Chapter 406： Make every effort

Perhaps because of crying too loudly, Hu's wife soon became weak.

She stood outside the glass door for too long and felt tired, so she could only lean on the door and stare inside.

To her, the accident was a bit too heavy today.

Perhaps for anyone, accidents about life and death are unusually heavy.

Ling Ran is still doing chest compressions. Every 5 minutes, injections of adrenaline, atropine and lidocaine are required.

In addition, 150 ml of sodium bicarbonate was also injected intravenously and was of little use.

The surrounding area is still very noisy. The medical staff, police and patients who come and go make the environment of the rescue room dry like a desert stove.

Ling Ran also felt that her body was a little hot.

More than 100 chest compressions per minute must be pressed and released in place, and the hand cannot be completely removed from the chest. It is difficult for people who have not been trained to grasp the weight of them, especially those who haven't pressed people before. When it comes to CPR, it is not easy to get accurate compression.

However, even after training, huge physical requirements continue to test the rescue.

"Dr. Ling, do you want to replace someone?" Nurse Niu trot over and asked softly.

"I can do it." Ling Ran didn't want to talk more. He was adjusting his breathing as much as possible to ensure the consistency of his chest compressions.

Chest compression is the most important part of the whole process of CPR.

In contrast, no medicine, instrument and technical means can achieve the same effect.

High-quality chest compressions are also the best support for high-quality CPR.

Ling Ran hoped that he could persist for a long time.

In fact, if it wasn't because everyone was busy, Ling Ran could have been promoted to commander.

However, if he gives way now and relays CPR with other doctors, one or two doctors may not be enough.

Ling Ran must not be able to occupy so many doctors with so much energy and energy at such a tense moment.

Besides, Ling Ran felt that he could persist.

Any doctor, anyone, when doing CPR to another human, can often persist for a long time ...

"Dr. Ling, 25 minutes." Nurse Niu whispered.

Ling Ran just murmured "En".

Nurse Niu thought it over and suggested, "Would you like to use a ventilator?"

At this time, the little nurse who had done artificial breathing for 25 minutes was using a simple respirator, that is, a manual respirator with a large balloon.

Ventilator artificial respiration is much better, but it is not usually used for CPR patients.

Ling Ran nodded in appreciation: "It's a good idea to use a ventilator, pay attention to the replacement time."

Nurse Niu nodded and immediately went to find someone and dragged the ventilator.

The artificial airway was opened a long time ago. Nurse Niu expertly adjusted the ventilator and connected the laryngeal tube without any delay.

After some operations, Nurse Niu reported to Ling Ran again: "30 minutes."

Ling Ran was still just "En".

He knew the meaning of Nurse Niu. After 20 minutes or more than 30 minutes of CPR, he could decide whether to give up.

If it is 10 years, hospitals in most countries and regions will treat cardiopulmonary resuscitation for more than 20 minutes as unnecessary.

In fact, Americans still rarely perform ultra-long CPR.

However, this has something to do with their medical system.

In American hospitals, family members can leave vegetatives in the hospital. The hospital will bear millions of dollars in medical expenses for this purpose, so that there is even a vegetative transaction between the hospitals-the expensive large hospitals use special medical machines to sell vegetatives to the lower cost hospitals and pay the latter High costs in millions of dollars.

In this environment, allowing American hospitals to support ultra-long CPR means that the hospital adds several vegetative patients every year.

Therefore, in order to allow patients to die with dignity (manual dog heads), American hospitals do not encourage extremely long CPR. Doctors are so educated that the proportion of overly long CPR is not high.

But in China, the proportion of medical personnel performing ultra-long CPR is getting higher and higher.

Although the probability of success is often as low as one percent, this is the only way to pull patients back from the death line.

Ling Ran knew that at this moment, the only hope of "Lao Hu" was himself.

If Ling Ran gives up, there will be no doctors to continue to do CPR.

At that time, he could only declare death.

And continue to do it, after all, there is still one percent hope.

For a life, there are countless times in his life, he has worked hard to achieve a success rate of less than one percent.

At this moment, it seems more understandable that there is another life struggling to keep his life and to achieve a success rate of less than one percent.

...

"father!"

Outside the glass door, a 9-year-old boy, wrapped in adult clothes, shouted while blowing his nose.

"Dad is inside, let's wait outside." The round woman held her son, and wanted to cry but did not dare to cry.

"What happened to Dad?" The 9-year-old was already very sensible. He now hopes that the adult can deny his conjecture.

The round woman patted his shoulder and said, "Dad fell off the tower crane ..."

"Don't tell this to your child!" Standing on the right is the patient's mother, old face, redness of anger, and the opportunity to get angry: "Your own husband, do you curse him to die? You should not let me take He came over, what brought him here? "

The daughter-in-law didn't snor as usual, saying only, "Let Chuaner look at his father more."

"It's the same when you go back and look at it." The patient's mother's momentum was much weaker, almost begging, "It's the same when I go to the ward to see the sky."

The fat woman continued to pat her son gently with her hand, as if in a cradle, saying, "Chuaner, your dad went to the night shift site to make money to pay the rent and tuition, and you will be good in the future. Reading books, sitting in the office, the wind can't blow, the rain can't catch, and I won't fall off the tower crane ... "

"You ..." The old lady was anxious and anxious, looking at her daughter-in-law, as if she had hysteria, and robbed her grandson, and said, "Don't be blind, my son ... my son ..."

The old lady wanted to say something auspicious, but the sight seen through the glass door did not allow her to say such things.

Ling Ran still presses the patient's chest at a frequency of 100 to 120 times per minute.

Even the perfect CPR ~ www.novelhall.com ~ cannot guarantee that he can keep the same frequency for a long time.

What Ling Ran can guarantee is the depth of each compression and the degree of chest wall recovery.

Time, minute by second.

When the IV drug was requested again, Huo Congjun came to Ling Ran.

"It will be an hour soon," Huo Congjun said.

Hearing Director Huo's voice, Ling Ran said without raising his head: "The patient is only 32 years old, has no medical history, and has been in good health. I think that continuing CPR can maximize patient benefits."

Huo Congjun was speechless.

Continuing CPR can naturally maximize the patient's benefits. If you give up CPR, you will have to declare death.

Huo Congjun looked around. With the doctors in place, the busy scene of the emergency room has been eased slightly. Although there were people from the site, the total number was very small.

Huo Congjun breathed a sigh of relief, and said, "Judge for yourself."

"Yes." Ling Ran replied, and the movements of chest compressions remained unchanged.

Lu Wenbin had finished his task at this time, came quickly, and whispered, "Dr. Ling, I'll help you."

"Preparing for an electric shock." Ling Ran directly ordered.

"Oh ... yes." Lu Wenbin reacted for a few seconds before picking up the electrode plate.

"200 joules." Ling Ran ordered.

Lu Wenbin repeated: "200 joules, keep away."

The defibrillator gently released the current.

Ling Ran didn't even look at it, he continued to start CPR.

The shorter the interruption of cardiopulmonary resuscitation, the better. This is to use external force to provide logistical support to the body. The longer and more frequent the logistical interruption, the easier it is to get a mess.

drop.

Didi.

The ECG monitor rang suddenly, attracting everyone's attention.