Chapter 401： CPR

Tian Yan looked at a group of medical staff around his grandmother, and he felt a little warm and curious.

After all, she hasn't deliberately visited this scene before.

However, listening to the sharp sound of drops, and watching the grandmother talking with her eyes open, she almost shocked in the past, Tian Tian instantly felt that her heart seemed to be grabbed.

"Ventricular fibrillation! Dr. Ling?" Nurse Niu's voice raised again and looked at Ling Ran. After all, in the emergency area, she has never seen Ling Ran show the corresponding ability, so she raised her voice at this time, and also meant to remind other doctors.

Ling Ran did not pay attention to Nurse Niu. He first looked at the ECG monitor, confirmed the ECG himself, and listened to the heart sounds before ordering: "Asynchronous, defibrillation. 150 joules."

Nurse Niu gave a sigh of relief, and immediately passed the prepared defibrillator to Ling Ran.

At the same time, two other nurses placed the patient in a resuscitated position and applied a conductive paste. Nurse Niu turned and chose asynchronous electrocardiogram on a defibrillator.

The whole set of actions is methodical.

Tian Yan looked at it and felt that they were not fast, but it was dazzlingly fast, just like changing tires and refueling in F1.

"finished charging."

"Get out of the way."

Ling Ran held two large electrode plates in his hand and applied a little force to ensure good skin contact. At the same time, he pressed the discharge button with his thumbs.

The patient trembled silently.

Ling Ran looked back at the ECG monitor and said, "Heart compression."

At the same time, Ling Ran turned to the patient's head and shouted, "The tracheostomy package."

In just a few tens of seconds, Ling Ran completed the tracheal intubation at the fastest speed and connected a simple artificial respirator. Later, Ling Ran took over the work of manual pressing, counting at a steady and fast pace.

Nurse Niu kept up with Ling Ran's rhythm for the first time and cooperated to provide respiratory support to the patient.

Cardiopulmonary resuscitation in the emergency room is basically two-person cardiopulmonary resuscitation.

This is not only because simultaneous chest compressions and artificial respiration can improve survival rates, but also because cardiopulmonary resuscitation is extremely labor-intensive, with an average of more than 100 times per minute to play a good role, so two people are often rotated.

However, Ling Ran did not mean to rotate for the time being.

Cardiopulmonary resuscitation is essentially a weakened version of Ye Ke Membrane, namely artificial extracorporeal circulation. Compression of the chest is to keep the heart pumping blood, and artificial respiration is to keep the oxygen supply. In this way, the process of cardiac arrest, the whole body organs and brain stopped working and died, was transformed into cardiac arrest, and the whole body organs and brain barely worked to see if they could persist until the heart moved.

Blood and oxygen are necessary for the human organs and brain. In theory, cardiopulmonary resuscitation can provide 30% of the normal supply. If the cells are described as an army, the logistics support is maintained at 30%, and the army may have lost Fighting power, but at least it will not completely collapse.

High-quality cardiopulmonary resuscitation is like maintaining a logistical supply in the worst case.

The strength, frequency, degree of artificial respiration, and so on of the chest, at this time, all play an unusual key role.

30% is already a very low limit. If it is reduced to 25%, 20% or 15%, it may not change much, but it may actually be the last straw that crushes the camel.

Ling Ran knelt on the bed, and just wanted to do CPR as high as possible.

Just as Nurse Niu is not familiar with Ling Ran in the emergency room, Ling Ran is actually not familiar with the nurses and doctors who are in the emergency room.

Therefore, he prefers to do CPR himself.

How difficult is high-quality cardiopulmonary resuscitation? Take a look at the appreciation of ultra-long cardiopulmonary resuscitation in various journals and international conferences.

Ultra-long CPR means that a strong team has performed high-quality CPR for a long time, plus excellent luck, to be able to succeed.

In a paper read by Ling Ran, a hospital counted a total of 190 cases of cardiopulmonary resuscitation (resuscitation time greater than 30 minutes) over a year, and only 17 cases recovered spontaneous circulation; of the 17 cases, only 3 were discharged alive; 3 Among them, 2 cases were vegetative and 1 case was cured.

Even so, the only successful case is still encouraging. After all, this is the man who pulled back from the palace of the king of the king.

"Defibrillation."

Ling Ran jumped out of the bed and picked up the defibrillator again.

After completing the defibrillation step again, Ling Ran continued chest compressions.

Every 30 times, Ling Ran stopped a little, and nurse Niu performed artificial respiration on a simple respirator twice.

The perfect level of cardiopulmonary resuscitation ability can almost guarantee the accuracy of each compression. However, Ling Ran still cannot guarantee that the patient can wake up.

A perfect CPR is not a perfect resurrection.

Ling Ran can only keep calm, while counting, he is desperately thinking about various options and possibilities in his brain.

In the curtain, the only rest was the patient and Tian Yan.

It was the first time Tian Tian saw such a scene.

She was slightly shocked, especially shocked by Ling Ran's concentration, nervousness, calmness and calmness at this time.

In Tian's impression, an uncle who is famous in the copper futures market ~ www.novelhall.com ~ has the same focus, tension, calmness and calmness at the most important moment. His third wife seems to be Because of this, I have become fancy with my uncle, even if he earns more money in the future.

However, the uncle who became famous in the futures market is still relatively sorry, even with the bonus of career, success, dream and victory, it can only be said to be ordinary.

Ling Ran ...

Tian Yan looked at Ling Ran, and was unconsciously intoxicated.

"Heart rhythm recovered."

I do not know what time, Nurse Niu's loud voice, pulled Tian Yan back from reverie.

More people surrounded the bed, and physicians from the cardiology department also joined in and started to consider transferring patients for intervention.

The old lady's son and daughter were also called over, and not far from the curtain, the doctor talked.

Tian Ying heard professional words such as "acute myocardial infarction" and "acute inferior myocardial infarction", and at the same time he heard the voices of old women's exclaimed.

Fortunately, the exclamation soon turned into a heavy breathing sound for the rest of the life after the disaster.

"Because of the timely rescue, the patient's condition is also better, the autonomic rhythm has been restored, and blood pressure and blood oxygen saturation have improved. Next, we recommend interventional treatment to open the infarcted blood vessels ..."

The doctor outside the curtain introduced the situation with a high or low voice, with a soft tone and a comforting nature.

Tian Yan listened, his attention turned to Ling Ran again.

Ling Ran, who had completed cardiopulmonary resuscitation, had tired arms and weak legs, but his smile was unexpectedly brilliant.

Tian Yan looked up at Ling Ran's face and laughed, "Dr. Ling is so good!"

"Well, this time ..." Ling Ran looked back at the uniform waveform on the ECG monitor and laughed: "It seems to be a little better for life."