When a doctor opened a plug-in

Looking at the constantly surging waveform on the electrocardiogram in his hand, it seemed to be a reminder.

When the incident happened suddenly, no one thought about why this happened.

Originally, the patients were ready to be discharged, and the discharge permits were issued in advance, and the recovery was quick.

Who could have imagined that such an important thing happened at such an insignificant time.

Ventricular fibrillation!

Now, the cause of the coma is found, which is ventricular fibrillation.

Ventricular fibrillation, or ventricular fibrillation for short, is one of the common causes of sudden death from cardiac arrest.

In fact, the heart is just a muscle, contracting and pumping blood regularly...

However, the power is limited. If your frequency is fast, the power will definitely be insufficient. Naturally, the blood cannot be pumped out much.

When the ventricles emit excitement continuously, rapidly and evenly more than 240 times per minute, it is called ventricular flutter.If the excitement of the ventricles is rapid and irregular, this is called ventricular fibrillation.

The frequency of ventricular fibrillation can be between 250-600 beats per minute.

What a terrifying data is this?

rescue!

At this time, ventricular defibrillation is the only option, but the defibrillator does not!

Chen Cang said quickly:

"Prepare amiodarone!"

The nurse nodded quickly.

At this time, Meng Xi suddenly remembered that there was a mature emergency doctor standing here.

Rich experience and skilled!

Before long, the defibrillator came up.

Chen Cang quickly got started, ready to defibrillate.

After Wu Peng saw Chen Cang, he was also relieved.

After all...this is Chen Cang!

First defibrillation!

unsuccessful!

Chen Cang glanced at Wu Peng: "Don't stop chest compressions!"

Then turned to look at the nurse: "Adrenaline push one!"

The patient's family members are already crying too hard.

Where did the young mother and the child have seen such a battle, and the patient next door was also dumbfounded.

Who would have thought that the young man who was still alive and laughing and chatting could suddenly become like this.

This is ready to be discharged...

Chen Cang immediately started the second defibrillation!

This time it succeeded!

In less than two minutes, the waveform on the ECG monitoring gradually became normal.

At this time, the patient finally recovered his autonomous heartbeat.

The thrilling rescue has finally come to an end!

However, everyone did not dare to relax, one by one, staring straight at the ECG monitor, for fear that the beautiful waveform and perfect heart rhythm would suddenly disappear...

Perhaps for doctors, the most perfect picture is: sinus rhythm!

Another few minutes passed!

The patient finally calmed down. At this time, everyone was relieved.

Suddenly, I found myself in cold sweat behind his back.

I don't know if the heating in the room is too high, or because it was too tight.

The blood pressure is also stable, the heart rate is maintained to 120 beats per minute, and the blood oxygen protection degree is 98%.

Chen Cang turned around, and the nurse said, "Do a blood gas analysis."

At this time, it is time to analyze the reasons.

Why does the patient have arrhythmia suddenly?

Rescue is like that.

Save the life first, then cure the disease.

Now that the patient's life is stable, it is necessary to find out what caused the arrhythmia.

It didn't take long for the blood gas to be analyzed, and the PH value was basically normal, 7.31, and the normal value was between 7.35-7.45, but... did not affect it.

This rescue is basically stable.

Next, we need to investigate the cause.

Because the reason cannot be found, the patient cannot be said to be absolutely safe.

At this time, Chen Cang said to the nurse: "Take a blood, test it, blood routine, electrolyte...Liver and kidney function, let the laboratory urgently check it."

At this time, he turned around, took off Teacher Meng's stethoscope and brought it directly to his ear.

Ok!

There is a smell...

Chen Cang kept trying to figure out his heart sounds, trying to find the slightest anomaly.

But it all sounds normal.

Why does the patient have arrhythmia?

Why is ventricular fibrillation?

Chen Cang turned to look at Ge Huai: "Let me see the medicine the patient took recently."

Ge Huai nodded and immediately issued a doctor's order.

Chen Cang saw that they are all commonly used drugs in cardiac surgery. These drugs...not to mention causing arrhythmia, they also have the effect of treating arrhythmia!

Chen Cang continued to ask: "Did the patient have any abnormal reactions in the past two days?"

"For example, chest tightness, palpitation... these abnormal conditions?" Chen Cang asked the patient's wife.

The woman shook her head: "No, he has been saying recently that the operation was successful, and it feels good..."

At this moment, I suddenly remembered something: "Oh! He had a cold yesterday. I didn't take it seriously. I also told Dr. Ge."

Ge Huai nodded: "Well, I don't think he is in a serious condition, so I didn't let him take care of it. After all, he is infusion now, a bunch of drugs, don't have any adverse reactions.

At this time, Chen Cang has become the director.

There was a person standing there, surrounded by nurses and doctors. Although the patient was surprised why he had not seen the doctor.

but……

It happened that the doctor rescued her husband. No matter who he is, he is a good doctor!

Indeed, Bo Er Bo San was also present at this time, and everyone was listening to the patient's condition.

Continue to help thinking!

But sometimes, the brains of emergency doctors are really different from other doctors.

Emergency patients have all kinds of conditions. In contrast, specialist doctors are more professional.

Chen Cang's expression suddenly changed: "Could it be myocarditis?"

In a word, everyone was stunned.

Don't underestimate a cold!

If it is severe myocarditis, it can be dangerous.

However, the heart sounds are basically normal, and I have just caught a cold for a day, so myocarditis will not happen, right?

Meng Xi said, "Do you want to let the color Doppler ultrasound room come up?"

After Chen Cang pondered for a moment, he nodded: "Well, let's rule it out."

Because of the patient's special circumstances, surgery tonight may be postponed to tomorrow.

Or transfer the patient to the ICU for observation.

At this time, Chen Cang suddenly lowered his head and saw the medicine on the table.

Suddenly his face changed!

"Has he taken cold medicine?"

The wife nodded: "Well, he said that the doctor would not prescribe it for him, so he asked me to go out and buy some cold medicine."

"I don't think there is anything wrong with cold medicine, so I bought some."

Chen Cang's expression suddenly changed, he opened the drawer and took out the medicine.

Feel good!

White with black!

paracetamol!

When Chen Cang saw it, he was stunned.

Maybe the reason was found.

Chen Cang sighed, "Did he take a lot of cold medicine?"

The wife nodded: "Well, when he was in his hometown, he would take these colds if he had a cold. If he eats less, it won't work."

Chen Cang turned to the nurse and said, "Urgently check the blood concentration of an acetaminophen."

The nurse nodded, drawing blood and hurried away.

While waiting, the patient woke up suddenly.

Staring at such a large group of people, he suddenly stunned: "Am I asleep?"

"Doctor, I'm so sorry, I fell asleep after taking cold medicine... Hey? No, what happened to me?"

The man was stunned when he looked at the pile of threads on his body.

Chen Cang stared at the man and asked, "How many cold medicines have you taken?"

The man coughed and coughed: "Take two tablets of white and black, and two tablets of paracetamol, one tablet of Gankang..."

Chen Cang was speechless: "How are you eating?"

The man shook his head: "I often eat, and all I eat are resistant."

Chen Cang couldn't help shaking his head: "You just fainted with ventricular fibrillation, you almost died!"

The man was dumbfounded: "I...I am fine now? Just a little dizzy and flustered..."

The people around also looked at Chen Cang, a little puzzled.

Ge Huai said, "Doctor Chen, if color Doppler ultrasound can't be done, the doctor of cardiology is here."

Chen Cang shook his head: "No, wait for the blood concentration."

The blood drug concentration was very fast. Not long after, the phone called and the diagnosis was made. It was acetaminophen poisoning!

At this moment, everyone was stunned.

Staring at Chen Cang in shock.

Can he do it?

Can this be diagnosed?

The patient was sent to the dialysis room for dialysis, and the basic problem was not serious.

However, whether it was the doctor from the cardiology department, Wu Peng in the emergency department, and even everyone around him stared.

Even the doctor in the dialysis room said: "This can be detected, it's amazing!"

That's right, everyone stared at Chen Cang with admiring eyes, making him a little shy...

After returning, Sanbo stared at Chen Cang:

"Doctor Chen, how does your head grow?"

"Yes! You all know the adverse drug reactions of acetaminophen!"

"Have you memorized all the medication guidelines?"

Chen Cang smiled.

And Meng Xi also looked at Chen Cang happily: "Amazing! All this works!"

Chen Cang couldn't help but said: "The teacher teaches well!"

Meng Xi didn't falter, but Sanbo raised his middle finger together.

"Doctor Chen, this flattering is too much!"

"Yes, I didn't get the butt, I got..."

Meng Xi glared at the crowd: "What's wrong, he is not my student?"

Everyone couldn't help but smile awkwardly: "Yes, yes...All Director Meng is amazing!"

Ding!Meng Xi favorability degree + 10!

Chen Cang smiled.

...

...

ps: Let me just say one thing. During this period, there are quite a lot of cold patients in outpatient clinics. Don't be nervous, let alone take a lot of cold medicine.

Because cold medicine is not a prescription medicine now, everyone can buy it at will, but it is best not to overdo it, let alone take multiple at once.

Because overdose of the drug is taken, not only does the efficacy of the drug not increase, but the side effects of the drug will increase proportionally.

Although acetaminophen is safe enough, it can cause serious adverse reactions such as liver damage, arrhythmia, etc. for some sensitive patients. After all, who can say the probability of this thing accurately?

If the body is sensitive, it means 100%, and if it is insensitive, it means zero%. Don’t try your body. You are not Shennong, let’s say... The mice have tried it for you, so don’t worry about it.

ps: I habitually thank the local tyrants and the leader of "Qingyan Xiaoguan 168" for their 10,000 rewards!

Thanks to the grandmaster "Zhi Li Yu Lan" for his 1000 reward!

Continue to add more tomorrow...