Plague Doctor

“Arjun's heart rhythm stopped breathing for two hours and five minutes, had defibrillation, had adrenaline, intubated, and had been under chest compressions. ”

Propeller rumbling, rescue helicopter in the ambulance cabin, Uncle Egg quickly told the rescue team colleagues the general situation, the team is also mainly Sky Machinery Bureau personnel.

Liu Mingfeng, an expert from the Emergency Section of the Medical Department at Headquarters and now a member of the Ministry of Spells, was the team leader. The middle-aged man in his forties knew Gu Jun and Uncle Egg, but was only responsible for logistical rescue work. Liu Mingfeng listened while performing a vital signs check on Gu Jun fixed to the stretcher.

The contingent did not lose material and equipment after entering the different spaces, portable defibrillators, portable ventilators, etc. were still there, so the CPR quality of the field first aid was high, resuscitation drugs were given, electric shock defibrillated, tracheal intubation was ventilated by the ventilator, continuous chest compressions... Uncle Egg they had done everything they could.

It's just...

The dilated pupils on both sides disappeared, the light reflexes disappeared, all reflexes in the muscles of the body disappeared, and now the attached ECG shows no autonomous heartbeat.

It's been 125 minutes.

Uncle Egg said the situation after the showdown was that they slowed down for a while before resuming operations, so he started rescuing within about 6 minutes of Gu Jun's sudden halt, so that even high-quality CPR had a success rate of only about 10%.

The current international standard is to hand deliver CPR rescue for more than 30 minutes and to pronounce death if the patient has not recovered.

And the heartbeat stopped for more than 5 minutes, and the brain cells started to suffer irreversible damage due to the prolonged interruption of the brain supply. Brain death is precisely why some patients rescue their heartbeat and breathe, but become vegetarians.

Gu Jun's right forehead also had obvious skin lacerations up to 5 cm long, local skin swelling and bruising, right eye congestion, and possible brain injury.

Compared to these two injuries, multiple fractures in his limb do not appear to be a major obstacle.

Situation, very disappointing.

Liu Mingfeng, this body on the stretcher they are facing, is basically already called a body.

“He's not dead.” Wu Shiyu, who stood aside, said with a strong voice that she was still holding those anatomical instruments, "I could feel him still alive. ”

Uncle Egg knew that this situation was particularly difficult for Miss Wu, who broke down the banyan tree with her old imprint... but her mental state was fairly stable.

No matter how anyone feels, the rescue team has never given up, and their job is to compete with Reaper for life.

Moreover, although rare, it is not uncommon to rescue patients who have stopped heartbeat for two or three hours in the emergency room of a general hospital, or even those with cerebral hemorrhage. Gu Jun is not a normal person, but they have the best medical resources.

The other two injured, Deng Xie Mai, were lighter, Xue Ba was heavier and earlier, but the CPR in the field was of high quality and could not be given up.

Meanwhile, Zhang fireman continued to give Gu Jun chest compressions. Some nurses immediately wrapped Gu Jun's head with an ice cap to cool him down, and others inserted him into the ureter. Liu Mingfeng and Uncle Egg were all nervous about the transparent urine bag. First aid had a chance to urinate. Without a urine catheter, it was basically impossible to save them.

When the ureter opens, you see a dark yellowbrown urine coming out of the ureter and pouring into the urine bag.

“Opportunity, opportunity!” Uncle Egg couldn't help but be excited and cheerful. Everyone's spirit was excited. Wu Shiyu's face also improved.

“Yes, and save, remember urine volume.” Liu Mingfeng resolutely said to the nurse that these urine may also have been present in Gu Jun's bladder before his coma, but urine is always a good thing, "he said.“ The other side of the boat is ready to make an ECMO and will do it in a minute. ”

ECMO is extracorporeal membrane pulmonary oxygenation. The principle is to use a tube to connect the patient's veins to the relevant artificial cardiopulmonary machinery, to direct venous blood to the oxygenator for artificial oxygenation, and then the power pump returns these oxygenated blood to the patient to maintain organ function and help CPR.

This extracorporeal circulation, which completely replaces the heart and lungs in the short term, is arguably the last resort of severe first aid.

However, due to the high cost of the equipment and the difficulty of operating it, a specially trained ECMO team is also required to have the equipment. Therefore, not all domestic Sana 'a hospitals can do ECMO, and there are few mature teams. But these are not the standby rescue teams on the destroyer.

Cardiovascular, Cardiac, Interventional, Emergency, Anesthesiology, Neurosurgery, Neurology, Orthopedics, Respiratory and Critical Medicine…

A team of hundreds of expert professors in many disciplines, some on-site and some remotely connected, must be completed quickly.

Gu Jun's life depends on this now.

If you take ECMO, even if Gu Jun is really a corpse, you won't let him rot so fast.

And Sheba would also do ECMO for salvage.

“Does the patient's coma have the effect of abnormal forces?” Liu Mingfeng asked again.

Looking back at the situation, Uncle Egg was a little creepy, "It was Arjun who brought the dark forces together and he was basically swallowed up, so we had a chance to win the fight back. It also caused him to fall from high altitude, and these fractures and forehead injuries came as such. ”

Old and spiritual stamps have also been printed, and purified fossils have been used, all indicating that Gu Jun has not been eroded by the spirit.

This is what Wu Shiyu said about feeling, “I feel no, the dark forces almost swallowed him once... but at the end of the day, those forces had been dispersed, his taste was still salty, not so salty, but still salty, it was him. ”

Liu Mingfeng and others nodded, I hope not, otherwise there are too many unknown counts.

Less than five minutes after take-off from the island, the helicopter landed on the destroyer's deck. They immediately took Gu Jun's stretcher out and put it on the first aid bed. The transfer staff waiting on the deck pushed the first aid bed to the ECMO operating room on the ship, and chest compressions could not stop.

One minute in the morning, or one minute later, may determine whether the patient is dead or alive.

The battle on the front line of the mobile contingent is over and their logistical battle is only just beginning, making sure to win with all your strength.

At the command center, Grandpa Tong, Shinian Yao, etc. looked at the scene of the rescue through the big screen.

Shortly after, Gu Jun was pushed to the ECMO operating room. The nurse changed his uniform to a medical uniform and the surgery team was ready to start immediately.

The first step is to perform a femoral intravenous intubation, which is also the main and most difficult step of surgery.

As they continue their chest compressions, they have to open a small hole in Gu Jun's thigh, find his femoral artery and femoral vein to complete the intubation, and then connect to the ECMO machine with a thick connecting tube. One bad step can lead to major bleeding, which not only delays the first aid, but also makes the situation worse.

At this time, the shadowless lamp illuminated. Guided by ultrasound, more than a dozen doctors and nurses in blue sterile surgical uniforms worked around Gu Jun lying flat on the operating table.