I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 277 Who Did the King of Hell Leave Behind? The Sympathetic Storm in the Emergency Room—Is This Scientific?! [Seeking Monthly Tickets]

[The system has completed three precise scans.]

[Patient's name: Xiang Xiaobai]

[Patient's gender: Female.]

[Patient's age: 26 years old.]

[Patient Status: Cardiac arrest lasted 17 minutes before resuscitation efforts began. Currently, cardiopulmonary resuscitation has been performed for 30 minutes, and precordial thump has been administered for 5 minutes. The body has transitioned from the clinical death phase to a state of minimal electrical activity.]

[Patient Diagnosis: Sudden death due to myocardial infarction and malignant arrhythmia; life countdown: three seconds remaining.]

[System notification: After prolonged resuscitation efforts, the patient's body is gradually regaining slight electrical activity. It is recommended to perform one minute of perfect precordial thump followed by 10-20 cycles of five minutes of CPR. This should remove the flickering sensation and allow the patient to proceed with standard in-hospital resuscitation procedures.]

It's him.

This was the first time he had used three precise scans on one person.

Even with that thirteen-year-old girl who got choriocarcinoma last time, he only had her scanned twice.

But now the situation is critical.

The precordial percussion technique is indeed effective when applied.

The countdown timer changed from one second to two seconds, and then to three seconds.

It only got stuck for three seconds, allowing the other person to regain their cardiac activity, but it just wouldn't go up.

So he performed a precise scan again.

I want to see what insightful suggestions the system can offer.

However, the next second, he was completely dumbfounded when he saw the scan results.

Perform one minute of precordial thump combined with five minutes of cardiopulmonary resuscitation, repeating 10-20 times.

Dude.

This round takes six minutes. How long would it take for ten to twenty cycles? That's sixty to over one hundred and twenty minutes! Aren't you just killing him?!
Keep in mind that he has already been undergoing emergency resuscitation for thirty-five minutes.

Even when he saved seven people at Qingjiang Yushan Park in his hometown of Qingzhou, where he was known as a CPR maniac, he only performed CPR for about fifty minutes.

The longest one of them is named Xiao An'an.

The system indicated that as long as cardiopulmonary resuscitation lasted for thirty minutes, the patient could be transferred from the clinical death stage to the near-death stage.

I remember he was so tired that his hair was all frizzy. He had to take some energy potion to barely drive the car home. When he got home, he didn't want to eat anything and just slept soundly until the next day.

He couldn't even imagine what it would be like if he had to perform CPR for an hour and a half or two and a half hours.

It's just like a car.

Although the wheels and rims can still turn, the tires have a limited lifespan.

Even if you drive 100,000 kilometers, the wheels might be fine, but the tires would be worn down.

"A miracle! Teacher Zhang!"

"My God, precordial thump can actually work in this situation!!"

Lou Jiangya and her team were overwhelmed with joy after the initial surprise.

They initially thought Teacher Zhang had given up, but who would have thought that his precordial pounding technique would be so dazzling?

"Xiaotian, not bad..."

Yu Zecheng looked at Tian Qiguang and nodded with great satisfaction.

Previously, he thought Xiaotian might be exaggerating, but now that he had brought a dying person back to life, Yu Zecheng was now somewhat looking forward to the other party's diagnosis.

Because you could tell from his eyes that the other person seemed to have discovered his ailment.

But time was of the essence, so the other party didn't explain it to him in detail.

"Great! That's wonderful! Dr. Lou! Did you save our Sister Bai?!"

Liao Xiaoxiang said excitedly.

For some reason, I felt like I had gone from a dark hell to a world bathed in sunlight.

"It's just a slight electrical reaction, possibly a final burst of energy before death. Besides, Teacher Zhang has already performed CPR for thirty minutes and precordial thump for five minutes, so his physical strength is probably at its limit."

"Perhaps you're thinking about switching personnel or transferring to a hospital. If conditions allow, we would certainly be willing to do so. However, none of us present can perform CPR and precordial thump like Professor Zhang. Even our top emergency experts at Tongji Hospital might not be able to do it, and even if they could, it might not be effective. So, whether he can be saved depends on Professor Zhang's physical strength. As for transferring him, it goes without saying that he might lose vital signs before he's even on the ambulance."

Although this is a bit blunt.

But sometimes doctors don't need to be tactful.

It should be the way it is.

If it weren't for their outpatient emergency team, even if 99.99% of the teams in the world came, they would probably pronounce this patient dead.

Encountering an expert like Teacher Zhang who is truly risking his life to save others, and whose techniques are so advanced that they even have therapeutic effects, is an oddity even lower than winning the lottery.

So, can the patient be saved?

It all depends on Teacher Zhang's stamina.

If they have enough strength, there is hope of saving them.

But she felt that Teacher Zhang was already at his limit, because judging from his condition, he was even more terrifying than someone who had just finished a spin class at the gym.

indeed.

You can even be a little lazy with a spin bike.

However, CPR cannot be done slackly in the slightest, and all actions must be performed with the highest quality.

This is something that not everyone can do.

This is not only an unprecedented test for technology,

"This……"

Liao Xiaoxiang's newly ignited hope was like a bucket of cold water being poured over her; the tiny flame was extinguished instantly.

Song Wanqing, who was standing to the side, also had very complicated feelings.

She felt really sorry for Teacher Zhang in this situation, but she couldn't stop it.

Because this is a life-saving operation!
Right now, I just hope for a miracle, and please don't let Teacher Zhang down!

Yu Zecheng, Tian Qiguang, Ou Lingling, Li Xiaowen and others present all hoped for a miracle.

And this moment.

Some people online have learned about the novice veterinarian's condition.

"Hope you're alright."

"Little White, you must pull through!"

"I knew it! So that's why the live stream suddenly stopped. This is what happened."

"Sigh... I told you we must listen to Veterinarian Zhang's diagnosis, and we absolutely cannot delay. You see, if we had gone directly to the hospital back then, none of this would have happened."

"I've inexplicably become a fan of Dr. Zhang! Go Dr. Zhang, go Xiaobai!"

"To be honest, after so long without any news, I guess the situation isn't optimistic. It's such a pity that Xiaobai is so young."

After all, the live stream could not proceed as scheduled.

The person in charge of the photography team explained it in the fan group.

At first, the core fans were a bit angry.

After all, isn't this just treating people like monkeys?

But when they learned that while Xiaobai was resting, Veterinarian Zhang had suddenly suffered cardiac arrest and was performing CPR, everyone immediately shut up.

There was regret in the group, and some people were praying.

Of course, most people just want to wish Dr. Zhang good luck.

We must save Xiaobai!

In fact, Zhang Lingchuan is indeed working hard now.

After one round of CPR, he began the second cycle.

Perform a one-minute precordial thump.

He placed his hand on the midline of his chest, at the lower half of his sternum.

Methodological analysis shows that this is the weakest point in the entire thoracic cavity. When it is struck, the thoracic cavity can deform to a certain extent, moving closer to the heart and allowing the mechanical energy of the strike to be directly transmitted to the heart.

As for the fist used for striking, it needs to be positioned vertically directly above the striking point.

20 cm from the chest.

Precordial percussion technique shows that this height and distance are conducive to the clenched fist generating a certain acceleration during the percussion process, while not too high, making it easy to control the direction of the percussion and accurately reach the percussion site for treatment.

"boom--"

Zhang Lingchuan clenched his fist and pounded the lower half of his sternum from a height of 20 cm, followed by five more poundings.

Lou Jiangya, who was standing to the side, shook her head.

This head-shaking wasn't out of dissatisfaction, but rather a head-shaking gesture of utter admiration.

Because textbooks state that after a punching motion is completed, the fist should be quickly and actively retracted in preparation for another powerful punch, so that each punch forms an ideal pulse-like mechanical stimulation. Depending on the response to treatment, the punching may be performed once or several times.

紧握拳头的捶击速度<2.25 cm/s时，成功率为18％±3％，捶击速度>2.25 cm/s时成功率可提高到36％±2％。

Judging from the visual inspection, Mr. Zhang's hammering speed was greater than 2.25 cm/s each time.

Aren't you tired?!
Keep in mind that he had been performing CPR and chest thumps for a considerable period of time.

But Lou Jiangya soon discovered that she was young.

Teacher Zhang seemed tireless, mechanically and perfectly repeating CPR and precordial thump techniques.

Moreover, it seems that the other party has some kind of control over the proportions.

She specifically arranged for someone to keep records.

Cardiopulmonary resuscitation (CPR) should be performed for five minutes, while precordial thump should be performed for one minute.

He's looping endlessly.

And the more he repeated the cycle, the more excited he became.

Because Zhang Lingchuan can see the countdown that everyone else can't right now.

After four cycles, 24 minutes later, Zhang Lingchuan discovered that the countdown to clinical death had changed from three seconds to eleven seconds.

He had already been performing CPR and precordial thump for over an hour.

"Gulu——"

The only sound at the scene was swallowing.

Everyone stared nervously at the screen.

"I've got it!!"

Time passes minute by minute.

After more than an hour of perseverance, the beating of life finally began to reappear on the monitor's screen.

For some reason, Lou Jiangya felt tears welling up in her eyes.

Too dangerous.

That's amazing.

Too bad!
I witnessed a great miracle.

"Drip-drip-"

Suddenly, the next second, the alarm on the electrocardiogram monitor went off.

"It's ventricular tachycardia! No, it's ventricular fibrillation!!"

"Quick! Defibrillator!!!"

Having watched for so long without the necessary skills, it's finally their turn to take the lead.

Everyone became extremely focused.

"boom--"

"Bang bang bang-"

But the next second.

Lou Jiangya and her group stood there, stunned.

They were surprised to find this while preparing for defibrillation.

With a single punch from Teacher Zhang, the other person's heart rate changed from ventricular fibrillation to sinus rhythm.

Honestly, they are a pre-hospital emergency team from Fudan University, and as a top-tier hospital in Shanghai, they have seen and experienced a lot.

But today they were truly dumbfounded.

"Sister Lou...is this...is this scientifically possible?"

You said that precordial thump has a certain effect in cardiac arrest, but how can thumping the heart in ventricular fibrillation restore sinus rhythm?
Really.

The accompanying nurses all felt a little unreal.

"The mechanism of precordial thump for treating rapid cardiac arrest, ventricular fibrillation, etc., is not yet fully understood. Most scholars advocate the mechano-electric feedback effect."

Lou Jiangya said.

After all, he is an attending physician at Fudan Hospital.

He does have some skill.

"Huh? What the heck??"

But there is a shortage of nurses.

Clearly, they don't really understand this, or perhaps they didn't listen carefully when they were learning it.

"Simply put, a normal human heart has two basic functions: electrical and mechanical. The effect of the electrical function on the mechanical function is called electromechanical coupling, and the effect of the mechanical function on the electrical function is called mechatronic feedback. The heart is an organ that is very sensitive to mechanical forces."

"To illustrate, anesthesiologists discovered very early on that precordial percussion can effectively treat severe bradycardia, and cardiac surgeons can use their fingers to tap the heart during surgery to restore its electrical activity from a stopped state. These are all examples of the feedback effect of mechanical force on the heart's electrical activity."

Lou Jiangya continued.

"It's a bit complicated..."

The nurse scratched her head.

"To use this example, only 4% of the current delivered by external defibrillation ultimately passes through the heart. The vast majority of the electrical energy is lost during conduction in the body's tissues. In contrast, the mechanical force of rapid thumping in thumping is transmitted directly from the precordial region to the heart tissue and is converted into the current needed to terminate ventricular arrhythmias in the local area of ​​the heart."

Lou Jiangya had a pretty good grasp of the theory of precordial percussion.

I also watched a lot of related tutorials from abroad.

This is also a first aid technique that police officers in the United States are required to learn.

Because their stun guns often cause cardiac arrest, people frequently need to use precordial thump for emergency treatment, since defibrillators are often not available in time. Therefore, they have also provided this methodology.

But even so.

Every year, a significant number of people still die from stun gunshot wounds.

"Oh... I think I understand now. In other words, external defibrillation is like hitting the heart from a distance, while precordial thump is like slapping the heart directly! That's why the slap feels more painful!"

The nurse was in a daze.

"Almost almost."

Lou Jiangya nodded.

Both are slaps, but the former is like hitting a person who is wearing clothes, while the latter is like slapping flesh directly. Obviously, the latter causes more pain.

"Oh no! Ventricular fibrillation again!!"

However, the sinus rhythm did not last long before the death of ventricular fibrillation occurred again.

This time it's even more dangerous than before.

Faced with persistent ventricular tachycardia and ventricular fibrillation, precordial thump and electrical defibrillation were used in combination, along with intravenous administration of antiarrhythmic drugs and correction of acid-base and electrolyte imbalances...

"Beep beep-"

The person was finally evacuated from room 1818 of the hotel.

Zhang Lingchuan continued cardiopulmonary resuscitation until he reached the emergency department of Huashan Hospital of Fudan University.

The hospital had already learned the cause and effect of the incident through the video that was sent over, and multidisciplinary coordination was immediately carried out.

The head of the cardiology department had just driven home from the hospital when he was notified and quickly left his two children at home to rush to the emergency room to participate in the rescue. The resident expert of Peking Union Medical College Hospital and the executive director of the cardiology department originally planned to leave Shanghai by plane, but upon hearing about the rescue, he immediately turned back to the hospital to assist in the rescue...

The catheterization lab nursing team responded promptly and quickly prepared for the interventional treatment.

Hospital emergency department.

A young man, exhausted and panting heavily, was riding on a stretcher, performing precordial thump and cardiopulmonary resuscitation to an extremely high standard.

Pre-hospital area, elevator, interventional room.

The young man's face was flushed, the veins on his arms were bulging, he was exhausted and panting heavily, and there were even bloodshot eyes.

"What the hell? An hour and a half of CPR? It didn't stop!!!"

All the doctors in the operating room were completely dumbfounded.

An hour and a half of CPR, without stopping—that's an incredible feat!

"To be precise, it takes one hour and forty minutes."

This sentence struck like a thunderbolt once again.

The shock made all the doctors present's heads buzz.

Zhang Lingchuan's vision had completely blurred.

【56......57......59......】

He was going on a crazy loop.

At this moment, his world seemed to consist only of a countdown.

"Didi di di di!!!"

at the same time.

The electrocardiogram monitor emitted a piercing sound.

[Ding! Congratulations, host! After one hour and forty-five minutes of CPR and precordial thump, you have successfully moved from the clinical death stage to the near-death stage. You are currently in the interventional room. Please hand over the case to the professional team of doctors. Emergency kit is being distributed...]

last of the last.

Zhang Lingchuan felt the voice in his mind getting fainter and fainter.

The whole body felt dizzy and disoriented.

But he had a smile on his lips.

Because his efforts paid off, he finally turned the flashing red and gray label back to red.

"Hurry! Hurry, hurry, hurry!!"

"Teacher Zhang—"

"Help! Help!!!"

The expert team discovered that the young woman who suffered cardiac arrest had just weathered a sympathetic storm and was showing slight improvement.

The young man on the stretcher suddenly collapsed.

It was as if my whole body had suddenly shut down.

Fortunately, there were enough medical staff present who quickly stepped forward to help the person.

"What's wrong with Xiaochuan?!"

"What happened to Xiao Zhang? Wasn't he just trying to save someone?!"

Intervene outdoors.

Yu Zecheng, his secretary, Tian Qiguang, Ou Lingling, and Song Wanqing all arrived at the hospital.

Everyone is anxiously awaiting the results from the novice veterinarian, wondering if he can be saved!

However, the next second, they saw a figure push out.

And that figure was actually Zhang Lingchuan.

They asked each question in an instant.

"Teacher Zhang, Teacher Zhang, what's wrong with the doctor! Please help him!"

Song Wanqing was completely taken aback by this scene. She was waiting for the exhausted Teacher Zhang to go back with her, and that evening she was thinking of giving him a shoulder massage or something. But when she saw him come out, she was stunned and then rushed over to him, anxiously asking him questions in a frenzy!
"Little girl, don't be in such a hurry."

Seeing Song Wanqing so excited, Vice President Zhao Kaiming, who rushed over, immediately spoke up.

"How could I not be anxious! If your wife were lying on this bed, wouldn't you be anxious too!"

Yu Zecheng stomped his cane and said angrily in a low voice.

"Mr. Yu, you're here too."

When Vice Dean Zhao Kaiming saw Yu Zecheng and Tian Qiguang, he was immediately bewildered.

"Vice Dean Zhao, I beg you to do everything in your power to find out why this child is in a coma and bring him back to life. If anything happens to this child, you must take responsibility!"

Yu Zecheng's dark old eyes gleamed with a sharp edge!

He was truly moved by this younger generation's indomitable spirit today.

They managed to pull a person who was on the verge of death back to life.

We absolutely mustn't let anything happen to this person.

"This... Don't worry, Mr. Yu, we'll arrange it right away."

When Zhao Kaiming heard the title "Vice Dean Zhao," he felt a chill run down his spine, because Old Yu had always called him "Little Zhao." He immediately led a group of experts to examine Zhang Lingchuan.

"You silly child, I'm still waiting for your answer regarding treating my illness."

Yu Zecheng's gaze fell on Zhang Lingchuan, who was lying on the stretcher, and he felt a pang of heartache for no reason.

Of course, he also comforted Song Wanqing, who was worried and tearful, and who stayed by Zhang Lingchuan's side.

Time quickly passed to the early hours of the morning.

Song Wanqing stayed with Zhang Lingchuan the whole time, her eyes were red.

Finally, at 1 a.m., the test results came out.

Song Wanqing, Yu Zecheng, Tian Qiguang, and Ou Lingling were together in the office.

She breathed a sigh of relief as she listened to the test results from Vice President Zhao Kaiming.

It turned out that Teacher Zhang had fainted due to exhaustion, and his body was otherwise unharmed except for being overworked.

Meanwhile, the story about the veterinarian Xiaobai and Zhang Lingchuan quickly spread on the internet.

Shen Changming, Huang Xiangning, and Shen Xuanqin, who were far away in Chunshi, and Ru Jiming and Fang Yanqing, who were in the capital, all received the information.

……

(End of this chapter)