Doctor Peerless

Chapter 609

Bai Mingming has already auscultated.

At this moment, the patient's condition is not only blurred consciousness, urinary incontinence, but also a cyanotic complexion that can be seen.

Cyanosis is a sign of hypoxia.

Judging from these symptoms, Zhou Sheng knew without ordering an auxiliary scan that the patient must have a heart problem.

Rescue orders!
Although it is only two or three minutes away from the rescue room.

But this kind of cardiac arrest patients.

It cannot be delayed even for a minute.

Rescue must race against time.

On the spot, Zhou Sheng overlapped his hands and pressed on the left side of the middle and lower part of the patient's sternum. With the power of the heel of the palm, he pressed down rhythmically by 3 to 5 cm.

Once, twice, three times...

While doing chest compressions for the patient, Zhou Yisheng turned on the A-level auxiliary scan. At the same time, he said to Bai Mingming beside him: "Hurry up and prepare the emergency equipment for cardiopulmonary resuscitation, and rescue on the spot."

Bai Mingming let out a "hmm" and ran away.

In the blink of an eye, besides Bai Mingming who came back, several nurses also joined the rescue team.

"Open the airway!"

Zhou Sheng, who continued to perform chest compressions, gave the doctor's order.

No need to explain anything, at this moment he is the commander of this rescue.

Bai Mingming and others spontaneously followed Zhou Shengsheng's command.

Bai Mingming immediately helped the patient to clear the airway.

The other three nurses were also under the command of Zhou Sheng, and one put a mask on the patient and assisted the respirator.

One is connected to the patient for ECG monitoring.

The last nurse established intravenous access to the patient.

Zhou Sheng's chest compressions continued.

The patient's heartbeat has not yet returned.

At this point in the system, the inspection result has come out.

Etiology: Grade Ⅳ coronary heart disease, causing sudden myocardial infarction.

Cardiac arrest.

Cardiac resuscitation probability: 30%.

Rescue steps.

Adrenaline shot...

Defibrillation...

Zhou Sheng immediately said: "1 mg epinephrine injection intravenously!"

The nurse in charge of the intravenous access responded.

Bai Mingming finished the work of opening the airway.

He kept staring at the ECG monitor that had just started working, and saw that the QRS complex, ST segment and T wave on it were unrecognizable.

Bai Mingming immediately reminded: "Doctor Xiao Zhou, ventricular fibrillation!"

Zhou Sheng did not pay close attention to the ECG monitoring.

The system panel in front of him had already clearly given these results.

At this moment, the electrical activity of the patient's heart is disordered, no longer a strong beating, but irregular peristalsis, and the heart no longer pumps blood.

Electrical activity disturbance must be addressed first!

Zhou Sheng said in a deep voice, "Get ready for defibrillation!"

Bai Mingming immediately handed over the defibrillator.

Zhou Sheng immediately operated. He placed one electrode on the front of the chest, above the right ventricle; the other on the back, directly behind the left ventricle.

"Biphasic wave 200 joules electric defibrillation, pay attention to keep a distance from the patient. I'm going to start the operation." Zhou Sheng said.

When performing electrical defibrillation, it is strictly forbidden to touch the patient, and a certain distance should be kept properly.Because of contact with patients, on the one hand, there may be the possibility of accidental injury due to electrical conduction.On the other hand, when the defibrillator works and discharges, the patient is likely to convulse, be hit by his limbs, and may be shocked by electricity.

Bai Mingming and several nurses nodded to indicate acceptance.They move away from the patient a little bit.

Bai Mingming's heart shrank suddenly at this moment.

Instead of starting from tens of joules, it was directly driven to 200 joules. It seems that the patient's condition is very serious!

Zhou Sheng is going to take a strong medicine from the very beginning!
Defibrillation once, twice...

A full 35 high-energy defibrillations.

After the end of defibrillation, the rescue has passed for 3 minutes.

The patient still hadn't recovered his heartbeat.

But at this time, the real-time system monitoring has been displayed.

The probability of the patient's cardiac recovery reached 60%.

Zhou Sheng continued to perform chest compressions.

Another 1 minutes passed.

This 1 minute is extremely long.

Finally the patient's heartbeat resumed.

At this time, ECG monitoring showed sinus rhythm, 40 beats/min, and slow heartbeat.

Zhou Sheng continued to give the doctor's order, "atropine injection 1 mg intravenously!"

The nurse who was watching by the side immediately complied.

At this time, because the rescue work was carried out in the corridor against time.

Therefore, a large circle of people was watching.

Among them, there are patients and family members who come to the emergency center to see a doctor, and there are also nurses who cannot help.

Everyone is very anxious.

Hope the patient can wake up.

Another minute passed.

After tense rescue, the patient finally recovered normal heartbeat and spontaneous breathing.The onlookers and all the medical staff breathed a sigh of relief.

The family members of the patient became even more distressed holding the patient. The 6 minutes just now were like 6 minutes of parting from life and death.

Some patients couldn't help clapping their hands at this moment.

One response, two responses, three responses...

Gradually there was applause.

But Zhou Sheng didn't relax because the patient woke up.

The patient's condition given by the system is coronary heart disease grade IV.

Generally speaking, coronary heart disease is divided into four grades clinically.

Grade I: Daily activities, no obvious symptoms.

Grade II: Mild limitation of daily activities due to angina pectoris.

Grade III: Daily activities are significantly limited due to angina pectoris.

Grade IV: Any physical activity can cause angina pectoris.

Grade IV coronary heart disease has a very high probability of sudden death.

Although it is pulling the patient back from the death line now.

But this situation may happen again at any time.

Zhou Sheng immediately notified the nurse to send the patient to the CCU.

The difference between CCU and ICU is one letter, and the meaning is also different.

CCU is a specialized cardiac intensive care unit.

When the nurse heard that she was going to be sent to the CCU, she knew the situation was serious.Several people immediately moved quickly, those who were looking for a stretcher bed looked for a stretcher bed, those who helped the patient helped the patient, and the tallest nurse raised the water bottle high.Several people worked together to send the patient to the CCU.

The nurses got busy, and Zhou Sheng didn't let Bai Mingming idle.

"Teacher Bai, please contact the inside and outside of your heart to have a look together."

The patient's condition is very serious, Zhou Sheng also wants to take over.

But I feel helpless. Looking at the patient's current condition, it is estimated that the conservative treatment of the heart may not be effective. In the end, it is estimated that it will be treated by cardiac surgery.

Conservative treatment, through the system, Zhou Sheng can handle it completely.

But once surgery is involved, Zhou Yisheng will not be able to play, after all, he has not yet unlocked the field of cardiac surgery.

In terms of the difficulty of surgery, Xinwai is definitely a top-notch existence.

Even if there is a system, Zhou Sheng is still incompetent without dungeon training.

Zhou Yisheng looked at Bai Mingming and the patient who were gradually going away. He was thinking in his heart that there are many heart patients encountered in the emergency center every day. He must find a time to put this extra copy in the system. Take it down!
……

(End of this chapter)