I Can See Health

   Chapter 174 Life and Death Speed ​​(3)

   Jinghua Second Hospital.

Emergency Department.

   There was chaos in the emergency room at this time.

   The pained groans of the patients, the crying of the family members, and the cries of the medical staff were all mixed together.

  The emergency ward was full, and the corridors were full of wounded.

   There are fractures, trauma, and barotrauma.

   There are also some elderly people who have underlying diseases in their early years. After experiencing this accident, their condition suddenly deteriorated.

   Gong Nannan trotted all the way to the rescue ward.

   "Dr. Wang, the patient in bed 5 is going to have a head CT. Do you think there are any graduate students or graduate students who are free to help take a CT?"

  Wang Xiaodong was intubating a patient with apnea. Hearing this, he didn't lift his head and replied loudly: "The students here are busy, you go to Brother Xia!"

   "I just asked Dr. Xia, and there is no one there anymore!"

   At this time, Wang Xiaodong finally inserted the endotracheal tube, quickly connected to the ventilator, and adjusted the parameters.

   He raised his arm, wiped the sweat from his forehead, and said to Gong Nannan who was beside him.

   "There's no one left, so we have to wait for the supporters to arrive. Director Dai just said that the hospital has already sent more people to rush over."

  Gong Nannan nodded solemnly, "That has to be as soon as possible, this is a patient with traumatic brain injury, and his condition is very serious."

  Wang Xiaodong nodded helplessly.

   "Everyone is running at full capacity now, we can only wait for support!"

   Critically ill patients are being rescued.

  Patients with mild illness are placed in the observation room of the emergency department before the doctor can see them.

   "Xiaodong, I just received a call from Peng Lei, and he will send two more patients soon! The two of us will pick him up immediately!"

  Dai Bin walked into the emergency room of the emergency ward anxiously with his mobile phone in his hand.

  Wang Xiaodong looked helpless: "Director Dai, why are you still sending it to us? There are no doctors and nurses available!"

"These are two critically ill patients. If they are sent to the third hospital or other hospitals, it may be too late!" Dai Bin said solemnly, "I have communicated with them, and patients with mild symptoms will not be sent to us in the future. Our burden. But critically ill patients, we may still have to take over!"

   Even though the patients have been shunted as much as possible, there are still too many casualties.

   New wounded are constantly being discovered, and critically ill patients are being sent to the emergency department of the Second Jinghua Hospital.

   "Director Dai! The severely burned patient who came here at the beginning, his blood pressure and blood oxygen were almost unstoppable!"

   Xia Yingzheng suddenly said loudly.

   The emergency wards of the emergency department are all connected. Dai Bin heard the words and immediately rushed to Xia Yingzheng's side, and at the same time left a sentence.

   "Xiaodong, wait for the two patients from 120, go see them first!"

"it is good!"

   Wang Xiaodong felt numb in his hands, and he couldn't remember how many times he performed CPR.

   He only knew that the nurse had been calling him, so he went back and forth between several emergency rooms.

  …

five minutes later.

  Peng Lei's ambulance has arrived again.

  Wang Xiaodong was already at the door to greet him. As soon as the door of the ambulance opened, Peng Lei jumped down.

   "Xiaodong, a patient was rescued from a waste mound with crush injuries all over his body! Blood oxygen is no longer enough, there may be ARDS!"

"The other patient is an old man in his 70s. He is still some distance away from the vegetable market and has not been affected too much, but he himself has a basic heart disease. In the accident just now, he suffered a heart attack. Now, in the ambulance, he had ventricular fibrillation twice!"

  Wang Xiaodong escorted the patient from the ambulance while listening to Peng Lei's handover.

   "Quick to the emergency room, we have vacated two beds."

  Wang Xiaodong and several nurses trot all the way to **** the patient to the emergency ward.

As soon as    came to the emergency room, Gong Nannan walked in.

   "Dr. Wang, the 5-bed patient suddenly lost consciousness during the first CT scan, and is being rescued in the CT room! The CT room called, let's go take a look and bring the patient back!"

   This is really a house leak and it rains overnight!

   "Who accompanies the inspection?" Wang Xiaodong wondered.

   "An intern and a nurse went."

   "Fuck! How do you let the interns go?!" Wang Xiaodong said a swear word.

   "No way, there's really no one left!" Gong Nannan said helplessly.

   "Then don't let the interns go!" Wang Xiaodong looked around, everyone was busy, and he still had two critically ill patients on his hands, "Is there anyone else over there with Director Dai and Teacher Xia?"

   "No more, the burnt patient is being rescued!"

  Wang Xiaodong really wants to have a shadow clone now, he can't leave now!

   "Senior brother, let me go!"

   A voice rang in Wang Xiaodong's ear, and there was a sense of familiarity in the strangeness.

   For Wang Xiaodong at this time, it was tantamount to the sound of heaven.

   He looked back.

   "You are Lu, Junior Brother Lu Chen?"

   Wang Xiaodong's eyes flashed a happy look.

   "Yes." Lu Chen nodded.

   After he came to the emergency department, he immediately ran into the duty room and changed into an idle white coat.

  Support is also about being organized and structured.

   So he found Wang Xiaodong right away.

   "Great, junior brother, go to the CT room, check the patient's condition first, and take him back to the emergency room!"

"it is good!"

  Lu Chen didn't hesitate at all, quickly found an old stethoscope in the cabinet of the nurse's station, and immediately ran towards the CT room.

   Watching the back of Lu Chen leaving, Wang Xiaodong finally let go.

   As for why Lu Chen came to the emergency room, it is no longer his consideration.

   There are two critically ill patients waiting for him to deal with.

  …

   Fortunately, the CT room is not far from the emergency department, and Lu Chen's speed is also very fast.

   In less than a minute, he ran to the CT room of the outpatient building.

   Before entering, he saw a group of people gathered at the door of the CT room No. 1 clinic.

   In the innermost part of the crowd, three doctors and a nurse are surrounded by a hospital bed.

  Lu Chen opened the crowd and saw a young doctor giving chest compressions to the patient.

   "What's the condition of the patient?" Lu Chen stepped forward and saw that the electrodes of the ECG monitor at the bedside were not connected.

   It seems that it should be for inspection, so the electrode pads were temporarily torn off.

   "The patient had a sudden disturbance of consciousness as soon as he got off the CT machine after the CT was done." A middle-aged doctor next to him said, "You are..."

   "He came from the emergency department." Lu Chen said.

   The patient had a relapse after the examination, which should be regarded as a fortune in misfortune!

   The middle-aged doctor looked happy and said quickly, "Come and see the patient, or else, go to the emergency department."

   The doctors in the CT room are actually not even doctors, most of them are clinical technicians.

   is to control the machine in the operation room, and there is no rescue skills at all.

   Once you encounter this kind of emergency rescue, there is absolutely no other way except giving oxygen and cardiopulmonary resuscitation.

  Lu Chen stepped forward, immediately connected the electrodes to the patient, and put on the blood oxygen jacket.

   "Dududu..."

   ECG monitoring started working again.

  Oxygen saturation 95%, heart rate 125 beats/min.

  Because of chest compressions, the patient's heart rhythm waveform is disorganized.

  Lu Chen performed a physical examination on the patient.

   The patient is unconscious and completely unresponsive to the outside world.

   The patient has a trauma to the head, the skull is deformed, and there is a hematoma bulge on the surface.

   "Don't press for now!"

   Lu Chen's words surprised the middle-aged doctor and the doctors next to him.

   "No more pressing?" The young doctor turned to look at Lu Chen in confusion.

   He was an intern in the emergency department.

   Originally, he was sitting in the duty room playing with his mobile phone. The sudden accident made him participate in the first rescue in his life and was sent out to accompany the patient to check.

   "Well, let's not press for now." Lu Chen nodded.

  Because after his physical examination, the patient's breathing and heartbeat were still there.

  Not all comatose patients need CPR!

  The standard of cardiopulmonary resuscitation is cardiac and respiratory arrest.

   "The patient's heartbeat and breathing have recovered." Lu Chen paused.

   He did not know the condition of the previous patient.

   But in the current situation of the patient, it is not necessary to continue CPR.

   Hearing Lu Chen's affirmative answer, the intern who was doing chest compressions stopped.

  Everyone stared at the ECG monitor.

   On the ECG monitor, the patient's heart rate and blood oxygen saturation were still normal.

   Lu Chen's judgment was correct, and everyone breathed a sigh of relief.

   "Send the patient back to the emergency department." Lu Chen looked at the middle-aged doctor, "How is the patient's CT result?"

   The middle-aged doctor immediately said: "Brain contusion, intracranial hemorrhage, and symptoms of cerebral edema."

  Lu Chen nodded, it seemed that the patient's disturbance of consciousness was related to cerebral edema.

   He then pushed the bed back to the emergency department with the intern and another nurse.

   "Brother Wang, the patient is back." Lu Chen immediately reported the patient's condition to Wang Xiaodong, "The patient may be suffering from cerebral edema and disturbance of consciousness caused by intracranial hypertension. Please consult with emergency neurosurgery?"

   "Okay!" Wang Xiaodong nodded, "If the patient's family members come, remember to communicate with the family members about the condition first. I'll take care of the patient and come over immediately!"

  Lu Chen immediately started to call the neurosurgery doctor.

  …

   In less than three minutes, the neurosurgery doctor arrived.

   To be more precise, the neurosurgery doctor stayed in the emergency department and did not leave.

  He Luping watched the patient's head CT, and said solemnly: "According to the CT results and the patient's symptoms, there are indications for surgery, but the patient's family has not come, this is not easy to handle."

   "Mr. He, we contacted the patient's family and they will be here in ten minutes." Lu Chen said.

   "Well, then pay close attention to the patient's vital signs, especially breathing and blood oxygen." He Luping nodded, "We will talk about the operation when the family members come."

   Intracranial hypertension causes brain herniation, compresses the brain stem, and may cause breathing and cardiac arrest at any time.

   "Okay, Mr. He."

  Lu Chen settled the traumatic brain injury patient and was immediately called by Wang Xiaodong.

   "Junior brother, a patient with coronary heart disease came here just now and has been suffering from ventricular fibrillation. Come and have a look!"

  Wang Xiaodong knew that Lu Chen was a cardiologist.

  Eye This patient is different from other patients. There is no injury on the surface, but he has suffered from ventricular fibrillation several times!

   "Senior brother, here I come!"

   (end of this chapter)