I can see the status bar

Chapter 382
In the clean room, the beeps of the three cardiopulmonary monitors sounded a bit chaotic.Sun Li'en and Director Huang felt a little uncomfortable in the room for a while - it was too quiet here.

In the room, several hospital staff wearing P4 protective clothing are continuing to install the breathing circuit, while other medical staff are waiting outside the clean room, preparing to wait until Sun Lien or Director Huang feel unwell and cannot continue Enter the replacement.

Yuan Ping'an and Dr. Cao Yanhua each brought two nurses to wait, and Dr. Bruen and Dr. Pascal also decided to prepare to wait together.

"You wait inside for two hours and then come out to change shifts." Yuan Pingan said unceremoniously to his team leader, "Wearing a mask for more than an hour, if the patient needs chest compressions, then you should quickly back away. Let's go in and do compressions - you mustn't take off your mask in there, it's the plague!"

"Got it, got it." Sun Li'en agreed with a guilty conscience. Yuan Pingan met him for the first time in the Fourth Hospital, and met Dean Song and scolded him for peeling his own skin.During this month, I probably heard a lot of my "heroic feats" back then, which is why I was so nervous.

"You were the one who took off the mask to rescue the patients in the clean room last time?" Director Huang was really shocked now, he didn't expect this little doctor Sun to be a ruthless person.

Sun Li'en coughed in embarrassment, and when he was about to say something, he suddenly heard a sharp alarm.

The monitor next to Tang Xingde yelled, and Sun Lien was already familiar with this movement—the waveform of ventricular fibrillation!
"Push the defibrillator, prepare two intravenous injections of lidocaine, hurry up!" Sun Lien rushed to Tang Xingde's side and started chest compressions.Wearing an N95 mask, chest compressions are very strenuous, but he has only worn it for a short time, and he can still hold it physically.

Sun Li'en glanced sharply at the status bar above Tang Xingde's head, and sure enough, a new status was added - ventricular fibrillation (8/8 times before the defibrillation was successfully released).

It took eight defibrillations to calm down, but this at least shows that people can still be saved.Sun Li'en felt a little more relaxed, and while doing chest compressions with all his strength, he quickly wondered why Tang Xingde suddenly had ventricular fibrillation.

In addition to electrical defibrillation, correcting the cause of ventricular fibrillation is also one of the important means to relieve ventricular fibrillation.

There are currently five known status columns, "Significantly Elevated White Blood Cell Level", "High Fever", "Severe Pneumonia", "Sinus Tachycardia" and "Decreased Fibrinogen Concentration".A large increase in the level of white blood cells means that the patient has a serious bacterial infection.Bacterial infection may lead to bacterial emboli in the blood and block coronary arteries, resulting in ventricular fibrillation.

high fever?This is one of the evidences that the body is resisting bacteria, and in order to control the collateral damage caused by the high fever, the doctors of the Fourth Hospital have used ice blankets to cool down the three people.None of them inhaled depolarizing muscle relaxants, and this high fever was naturally not caused by malignant hyperthermia.Then conversely, if the core temperature is too high, it may indeed cause a large number of cells to die, thereby releasing too much potassium.After these potassium enters the blood, it will lead to hyperkalemia, which will quickly lead to ventricular fibrillation and death.

Needless to say, severe pneumonia, this can be seen in conjunction with sinus tachycardia.Pneumonia can lead to insufficient oxygen levels in the body.And the heart rate of these three people is frighteningly high.The heart does not get enough oxygen under high-intensity load, and the result is a constant accumulation of lactic acid, which leads to ventricular fibrillation.

A decrease in fibrinogen concentration directly points to the possibility of DIC.If the patient has a sudden DIC, the coronary artery may indeed be blocked by a thrombus and cause ventricular fibrillation.

Five states, four completely different causes of ventricular fibrillation.Each has a high probability, and each is treated differently.Sun Lien must immediately find out the real cause of the patient's ventricular fibrillation and treat it.Otherwise, even if Tang Xingde restored sinus rhythm after eight defibrillations, he might have to tremble again in a few minutes.

The first ventricular fibrillation requires eight electrical defibrillations. According to general experience, the number of subsequent defibrillations will increase, and the defibrillation will become more and more difficult.Sun Lien even felt that if Tang Xingde trembled again after the successful defibrillation, he might not be able to save him.

Think fast, think fast!Sun Lien pressed Tang Xingde's chest hard, and shouted at Yuan Pingan who rushed into the clean room, "Come and help!"

Yuan Pingan rushed in with nurses Xiao Guo and Zhong Yu the moment the monitor alarmed. Yuan Pingan waited one step beside Sun Lien, ready to take over the chest compressions at any time, while Xiao Guo rushed to five meters away in three steps. Next to the ambulance, he grabbed the defibrillator and rushed back to start charging, while Zhong Yu pulled out the drawer under the ambulance, took out lidocaine from it, and started intravenous injection.

Sun Li'en moved away from the space, then Yuan Ping'an took over the chest compressions, and he quickly stepped back two steps. After confirming again that there was no other status bar on Tang Xingde's head, he began to quickly think about countermeasures.

The possibility that Yersinia pestis can cause bacterial embolism is extremely low. When bacteria invade human tissues, the mixed part of necrotic tissue and bacteria falls off and floats in the blood, forming bacterial embolism.However, Tang Xingde's family was infected with the plague for too short a time, which should not be enough to cause bacterial embolism.

Hyperkalemia?This is possible, but the three patients have been in a state of extremely high temperature for a short time, and although there are indicators of acute kidney injury, the organs of the human body have the ability to compensate.Based on Tang Xingde's current kidney function indicators and body edema, his kidneys are far from failing.The possibility of hyperkalemia is not too high.

DIC?This is easy to rule out.Sun Li'en glanced at the intravenous infusion needle on Tang Xingde's arm, and there was no trace of blood oozing out.This can also be ruled out.

"Acidosis is the most likely, Nurse Zhong, 5ml of 5% sodium bicarbonate, intravenous injection!" Sun Lien locked the most suspected cause, not to say that hyperkalemia is completely impossible, in comparison, [-]% sodium bicarbonate Sodium bicarbonate is the fastest infusion, and even if the judgment is wrong, it will not cause direct danger to the patient-not to mention that sodium bicarbonate itself has a therapeutic effect on patients with hyperkalemia.

"The fourth defibrillation, 220J, get out of the way!" Xiao Guo completed the third defibrillation, but the effect was still not satisfactory.Yuan Ping'an was still doing chest compressions, but there was already a thin layer of sweat on his head, and it seemed that he would not last long.

"I'll take over, you are going to let Dr. Cao in." Sun Lien stood beside Yuan Ping'an, "Change hands with me after the fifth defibrillation!"

High-quality chest compressions are an important factor in improving the success rate of defibrillation.The so-called high quality means that the doctor's chest compressions must have sufficient strength and frequency.The physical exertion is staggering, so it is necessary to change in time in the middle of chest compressions.

"Let me do it." Bruen walked in wearing a mask and protective equipment. His beard looked ridiculous under the N95 mask. "You young doctors don't have enough physical strength, don't you usually eat meat?"

For the first time in his life, Yuan Pingan felt that the red-necked motorcycle riders in the United States were really cool.

(End of this chapter)