What's going on?

The doctor in the 120 car was stunned.

No one knows his patients better than he does, after all, he has watched patients go from hemorrhagic shock to respiratory and circulatory arrest.

Such a patient can still have heart compressions back?

Could it be that I have been busy all night and my tired eyes are glazed?

The doctor in the 120 car whispered to the nurse next to him, "Do you see that the patient is alive?"

The nurse sighed and said, "The first hospital in the city has been rescued, what's strange." Hurry up and hand over, there are no patients on the highway, and now I can sleep for an hour or two when I rush back, I am exhausted. But the doctor who ran with the patient just now is really good-looking, if you are on duty with him, you won't feel tired for 24 hours. ”

As she spoke, the nurse glanced at the doctor in the 120 car with disgust.

Old, ugly, busy all night, pale, really can't look at it.

The doctor in the 120 car didn't pay attention to the little nurse's eyes, and was surprised.

"You're here to hand it over. Zheng Ren stood at the door of the emergency room, waved his hand, and said, "This side, this side go through the formalities." ”

"Brother Yuan, you hand over to them. ”

The doctor in the 120 car walked over in a trance, and saw that Zheng Ren was very young, but his eyes were bright, and even his hair, which was flattened by a sterile cap, seemed to have a different look.

If it's in a TV series, as soon as you appear, you'll be the kind of person who knows at a glance that the game is won.

"Did you rescue you?" asked the doctor in the 120 car, cautiously.

"Hmm. Zheng Ren nodded and beckoned Yuan Lilai to go through the handover procedures with him.

Zheng Ren didn't want to meddle in such trivial matters.

Yuan Li tossed around all night, the beard was long, and he looked very sloppy.

"What's your last name?" asked the doctor in the 120 car.

"The surname is Zheng, the general inpatient of the emergency department. Zheng Rendao.

"Mr. Zheng, how did you press it back?"

The doctor in the 120 car was very curious, the patient's state was very clear, and he did more than 4 minutes of cardiopulmonary resuscitation in the car, plus several electrical defibrillations.

And the cardiopulmonary resuscitation done by yourself is extremely standard, and no one dares to get into the 120 ambulance without even practicing cardiopulmonary resuscitation.

A few years ago, he won the first place in the emergency first aid competition in the hospital.

His own operation is completely textbook, he dares to guarantee this.

But the facts are there, I didn't save the patient, who thought he was dead, came to the first hospital of the city, and came back to life in less than a minute.

It's to say it's alive, but the patient has just opened his eyes and is still talking...... I saw it with my own eyes.

So he was curious, so he asked.

"If you are in cardiac arrest for more than 3 minutes, you don't need to control the force of cardiac compressions. Of course, that's my understanding, that's not what the book says. Doing surgery, it's simple, rough and direct. Zheng Ren knew what he was asking, and he was not busy right now anyway, so he explained to him: "If you press it, your ribs will break, and then your heart will receive more force, and the possibility of saving it is much greater." ”

"......" The doctor in the 120 car was stunned, this is not a standard process, if that's the case......

"Mr. Zheng, what should I do if the side injury is damaged?"

"People are out of gas, and there are secondary injuries?" Zheng Ren was also very strange, this question was asked.

Collateral injuries point to whether the living are good or not. Dead people, how can there be secondary injuries.

The doctor in the 120 car was once again speechless.

What Mr. Zheng said seems to make sense, but there seems to be something wrong.

"Besides, side injuries, it's just that the heart muscle can be punctured by a broken rib. Doesn't the hospital have cardiothoracic surgery, as long as the person can be saved, the chest can be opened and stitched with a stitch, which is very simple. Zheng Rendao.

The doctor in the 120 car was completely speechless and burst into tears.

Look at people, heart trauma, and they are confident that they will be done with a stitch...... True...... It's amazing!

Imagine that kind of rough, wild rescue, with both palms pressed against the patient...... No, the standard procedure is to press on the lower 1/3 of the sternum.

"Mr. Zheng, CPR is not a sternal ......"

"Non-cardiogenic cardiac arrest, pressing on the sternum, I feel a certain limit in my strength. Zheng Ren saw that Yuan Li was filling out the list and there was nothing to do, so he explained to him, "The elasticity of the sternum is relatively poor, and most of the strength is dispersed by the sternum.

Slightly offset, press on the left side of the sternum to break the costal cartilage, so that a huge part of the pressure can be transmitted to the heart. ”

Unconventional operation?120The doctor in the car was a little confused.

"Cardiogenic ones need defibrillation, and non-cardiac ones can do so as long as the force is strong enough. A smile appeared at the corner of Zheng Ren's mouth, "You haven't done chest opening and heart compressions under direct gaze?"

"No ......"

"Oh, that's a shame. Zheng Ren said: "Cardiac arrest caused by ischemia, many times, as long as a large enough starting force is given, the heart will temporarily restore the supply of biocurrent, and then give a rescue time." ”

Seeing that the doctor in the 120 car still couldn't believe it, Zheng Ren knew that no matter how much he explained, it was useless.

He smiled and said, "Your efforts on the 120 ambulance are still effective, otherwise the patient will not be able to open his eyes after his heartbeat is restored." This patient was successfully rescued in the emergency department, and the effect will be very good, and it will be very hard. ”

"No...... It's not hard. The doctor in the 120 car said in a trance.

At this time, Yuan Li had already filled out the list and handed it to the nurse.

The nurse pulled the doctor back in the 120 car.

Along the way, he was still muttering something in his mouth, his expression was in a trance, and he looked like he had lost his soul.

Jeong-in looked around, and the emergency department corridor was a mess.

has been rescuing and triage, and the nurses have been busy running for hours at a trot, so how can they have time to clean up.

"Director Pan, there should be nothing wrong. I'll go to the ICU and take a look, you can go home first. Zheng Rendao.

"It's past three o'clock, and I'm not going back. Director Pan glanced at the time and said, "I'll sleep in the office, and you can call me directly if you have something to do." ”

"Okay. Zheng Ren responded crisply and hurried to the inpatient department.

The emergency department was cold and cold, wearing an isolation gown and only a white coat, which was really unbearable.

I don't feel it when I'm busy, and when I'm idle, I immediately feel like I'm shivering all over.

Zheng Ren walked all the way to the ICU and took a look at the patient who had just undergone surgery, and the drainage strip at the liver and kidney crypts drained smoothly, and about 10ml of blood was drained out.

This was all expected, Zheng Ren glanced at the patient's doctor's order again, and three groups of hemostatic drugs were applied at the same time.

That's probably it, if Zheng Ren really wants to say anything about special treatment, he can't say.

However, without Su Yun's wife sitting next to the patient's bed, holding an A4 paper and pen in his hand, and a liquid cart beside him, Zheng Ren felt that something was strange and always uneasy.

……

……

This rescue was when I went out of the emergency room in 08. A 42-year-old man, angry with his daughter-in-law, smashed a television screen with a punch, scratching the left radial artery.

Because he was angry, he wrapped his wrist in a towel at home and asked his family to send him to the hospital if he said anything. Later, I fainted, and my family called 120.

The ambulance from our hospital rushed to the scene, and the patient's heartbeat stopped on the way. I pressed all the way, defibrillated, and didn't come back.

At that time, I was in the clinic, and the idea was to try it, no matter how I said it, I had to give the family a psychological comfort. Habitually using unconventional operations, I can't hear the sound of broken ribs, and I always feel that the heart compressions are not in place......

Actually, after opening the ribcage once and pressing directly under the eyes, things like broken ribs are not so important.

Anyway, I pressed it, the ribs were fractured, and the patient woke up. I told the nurse to send my hand to surgery, and then I walked away.

Reputedly...... The back is very handsome. I didn't experience it, it was just cardiopulmonary resuscitation. Doctor 120 at that time is now retired, and every time I met Brother Li, he was very warm to me.

。 m.