Chapter 1188: Protrusion

Director Ruan, if you can spare yourself, please bring someone to the emergency room... She is a 40-week-pregnant woman who has been in cardiac arrest for 20 minutes, and Dr. Ling is performing cardiopulmonary resuscitation herself..." Zuo Cidian said He picked up his phone and dialed out.

Ruan Gaoge on the other end of the phone was planning to worry about factors such as status and consultation, but when he heard that Ling Ran was going to fight in person, he immediately agreed: "I'll be there in 10 minutes."

"Please hurry up. Doctor Ling plans to make a final decision in 10 minutes." Zuo Cidian said a few words roughly, and then hung up the phone. He didn't know what Ruan Gaoge was doing now, so he just urged him.

However, he believed that Ruan Gaoge would definitely rush to the emergency room as quickly as possible.

If he can't do it, then the meaning of the ICU team in the emergency center will no longer exist.

This is also the best time for Ruan Gaoge to prove himself.

Participate in the most important rescue when Ling Ran needs it... As long as Ruan Gaoge's IQ is online, he will know that this is the time to show himself. There are microcosm explosions, time-limited missions that can be opened, cheats that can be used, and panacea that can be eaten. They should all be used at this time.

Zuo Cidian called the director of the obstetrics and gynecology department on the speed dial again with "graciousness". After connecting, he quickly said: "Director Li, Dr. Ling is doing cardiopulmonary resuscitation for a 40-week pregnant woman... Yes, I I think you have also received a call, but after much deliberation, we believe in your technique more, if you have time...Okay, Dr. Ling will make the final decision in 9 minutes!"

Hanging up again and dialing the phone again, Zuo Cidian called the anesthesiology department and neonatology department in turn, followed by the cardiology department and cardiac surgery department, and then Huo Congjun and the hospital office.

After everyone understood the situation and requirements described by Zuo Cidian, their attitudes were similar to Ruan Gaoge's, and no one delayed or procrastinated.

As far as the current Yunhua Hospital is concerned, Ling Ran has already personally participated in the battle, so it can be said that it is appropriate to ask them to form a team.

In fact, even if Zuo Cidian didn't make a phone call, and asked each department directly for an emergency consultation, as long as he put Ling Ran's name on it, each department would have to dispatch elite soldiers to come over.

After making a series of phone calls, Zuo Cidian turned around and saw that Ling Ran's forehead was already sweating.

The standard and high frequency of cardiopulmonary resuscitation is quite tiring, but if you want to save people, you must do it standard and high frequency.

Ling Ran frowned, not because of the hard work of chest compressions,

He was just thinking hard about a solution.

High-quality chest compressions may not be able to save the patient in front of him. Even with a large number of drugs that are not suitable for pregnant women, a definite answer may not be obtained.

The last thought popped up, and Ling Ran quickly put it behind him. If there is any definite answer at this time, it would be nice to have a chance.

Thinking of this, Ling Ran immediately ordered: "Check the airway, prepare for defibrillation, inject one milligram of epinephrine intravenously."

The first two orders came naturally, but the latter request made the anesthesiologist hesitate for a few seconds, and couldn't help saying: "Doctor Ling, it took less than 4 minutes to get the last epinephrine."

"En." Ling Ran did not intend to cancel the doctor's order.

Seeing this, the anesthesiologist could only retreat silently.

The doctors next to them listened to the conversation between the two without blinking their eyebrows. At this time, any decision made by the surgeon is correct, and the risks brought about by the medicine and the treatment process cannot be avoided if you want to.

But one thing is certain, without drugs and treatment, although there will be no side effects, people will not be able to survive.

"Doctor Ling, the defibrillator is ready." The nurse finished applying the gel and said in a low voice.

"200J." Ling Ran took a step back as he spoke, and then saw Lu Wenbin holding the defibrillator firmly on the patient's chest.

There was a silent tremor, and everyone turned their attention to the monitor, trying to find an exciting bulge from the straight curve.

not at all.

Several young doctors turned their heads, only to see that Ling Ran had already started chest compressions.

In the process of cardiopulmonary resuscitation, chest compressions are the most important, and the shorter the stop time, the better. Therefore, in addition to allowing a short time for defibrillation, Ling Ran immediately resumed the state of chest compressions.

Chest compressions can actually be understood as purely mechanical physical therapy. The heart originally functions as a pump. Now that the function of the pump stops, the pumping of blood also stops, so uninterrupted chest compressions are used instead.

Now, the patient's internal organs and brain, as well as the fetus in the abdomen, also rely on the blood pumped by chest compressions to survive.

High-quality chest compressions can provide 40% to 60% of the blood supply, which can also ensure the basic needs of the internal organs, the brain, and the fetus.

This is the theoretical basis for ultra-long cardiopulmonary resuscitation, and it is also the basis for Ling Ran to dare to fight for 10 minutes.

He believes that 10 minutes can bring the pregnant woman in front of him a great chance of survival, and at the same time, the damage to the fetus will not be too great.

However, the foundation is the foundation after all. No matter how good the chest compression is, it cannot restore the patient's heartbeat. It must be successfully defibrillated.

The initial arrhythmia of cardiac arrest in 80% of adults is ventricular fibrillation, and ventricular fibrillation will go through the stages of electrophysiological disorder, circulatory disorder and metabolic disorder. Is there a time point and how to find such a time point to perform electric shock Tremor is still a topic of discussion in the medical community - various CPR guidelines are very concerned about and simplify the process of CPR, that is because performing CPR is often not performed by CPR experts, or even trained professional doctors, but by ordinary people. Doctors, nurses and even non-medical people.

Allowing ordinary people to perform simplified cardiopulmonary resuscitation procedures in the correct way can theoretically bring the greatest benefits to patients in cardiac arrest.

But at this moment, Ling Ran, who is Yunhua Hospital and even one of the few cardiopulmonary resuscitation experts in Xichang Province, no longer needs to use this way of thinking to think about ways to break the situation.

A correct timing, a correct defibrillation, and a little luck, is the only way to bring about miracles.

The current obstacle is that Ling Ran still doesn't know the correct timing, doesn't know the energy needed for correct defibrillation, and doesn't know how to get luck...

"Adrenaline." Ling Ran ordered again after thinking hard.

The nurse did it without hesitation.

The anesthesiologist took a deep breath, then turned his head and whispered to the director of the anesthesiology department who had just arrived: "The fourth one."

In the first 20 minutes of rescue, two epinephrine shots were used, but after only a few minutes this time, Ling Ran took another two shots.

The director of the anesthesiology department was noncommittal and said, "Dr. Ling's style is like this."

"This is not the same as the guideline requirements..."

"If people succeed, they can modify the guideline based on their own experience." The director of the anesthesiology department waved his hand as he spoke, signaling his subordinates to get up, and sat down on the small round stool beside the bed.

The directors of the Neonatology Department, the Obstetrics and Gynecology Department and the ICU group also rushed over, but they could only gather around the bed, watching Ling Ran doing extremely boring chest compressions.

These directors are useless until the cardiopulmonary resuscitation is over. Even if the cardiopulmonary resuscitation fails, the directors are all in vain—not necessarily, when the death is discussed, there may still be troubles for them.

"Doctor Ling, let me perform the defibrillation." Ruan Gaoge looked left and right, and took the initiative to find a job for himself.

He has worked in the ICU for so many years, and the defibrillator is often used. If cardiopulmonary resuscitation, etc., are also experienced.

However, Ling Ran unexpectedly shook his head and refused: "There is no need for a defibrillator."

"No defibrillation?" Ruan Gaoge was extremely surprised.

"Except." Ling Ran said one word concisely, then pursed his lips.

The several directors who came one after another looked at each other in confusion? I don't know what Ling Ran meant, and it's not easy to ask at this time.

Ling Ran continued to do chest compressions, but the frequency gradually increased.

Lu Wenbin looked at Ling Ran's sweating profusely, and couldn't help saying, "Doctor Ling, let me replace you."

"No." Ling Ran lowered his head, and just pressed his chest vigorously. With more than 100 compressions per minute, he quickly produced a sufficient amount of sweat, causing them to slide down his neck drop by drop.

Lu Wenbin didn't understand, so he stepped back and looked up at his watch. Seven minutes had already passed the ten-minute deadline.

Suddenly, Ling Ran stopped abruptly. He straightened his upper body and stared at the patient's chest. When the chest wall fully rebounded, he raised his right hand without hesitation, clenched his fist with one hand, and struck heavily on the patient's chest. the patient's precordial area.

"Hammering on the chest?" Ruan Gaoge opened his mouth in surprise when he saw what Ling Ran did, but his body unconsciously turned to the monitor on the side.

drop~

A small bump jumped slightly from the edge of the screen.

...

Checked some information, later than expected

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