Plague Doctor

Wu Shiyu, who also changed sterile clothes, stood in the corridor outside the operating room, looking through the small window on the door to see what was inside.

This corridor has three operating rooms, two of which have rescue teams working busily to make ECMOs for Gu Jun and Xue Ba.

In addition to brushing the bench, the hallway features a row of lounge chairs, several screens on the opposite wall, and real-time images from several cameras above and next to the operating table. Some replacement paramedics and spellmen are in a state of readiness and ready to walk into the operating room.

Uncle Egg and Zhang are also sitting on the chair, even though they are still looking at the screen, they are already exhausted.

Not only did they go through everything on the island, it was hard to do chest compressions continuously. They and others had been pressing each other for more than two hours, but they had already exhausted their last moments long ago. If they hadn't had the will, they wouldn't have been able to sustain this time.

“Uncle Egg, it's raining! What's going on?” At this time, Lu Xianning rushed in from the front hall, followed by Peacock and Ink Qing.

All they know is that there's an ECMO here, and Deng Xie Mai, who has his own heartbeat breathing, does some imaging before moving to the intensive care unit.

“They're also doing a built-in vascular tube to open the passage.” Uncle Egg responded softly, staring at the image on the screen in a blink of an eye, "Arjun opened his mouth and found the blood vessel... good job, that's it... complete the puncture tube! ”

The doctors and nurses in the hallway were slightly agitated, and the command center was refreshed. This was a smooth step and a good start.

Shinning walked to Wu Shi Yu's side, his left eye also looked into the small window on the door, only to see the operating table full of medical personnel.

From the cracks in those blue clothes, Gu Jun was seen on the operating table, along with blood bags, drips, etc., as well as ECG monitors, anesthesia machines and other equipment. Some nurses were making chest compressions for him, some doctors were treating traumatic injuries to his limbs, and of course, some doctors were making puncture tubes.

In the operating room, Gu Jun is usually the one standing at the operating table seriously busy, not like now.

“Alas." Shuanning couldn't help but sigh, what a wonderful person, but now this, and Xue Ba too...

At this point, the screen horn emitted the voice of ECMO team master knife doctor Ludo: “Device pre-flushing. ”

Some of the personnel in the operating theatre are dedicated to the operation and adjustment of those ECMO devices, the parameters of which are numerous and constantly changing. The influence of multiple cardio-pulmonary ECMO systems must be understood by trained personnel, and these are difficult points for ECMOs to keep an eye on and adjust at all times.

After preflushing the equipment, the main knife doctor Ludo immediately connected the intravascular catheter to the connecting tube. Everyone inside and outside the operating room was nervous at this moment, and the ECMO started running!

ECMO has two main ways of transferring, one is to draw blood out of the vein and pump it into another vein after oxygenation, which is a V-V transference, suitable for cases where there is no risk of cardiac arrest; the other is to transvenous hemorrhage and finally send it back to the artery, which is a V-A transference, suitable for cases where cardiopulmonary function is problematic and cardiac arrest is at risk.

However, if the patient's heart completely stops beating for more than three hours with ultrasound diagnosis, because blood retention in the heart and lungs in V-A mode can easily produce thrombosis and pulmonary edema, the patient must be given an immediate chest opener to switch to A-A-A transfer mode.

What the rescue team gave Gu Jun first was the V-A model.

Uncle Egg, they only see dark red blood coming out of the catheter from the screen. That's the blood in Gu Jun's body...

Venous blood is dark red because of its low oxygen content, but now his is too dark, almost dark, like it's about to thicken and coagulate...

Uncle Egg suddenly lost his share of excitement, some blurred breath, looked at the blood, the doctor's heart counted.

It's not a nine-dead life, Arjun. It's a ninety-nine dead life. Now it's not just CPR and intracranial problems, his various organ functions should have been seriously ischemic deoxygenation damage, all kinds of complications are just around the corner...

Many health care workers sigh at themselves in the hallway, but these sighs stack together and you can hear them.

Meanwhile, the venous blood passes through the device's oxygenation and returns to Gu Jun through the arterial catheter, completing the first circulation.

After the ECMO was successfully connected, the team stopped compressing Gu Jun's chest. Even if the patient can regain his heart beat as a result, how long will it take? It's unlikely that some people will start beating again as soon as they connect to the ECMO, some people for hours, dozens of hours...

Now, in the ECG monitor screen, Gu Jun's heart is still not active. Once the chest compression stops, it is a straight line.

“In half an hour.” Uncle Egg said, "If Arjun can have a little heartbeat, he won't have to open his chest...”

CT equipment had already been transported to the operating room. In this state of ECMO, the rescue team gave Gu Jun a cranial CT to diagnose massive intracranial hemorrhage. Craniotomy needs to be performed immediately, as it also seems imperative, with those fracture incision resets in the back.

On the other hand, Xue Ba had no cerebral hemorrhage or fractures, and ECMO was doing well, but the blood condition was worse than Gu Jun's, with more damage to each organ.

“Hey, don't look, don't look.” Uncle Egg stood up and called Wu Shiyu and others. "We can't help you here either. Let's go out and blow the wind on the deck. ”

Uncle Egg is mainly afraid of Wu Shiyu's spirit, so he looks at Arjun and opens his skull and opens his chest. Even he can't stand himself. Arjun will be shaved, scalped, drilled into his skull, and his skull sawed open...

“Uncle Egg, I'm fine.” Wu Shiyu said, "I want to stay here, I feel he can see, so that gives him some more impetus to hold on to. ”

“All right, all right.” Uncle Egg doesn't have to. It's hard to stay here. It's hard to walk away. Come along as she says.

Shinning, Peacock, none of them walked. Everyone sat on the chair, looking at the surgery on the screen, talking on one side or the other.

But this is when Gu Jun's heart stopped beating completely for three hours.

One scenario excited the operating room, stirred the command center, and suddenly all of them stood up in the hallway.

“There's heartbeat! Patient has an autonomous heartbeat reaction! ”

In that ECG monitor screen, it was no longer just a dead straight line, but with a slightly weak ups and downs, Gu Jun's heart rebooted.

“This guy has a really good heart!” Xianning is excited, “he couldn't resist. ”

“No need to open your chest, good things, big good things.” Uncle Egg is also saying that although cardiac resuscitation does not mean Arjun is alive, it definitely means this opportunity, and avoids an open chest surgery, avoiding more complications, "Great... Xue team, Xue team, you can learn more...”

“Hoo...” Wu Shiyu took a long breath and sat down in the chair, "I thought I could see what was in his heart later. ”

“What else could it be?” Grandpa Tong's voice is coming out of the walkie-talkie. "Is there any way I can get used to it? ”

Everyone smiled a little in their misery. It is true that this battle has not yet been won and will be fought for a long time.

But now they see hope.