Chapter 1189: Creating Miracles

"Jump!"

"Heartbeat restored?"

"Have you hammered it?"

The doctors who had been suppressed for a long time let out soft cheers.

Whether it is a doctor in the emergency department or not, in fact, they have seen too much life and death. However, ordinary doctors can calmly face the birth, old age, sickness and death of ordinary people. They can see a young mother who is pregnant with a new life and see a new life that has not seen the world. Ordinary peace cannot be maintained. go down.

Even if it is an old fritter like Zheng Pei, even if he likes to tease little nurses and flirt, he is willing to take a lot of professional risks to try to call out the only solution.

Fortunately, it appears to be a successful venture.

Zheng Pei peeked at Ling Ran.

Not to mention, as long as he didn't die twice, Ling Ran shouldn't be too angry. If both mother and child can live, it is more likely to be a happy situation.

Ruan Gaoge also looked at Ling Ran with an expression of surprise mixed with admiration.

Chest thumping is a first aid technique that emerged in the 1960s. It is not a traditional technique. It was first reported in 1960. It is probably not a well-thought-out invention. It just spread naturally because of the unexpectedly good effect.

In the 60's and well into the 2000's, the dominance of the chest thump was pretty clear. First, it does not require additional electrical defibrillation equipment, which means it can be used in any rescue scenario. Especially in the era when the defibrillator had not yet been invented and was not popularized, chest thumping can be said to be the only defibrillation method that doctors can use.

The second, more important factor is that defibrillators until 1996 were of monophasic wave technology.

Therefore, if you watch medical TV dramas before 2000, you will often find that doctors speak at 360 joules. If you watch medical dramas after 2000, the defibrillator energy required by doctors will be reduced to 200 or even 120 joules.

The effect of the defibrillator with biphasic wave technology is significantly higher than that of monophasic wave technology. Therefore, it was not until the 2010 guidelines that chest thumping was clearly listed as a second-line technology. Because the defibrillator with biphasic wave technology developed in 1996, it was basically common at this time.

From another point of view, before the emergence of biphasic wave technology, the technique of chest thumping was actually not weak, at least not significantly weaker than the defibrillator with monophasic wave technology. Let's look at the early reports of cardiopulmonary resuscitation,

The success rate of chest thumping is still quite high, which also makes the use of chest thumping quite extensive.

Especially in the 1960s, 1970s, and until the 1980s, when even defibrillators with monophasic wave technology were not popularized worldwide, chest thumping can be said to be the best way for ordinary doctors to rescue patients.

Considering in this direction, chest thumping was not included in the second-tier guidelines until 2010, and there are also reasons why fewer and fewer doctors have mastered the technique of chest thumping.

After all, technology needs to be practiced after all. Early doctors can have enough cases to practice, review and even expand. After all, doctors in the later period still use more and more defibrillators. Dare to use it is also a matter of course.

Ruan Gaoge can beat with his chest, but he has hardly practiced it a few times.

What he didn't even expect was that Ling Ran could use it, and it seemed to be used just right.

At this moment, from the result to the process, Ruan Gaoge felt that Ling Ran's chest thumping was indeed a better choice than the defibrillator.

The defibrillator mainly relies on a strong electric current to pass through the heart to stop the ventricular fibrillation and allow the sinoatrial node to re-initiate the impulse, so that the heart can resume beating.

In a nutshell, defibrillators operate on electrical current.

Whether it is a biphasic wave or a monophasic wave, there is no difference at this point.

Chest thumping has a certain mechanical force.

After having tried the defibrillator several times, repeating the shock again will give satisfactory results?

In fact, according to the current guidelines, a single defibrillation has the highest success rate. Although the subsequent multiple defibrillations are effective, the effect cannot be compared with the first defibrillation.

If Ling Ran had enough time, he might be able to try to use the defibrillator two or three more times, but in the case of time constraints, Ling Ran might try other methods, which might be more risky, but they might indeed be more effective.

This is also one of the differences between a perfect level of cardiopulmonary resuscitation experts and ordinary doctors who only know how to read guidelines.

Ordinary doctors have no choice, because ordinary doctors will not refine the skills of cardiopulmonary resuscitation except in the way provided by the guidelines. Doctors in the ICU and emergency department may know more, but few of them can reach the professional level.

And what the guide provides is always the most basic solution.

In fact, just looking at the changes in the guidelines for cardiopulmonary resuscitation over the years, you can realize that it is imperfect, imperfect, and unreliable. For example, the early cardiopulmonary resuscitation guidelines required 60-80 chest compressions per minute. In 1988, it was changed to 80-100 times per minute. In 2010, it was emphasized that high-quality chest compressions should be guaranteed at 100 times per minute. above.

From the point of view of hindsight, patients who received cardiopulmonary resuscitation before 1988, if they met a doctor who accurately grasped the number of chest compressions, would not be able to survive, and the sequelae would definitely be much more.

Clinical medicine is always an empirical medicine, and success is the best reason.

Ling Ran chose the plan of pounding outside the chest, and if he succeeded, it proved the correctness of his experience and viewpoint.

"Too bold." Ruan Gaoge looked at Ling Ran, not knowing what to say.

If this fails, then the husband who lost his wife and child at the same time, if he wants to sue the hospital and the doctor in grief, chest pounding may become a wrong action in the mouth of the lawyer.

Of course, there is no blame for success.

"Shall we have a section now?" The chief obstetrician looked at the somewhat recovered heartbeat curve, bent his arms, and put on latex gloves.

The several directors beside him who were still in a daze also seemed to have been awakened, and looked at Ling Ran together.

"Wait a little longer, wait a little longer..." Ling Ran didn't feel joyful about "having fun with the people", but remained objective and cautious.

Just because a patient's heartbeat has just returned doesn't mean she's ready for an emergency C-section right away.

Although estimated by the director of the obstetrics department of Yunhua Hospital, she may only need tens of seconds or even a dozen seconds to cut the fetus out of the mother's stomach, but if you say that the mother's body will be deaf because of the lightning speed. If you are too slow to react, you are thinking too much.

Immediate caesarean section is equivalent to putting the mother's life on the gambling table again.

Although it was a gamble after all, Ling Ran still hoped that his cards would be better.

"Ice cap, bring an ice pack, and cool down the body surface..." Ling Ran also stared at the curves and numbers on the monitor, gave a new order, and said again to the obstetrics director in a low voice: " Wait a little longer."

"Okay." The chief obstetrician objected intentionally, but swallowed it anyway. She chose to trust Ling Ran's judgment.

The many doctors who surrounded him did not say anything against it. Nowadays, everyone believes in Ling Ran's ability to create miracles even more.

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