Pre-hospital emergency! Heart Attack! Stop! Double-jump! Defibrillation!

A few keywords came out as soon as they came out. Suddenly, the atmosphere in the department became solemn. There was no smile on everyone's face.

Those who do emergency care know what pre-hospital emergency means. The ambulance is roaring, the hospital is waiting, the doctors and nurses are all in place, and the emergency room is ready. Rescue equipment is in place. First aid medication is in place.

In addition to this, myocardial infarction. Double jump. This series of factors is combined. Everyone understands that this is a big job. If you are not careful, it is possible that a living life will slip away in the hands of a doctor.

The emergency department is definitely the place with the most life and death scenes in the entire hospital, the entire medical and health system. Emergencies, car accidents, work injuries, fights, and even disasters. The emergency department is always at the forefront.

At this moment, Tang Peng stood up with a posture that he didn't care about himself: "I'll go see my patient." ”

Cheng Bing had already picked up the stethoscope at this moment, hung it horizontally around his neck, and the person had already walked out of the doctor's office. Sun Xiaojia pursed her lips at this moment and whispered, "It's so selfish." When he saw what happened, he hid. ”

Bai Ye's face was very flat, and he couldn't see any fluctuations. There are some ups and downs in my heart, but in this small doctor's office, it is a little complicated.

Obviously, as the only senior resident doctor present. On this occasion, it is necessary for Tang Peng to take a hand. Even though it was Cheng Bing who received the treatment. But Tang Peng obviously didn't want to do much. The extent of this man's selfishness can be seen.

Seeing Lei Junhua next to him, he wanted to move. Bai Ye spoke: "Thunder... Director. ”

Originally, Bai Ye wanted to call Uncle Lei, but when the words came to his lips, he swallowed them back. It's better to work on a business-like basis.

"I'll go and see. Since you're here, it's time to go to work. ”

Lei Junhua nodded and said, "Okay, let's go." ”

Out of the office door, Bai Ye's pace also accelerated. Don't look at him as thin as he is now. But after last night's hair and marrow. There is also a subtle true air rotation in the body. Bai Ye's entire physique has undergone earth-shaking changes.

Although it is walking, it is not slow at all. is even far faster than Sun Xiaojia, who is trotting all the way next to him.

The entrance to the emergency hall has a gently sloping front step that is large enough to accommodate two ambulances walking side by side.

The wheeled mobile hospital bed next to it is ready to be put in place. Cheng Bing was as cold as ever at the moment. Stand on one side. In the distance, the sound of a whistle came from far and near.

It's just a dozen seconds. The car was parked in front of the emergency hall.

The rear door opens. The staff in green ambulance suits rushed down. One in front and one in the back, directly open the active buckle. The flatbed detachable stretcher is directly buckled to the hospital bed.

Someone next to him had already explained to Cheng Bing, a few words. Concise. Include symptoms. Treatment options and medications.

Naturally, there are nurses and ambulances next to them for handover and signing. Cheng Bing has already arrived at the patient's side.

The patient is about 60 years old, male, fair-skinned, and somewhat obese. At this moment, because of the lack of oxygen, the whole person has completely changed.

"Can you see me? Respond when you hear it. Nodding your head, blinking, or raising your hand. As Cheng Bing spoke, he had already taken out a small flashlight and shook it at the patient's eyes.

At this moment, the patient was still in a state of reaction, but in an instant, he trembled slightly, and the whole person entered a coma again.

Not good! Bai Ye immediately rushed forward. It is clear that the patient has suffered another cardiac arrest.

There was almost no thought. Bai Ye took a direct step, spread his legs apart, and sat on the hospital bed. At the same time, Bai Ye unbuttoned the patient's collar by two more.

His left hand was already on the patient's heart, and his right hand was clenched into a fist and struck it against the back of his hand.

Percussion in the apical area. Cheng Bing was stunned. She didn't take it for critically ill patients. But as wild as the white night, she really hasn't seen it in the entire Beihua Hospital.

Lunatic! Cardiac arrest caused by obvious ventricular fibrillation, at this time, even percussion in the apical area of the heart, isn't this to aggravate ventricular fibrillation?

"Establish intravenous access and prepare for endotracheal intubation. ECG monitoring! Oxygen preparation. Defibrillator ready! ”

Although Bai Ye's movements were wild, the nurse next to him was not half sluggish and flustered. The car was pushed towards the emergency room at a high speed.

With Bai Ye's words, a nurse immediately began to prepare.

After performing the apical percussion, Bai Ye immediately began cardiac resuscitation with extracardiac compressions. Cardiac arrest, which is a problem that all of humanity faces. Generally speaking, the golden rescue time for cardiac arrest is five minutes.

In the medical world, it is also known as the five minutes of life or the golden five minutes. If handled properly. At least 70 percent of the lives that can be saved.

The patient had already gone into arrest. Now that time is pressing, Bai Ye can't think about it so much. Saving lives matters. As for the others, let's talk about the others.

Bai Ye himself didn't realize one thing, when did he value mortal life so much. As White Night said before. With the fusion of the two, the current White Night is called a brand new individual. He's not the same person he used to be.

Once in the emergency room, the patient's family was isolated. Cheng Bing opened his mouth and said, "Xiaojia, you can handle the work and procedures of the family." ”

Just as Cheng Bing was speaking, Bai Ye had already begun to perform tracheal intubation. Skilled and sophisticated. The whole process was incredibly smooth.

This made Cheng Bing also admire, this guy who came back from the United States does have some ability. This endotracheal intubation is done so smoothly and very standardly. Neither knocks out the front teeth nor squeezes the patient's lower lip. The depth of the hose is moderate.

As the process was completed, a nurse next to her also connected the oxygen catheter. Venous access is also complete.

Cheng Bing also began to get busy at this moment, and gave instructions one by one: "Open another intravenous channel." Epinephrine 1 mg, defibrillator, 300 J. ”

The nurses in the emergency room also moved. The defibrillator conductive paste was applied. White Night has already picked up the defibrillator. Said: "300J, ready, get out of bed!" ”

As the voice fell. None of the medical staff were touching the hospital bed. Bai Ye put his hands forward. The moment the defibrillator touches the patient. The patient's whole body shuddered.

At this moment, the ECG monitor is still a wavy display. Cheng Bing frowned, and said in a deep voice: "5% sodium bicarbonate intravenous infusion ......"

"Wait! Cardiac arrest is usually respiratory acidosis and intracellular acidosis, and the extracellular fluid is in a state of alkalosis at the moment. Moreover, the patient's respiratory insufficiency, instilling sodium bicarbonate at this time will inevitably produce a large amount of carbon dioxide. ”

Bai Ye's words suddenly made Cheng Bing stunned, and Bai Ye had already opened his mouth at this time: "Adrenaline 1 mg." Injections are given every five minutes. Defibrillator prepared for single 360J, additionally, injected with 80 mg of lidocaine. ”

The nurse didn't know what White Night did. However, Bai Ye's series of actions just now, including the extremely professional, can be said to be a textbook tracheal intubation. Let them have a sense of trust.

As the order was given, they all moved. Lidocaine injections began, and conductive ointment was applied again. Preparation! Get out of bed!

Defibrillation again. In an instant, the electric current lifted the patient's whole body. Then everyone breathed a sigh of relief. The ECG monitor shows that the heartbeat has been restored.

At this moment, Bai Ye also breathed a sigh of relief. looked at Cheng Bing, who was a little stunned next to him. Bai Ye smiled and said, "Doctor Cheng." I'll leave it to you. Personally, I recommend that you ask the doctor in your heart to come and have a consultation. In addition, the determination of cardiac enzymes. I think I should communicate with the family as soon as possible for the follow-up thrombolysis. ”

to Cheng Bing's ability and level. The follow-up work is basically no problem.

The door to the rescue room opened. The family members of the patients, who were still crying and anxious, rushed up: "Doctor, how is my dad?" ”

Bai Ye glanced at Sun Xiaojia next to him, and in Bai Ye's opinion, this girl's appeasement work was not in place.

With a smile on his face, he nodded and said, "Don't worry, you are out of danger for the time being." However, thrombolytic therapy is best administered as soon as possible. Make a decision as soon as possible. ”

As soon as he took two steps, Bai Ye saw Lei Junhua looking at him with a smile, and when he walked into the office, Lei Junhua smiled and said, "Does Xiao Ye feel a little uncomfortable?" This is normal. Domestic and foreign are two completely different styles. ”

As soon as he said that, Cheng Bing's voice came from the door: "Bai Ye, what do you mean?" ”