Medical road

There are actually many types of consultations in hospitals, such as urgent consultations that require doctors to arrive quickly in the shortest possible time.

When this happens, the representative is the invited doctor, who must arrive at the invited department as soon as possible. Even if there is a patient number, he must deal with it accordingly.

There are many cases in hospitals, especially in the cardiology department, where there is always a doctor to spare time to prepare for emergencies.

To tell the truth, in the internal medicine department, the most urgent and most dangerous are the most dangerous, and it is often life and death within seconds.

The complexity of the heart is different from the complexity of the brain. The complexity of the heart lies in change, and the complexity of the brain lies in the unknown.

If there is bleeding or infarction in a certain part of the brain, whether it needs surgery or conservativeness, there is often a certain choice. However, the heart is different. Once there is a problem, the corresponding symptoms must be dealt with before the other can be considered.

The heart's change is because this thing is the movement of two systems.

A set of electrophysiology, a set of fluid mechanical physiology.To be honest, if you want to be a very good cardiologist, you must first pass physics.

What fluid viscosity, electrical signal, turbulence, there are too many physical problems attached to the heart to make it difficult for doctors.

As soon as Zhang Fan looked at Xu Lili's Faqin face, he didn't need to get a physical examination to make it clear that Xu Lili had a heart problem, and as for the heart part.

If Zhang Fan can be given a longer time, maybe he can rely on knowledge related to anatomy, physiology, pathology, etc., but in seconds, let him confirm the diagnosis, he knows that he has no ability.

Medicine is a very weird thing. It seems that all the organs of the human body are studied, and the basic physiology must be mastered by doctors in any discipline.

A little upgrade, a department and a department are directly like two disciplines in different fields that have collapsed.

If the doctor wants to go further, this kind of interdisciplinary knowledge has to be tied together to conquer. Therefore, if you want to become an authoritative doctor, you have to work diligently for decades, perhaps for some hope.

Heart disease, it will not give you time for you to consider, it must be like eating dumplings, one bite, without thinking, relying on the taste buds to tell what disease, when it is said, it must also be related to it. Deal with, like to eat or not to eat.

Therefore, Zhang Fan asked the nurse to call the cardiology department as an urgent call, and he specifically asked that the director of the department should come, because young people generally do not have heart symptoms, but once they do, they are more dangerous.

Ren Li is not only the director of the Department of Cardiology, but now also serves as the senior officer of the hospital. She was recruited by Ouyang from the Bird City Hospital that year. Currently in the Chasu area, as far as the cardiology department is concerned, it is estimated that Ren Li is already Is the first person.

Like Zhang Fan, she was a person who treated Ouyang differently.Ouyang handed over the surgery to Zhang Fan, while the internal medicine department was Ren Li.

Receiving an urgent emergency call, Ren Li rushed to the hospital with that Duo.

When the male doctor was anxious to get angry and speeded up, just like Huang Feihong in the movie, he lifted up his coat and ran in stride, because the white coat was too long, which affected his legs.

When female doctors were speeding up in white lab coats, they didn't know why, they wouldn't lift the corners of their coats, but instead pressed one hand on the waist, one hand would often cover their mouth, which was a peculiar action.Does the wind cover your mouth?

However, this does not affect their running speed. The white shoes are screaming, the broken steps are fast, and they are still very fast. If it is less than three minutes, it is an accident!

Therefore, when you see a female doctor running in the hospital covering her mouth, you must avoid it.Even when there is no wind, I'm not curious, pulling her to ask why she should cover her mouth.

Ren Li took that flower and ran to the emergency center in two minutes. Before the person was in front of the patient, Zhang Fan began to loudly report the patient's preliminary situation to the two distant people.

"Quickly, the electrocardiogram is gone. The stethoscope is auscultated!" Before the person arrived, Ren Li had already started to deal with Zhang Fan's report.

"The electrocardiogram is out!" When Ren Li had just finished speaking, the doctor at the emergency center had already pulled the paper and handed it to Ren Li.

The rescue is so, whoever leads and who cooperates, everyone knows very well that there is no need for temporary assignment.

"Approximately one syncope, one syncope, the ECG clearly shows a rapid heart rate, how about that heart rhythm?"

In medicine, a word and a word often represent different meanings and consequences. For example, heart rate, in layman's terms, is the speed of the heartbeat, while heart rhythm is the law of the heartbeat.

Syncope, let alone ordinary people, even some surgeons are not very clear about the definition of this term.

When a patient loses consciousness suddenly, it is fainting, while dizziness is similar to fainting. The definition is this way, but it is really difficult to identify quickly clinically.

And this syncope and similar syncope represent different diseases, one after another, just like the heart disease.

If one link is wrong, the treatment method is wrong. This treatment must take effect within a few minutes. If you choose the wrong one, it means failure.

"Irregular, overspeed!" That Duo lay next to the patient and gave the auscultation results within a few seconds. The girl's basic knowledge is still quite solid.

As he spoke, Ren Li was like a female leopard, swiping it, and rushed to Xu Lili's side.

Put your hands on the patient's neck, and then said, "Zhang Yuan, hurry up, get ready for electrocardioversion."

"it is good!"

In this way, people who are not engaged in medical treatment don't understand it at all, just say it in plain language.

Xu Lili was attacked by anger, and the secretion of hormones caused problems in the electrophysiology of the heart. Like electric waves, the tick and tick used to be the same as in elderly prostate patients.

But the excessive hormones stimulated the brain, the brain drank too much hormones, and then became anxious to get angry, and the heart's electric waves became urgent, biu!Biu!Biu!

When the signal is messed up, the heart muscle starts to be messed up. It was originally contracted regularly, just because the signal has a problem, it doesn’t shrink or shrink.

What is the heart? The heart is a pump. If the contraction is disordered, then there will be a problem with the blood pumped out.

The blood that was originally smooth, like a child's spit, is smooth with one click.

And this very irregular contraction will cause countless vortices in the blood vessels, which is turbulence.

When the turbulence appears, the blood can't flow out, and they all gather together to play in circles. If the blood vessels are enlarged, the blood at this time is like the spin on the human head, countless spins, one after another.

The blood starts to play in circles, then the body begins to become ischemia, and then the brain becomes more anxious. Originally, it was only a little too much hormone, but now it is not only hormones, but also hypoxia, ischemia, and energy deficiency.

At this time, the brain is like a mentally confused person, opening his mouth is nonsense.

Commands that were originally messy are even more messy at this time.

In the blood vessel, the blood pressure in a circle will remove the thrombus originally attached to the blood vessel wall, and there will be more serious consequences immediately.

Moreover, if this messy order cannot be corrected in a short time, the heart muscles don’t know what they are going to do, so if they do it, these muscular men will strike. This is called a cardiac arrest, Lao Tzu. Quit it!

After a cardiac arrest, heart failure, kidney failure, electrolyte imbalance, and multiple organ failures will follow, just like a major collapse, and the person will die.

Ren Li put her hands on the patient's neck, which is doing a carotid sinus massage.

Many people may have this experience. Sometimes, without knowing the reason, there will be a sudden panic, and they feel that their heartbeat is particularly strong, as if they are about to jump out.

This is heart palpitations, no matter how old or young, many people will have heart palpitations. Short-term heart palpitations can be self-regulated. When there are long-term heart palpitations, problems will occur and arrhythmia will occur.

Therefore, in this situation, ordinary people can cough, just like an embarrassing cough, or take a deep breath and hold their breath, then spit out suddenly, or massage the eyeballs. These actions can correct the palpitations, but, just like the original heart disease, So don't think about it, and go to the hospital quickly.

While massaging, Ren Li gave an oral doctor's order: "360J single wave electric shock preparation, 1mg adrenaline static push, amiodarone and lidocaine ready!"

Ren Li gave the doctor's order, the monitor was installed on that one, and Xu Lili's chest was full of wires in an instant, and Zhang Fan was ready for an electric shock.

Outside the hospital, Xu Lili's boyfriend and Wang Xiaohu's father looked at each other with swollen noses and swollen noses, but when they heard the nervous and rushing voices of the doctors and nurses inside the hospital, they couldn't take care of them.

When Xu Lili's boyfriend saw the doctors as if they were facing a big enemy, his heart sighed. He knew that his girlfriend had a big problem.

"Doctor, doctor!" shouted in an anxious voice, a doctor in the emergency center came out with a medical notice like a book.

"Who are you from the patient?"

"I am her boyfriend!"

"It's best to contact her immediate family members. Now you first sign. The patient has been reported to be critically ill. The condition is very serious and there is a possibility that the rescue will fail."

"Ah!" The voice was not from Xu Lili's boyfriend, but from Wang Xiaohu's father. He never expected that his kid caused such a serious disaster.

"It's over! It's over!" Although he is a demolished household, he is still an ordinary person. In his mind, he is not thinking whether his son is over 14 years old, but thinking that he must save his life!

When Xu Lili's boyfriend heard it, he felt like a knife stirring, shaking out the phone, and he wanted to notify Xu Lili's parents.

After the call, the young man looked at Xu Lili in the rescue room in despair, but when he turned his head, he saw Wang Xiaohu's parents.

Suddenly, the original desolate appearance changed like a fire in his eyes.He stopped calling and stopped making trouble. He took out the phone directly, "I want to call the police. Wang Xiaohu and his father in XX village killed the school teacher!"

"No, no, no, no, no!" Wang Xiaohu's father cried directly, putting his hands together, begging.

Xu Lili’s boyfriend, with a vengeful look, stared at...

The rescue of arrhythmia is effective, just like a broken dam. If it cannot be intercepted at the initial stage, it will bring disastrous consequences.

Electric shocks and medications, when five cycles have not yet seen the doctor, it can mean that the rescue has failed, and this time is the so-called golden six minutes.

Doctors and nurses are getting more and more involved.Ren Li gave an oral doctor's order almost without stopping.

"Please the anesthesiology department, prepare for intubation if necessary!" This is about to get on the ventilator.

"it is good!"

As the sun sets, Xu Lili's pale face is illuminated with a faint light circle by the afterglow.