medical road high rise

Chapter 337 "Rumors" in Jiangcheng

Chapter 339 The "Rumor" of Jiangcheng

Zhao Guoping frowned, stared at the patient's family and asked, "Are you sure? Once the rescue is stopped, it will be very difficult for the patient to be rescued again!"

Zhao Guoping said this sentence to the patient's family.

"Okay, you guys think about it first, Zhang Yao, you are outside with your family, I'll go in and have a look." Zhao Guoping said.

Re-entering the rescue room, Qin Feng asked: "Director Zhao, how is the patient's family?"

"The family is still considering rescuing him first," Zhao Guoping said.

Qin Feng nodded and asked Li Xuewen to continue with the adrenaline.

"How many shots of epinephrine?" Qin Feng asked.

"Already eight!"

Eight branches, everyone in the rescue room fell silent when they saw this scene.

This is already a very high dose, it is like taking adrenaline to continue life, but the damage caused to the patient is also irreversible.

If you want to treat septic shock, the most necessary thing to do is to correct the acidosis, but the current situation is that the patient's cardiac arrest problem has not been resolved.

Qin Feng was considering whether to solve the cardiac arrest or correct the acidosis first, but the attitude of the family members was unclear, and it was also difficult for Qin Feng and the others.

"Xiao Qin, should we solve the acidosis first or the cardiac arrest?" Director Zhao looked at Qin Feng and asked.

"Acid poisoning." Qin Feng thought for a while and said.

Qin Feng thought for a while, and found that only acidosis can be solved by himself and others, and cardiac arrest will not be solved for a while.

Acidosis will cause the arteriole and capillary anterior sphincter to dilate, while the venule behind the capillary is still tightened, which will lead to microcirculation congestion in this case.

But once the blood is congested, the acidosis will increase, and the patient's lactic acid is largely related to this acidosis.

Qin Feng experimented in the training room and found that if the acidosis is corrected first, chest compressions will improve and help cardiopulmonary resuscitation.

"Dilute it twice with 7% tromethamine and inject it intravenously." Qin Feng commanded.

Yue Meng took apart a needle and began to dilute it.

Zhang Yao came in suddenly and said: "The family members, in the end, let us carry out the final rescue. If it doesn't work, they will give up."

"Okay, I understand." Qin Feng said, "Correct the acidosis first, and don't stop the cardiopulmonary resuscitation."

Following the instructions one after another, the rescue room began to get busy again, and the steps of rescue were repeated again and again.

Li Xuewen performed chest compressions instead of Qin Feng. The main reason is that Qin Feng really has no strength, so it is better to let Li Xuewen come and wait for him to rest for a while, and then perform the rotation.

Qin Feng looked at the monitor and found that the monitor actually fluctuated.

“Keep the adrenaline pumping!”

"There are already twelve, are you still up?" Director Zhao questioned.

"on!"

Qin Feng didn't explain, and continued to stare at the monitor, watching the fluctuations on the monitor.

"Come on, the autonomous heart rate is out, QRS band!" Qin Feng jumped up and shouted.

This means that the patient's heart has recovered, which is a good thing!

"Lidocaine, inject it intravenously!" Qin Feng said.

The current situation of the patient is not suitable for intramuscular injection. The best situation is intravenous injection. Compared with intramuscular injection, intravenous injection takes effect faster. Intramuscular injection takes about 10 minutes, but intravenous injection only takes more than ten seconds.

What the patient lacks most now is time. Naturally, it is impossible for Qin Feng to let the patient take any more risks. How can he pursue time quickly?

"The first load of the patient is 60 mg, and the intravenous injection is completed." Yue Meng said.

Qin Feng nodded and continued to ask for an epinephrine. Before the injection, Qin Feng took a deep breath.

Whether the patient can get up depends on the epinephrine.

This is what Qin Feng predicted. If the patient has not recovered his spontaneous heart rate with this dose of epinephrine, then there is no need to continue.

Adrenaline was injected into the patient's body, Qin Feng held his breath and stared at the patient's condition.

"Supplement calcium and magnesium!"

These two elements are an important step in correcting acidosis.

"The heart rate is 91 beats per minute, and the blood pressure can also be detected, 113/61mmhg!" Zhang Yao shouted.

Qin Feng touched the patient's aorta and could clearly feel the patient's pulse.

"Whoo~"

Rescued!Finally rescued!
Qin Feng suddenly felt the joy of surviving after a catastrophe. This kind of joy is like the feeling of being rescued suddenly after being drowned in the water for a long time.

The patient's heart rate and blood pressure are available, and Qin Feng's task has been successfully completed.

"Replenish plasma and colloid, draw blood gas, correct acidosis, and supplement tromethamine." Qin Feng excitedly said.

Qin Feng asked Li Xuewen to stop the chest compressions, and checked the patient's pupils and various data.

Although the patient's heartbeat resumed, the patient was in shock for too long, during which time the patient's brain may have been damaged.

Qin Feng turned on the flashlight, opened the patient's eyelids, and carefully checked the patient's pupils.

"It's okay." Qin Feng breathed a sigh of relief.

The patient's pupils are constricted and there is a marked external reflex.

For brain injury, the most important thing is to look at the light reflex of the pupil. As long as the reflex can be achieved, it proves that the patient's condition is still stable, as long as it can be maintained.

After checking other aspects, all aspects are very stable. What we need to do now is to protect the brain and protect the patient's brain tissue with drugs.

To prevent other accidents, Qin Feng issued another order, and the people below began to operate.

Qin Feng reached out and touched the patient's face. The patient's temperature was still a little problematic. After monitoring for an hour, the patient's condition stabilized, and Qin Feng left directly.

Qin Feng slumped on the chair, Zhang Yao poured Qin Feng a glass of water, and Qin Feng drank it down.

"Clean up all of you and get off work." Qin Feng said.

"Brother Qin, aren't you off work?" Zhang Yao also wiped off her sweat and asked, "How about going to have a late-night snack together?"

"Okay! I invite you, you have worked hard today." Qin Feng stood up and felt that he should also invite Zhang Yao and the others to dinner.

"Damn it, something happened in Jiangcheng!" Yue Meng looked at his phone and suddenly exclaimed.

"what happened?"

"I heard that an unknown infectious virus appeared in Jiangcheng. Many medical staff were recruited, and many people even ran away with this virus!" Yue Meng exclaimed.

Qin Feng looked over and saw screenshots one after another. Although the group name was coded, he also knew that it was an internal screenshot of the hospital, and the speakers were all leaders.

Let them enter the state of combat readiness, but besides these news, they have not heard any official news, which is the most deadly.

"24-hour combat readiness!" Qin Feng gasped.

This is exactly the same as Qin Feng's combat readiness in the disaster area at that time, and the combat readiness is not a joke.

"I'll go out and make a phone call first!"

(End of this chapter)