medical road high rise

Chapter 335 Press to Exhaustion

A Will Eternal Chapter 337

"Xiao Qin, why don't we switch between the two, you will defibrillate the patient, and I will perform compressions on the patient." Director Zhao said.

Because chest compression is a physical activity, a normal adult man will be exhausted after a few cycles of full force compression.

Qin Feng shook his sore hand, shook his head and refused: "No, I'll press it, Director Zhao, you continue."

After speaking, Qin Feng continued to fold his hands and put them on the patient's chest again.

When he touched the patient's skin again, Qin Feng was stunned for a moment, and the patient's skin turned cold.

Only a few short minutes passed, Qin Feng turned his head to look at the patient's face, and found that the patient was completely pale at this time, and there were faint spots on his face.

This is a typical performance of shock and failure!
If it is not rescued as soon as possible, the patient's organs will gradually fail, and long-term tissue hypoperfusion will lead to damage to cell function, microcirculation, and necrosis of important organs.

At that time, even if the person is rescued, it will be meaningless.

Qin Feng reached out and touched other parts of the patient, and found that the skin of other parts of the patient was also extremely cold.

But it is obvious that the infusion is already being rescued, why the patient's body temperature drops sharply.

You must know that people without underlying heart disease have a low chance of cardiac arrest, let alone such a severe cardiac arrest.

However, now Qin Feng and others have completely found any breakthrough point.

"Let's prepare the ice cap first." Qin Feng said.

The ice cap is a physical cooling method often used in clinical treatment. Its function is to reduce the local temperature to achieve the purpose of hemostasis, pain relief, anti-inflammatory and fever reduction.

Qin Feng chose to use an ice cap to cool down the patient's head, reduce the metabolism of the patient's brain tissue, reduce oxygen consumption, reduce cell damage and prevent cerebral edema.

Because during cardiac arrest, in addition to causing heart damage, the lack of perfusion of important organs in the body will lead to visceral necrosis.

Even more deadly, it can cause irreversible damage to brain tissue.

Zhao Guoping agreed to Qin Feng's treatment method and handed over the rescue operation to Qin Feng.

After putting the ice cap on the patient, Qin Feng and others continued to rescue, but the patient's condition never improved.

After a while, the doctor in charge of the bed came in from the outside and told Qin Feng and others that he had confirmed with the family members that the patient had no hidden medical history or any history of drug allergy.

For Qin Feng and others, the current rescue is completely blind to the rescue.

On the contrary, if they know the relevant medical history or drug allergy, Qin Feng and others can use their own experience to treat symptoms.

Qin Feng gasped heavily. On the patient's ECG monitor, the heart rate was still dropping, and at the same time, his blood pressure was low.

"Get ready for an adrenaline." Qin Feng couldn't get up, so he could only use adrenaline to continue his life.

After the adrenaline was pushed in on the other side, Qin Feng began to think about the cause of the patient's sudden cardiac arrest.

There are only a few categories of causes of cardiac arrest, such as heart and large blood vessel disease, hypoxic diseases, severe electrolyte imbalance, drug allergies, etc.

First of all, if the patient has no underlying heart disease, the disease of the heart and large blood vessels can be ruled out.

For drug allergies, please confirm with your family members and ignore them.

Then there is only one key point left, that is hypoxic disease or electrolyte disorder.

The patient had severe acidosis, which is one of the complications of cardiac arrest, but what else caused the lactate levels to spike?
"Director Zhao, Brother Li, what exactly causes cardiac arrest and the peak lactic acid level?" Qin Feng asked.

Li Xuewen thought for a while and said, "Could the patient have an acute myocardial infarction?"

"Impossible, the symptoms of acute myocardial infarction are too obvious, and the patient does not have any trace of acute myocardial infarction." Zhao Guoping directly vetoed Li Xuewen's idea.

"I can't think of a good way now, so I can only choose to open another venous access for quick rehydration." Qin Feng suggested.

Qin Feng's suggestion was approved by both Zhao Guoping and Zhao Guoping. Although the patient already had two venous accesses, the patient's current condition has been rescued for 10 minutes, but it still hasn't improved.

Adrenaline plus a new intravenous access can save the rescue.

Of course, Qin Feng's cardiopulmonary resuscitation has not stopped, and Qin Feng's arm has been numbed.

"The patient's ph value and lactic acid have risen again!" said the bed doctor.

Qin Feng's pupils shrank, and he said quickly: "First, add sodium bicarbonate to the patient, and at the same time push a shot of epinephrine."

The current patient is already dying, and Qin Feng can no longer afford to think about it.

Not only Qin Feng, but all the doctors present are well aware of the current situation.

With the injection of the second dose of adrenaline, the atmosphere in the intensive care unit became more and more heavy.

Everyone was silent, but they still insisted on what they were doing.

Even if the result may not be so ideal, everyone must do their best.

"More adrenaline." Qin Feng gritted his teeth and said this sentence.

This is the first time that Qin Feng can only use adrenaline to extend the patient's life, but can't do other behaviors. This feeling is very bad.

"Could it be that the adrenaline didn't work, let's wait for a while?" said the bed doctor.

Qin Feng shook his head and said: "I can't wait, once I wait, the patient will be gone."

A third epinephrine was pushed into the patient's body, and the sodium chloride solution flushed the blood vessels.

"Xiao Qin, I have been rescuing him for an hour, how about..." Zhao Guoping sighed.

This is a surgical accident belonging to the general surgery department, and the emergency department does not need to take too much blame.

Zhao Guoping felt that at this point, he had already received his third dose of epinephrine, and there was no need to continue defibrillation.

The current situation, to put it bluntly, is to continue to live tenaciously, and to put it bluntly, it means that you can prepare for the funeral.

"Director Zhao, go out and talk to the family members. Brother Li and I will continue to rescue him." Qin Feng gritted his teeth and sweat dripped down the bun and onto the white bed sheet.

"Brother Li, continue to rescue." Qin Feng raised his trembling hands.

"Qin Feng, why don't you rest for a while, your hand..." Li Xuewen couldn't bear it.

"It's okay, I can still persist, maybe the patient can be rescued in the next moment." Qin Feng said,

Li Xuewen felt sour for a while, this little guy has not changed, he is still the same as in the disaster area, and he will never give up until the last moment.

However, now Qin Feng has no strength!

"Doctor Qin, let me replace you. You can rest for a while." The doctor in charge of the bed said.

Qin Feng turned his head stubbornly, and when he stretched out his hand to press, the weakness of his arms directly caused the palm of his hand to be misaligned, and he pressed it directly on the patient's body. The whole person almost fell to the ground because of the unstable center of gravity. Fortunately, the doctor in charge of the bed at the side was quick-eyed and quick-handed. He held Qin Feng up.

"I found the problem." Qin Feng shouted in surprise, "The patient is saved!"

(End of this chapter)