Chapter 431: Saving Death

? There are many types of acute myocardial infarction patients, but no matter what type, modern medicine tends to perform interventional or interventional surgery.

In fact, this is the best solution to guarantee life-saving in a short time.

As a type of endoscope, interventional surgery often performed in the Department of Cardiology is also what Wei Jiayou is good at.

Wei Jiayou was confident, with the patient's current state, he was pushed directly into the operating room, and he was 80% sure to save him.

However, as time went by, the hope of resuscitation became more and more remote.

Wei Jiayou hid himself in the shadows because of his temper, and kept thinking about various plans.

"If you don't sign it, there will be no time for surgery." The doctor from Yunyi's cardiology department also came to the emergency department, and once again issued the critical illness notice, with anxiety and impatience in his tone.

"We can't decide on this matter, even if you ask us to sign." The uncle who couldn't let go of the phone kept shaking his head, and his tone became more and more firm.

"Haven't found the patient's son yet? When will we have to wait?" The cardiology doctor looked at the time, and his whole body was not feeling well.

"I don't know." The uncle was equally irritable, and said, "His son is working overtime all day long, and my company and the rented house are also called. What can I do!"

The doctor in the cardiology department took a deep breath: "I really can't wait, if you don't sign, the patient will die."

The uncle shook his head, not even explaining.

He didn't feel that his state could be understood by the doctors in the hospital, nor did he expect them to understand.

Wei Jiayou looked at the monitor again, then at Di Maocai, finally stood up, and said coldly, "We won't wait, let's send the patient to the operating room first."

Di Maocai just watched without expressing any opinions.

The family members of the patient also breathed a sigh of relief, lowered their eyelids silently, as if they didn't hear it, and grabbed the phone again, and said "Hello" loudly.

The emergency personnel around the patient didn't have much time to worry about the problem. They immediately started to move when they heard the order of the surgeon.

The brakes of the flat car are lifted,

A male nurse stood at the back and pushed the car evenly with force.

Drip, drop, drop...

Almost the moment the flat car started, the monitor suddenly rang.

"Defibrillator." Wei Jiayou called out immediately.

The male nurse hurriedly stopped, stuck the brake first, and then went to charge the defibrillator.

laugh.

Wei Jiayou tore off the patient's clothes in a snap to apply the oil patch. With a sound of "Get out of the way", the heart rate on the monitor trembled.

"Cardiopulmonary resuscitation." Without the slightest chance, Wei Jiayou knelt on the flat bed, intertwined his hands, and began to perform chest compressions.

"1, 2, 3, 4..." Wei Jiayou hummed a song in his nose to ensure that his compression frequency was correct.

The nurses in the emergency department did their best to cooperate.

After a while, Yu Yuan also appeared on the scene and said loudly, "I can do the replacement."

"No need." Wei Jiayou didn't believe in Yu Yuan's ability. In a strange hospital, Wei Jiayou didn't believe anyone's ability.

He was doing CPR by himself, staring at the monitor, hoping to get the answer he wanted.

Di Maocai did not interfere in any way. He brought Wei Jiayou out. For the local hospital, it was an armed parade, and for Wei Jiayou, it was a test.

Since I can't be well-informed due to my age, I can increase my knowledge by going to different local hospitals.

Some diseases are very rare in some provinces and cities, but may become very common in other provinces and cities.

At the same time, facing patients in different regions and handling different patients can also allow doctors to improve rapidly.

Just like this time when I came to Yunhua, although I didn't get the chance of aortic dissection surgery as expected, it was quite good to practice cardiopulmonary resuscitation.

Wei Jiayou grunted and performed chest compressions, and then defibrillated again, and finally pulled the patient back.

"Continue, go to the operating room." Wei Jiayou ordered decisively.

The male nurse stepped on the brakes again, and the flat car moved forward slowly, and the patient's family members followed suit automatically. They didn't want to sign the consent form to avoid taking responsibility, but they also hoped that the doctor could save the patient.

The flat car was sent to the operating room at a constant speed, but before entering the door, the monitor yelled again.

This time, Wei Jiayou was more fully prepared, defibrillating steadily and then performing chest compressions.

A group.

two groups.

Three groups……

Wei Jiayou's head was sweating very quickly.

"Defibrillation."

Wei Jiayou yelled, and after defibrillation, he continued to perform chest compressions non-stop.

A group……

two groups...

Three groups……

"Defibrillation!" Wei Jiayou's voice was a little louder, but the effect of defibrillation was not better.

This time, Wei Jiayou didn't even look at the monitor, and gave priority to chest compressions.

Each set was 30 times, 120 chest compressions per minute, and Wei Jiayou was sweating profusely.

The tall and thin Wei Jiayou has long and beautiful fingers, and his arms and legs are obviously longer than ordinary people, which makes him feel a little weird when he is lying on top of the patient.

He has less muscle in his arms, and doing chest compressions, it's more like a bone stick poking at the opponent's chest.

In a short period of time, everyone's attention is still on the patient.

However, as time went by, everyone's eyes were more focused on the disharmonious parts.

In addition to Wei Jiayou's posture and form, the frequent use of the defibrillator produced an indescribable singeing smell, which made everyone avoid it.

"Adrenaline." Wei Jiayou shouted again.

The nurse at the side had already made preparations. Several commonly used first-aid medicines for myocardial infarction were on hand. Hearing Wei Jiayou's order, he quickly injected a burst of adrenaline.

Wei Jiayou then asked for an advanced airway to be opened, that is, a tracheotomy and a respirator.

Compared with simple balloon respirators, studies have shown that the opening of advanced airways is beneficial for long-term cardiopulmonary resuscitation.

Now that the advanced airway is required to be opened, it can actually explain Wei Jiayou's judgment from the side - the time for cardiopulmonary resuscitation will be greatly extended.

5 minutes……

10 minutes……

CPR time quickly exceeded 15 minutes.

If it is in an American hospital, such a long period of cardiopulmonary resuscitation is basically the limit. Most doctors will almost choose to give up chest compressions if they do this.

Even in China, it is a matter of opinion whether a doctor is willing to take a 1 in 200 chance.

Some doctors are not confident in their own techniques, or in the rescue ability of their hospital or department, so they will not do super-long cardiopulmonary resuscitation.

Some doctors understand the patient's choice, or have a bad judgment on the patient's prognosis, and they will not die to perform cardiopulmonary resuscitation.

In fact, after extra-long cardiopulmonary resuscitation, the probability of the heart recovering function is 5%, which is not a very small value, and the difference between 1% and 5% usually belongs to the brain dead.

Several doctors turned their eyes to Wei Jiayou, seeming to guess his decision.

At this time, if he was a familiar doctor in this hospital, someone would definitely come forward and remind him of the time for cardiopulmonary resuscitation.

However, since everyone is not familiar with or like Wei Jiayou, no one will take the risk of reminding him.

"Substitute." Wei Jiayou finally couldn't do chest compressions anymore, but his decision was not to give up, but to substitute someone to do it.

A heart surgery doctor hesitated for a moment, then came up and said, "Doctor Wei, I'm here to help."

Wei Jiayou himself is still a rookie doctor, but his teacher Di Maocai is one of the best in the country. For the doctors in Yunyi's cardiology department, it is an investment to please others and flatter them.

Wei Jiayou persisted for another minute, and then jumped down to give up his position.

The cardiac surgeon jumped onto the flat bed and began to perform chest compressions humming.

Heh heh heh...

Chi hum chi hum...

Whirring whirring……

Wei Jiayou watched the opponent's movements, counted the time for five waves, and said, "Substitute again."

The director of the cardiac surgery department had already come downstairs. Under his gaze, another chief physician of the cardiac surgery department stepped forward, and then another.

Several young attending surgeons in the heart surgery department, together with Wei Jiayou, changed round after round, and even the surrounding medical staff changed several rounds.

Ling Ran followed the flow of people and walked in.

He was quite curious about the skills of the armed patrols in the outer courtyard.

From the replacement frequency of chest compressions, to the use of medicines, to the use of defibrillators, there are no absolute rules in the process of saving lives, and it is more the doctor's on-the-spot judgment.

After insisting on 40 minutes of cardiopulmonary resuscitation, Wei Jiayou finally came to the conclusion that there was no way to recover.

"It can't be done." Wei Jiayou looked up at the watch on the wall: "Death time..."

"You can continue to do cardiopulmonary resuscitation, there is still a chance." Ling Ran interrupted Wei Jiayou to announce his death.

40 minutes of cardiopulmonary resuscitation, although it was already supernormal, but in Ling Ran's view, it was far from being declared dead.

Especially the patient's electrocardiogram at this time, although the baseline is unstable and the waveform is messy, it is because of the chest compressions of many people, which is caused by a lot of interference.

On the other hand, the patient is only in his 50s. As far as the life expectancy and physical condition of modern people are concerned, as long as they are saved, the prognosis can still be optimistic.

Wei Jiayou didn't like people meddling with his patients, so he turned around and glanced at Ling Ran and his face, feeling even more annoyed, he waved his hands and said, "Your patient is gone."

"Okay." Ling Ran was not like Wei Jiayou's usual doctors, crying and shouting to clarify the ownership of the patient first, knelt on the flat bed in just one sentence, and continued to perform cardiopulmonary resuscitation.

"001, 002, 003..."