng, what should I do if the deputy is injured?"
"There are no more people angry, and there are any side injuries?" Zheng Ren was also very surprised, asking this question.
The secondary injury refers to whether the living person is good or not. If the dead person has no secondary injury.
The doctor in the 120th car was speechless again.
What Mr. Zheng said seems to make sense, but there seems to be something wrong.
"Besides, the side injury is just that the myocardium may be stabbed by a broken rib. Isn't the hospital in the hospital a cardiothoracic surgery department? As long as people can be saved, it's just a stitch to open the chest and stitch it. It's very simple." Zheng Ren said.
The doctor in the 120th car was speechless and burst into tears.
Looking at the person, he had a heart injury and was confident that he would just say that he would be done with just one stitch... It's so fucking!
Just imagine the rough and wild rescue, with your palms pressing on the patient... It's not right, the standard procedure is to press 1/3 of the lower half of the sternum.
"Mr. Zheng, cpr is not pressing the sternum..."
"I feel that my strength is limited by non-cardiac cardiac arrest and pressing the sternum." Zheng Ren saw that Yuan Li was filling out the form and there was nothing to do, so he explained to him, "The elasticity of the sternum is relatively poor, and most of the strength is dispersed by the sternum.
If you tilt a little a little, press the left side of the sternum and break the rib cartilage, so that the huge part of the pressing force can be transmitted to the heart."
Unconventional operation? The doctor in the 120 car was a little confused.
"Cardinetic needs defibrillation, and this non-cardiogenic one is enough as long as the strength is strong enough." Zheng Ren smiled at the corner of his mouth, "You have never had chest opening and look directly at the heart press?"
"without……"
"Oh, that's a pity." Zheng Ren said: "Cardous arrest caused by ischemia is often given as long as a sufficiently large activate force, the heart will temporarily restore the supply of biological current and then give it a time to rescue."
Seeing that the doctor in the 120 car was still unbelievable, Zheng Ren knew that no matter how much he explained, it would be useless.
He smiled and said, "Your efforts on the 120 ambulance are effective, otherwise the patient will not be able to open his eyes after he recovers his heartbeat. The patient's emergency rescue will be very effective, thank you for your hard work."
"No...no hard work." The doctor in the 120 car said in a daze.
At this time, Yuan Li had already filled out the form and handed it over to the nurse.
The nurse pulled the doctor in the car 120 back.
Along the way, he was muttering something, looking dazed, and he looked like he had lost his soul.
Zheng Ren looked around and found that the corridor of the emergency department was in a mess.
I have been rescuing and triage all the time. The nurse is busy running for several hours with trotting, so how can I get it done?
"Director Pan, there should be nothing wrong. I'll go to ICU to take a look and you can go home first." Zheng Ren said.
"It's already past three o'clock, so I won't go back." Director Pan glanced at the time and said, "I'll sleep in the office for a while. If you have any questions, you just call me."
"Okay." Zheng Ren responded crisply and seized the time to go to the hospitalization department.
The emergency department was cold and cold. She was wearing an isolation suit and only wore a white coat, and she couldn't stand it.
When I get busy, I don’t feel it. When I get free, I feel like I’m trembling all over.
Zheng Ren quickly came to the ICU and looked at the patient who had just been after the operation. The drainage strip in the liver and kidney crypts was smooth, with about 10 ml of blood being drawn out.
All of this was expected. Zheng Ren glanced at the patient's doctor's advice and used three groups of hemostatic drugs at the same time.
Maybe that's it. He couldn't even say anything special treatments in Zheng Ren.
However, there was no such guy Su Yun sitting next to the patient's bed, holding a4 paper and a pen in his hand, and a liquid car beside him. Zheng Ren felt something strange and was always worried.
...
...
This rescue happened when I went to the emergency room in 2008. A 42-year-old male patient got angry with his wife and smashed the TV screen with one punch and scratched the left radial artery.
Because I was angry, I wrapped my wrists in a towel at home and said that I would send my family to the hospital for nothing. Later, I fainted and my family called 120.
Our hospital ambulance rushed over, and the patient's heartbeat stopped on the way. He pressed all the way, defibrillated, but did not come back.
At that time, I was in the clinic and thought I wanted to give my family a psychological comfort no matter what. I didn’t want to use unconventional operations habitually, and I couldn’t hear the sound of a broken rib, and I always felt that my heart was not pressed properly...
Actually, after opening the chest cavity and looking directly at it, things like rib fractures are not that important.
Anyway, I pressed it and the ribs were broken and the patient woke up. I told the nurse to take the surgery department and then leave.
It is said that... the back is very handsome. I didn't understand it, it was just a cardiopulmonary resuscitation. The 120 doctor at that time is now retired. Every time I meet Brother Li, he is very enthusiastic about me.
Chapter completed!