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Chapter 147 Returning to the Emergency Room

Although there were still many doubts in his heart, Sun Lien, who was already sleepy and dizzy, decided to go to bed first - the lack of sleep for a week not only made his thinking slow, but also his head was still aching.Sun Lien went to the bathroom before going to bed, and saw the huge "high blood pressure" on his head in the bathroom mirror.

High blood pressure is not a good thing.Although it is very worrying to see patients whose blood pressure is so low that it can hardly be measured during emergency rescue, in fact, it is even more disturbing to encounter critically ill patients with high blood pressure.Raising blood pressure mainly depends on norepinephrine, dopamine and replenishing blood volume. This correction can be said to be immediate, and as long as the cause of hypotension is stopped at the source, the correction effect can last for a long time.This is not the case with high blood pressure. This symptom, which is basically linked to the unhealthy life of modern people, is actually a stubborn headache for doctors.Although long-term medication can control blood pressure, it is still difficult to cure it.After all, blood loss and hypotension caused by trauma can be treated by blood transfusion, but it is almost impossible to correct the living habits of staying up late, high-salt diet, tobacco and alcohol, and high-fat food by relying on the patient's own efforts.

Most troubling are the other "consequences" of high blood pressure.For example, aortic dissection, cerebral hemorrhage, angina pectoris, kidney injury, etc. These consequences are not only difficult to treat, but almost all of them are directly life-threatening diseases.

As a doctor, although Sun Li'en has nothing to do with "healthy life" due to his usual work, this troublesome and fatal disease can still be avoided.Although it was only eight o'clock in the evening, Sun Li'en still decided to go to bed directly.

This sleep was a dark night, and when I barely got up from the bed in the morning, it was already 08:30 in the morning.

"I... Fuck!" Sun Lien rubbed his eyes, checked the time on his phone again, and then jumped up from the bed like a cat whose tail was stepped on.Usually, when he went to the hospital to take over the shift, he had to hurry up before [-]:[-] in the morning - if it was later than this time, Zhou Jun would definitely call and scold Sun Li'en - being late for the early shift meant that there was a doctor on the late shift There is no way to hand over the shift, and the doctor who has stayed up all night will continue to stay until the person who takes over the shift arrives before he can rest. This kind of behavior is really troublesome for others.

No time to tidy up, Sun Lien jumped up from the bed, put on his pants and sneakers in a panic, put on a T-shirt on his upper body and the down jacket that Hu Jiaxin bought for him, before even washing his face, hugged him He rushed to the hospital with his bag.

The result of running wildly all the way was to run into a side effect.Sun Lien supported his painful ribs and entered the emergency room out of breath.As soon as he opened the door, he saw many strange smiles from the doctors.

"I'm sorry..." If you make a mistake, you have to admit it, and when you are beaten, you have to stand at attention.Things like oversleeping shouldn't happen to adults who have entered the society. Sun Lien walked to the duty desk with an apologetic and tangled face, and asked the head nurse Hu Jing who was also smiling strangely at the duty desk, " Aunt Hu... whose class should I take over?"

"Succession?" Hu Jing smiled and looked at the boy in front of him who was suspected to be his niece and son-in-law, "It's already [-]:[-], who do you plan to take over?"

"I..." Sun Lien was at a loss for words for a while, and when he saw that there was no one around, he put his hands together in front of his face and begged for mercy, "Auntie, I really overslept, and I didn't turn on the alarm when I came back yesterday. Please forgive me Let me do it this time, there will definitely be no next time!"

Hu Jing burst out laughing, she pointed at Sun Lien and cursed again and again, "You boy, you are really good at climbing stairs!" After laughing enough, Hu Jing pointed to the beds in the emergency room, " Yourong came first in the morning, and she told Director Liu that you were receiving the expert from the United States. Go thank him, remember to check your statement, and don't wait until Director Liu comes back in the afternoon to say that you have slipped your mouth."

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Xu Yourong seemed to be in good spirits today.She was dealing with the patient treated by Liu Tangchun yesterday—the unlucky child with fulminant myocarditis.

Zhang Kai, 16 years old.When Sun Lien saw this high school student, he was taken aback by the many instruments beside the bed.Ventilator, IABP (Intra-aortic Balloon Counterpulsation), CRRT (Continuous Renal Replacement Therapy), and ECMO (Extracorporeal Membrane Oxygenation) machines were placed around his bed.One tube on the ventilator, one tube on IABP, one blood pump and one transfusion tube on CRRT, and two tubes on ECMO for femoral vein blood pumping and femoral artery blood transfusion. This high school student has six life support system tubes inserted in his body, plus The five ECG monitors attached to his limbs and chest, the blood oxygen saturation detectors and blood pressure cuffs connected to his fingers have a total of seven lines, and finally there are two established venous access lines. Zhang Kai has a total of seven lines. Fifteen pipelines.Although the nurses of the Fourth Central Hospital have tried their best to organize and store these lines as neatly as possible, after all, with so many lines connected, Zhang Kai's body still looks extremely chaotic.

Xu Yourong stood in the middle of this pile of pipelines, looking at this poor high school student with concern.He was too young, and the illness was too sudden and severe.Even doctors who are a little numb to life and death will feel...he is really unlucky.

This is probably the main reason why Liu Tangchun decided to rescue the child again and again.Sun Li'en walked to the bed and picked up the case record placed at the foot of Zhang Kai's bed.After a closer look, I found that yesterday's rescue room must have spent a very dangerous night.Under the command of Liu Tangchun, a total of more than 28 medical staff participated in Zhang Kai's rescue.In order to deal with the stubborn electrical storm on his body, Liu Tangchun ordered Zhang Kai to be defibrillated 117 times in a row.In order to effectively connect chest compressions and electrical defibrillation, Liu Tangchun did not use the AutoPluse system during the two-hour rescue, but always adopted the strategy of manual chest compressions.At the same time, during the two-hour rescue process, the intermittent intravenous injection of epinephrine reached a staggering [-]mg.

While looking at these astonishing data records, Sun Lien imagined in his mind what happened in the emergency room last night.When he came back to his senses, he was already in a cold sweat from the fright.With such a high work intensity and such frequent rescue measures, the doctors on the evening shift must be exhausted like dead dogs.Thanks to Xu Yourong who came early today, and also covered himself up, otherwise, even if he didn't die today, he would have to be skinned off by the angry Liu Tangchun, then filled with hay, hung it behind the duty desk in the emergency room, and wrote a letter A large line reads, "Sun thief Lien died here."

Hmm... this consequence seems a little familiar?
"Are you here?" Xu Yourong turned his head and saw Sun Li'en in a cross-dress, and raised his hand to say hello, "It looks like you slept well, and the dark circles under your eyes are almost gone."

Sun Lien replied with a wry smile, "It will be back in two days." He put down the case board in his hand, "I heard from Aunt Hu, thank you for covering me in the morning. Don't worry, I won't be late in the future gone."

"Covering?" Xu Yourong seemed a little confused, she frowned and asked, "Then... who is accompanying Dr. Pascal's family this morning?"

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Accompanying Dr. Pascale's family was not Sun Li'en, not Xu Yourong, and of course it was not Hu Jia who was smirking while passing the hemostat in the operating room.The correct answer is that when Rachel got up this morning, she saw that there was no one beside the bed, so she decided to take Dr. Pascal's family along the family hospital area near Ningyuan Medical College on a whim, and put all the Eat all the breakfast stalls.

When Sun Li'en rushed to the hospital, Rachel and Pascal's family were eating at the third shop.

"Delicious!" Dr. Pascal's eldest son, Todd, completely abandoned his "great little gentleman" image, holding a piece of fried dough sticks soaked in soy milk and gnawing hard.The royal way of eating fried dough sticks with soy milk was taught to him by Rachel just now.

"This tastes good too!" Little Pani shared a piece of pancake fruit with her mother.The pancakes near Ningyuan Medical College are much more authentic than those in other places.This store is in a "strategic cooperation" relationship with the fried dough stick store next door.The pancake itself is made of sheep bone soup, mung bean noodles, white flour and corn flour mixed in proportion. The pancakes are spread on a round iron plate and scalded. They are added with sweet bean sauce and a lot of green onion eggs, and finally brought to the fried dough stick shop next door. Deep-fried until crispy big fritters, with a pinch in the middle.This kind of authentic pancakes can starve to death a hundred Tianjin people who have lived in a foreign land for a long time.

Dr. Pascal himself was immersed in eating a whole plate of Cantonese rice rolls. This kind of rice rolls learned by Sichuan cooks from Hunan masters is actually more suitable for foreigners.

Rachel is drinking a bowl of porridge with preserved egg and lean pork. It was the first time she drank this kind of food, and she quickly fell in love with this strange delicacy.Squinting her eyes and sipping porridge happily, her cell phone rang suddenly.

"Starry starry night, Paint your palette blue and gray..." Rachel's mobile ringtone was "Viencent" sung by Charlie Landsborough, and a melodious and deep male voice rang at the breakfast booth.Rachel quickly wiped off the porridge on her lips with a tissue in her hand, and when she saw the caller, she narrowed her eyes again, "Hey~ my dear~".

Sun Li'en was a little embarrassed holding the phone, he forgot to charge the phone last night, and now he borrowed Xu Yourong's phone.Originally I called to ask Rachel where they were, but this "honey" blocked all the opening remarks that Sun Lien had planned.

"I'm Sun Lien." Sun Lien explained embarrassingly, "My phone is out of battery, so I borrowed Dr. Xu's phone."

Rachel was very open, "You took advantage of me! I'm going to complain to Hu Jia!"

Sun Lien didn't know whether to laugh or cry, "Okay, you can come to the hospital to file a complaint later. Well, Dr. Pascal is with you, right?"

"He is eating rice rolls. Todd is almost finished eating fried dough sticks and soy milk, and he seems to be very interested in tofu nao." Rachel reported one by one, "The pancakes here are very popular with Isabella and Pani .” Isabella is Mrs. Pascale’s name.

"I'm not particularly interested in these contents." Sun Li'en said helplessly, "Please ask Dr. Pascal to come to the hospital after breakfast. My boss intends to talk to him about his employment—do you know how to get to the hospital?"

Rachel was a little unhappy now, "Although I'm an American, I also know how to use map navigation!" Of course, this displeasure was all feigned, "When we get to the hospital, I will give you some help." Let’s make a call. Well, let’s do this first, I haven’t finished my breakfast yet.”

After hanging up the phone, Sun Li'en returned the phone to Xu Yourong. He looked at an empty ECMO system in the emergency room and asked curiously, "Aren't there only three sets of ECMO in our hospital? We are using two sets now. There is one set in the ICU, where did the new set come from?"

"You mean this?" Xu Yourong pointed to the ECMO machine that seemed to be of a different model, and explained naturally, "I heard from the head nurse that this was 'borrowed' by Director Liu from the Second Hospital last night. of."

Sun Li'en was dumbfounded, "In addition to people's feelings, Director Liu doesn't even let machines go?"

　The recovery of the three views is not bad, and it can be updated to 3500 today.I hope it will be double-updated tomorrow, so that you can enjoy watching it, and I can also subscribe to it~
　　
　
(End of this chapter)