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Chapter 169 Three Ventricular Fibrillations: A Tug-of-War with the King of Hell, an Incredible Miracle! [Requesting Monthly Tickets and Recommendations]

"Teacher, in a situation like this, what are the chances of survival?"

This is a remote demonstration lesson of a live surgical procedure.

Not only were there teaching staff, but even students watching.

One of the students asked his teacher.

None of them expected that a demonstration lesson on minimally invasive surgery for ruptured cerebral aneurysm would turn out like this.

"Since we don't need to face the family members, the teacher will speak frankly here. Generally speaking, an anesthesiologist may not encounter a patient with malignant hyperthermia in their entire career. But if they do encounter a patient with malignant hyperthermia during anesthesia, without dantrolene, the patient's mortality rate is 100%! Remember! 100%!!"

In a special multimedia classroom.

They were a group of medical students watching a live demonstration lesson.

Of course, students can't bring their phones into this type of live stream.

So no one was taking pictures at the scene.

As a medical student, I am aware of the importance of protecting privacy.

After all, releasing instructional videos could cause a series of problems.

"Teacher, our provincial hospital should have tantrolin, right?"

Students in the classroom began asking questions.

"No! Dantrolene is very rare. It's usually only available in very large hospitals, like Peking Union Medical College Hospital or West China Hospital and Xiangya Hospital. We don't think we have this drug in the entire Northeast Province, at least not in the provincial hospitals."

The instructor simply shook his head.

"Ah! No!!"

"Why don't they have this life-saving medicine, teacher?!"

"Yes! What would happen to the patient if we didn't have that?"

After hearing the teacher's words, everyone looked very surprised.

You should know that this is a drug that will kill you if you don't use it.

"As I just mentioned, this drug is extremely rare. Currently, our country almost exclusively imports it. It costs $10,000, which translates to 70,000 yuan per bottle. It would be fine if the shelf life were longer, but the key issue is that the shelf life is also very short, only twelve months."

"There have been only a few hundred cases of malignant high fever treated nationwide so far. As we have explained before, there are 107 million medical institutions in the country, and the total number of outpatient visits to medical and health institutions nationwide last year was 95.5 billion. Among these hundreds of billions of visits, only one or two cases are malignant high fever. Therefore, this drug is like a rare drug, and very few hospitals will stock it."

Then the teacher began to speak.

"This……"

After this explanation, everyone realized that this medicine was actually so expensive.

And the incidence rate is so low.

Keep in mind that this involves nearly 10 billion yuan in medical visits annually.

However, there have only been one or two cases of this malignant hyperthermia.

Therefore, it is understandable that many hospitals were not prepared.

After all, who would prepare something with such a low probability of occurrence?

And if there are no cases, the medicine will expire, wasting tens of thousands of yuan.

It's quite normal for many hospitals to reduce their spending in this area.

"Teacher, does that mean if we want to save this patient now, we have to go to Beijing to get the medicine, like from Peking Union Medical College Hospital? But that would take at least three or four hours. Can the patient really hold on? You know, the patient is still in ventricular fibrillation, and his temperature has even reached 41 degrees Celsius!!"

Although I wasn't at the scene of the emergency.

But this live demonstration lesson also made everyone inexplicably nervous to the extreme.

In particular, the patient's body temperature reached 41 degrees Celsius.

It hasn't even stopped yet!
"Whether the rescue can be successful depends entirely on the patient. All the procedures at the provincial hospital are in perfect order. Thanks to Dr. Xiao Chuan's reminder and Vice President Huang's decisive action, the anesthesia was stopped in advance, and the malignant hyperthermia was diagnosed as quickly as possible. You can even see that Dr. Xiao Chuan's CPR was of extremely high quality, and his physical strength was also exceptionally good. This CPR alone can be used as a demonstration."

The teaching assistant then switched the camera to show Zhang Lingchuan performing CPR.

They didn't quite understand why Vice President Huang said that Dr. Xiao Chuan was an expert in cardiopulmonary resuscitation.

It seems now.

The other party certainly deserves the title of expert.

"It really is perfect."

"And Dr. Ogawa doesn't seem tired at all, even though he performed CPR for a full five minutes!!"

"Wow! A true master! That's incredible! I feel like I'd be dead if I could do CPR this well for two minutes, but this guy did it at the same pace for five minutes!"

"Absolutely! This guy must have learned CPR from the womb!"

……

Many students were moved after watching the video.

Anyone can perform CPR.

Even passersby would do it.

But whether or not standards can be set, and whether high quality can be achieved after setting standards, are the differentiating factors.

Furthermore, there's the issue of sustainability.

High-quality output is something many people can do a few times, but maintaining it for even a minute or two is extremely difficult, and to maintain it for five minutes is simply insane!

Inside the operating room.

"Ogawa!!"

Dr. Luo is holding a defibrillator.

"it is good!!"

Everyone should stay away from the hospital bed.

"Zi-"

In an instant, two defibrillators were placed directly against the patient.

"Xiao Chuan, do you want to have someone else take a break?"

After the defibrillation was completed, Dr. Luo asked Zhang Lingchuan a question.

To be honest, he himself felt ashamed.

Why are you only now daring to suggest whether or not to replace them?

It's because the other person's CPR was so good that even he couldn't replace them.

Because he is completely incapable of performing CPR as if his heart were beating on its own.

"It's okay, I can still do it!"

Zhang Lingchuan had indeed reached his physical limit.

However, he still has stamina potions, so if he really can't hold on any longer, he'll use them to keep going.

But this Qi Yu, with his malignant high fever and ventricular fibrillation, is he going to die?!
This is the third defibrillation attempt.

Why hasn't it worked at all?

Zhang Lingchuan felt utterly hopeless.

But I'm also somewhat relieved.

That means the patient hasn't yet shown a flashing red-gray nameplate, which means there's no countdown yet, indicating that there's still hope for treatment.

I don't know if the provincial hospital has tantrolin.

If it's not available, do we have to go to the capital to get it, just like in the simulation in the system space?
It took almost three and a half to four hours to get the medicine back.

He now has serious doubts about whether the patient can hold on for four hours.

Why save a life? To ensure the little girl doesn't lose her mother and can grow up healthy, and for my own mission.

Damn it! Reckless!!
I've given you the answer in advance; if you still don't pass, we'll play a few rounds!

A flash of lightning seemed to strike Zhang Lingchuan's mind.

They continued performing CPR.

"drop--"

Finally, the entire emergency room was filled with [something].

A crisp sound came from the electrocardiogram monitor.

The defibrillation was successful!
The electrocardiogram changed from ventricular fibrillation to sinus rhythm.

"call--"

All the doctors breathed a sigh of relief upon seeing this.

The ventricular fibrillation finally stopped.

Zhang Lingchuan also exhaled a breath of stale air.

The ventricular fibrillation has finally been overcome.

"Everyone! We have now temporarily overcome the hurdle of ventricular fibrillation, but this is only the first obstacle on our journey today. The medication will take three hours to arrive. During this time, we must implement all emergency measures to maintain the patient's basic vital signs and hold on until the dantrolene arrives!"

At that moment, Huang Xiangning's voice rang out.

Three hours!

Dr. Luo and Zhang Lingchuan, who had just finished the emergency treatment, exchanged a glance.

Especially Zhang Lingchuan.

This is absolutely hellish difficulty! How can anyone endure three hours of this?!
The patient could have an emergency at any moment!!
"Next, I need to use ice packs to cool her down, then do arterial cannulation and central venous cannulation. Who will be responsible for physical cooling? Who will perform the arterial cannulation? And the central venous cannulation?!"

Huang Xiangning looked at the medical staff who came to help and immediately began to speak to them.

"Deputy Director Huang, Xiao Yin and I will take charge of physical cooling methods!!!"

Dr. Luo raised his hand and spoke directly.

"No! Change the person! Ventricular fibrillation could recur at any moment. You and Xiaochuan will work together to perform defibrillation!"

Huang Xiangning directly rejected Dr. Luo's proposal.

"Then Xiao Yin and I will take charge of physical cooling!"

Dr. Fang said directly.

"I was in charge of the arterial cannulation."

A male doctor raised his hand.

"I'm here for central venous catheterization!!"

Another female doctor said.

"Alright! Everyone, get to work immediately! Xiao Chuan, you and Dr. Luo, keep an eye on the patient's ECG! If ventricular fibrillation recurs, continue with resuscitation efforts!!"

Huang Xiangning's expression was very serious.

It's not easy to stay awake for three hours.

Even just maintaining basic vital signs.

"it is good!"

In the operating room, Zhang Lingchuan nodded.

Sure enough, a second ventricular fibrillation occurred not long afterward.

His body temperature even soared to 45 degrees Celsius.

In an instant, everyone was once again engaged in the intense rescue efforts.

outside.

"Grandma Wang, wasn't the surgery supposed to only take two hours? It's already 5:30 and she's still not out!"

The family members are also waiting.

Yueyue looked at Grandma Wang next to her with her big eyes.

"Yueyue, the doctors are probably all busy, so let's just wait here quietly. By the way, Yueyue, are you hungry? How about Grandma has someone bring you some food?"

In fact, Grandma Wang's heart was in her throat at that moment. She didn't know how she should answer if what was brought out later was Xiaoyu's body.

Yueyue is such a pitiful child.

My father passed away not long ago, and now my mother has encountered this kind of thing.

I don't know if the two elderly people will be able to make it.

The more she thought about it, the more upset she became.

"I'm not hungry. I want to wait for my mom to come out so we can eat together."

Yueyue shook her head.

"Okay, okay, then Grandma Wang will listen to Yueyue."

After Aunt Wang finished speaking, she still sent a message to her daughter, asking her to send some food over.

Her daughter doesn't live in their old neighborhood.

But it is also in Chunshi.

It's almost six o'clock. The child says he's not hungry because he's worried about his mother, not because he's not actually hungry.

So she asked her daughter to bring her some food.

You can eat together.

ten minutes later.

Two elderly people rushed in.

"Grandma, Grandpa, you're here! Mom is still in the operating room!"

Upon seeing the two approaching, Yueyue immediately called out to them.

"Yueyue, it's okay, we're here."

The child's maternal grandmother is holding Yueyue.

"You must be Ms. Wang Xiufen? Thank you so much! You've really gone to a lot of trouble!"

When Qi Ziqiang saw Grandma Wang, he immediately expressed his gratitude.

He had also heard his daughter mention Aunt Xiufen.

He lives across the hall from his daughter's house and usually helps her out.

This time, she was the one who called 120 (emergency services).

Otherwise, they probably wouldn't know what to do with their daughter.

"We're all neighbors, so there's no need to worry about hardship. But Brother Qi, how did you get here so quickly?"

As expected, the two said they wouldn't arrive until at least 6:20 or 6:30.

It's only 5:40 now.

It's almost been an hour.

"Sigh... The doctor called us before and said that Xiaoyu had a high fever, so we were worried... so we took a taxi here."

Qi Ziqiang glanced at his granddaughter halfway through his sentence, paused, and ultimately didn't say the word.

The elderly couple noticed the doctor's serious tone.

I think what happened to my son on the operating table back then was probably not an accident.

She was afraid that her daughter would also die on the cleaning table and she wouldn't be able to see her one last time.

Although it was far, I still spent several hundred yuan to take a taxi to the hospital.

So we didn't take the bus.

Because the bus was too slow, and the other party couldn't get to the hospital.

Compared to his daughter's situation, this amount of money was nothing, so he decisively took a taxi in the county town.

Of course, ride-hailing services are very convenient nowadays.

But for the elderly couple, they don't know how to use ride-hailing services, so taking a taxi is more convenient.

"Oh, I see. The doctors are still trying to save him."

Wang Xiufen actually had a pretty good idea of ​​the score.

It's just that there are some things that are hard to say in front of the children.

And this moment.

Students from the University of Medical Sciences and the Northeast Academy of Medical Sciences are emerging from their respective dedicated remote live-streaming teaching and research labs.

Each one of them still felt like they hadn't had enough.

I want to watch the entire rescue process.

However, these classes are supposed to end at 5:30, but now the time has been extended by ten minutes.

It really can't be extended any further.

"This Dr. Ogawa is really amazing!!"

"Absolutely! Three ventricular fibrillations, three successful resuscitations—it was like a tug-of-war with the King of Hell! They refused to admit defeat!"

The crowd exclaimed excitedly.

A vast medical school campus.

"I looked it up, and it's malignant high fever, a nightmare for anesthesiologists. Once it happens without medication, the mortality rate is as high as 100%. The specific drug for this disease is dantrolene, and early use can greatly reduce the mortality rate. Unfortunately, few hospitals in China stock this drug. If it were someone else today, instead of Dr. Ogawa, the patient would definitely be declared dead! I don't know if he can hold on until the drug arrives!"

"It should be possible, but it's a pity. It would be great if we could keep watching."

"I, Hu Yuanyuan, hereby declare that from now on, Xiao Chuan is my idol. At first, I thought he was just a nepotism braggart, but then I realized that this guy is fucking awesome!!"

……

Zhang Lingchuan was unaware that his actions had been broadcast live.

It even received support from many medical students.

And all of them are master's students.

They were studying while also working at the hospital.

They belong to the top tier of high-performing stocks.

What kind of amazing person is someone who can even resuscitate ventricular fibrillation three times?

Even the King of Hell would frown upon seeing this! He'd probably think this kid was some kind of stable boy! Altering the Book of Life and Death!!
However, they did not know.

Zhang Lingchuan drank two bottles of stamina potion.

The clothes on her body had changed from normal blue to dark blue.

That was soaked sweat.

Has the medicine arrived yet?
Zhang Lingchuan was extremely anxious.

At that very moment, a figure was running wildly down the hospital corridor.

“Make way!!”

That was Yin Xiaoxiao, who went to pick up the medicine.

She was running with almost all her might.

At the entrance of the emergency room, Qi Ziqiang and Wang Xiufen only saw a figure fly by.

"Teacher Huang! Danqulin is here!!"

six o'clock.

Yin Xiaoxiao's shout came from the operating room.

"Has the medicine finally arrived!?"

The students may have left, but the teachers have not!
The teaching staff of the Provincial Academy of Medical Sciences, which is actually the Provincial People's Hospital, were staring at the screen.

Of course, the same applies to the teaching staff at the Medical School of Northeast People's University.

miracle!

They actually made it until the medicine arrived.

I just don't know if this medicine will cure the disease completely!
"Alright everyone, I'm about to administer dantrolene to the patient. Please stay alert!"

I've received the medicine.

Huang Xiangning quickly injected Qi Yu with dantrolin.

In general, dantrolene can be effective, but there is a 2-5% chance of failure.

That's why we hope everyone won't let their guard down.

Don't be afraid of ten thousand, just be afraid of the eventuality.

That's right.

Zhang Lingchuan's heart is beating very fast now.

At that time, even though dantrolene was injected, the patient was still put to the rescue in the system space.

"Beep! Beep beep beep—"

[T1 "45.0" T2-T1.]

[T1 "44.7" T2-T1.]

[T1 "44.1" T2-T1.]

"Down!"

"His temperature has gone down!!"

Dantrolene truly lives up to its reputation as a highly effective drug for malignant hyperthermia.

"Very good!!"

In the operating room, everyone involved in the rescue finally breathed a sigh of relief.

"call--"

As for the teachers, they were relieved.

unprecedented!!
This is truly unprecedented!!

Despite experiencing three episodes of ventricular fibrillation due to malignant high fever, the patient miraculously survived until being transported to the hospital with dantrolene, where the fever was successfully reduced!

It's fair to say that a miracle happened right here.

This rescue at the provincial hospital was a sensation in the entire medical community!
Thanks to Dr. Ogawa!

Where did Vice Dean Huang find such a person?

"Director Wu, this is your responsibility now. The team that performed the initial surgery can go and rest. Xiao Chuan, come with me for a moment."

We are now out of the most dangerous moment.

However, the patient still needs to be observed.

Wu Qi is the deputy director of the emergency department.

The on-site command was handed over to the other party.

"Okay, I'll leave Deputy Huang to you. Xiao Chuan, you're excellent!!"

Deputy Director Wu Qi gave Zhang Lingchuan a thumbs up.

This kid is amazing.

With just one hand performing CPR, one will never have to worry about food.

[Ding! Congratulations, host! You have successfully maintained the vital signs of the patient with severe high fever and held on until the medication arrived. The high fever has been successfully relieved, and the patient is now out of danger. You have successfully completed your mission and received a system emergency care gift pack!]

At that very moment, before Zhang Lingchuan, covered in sweat, could even speak, a sound rang in his mind, and beams of blue light appeared before his eyes.

It turned out that the patient had passed the most dangerous moment, and his rescue package had arrived.

……

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(End of this chapter)