medical road high rise

Chapter 261 Full Firepower ([-])

Chapter 261 Full Firepower ([-])

Qin Feng can't go out, and Li Xuewen didn't wear an isolation suit, so Li Xuewen is responsible for receiving surgical patients and familiarizing them with their conditions.

"When the patient was changing shifts, he took a sip of water and suddenly fainted. There was white foam at the corner of his mouth, and he lost consciousness and entered a fainting state." Li Xuewen said.

Qin Feng looked at the soldier being carried to the operating table, and couldn't help closing his eyes, feeling a pain in his heart.

These front-line fighters are the ones who really put their own life and death aside.

"Huh~" Qin Feng let out a long breath, "Prepare for endotracheal intubation, ventilator to assist breathing."

Qin Feng took the stethoscope and began to auscultate the patient. When he auscultated the heart, Qin Feng frowned.

"Cardiac arrest?"

The patient's face was not pale, and his lips were still rosy, which was not caused by shock.

On the contrary, it is because of insufficient blood supply, which leads to brain hypoxia and coma.

This is just Qin Feng's guess. It is a big deal to give the patient cardiopulmonary resuscitation first.

Qin Feng pressed the patient's chest and abdomen rhythmically, then listened with a stethoscope, and repeated pressing.

After the fourth compression, Qin Feng still hadn't heard the sound of cardiac resuscitation. Qin Feng realized that the problem was serious, and it was definitely not a simple cardiac arrest.

"Prepare three epinephrine." Qin Feng shouted and established a channel in the patient's vein.

The ventilator was quickly connected, and Qin Feng and Li Xuewen carefully carried the patient onto the operating bed.

"Brother Li, continue to perform CPR on the patient, don't stop." Qin Feng said.

Cardiopulmonary resuscitation can only be used as a booster to restore power to the patient's heart, but Qin Feng has no idea whether this booster will be effective.

Qin Feng didn't put all his hopes on cardiopulmonary resuscitation. There is a golden time for a person's sudden cardiac arrest, which is about 5 minutes.

If the patient can be resuscitated within 1 minute, the patient will be fine.

But beyond 1 minute, within 3 minutes, the chance of the patient surviving is only 50%.

3 minutes to 5 minutes, the patient is very likely to become a vegetative state.

But now, Qin Feng estimated that it must have exceeded 5 minutes.

Li Xuewen stepped forward and placed the heel of his hand on the center of the patient's chest, above the lower half of the sternum, and the heel of his other hand on top of the first hand.

Compared with Qin Feng's cardiopulmonary resuscitation, Li Xuewen's is more standard.

After all, Qin Feng has not trained specifically on this thing in the training room. Compared with an experienced driver like Li Xuewen, he is still far behind.

Li Xuewen straightened his elbows and pressed down vertically, then drew out his left hand and placed it on the patient's forehead, gently pushed it with the palm of his hand, so that the patient's head was tilted back, his right hand was placed on the lower jaw, and the lower jaw was lifted up.

This is to open the trachea, which can open the trachea as much as possible, allowing the patient to fully breathe oxygen.

Oxygen is the source of life for the heart, which is why many critically ill patients are put on a ventilator.

Thirty compressions and two artificial respirations are a cycle.

"Is the ECG still not responding?" Li Xuewen gasped.

He has done three cycles. You must know that three cycles are ninety compressions, which is also a major test for the doctor's physical strength.

"No."

"Brother Li, can you do chest compressions?" Qin Feng asked.

If Li Xuewen can't do it, Qin Feng will go to the training room to learn.

"Open chest compression? Yes, yes, but..." Before Li Xuewen could finish speaking, he was interrupted by Qin Feng.

"Prepare for routine disinfection, and make an incision here." Qin Feng quickly made a mark on the patient's chest.

The nurse handed over the scalpel. Before Li Xuewen could react, Qin Feng cut open the patient's chest with the sterilized scalpel. There was no bleeding.

This also means that the patient's blood vessels have not yet restored blood supply, and the situation is still critical.

It is also a good thing for Qin Feng, that is, there is no need to stop the bleeding, and there is no need to expand the incision to place the hemostat.

"Brother Li, let me help you retract the hook." Qin Feng fixed the retractor with the incision and made way for Li Xuewen.

Li Xuewen took a deep breath, put on his gloves and began to touch the patient's heart.

Through the incision, Qin Feng could clearly see the patient's heart.

As expected of a soldier's heart, it is much larger than an ordinary heart. Their daily training is still very heavy. Naturally, the heart can only provide sufficient supply if it is enlarged.

"Can I do compressions?"

"I'll try." As the attending doctor of Ruijin Hospital, Li Xuewen was really nervous this time.

In the past, even difficult cases never made him nervous. At most, he found them troublesome.

This nervousness was given by the patient on the operating bed, and it was also given by Qin Feng. He didn't believe that Qin Feng couldn't do compressions, and he obviously gave himself this opportunity.

"Whoo~"

Li Xuewen took a long breath, gently covered it with his palm, and used the touch of his palm to feel the pulsation of blood vessels on the patient's heart, then slowly found the pressing point, and then applied force.

Li Xuewen successfully found the pressure point, but Li Xuewen suddenly became a little exhausted. The tension of the myocardium had just increased, and the enlarged heart was contracting. Li Xuewen felt that he could not control his strength and was a little exhausted.

"Doctor Qin, I can't do it anymore, come on." Li Xuewen said out of breath.

The ninety compressions just now exhausted Li Xuewen's strength, and it is already very good to find the compression point now.

Li Xuewen didn't dare to press blindly. This is an open chest press. If the force is not well controlled, the heart will really burst.

Qin Feng saw the sweat on Li Xuewen's forehead, glanced at the position of Li Xuewen's palm and nodded.

Li Xuewen and Qin Feng changed places, and Li Xuewen's hand pulling the hook was still trembling slightly.

Qin Feng put his palm on the pressure point, tried the strength, and felt the tension of the heart muscle. At the same time, a strand of dark red blood turned bright red.

This strength is fine!

Qin Feng follows this strength and presses down easily.

Li Xuewen on the side saw that the patient's heart was shrinking and hardening, and at the same time it was slowly turning from dark red to bright red.

Qin Feng accelerated the frequency of compressions, fibrillation appeared in the ventricles, and the tiny tremors of the muscle fibers also began to thicken, which gradually became effective.

"Adrenaline!" Qin Feng shouted.

The nurse came up quickly and gave the patient a static push.

In cardiopulmonary resuscitation, epinephrine is the best adjuvant drug, which can significantly increase the perfusion blood flow of coronary arteries, and can make the blood flow through the whole body better during chest compression during cardiopulmonary resuscitation.

However, adrenaline also has disadvantages, that is, the amount should not be large, otherwise it will cause myocardial cell contraction zone necrosis and damage the heart muscle and blood vessels. Even if it is rescued, chest and abdominal pain symptoms will often occur in the future, and even high blood pressure and pulmonary edema will occur. .

(End of this chapter)