Medical road
Chapter 669
"Director, the patient's heart rate is getting faster and faster, and the carotid sinus massage is not effective!"
While listening to the heart, that Duo stared at the ECG monitoring, and quickly combined his own listening to inform Ren Li of the result.
For venous sinuses, if heart palpitations occur in the weekdays, massage here is the best, but most people can't find it at all. If they can find it, it is estimated that all of them can be slapped on the neck with one palm and knock people out.
"Electric shock!" Ren Li ordered.
With the assistance of the young nurse, Zhang Fan adjusted the power supply and prepared for an electric shock.The development of cardiovascular disease has taken two paths.
One is intervention, bridges, and stents. This is the path of the heart and vasculature.It is to improve the blood circulation in the cardiovascular system.
The second is to go electrophysiology.That is, in the movie, the scene everyone saw, the patient lying on the bed, was beaten up by the electric shock device.
In fact, it can be seen from this point that there are still many places in China that need to catch up with Europe, America and even the Maruko countries.
This kind of thing is very common in Europe, America and Maruko countries. Subway stations, shopping malls, and crowded places often have this kind of equipment.
Moreover, training on the use of this instrument is also very common.The focus of cardiac defibrillation is actually time.
During the systole, a fist hit the chest suddenly, it was all pulled, and I don't know why it went to the popular science book.
Not every boxer is a doctor, and not every passerby is a doctor and a boxer.
"The electric shock is ready!" Zhang Fan made an oral report with the electric shock device.
Why do you say that fists hit the chest is a pull, because the power of ordinary people's fists can never reach the energy to change heart rhythm.
How much energy is the electric shock device? In this way, if a third person appears during the electric shock, and the hand touches the patient, then the electric shock device can definitely knock the third person into the air.
Fighting a normal person into the air is not a heavyweight professional boxer. Can ordinary people do it?
"Electric shock!" With these words, Ren Li stepped aside, and Zhang Fan picked up the electric shock device.
Although the electric shock device is very powerful, it does not look very tall. It is like an old-fashioned iron, applied to the patient's chest and powered on.
All I could see was a bang, Xu Lili was like lying on a spring bed, bounced under pressure and then jumped up, while Zhang Fan's arms were slightly bent, resisting the reverse impact.
After one click, everyone looked at the ECG monitor in unison, and the duo immediately said: "No!"
At this moment, the hearts of people including the doctor were secretly hairy.The first click is generally the best. If it doesn’t work, then the heart stimulus medicine should be used.
The use of heart stimulus drugs, to be honest, is very risky, which is like drinking alcohol.
After Wu Song dried three bowls of old white dried, he crossed the hills and dried the tiger. If he didn't drink, he wouldn't dare to drink. If he drank a little more, the tiger probably did him.
This means that Wu Song's drinks are just right, and his heart muscles are like countless Wu Songs.
It is very difficult to control the amount of medicine so that they can drink to the point where they can beat tigers.Because the amount of alcohol in this group of things fluctuates, fluctuating high and low.
Sometimes, there is no response when 1ml goes down, and 5ml goes down just fine. Sometimes, when 1ml goes down, the doctor hasn't prepared yet, and the guys are all drunk.
And with the changes in blood and oxygen, the amount of drinking of these muscular men is even more difficult to control. Therefore, when a cardiology doctor rescues the patient, her heart is actually beating, because she Also betting.
"5ml adrenaline, static push! Preparation for the second electric shock." Ren Li's face was dark, no time to think about it, she gritted her teeth and gave an oral doctor's order.
Zhang Fan has no special feelings. After all, Zhang Fan is still wandering outside the door in this field.
But that one was different. The girl looked at Ren Li in surprise, "I'm too courageous! If I change to me, would I dare to give such a doctor's order?"
"Okay!" With the static push of the drug, Zhang Fan started the second click.What is static push is to take the needle and inject the medicine quickly from the vein.
This method of administration is the fastest, fast, but the risk is also considerable. It is different from the static point, which is the usual name for the infusion.
In fact, neither of these two methods should appear in daily medical treatments and treatment methods, nor should they be routine.
Static point, it is clearly pointed out in the textbook that when the patient is unable to routinely take medicine, apply static point or static push to the patient for rescue use!
Therefore, sometimes it is very weird, it should be popularized by everyone, everyone can only understand it from the film and television, but it is almost known to the ninety old lady and the six-year-old child.
When there is no male doctor, the female doctor will use the electric shock device. If there is a male doctor, the male doctor will use it.
To be honest, this thing, when you look at the female doctor strenuously, gritting your teeth and frowning and exerting all your energy, using this thing with a painful face, you will never want your girl to study medicine. .
Bang!Xu Lili was beating all by herself.And this kind of beating is like a zombie, Xu Lili closed her eyes tightly, her teeth were tight, and her whole body went straight up and down.
"Effective! The electric shock is effective! The patient has cardioversion." Naduo quickly reported the results to Ren Li and Zhang Fan.
If the heart cannot be cardioverted this time, it will be followed by a cardiac arrest, and then the doctors will have to intubate.
"Okay!" Ren Li couldn't help but yelled loudly. She was planning to intubate.
Zhang Fan also took a big breath, his arms are already a little bit sore.
When that flower was in the blue bird, the direction it chose was biased towards the vessel, so this kind of first aid was rarely involved.
Because in large hospitals, there is a department called the emergency channel for myocardial infarction and heart failure. This kind of rescue is a matter of seconds, and there are special departments, so that Duo rarely participates in this kind of rescue that is considered courage and experience.
After the patient's cardioversion, Ren Li called out in excitement, and the doctor started to flush as if drinking a cup of pure brew.
This is the doctor's sense of accomplishment. When the patient's teeth are closed, the heart immediately stops beating, and death is already standing beside the patient.
The doctor, relying on years of knowledge, courage, and gambling, pulled the patient away from the god of death. To be honest, it was very cool!
"Pay attention! Don't take it lightly. The patient from the Zhang hospital should be transferred to the ICU?" Ren Li said to Zhang Fan after another check.
This is what Ren Li will do, because Zhang Fan is the first leader to take over. Although he is not a doctor in his heart, she still respectfully asked.
"Okay, you are an expert in your heart, just do what you say. Xiao Wang, quickly ask your family to sign and pay the deposit."
Zhang Fan said something with a smile, and then called Shao Hua.
...
When she heard that Xu Lili had reported a critical illness, Wang Xiaohu's parents were frightened blue regardless of how Xu Lili's boyfriend was.
Life, he can't hold this with a little money.Therefore, when the doctor walked out of the emergency room and said that the patient was temporarily out of danger, Wang Xiaohu's parents almost couldn't help shed tears of joy.
When the doctor said to pay, Wang Xiaohu's parents ran faster than the rabbit, and he went to the payment window as soon as possible.
It really feels like an afterthought.
Xu Lili was really almost disgusted this time. She was a girl with a little cleanliness. It is estimated that she will give up white food in the future.
Xu Lili was pushed into the ICU. With the cardioversion of the heart, Faqin's face also became bloody, and she became sober, but she was still very weak.
Her parents also came, and Shao Hua was called by Zhang Fan. Shao Hua did not expect her classmates to be so serious.
Xu Lili's family are all workers on the educational front, especially her father, who is also a professional in education in the Bureau of Education. It seems that the management is a commissioner who assesses the title of a teacher.
After she came to the hospital, she heard that her daughter was almost dead, not only reported that she was critically ill, but she was also given an electric shock.
Then, looking at the weak daughter in the ward, she felt unspeakable.Although the city hospital rescued his daughter, he was still worried.
"Old Chen, I heard that a cardiologist from Bird City came to the Chasu Chinese Medicine Hospital to go to the countryside."
After seeing his girl, he called one of his friends.
"Well, the director of the heart of the Bird City Class 3 Hospital, the level is very high. What's wrong, your body..." The other party is also surrounded by a large hospital doctor, and is fairly familiar with the medical system.
"Hey, it's not me, it's my daughter...
Can you take a line and let him come over and show my girl?"
"It's okay to see when the time comes, but the director is more arrogant, and it is difficult for ordinary people to move."
When the other party said this, Xu Lili's father understood, "There are red envelopes, how many are suitable, my brother, I must help."
"What red envelopes are not red envelopes, it is the consultation fee, forget it, let me contact you, the title of my brother-in-law..."
The Department of Cardiology in the Hospital of Traditional Chinese Medicine is not well developed, while the Department of Cardiology in the City Hospital is the best in the tea area.
The director of the Hospital of Traditional Chinese Medicine is extremely enthusiastic. Not talking about income, he gets a lot of awards just for seeing the doctor.
Therefore, he specially invited a director of the Bird City Grade A Hospital to help the TCM Hospital develop the Department of Cardiology.
In fact, lower-level hospitals invite doctors from higher-level hospitals, but to be honest, they cannot invite top-level doctors.
To tell the truth, for example, a department director would never leave his department alone and go to the hospital below for long-term consultation.
In addition, doctors with the best skills in the department will not be sent out, so doctors who come from public to public are generally second-rate or third-rate doctors.
Top doctors are actually a very scarce resource. To tell the truth is illegal, but really, if this road is also closed, ordinary people will be injured.
The chief doctor who came to the countryside has average skills in the bird market, so he is not very satisfied in the department, but after coming to the tea, he obediently, and immediately changed.
Everyone held him, so he was also a little bit reluctant.
"What, I'm going to the city hospital for a consultation, oops, there are still many patients here, so I can't get out of my body."
"Oh, there is a consultation fee. I'll take some time to go."
He didn't care about the sick number, where there was no time, there was a consultation fee, or two thousand, he immediately agreed.
In the ICU of the city hospital, this director Wang who went to the countryside originally wanted to show his face, but he made up his mind. Today, the doctor at the city hospital must be put under control.
"How can I say, it's also a doctor in a higher-level hospital! I'm an expert!"
This is what he thought, while touching the two thousand yuan in his pocket, he came to the city hospital.