stjorthotic Chapter 235
Chapter 235
Chapter 235
Lin Feng asked urgently as he started CPR compressions.
“Did you do cardiopulmonary resuscitation on the road?”
“Cardiopulmonary resuscitation… yes, yes!”
The child’s father nodded repeatedly.
“But when you got out of the car, you obviously didn’t press it!…Have you ever counted, how many minutes did you stop?”
The child’s father and mother were so dizzy that they couldn’t think of it.
“I do not know!”
“I was in a mess at the time!”
Hold your headache and cry!
Lin Feng shouted: “Is there more than 3 minutes? Or 5 minutes? Or 8 minutes?”
“Probably 3…5…I don’t know, woooooo~~~~”
Both parents were confused at this time and couldn’t remember the time at all.
Why does Lin Feng ask that?
Because the time of hypoxia is basically regular.
The brain tissue is also poorly tolerant of hypoxia. When the cerebral blood supply is interrupted and the brain is hypoxic:
·Cerebral blood flow changes: When asphyxia and hypoxia are incomplete, the blood flow of various organs in the body is redistributed to ensure the blood flow of the heart, brain, adrenal glands and other tissues.
·If hypoxia continues to exist, this compensatory mechanism fails, cerebral blood perfusion decreases, and a second redistribution of blood flow occurs, that is, the blood flow to the cerebral hemispheres decreases to ensure the blood perfusion of the thalamus, brainstem and cerebellum .
so,
After the human body is hypoxia, the brain still has a certain buffer time.
This time is:
·At 2 minutes, the brain cells ceased their electrical activity!
·After 5 minutes, the brain tissue will be irreversibly damaged!
·After 8 minutes, it was basically helpless!
The role of cardiopulmonary resuscitation is to pump the heart’s blood to the whole body through artificial pressure, and supply blood oxygen to the brain.
Therefore, cardiopulmonary resuscitation is very important! !
However, it is still necessary to know the specific hypoxia time.
It’s a pity that the two parents in front of them are already confused and have forgotten everything.
“Wang Zirui, you come for cardiopulmonary resuscitation!”
Lin Feng shouted.
“Yes!”
Intern Wang Rui was panicked at this time. It was the first time he faced this kind of ‘dead’ rescue.
However, cardiopulmonary resuscitation is the most basic knowledge, even if it is conditioned reflex, he can complete it.
After being replaced quickly,
Lin Feng freed his hands.
“Xiao Ai, 50ml syringe needle, hurry up!”
“Yes!”
Xiao Ai quickly went to find the needle,
Lin Feng quickly said to the child’s father, “I have to insert a needle into the child’s throat, called cricothyrocentesis, and you have to sign and agree to it…”
The child’s father cried and shouted: “Doctor, hurry up and rescue, I promise everything, you can do it…!”
Why do this puncture?
Because the parents said that the child was eating bananas and blocked the trachea.
Therefore, endotracheal intubation will definitely not work, because the road ahead is blocked.
The only way is to open a hole in the lower part of the trachea.
Let air enter the lungs, and it is possible to save the child’s life.
A tracheotomy is naturally best,
However, the needle is the fastest!
“Doctor Lin!”
Xiao Ai quickly gave the needle to Lin Feng.
Lin Feng took the needle,
“Okay, go and prepare tools for tracheotomy right away!”
“Yes!”
Lin Feng held the needle, pinched the child’s neck with his left hand, and then touched his cricothyroid membrane.
One stab! !
Then you can hear chick~~whoop~~ chick~~~
The rapid sound of the air current resounded…
Lin Feng glanced at the ECG monitor, the waveforms were all pressed.
Wang Zirui was pressing hard, breathing heavily.
With the constant pressing, his tension finally eased a lot, but he was also sweating profusely.
Lin Feng began to open the child’s mouth.
The flashlight shined.
The banana in my throat was sticky, blocking my throat.
In this case, there is no way to insert the trachea, because the mashed banana will block and contaminate the trachea. If the mashed banana enters the lungs, it will be even more troublesome.
So, next,
Lin Feng is going to perform a tracheotomy for the child!
(The amount of oxygen in the needle is not enough…)
Lin Feng turned his head and shouted to the parents:
“The oxygen level of a needle is not enough. Now it is necessary to perform a tracheotomy for the child. The child is no longer able to do it. If it is not cut, there will be no chance. Can you do it?”
The child’s father was red-eyed and cried and said, “Doing and doing…doing everything…agreeing to everything…¨¨…”
The two parents hugged each other and cried.
After hard work for seven or eight years, they are so heartbroken. At this moment of life and death, they almost have a nervous breakdown!
“Doctor Lin, got it!”
At this time, Xiao Ai also got the disposable surgical kit, took out the 100-meter race speed, and galloped over, panting.
Tear~~~~
Tear open the surgical kit,
Lin Feng puts on his gloves…
Disinfect quickly…
Lin Feng’s hands and feet are very fast!The scalpel is drawn into the “safety triangle” of the child’s neck.
Safety triangle area: a triangular area with the suprasternal fossa as the top and the front edges of the sternocleidomastoid muscles on both sides.
A knife fell!
Crosscut!
Cut the skin, muscles…
Expose the trachea…
Continue to crosscut!
At the moment of incision, you can clearly feel a huge air current, start to inhale and exhale.
“trachea!”
“Give!”
Lin Feng took the trachea from Xiao Ai, the inside of the patient’s trachea…
Only the sound of “wheezing” airflow ejected and inhaled.
certainly,
These are not the child’s breathing, but the air fluctuations caused by cardiopulmonary compression.
at this time,
The child still didn’t react at all, his face was blue and scary.
“Ventilator, pure oxygen!”
“Static push, adrenaline 1mg + 20mg saline!”
“quick!!”
The ventilator is already ready.
Plug in…
Pure oxygen begins to enter the interior through the trachea.
Enters the lungs, combines with the blood, enters the heart…
Then through Wang Zirui’s heart and lung compressions, pumping continuously into the whole body…
“I can’t hold it anymore, I’m so tired!”
Wang Zirui shouted profusely!
“let me try!”
Intern Yan Haoyu began to prepare…
“3, 2, 1…Change!!”
Switch without gaps!
Lin Feng stared at the ECG monitor closely.
Frown!
Others stared at the ECG monitor closely.
Prayer in the heart:
“It must be successful!”
…
at this time,
Many doctors came to the rescue room.
“What’s wrong?”
“Eating bananas, choking, breathing stops…”
“Rescue…”
“Is Lin Feng? Is he all right?”
“He was at the door of the emergency room and happened to meet…”
“It seems that Lin Feng’s rescue this time is very quick!”
“The strength is very strong, not to be underestimated!”
Each doctor whispered.
…
Lin Feng calculated the time, 3 minutes have passed.
The heartbeat hasn’t recovered yet.
“Adrenaline, push it again!”
Keep pressing…
4 minutes…
6 minutes…
Sudden,
The waveform of the electrocardiogram began to vibrate irregularly.
“It’s ventricular fibrillation!”
“Defibrillators!”
The defibrillator is already ready.
Boom~~~~
Defibrillation made a sound.
no!
Continue to defibrillate again!
Boom~~~
Finally, ventricular fibrillation stopped.
Keep pressing
“Adrenaline, push it again!”
8 minutes……
10 minutes……
And the adrenaline didn’t stop, and I pushed it every 3 minutes.
at this time,
“Out!”
“The electrocardiogram is out!”
The intern Wang Zirui shouted in surprise, feeling happy all over his body at this moment!
Everyone was overjoyed.
really,
On the electrocardiogram, a regular QRS complex, st-segment and t-wave, are constantly being stretched…
“Hahaha~~~~”
“good!!”
“Awesome!!”
The whole rescue room burst into cheers.
That is the touch of life!
The two parents of the child cried with excitement.
Tears flowed.
“Thank you doctor, thank you doctor!”
I keep bowing and thanking Lin Feng. Lin Feng can’t stop it even if he wants to stop it.
Then it’s easy to handle,
Lin Feng began to order: “Change pure oxygen to 80% oxygen…large flow…”
A series of medical orders began to be issued…
The nurse started to get busy.
…
Next step,
Need to consider how to deal with the clogged banana mash in the child’s throat…
This is a minor operation.
After the child returns to normal vital signs,
Lin Feng underwent surgery.
It takes about 1 hour to clean up carefully, and finally the mashed banana is completely removed.
…
12 o’clock noon,
The child woke up.
I did a brain CT and found that some cerebral edema and acidosis have occurred…
Lin Feng made an assessment and felt that no surgical treatment was needed, as long as continued medical treatment was enough.
That afternoon,
The parents bought expensive fruits and delivered them to Lin Feng. They also presented a pennant.
Lin Feng Jinqi+2……
…
…
afternoon,
Five o’clock,
Lin Feng walked out of the hospital.
“Lin Feng…here!”
A Maserati parked on the side of the road outside the gate,
The car window fell,
Liu Shiran’s beautiful smiling face excitedly waved to Lin Feng, blushing.
“Where to go?”
Lin Feng got in the co-pilot and asked.
“Aren’t you where you don’t live? I have prepared it for you.”
Liu Shiran looked forward to the brilliance and said with a smile.
“what?”
“Gogogo~~~~”
Maserati rushed all the way, and came to an old alley in a few minutes.
Siheyuan!
“arrive!”
Liu Shiran beckoned and let Lin Feng follow.
“Miss……”
“Uncle Chen, this is my friend, Lin Feng, this is my housekeeper, Uncle Chen…”
The housekeeper is a middle-aged man in his 50s with meticulous hair and a gentle smile.
“Dr. Lin, admiring your name for a long time…”
“Hello.”
It took an hour…
Lin Feng, under the leadership of Liu Shiran, watched the entire courtyard inside and out, up and down.
Swimming pool…
garden……
Little bridge and flowing water…
The decoration style is full of modern science fiction style…
Smart homes full of houses…
Lin Feng likes it very much.
“How is it? Do you like it? You said that you like the sci-fi style, so I knocked down the original courtyard and redecorated it like this…”
Liu Shiran looked at Lin Feng with a smile.
Lin Feng was shocked.
Is this specially decorated for yourself after remembering your own preferences?
Lin Feng’s heart was hot, looking at Liu Shiran,
The two of them made eye contact and quickly moved away…
“｀”Thank you! ”
“You’re welcome… You have no place to live in the Imperial Capital, just live here, how about it?”
“good!”
Lin Feng smiled.
Liu Shiran blushed quietly.
“Ahem…Go, I’ll take you to dinner…” Lin Feng waved.
“I’ll take it…I am familiar with the imperial capital, I graduated here…” Liu Shiran said mischievously.
Lin Feng holds his fist…
Gangster!
…
…
A certain district,22:00……
“Dad, I’m back…”
The eldest son Wang Ming opened the door and walked into the room.
“Wait, the food will be ready soon…” 65-year-old father Wang Daqiang was cooking in the kitchen.
Wang Ming: “I’ll wash my hands, and wait to help you…”
Wang Ming went to the bathroom and washed his hands…
Sudden,
Clang~~~~
Wang Ming heard the sound of breaking pots from the kitchen.
Surprised!
“Dad, what’s the matter with you?”
Flew out of the bathroom and ran into the kitchen.
Then he saw his dad Wang Daqiang lying on the ground, the stainless steel vegetable pot fell to the ground, and the vegetables were all over the floor…
Puff~~~
At this time, Wang Daqiang suddenly stretched out his head.
A bite of blood,
Squirted out.
“dad……”
Wang Ming was taken aback and quickly helped Wang Daqiang up, and then picked up his mobile phone to make a 120 call.
10 minutes later,
The youngest son Wang Cheng ran back…
The ambulance rushed downstairs at this time.
…
harmonious,
Emergency Department.
Lin Feng is on p shift (pm afternoon shift).
I will get off work in more than an hour.
Lin Feng is looking forward to going back to the courtyard, rolling the floor with sister Liu Shiran, and doing some kind of harmony.
As the so-called Lang Youqing concubine intentionally,
The relationship between the two people has developed to the present, and it is a matter of course, and then a stream of water last night officially established the relationship.
Liu Shiran: “I’ll make good soup for you… wait for you to come back to drink… (smiley face)”
Lin Feng: “mua~~~”
at this time……
Beep Beep Beep Beep~~~~~~
The sound of an ambulance broke into the emergency department.
“Quickly, there is a patient who vomits blood, shock!!”
The doctor at the emergency center (of Nuo Wang) quickly pushed the flat car to push the patient Wang Qiang into the emergency department.
Lin Feng: “???”
Suddenly there was a bad feeling.
Could it be… My evening show is going to be a boon, right?
Lin Feng quickly walked out.
The other doctors on duty also went out.
Then……
Among the many doctors, the two sons of Wang Ming and Wang Cheng saw Lin Feng, an outstanding young man.
Happy!
“Doctor Lin, please help my dad!”
“My dad vomited blood!”
Other doctors: “…………………………”
emmm~~~~
We were ignored!
Roar in the heart: We are also the attending and deputy director of Harmony Hospital anyhow, much better than Lin Feng!
Helpless, Lin Feng walked over quickly.
“Specifically, what’s the matter?”
The doctor onboard the 120 center quickly shouted.
“The patient was 65 years old, vomiting blood, fainted and in shock on the road for 5 minutes… The initial diagnosis was gastrointestinal bleeding…”
All the doctors listened.
Hey!
Gastrointestinal bleeding!
This is not Lin Feng’s profession!
Wait, Lin Feng guesses ask us to help!
Head up and proud jpg
result……
They did not wait for Lin Feng’s help.
Lin Feng directly pushed the patient into the rescue room.
Observe the patient:
·Patient, 65 years old, male patient,
·Paled face
·According to this face, it belongs to severe anemia, a very typical face.
·The patient has been confused
·There are blood stains on the clothes on the chest, blood vomiting marks
Nurse Xiao Ai and several other nurses came over to help quickly.
Connect the ECG monitor and other equipment…
· Blood pressure is only 70/40mmHg, heart rate is 130 beats/min, breathing is 25 beats/min,
·The blood oxygen saturation is 96%…
·The blood pressure is very low, obviously the life of hemorrhagic shock.
——————————
ps: There are fewer updates today, sorry…
. .