Chapter 431： Save

There are many types of patients with acute myocardial infarction, but no matter what type, modern medicine tends to perform interventional or interventional surgery.

In fact, this is also the best plan to guarantee life-saving in a short time.

As a type of endoscope, Wei Jiayou is also good at interventional surgery often performed in cardiology.

Wei Jiayou is confident that in the current state of the patient, he directly advances into the operating room, and he has 80% confidence to save it.

However, as time passed, the hope of salvation became less and less.

With a temper, Wei Jiayou hid himself in the shadows and kept thinking about various plans.

"If you don't sign it again, you won't have time for surgery." The doctor of Yunyi's Department of Cardiology also went to the emergency department, and once again issued the critical notice, with anxiety and impatience in his tone.

"We can't decide on this matter, and you can't let us sign." The uncle holding the phone shook his head, and his tone became firmer.

"Haven't you found the patient's son yet? When do you have to wait?" The doctor in the Department of Cardiology looked at the time, and the whole person was bad.

"I don't know." The uncle was also irritable, and said, "His son is working overtime all day and night. My company also hit the house and the rented house also hit. What can I do!"

The doctor of the cardiology department took a deep breath: "I really can't wait. If you don't sign, the patient will die."

Uncle Wu shook his head, not even explaining.

He did not feel that his condition could be understood by the doctors in the hospital, nor did he expect the other person to understand.

Wei Jiayou looked at the monitor again, then looked at Di Maocai, and finally stood out, saying coldly: "We're not waiting, we will take the patient to the operating room first."

Di Mao just looked at it and did not express any opinions.

The family members of the patients were also relieved, lowering their eyelids silently as if they hadn't heard them, and grabbed their mobile phones again, and "Hello" loudly.

The emergency personnel around the patient didn't have much time to troubleshoot the problem. When they heard the doctor's order, they immediately moved. No one wanted to look at the people who could save the life, because the scene was delayed and they lost their lives.

The brakes of the flat car were lifted, and a male nurse stood behind, pushing evenly and pushing the car up.

Didi Didi ...

Almost immediately after the flat car was started, the monitor rang suddenly.

"Defibrillator." Wei Jiayou shouted for the first time.

The male nurse stopped quickly, first stuck the brake, and then charged the defibrillator.

laugh.

Wei Jiayou rips off the patient's clothes with oily patches. With a "go away", the heartbeat on the monitor shook.

"Cardiopulmonary resuscitation." Wei Jiayou no longer had any luck, knelt on the flat bed, his hands intertwined, and began to perform chest compressions.

"1,2,3,4 ..." Wei Jiayou hummed a song in his nose to ensure that his compression frequency was correct.

The nurses in the emergency department cooperated to the best of their ability.

After a while, Yu Yuan also appeared on the scene, exclaiming: "I can make a replacement."

"No." Wei Jiayou didn't believe Yu Yuan's ability. In the strange hospital, Wei Jiayou didn't believe anyone's ability.

He was doing CPR himself, staring at the monitor, hoping to get the answer he wanted.

Di Mao did not interfere in any way. He brought Wei Jiayou out. For the local hospital, it was an armed procession. For Wei Jiayou, it was a test.

Since you can't be well-informed in age, you can increase your knowledge by going to different local hospitals.

Some diseases are rare in some provinces and cities. In other provinces and cities, they may become commonplace.

At the same time, facing patients in different regions and dealing with different patients can also allow doctors to quickly improve.

Just like this time in Yunhua, although the operation opportunity of aortic dissection was not obtained as expected, CPR training is also very good.

Wei Jiayou hum hum hummed to do chest compressions, and then defibrillated again, before pulling the patient back.

"Continue, go to the operating room." Wei Jiayou ordered flatly.

The male nurse raised the brakes again, the flat car slowly moved forward, and the patient's family members also automatically followed. They did not want to sign a consent form in order to avoid responsibility, but they also hoped that the doctor could rescue the patient.

The flat car was taken to the operating room at a constant speed. Before entering the door, the monitor called again.

This time, Wei Jiayou was more prepared, defibrillation with stable movements, and chest compressions.

One group.

Two groups.

Three groups……

Wei Jiayou's head quickly sweated.

"Defibrillation."

Wei Jiayou shouted, and after doing defibrillation, he continued to do chest compressions.

One group……

Two groups ...

Three groups……

"Defibrillation!" Wei Jiayou's voice was louder, but the defibrillation effect was not better.

This time, Wei Jiayou didn't even go to the monitor and gave priority to chest compressions.

Each group of 30 times, 120 chest compressions per minute, Wei Jiayou made sweaty.

Tall and thin Wei Jiayou, with long and beautiful fingers, clearly exceeds the long arms and legs of ordinary people, making him feel a little weird when he lies on the patient.

He had fewer muscles on his arms and was doing chest compressions, more like a bone stick poking at his chest.

In a short time, everyone's attention is still on patients.

However, over time, everyone's attention has focused more on the discordant part.

In addition to Wei Jiayou's posture and form, the frequent use of defibrillator, the indescribable shaggy smell, also let everyone avoid it.

"Adrenaline." Wei Jiayou exhaled again.

The nurses nearby were already prepared. Several commonly used first-aid medicines for myocardial infarction were on hand, and when he heard Wei Jiayou's order, he quickly shot adrenaline.

Wei Jiayou then asked to open the advanced airway, which was a tracheotomy and an upper breathing apparatus.

Compared with simple balloon respirators, studies have shown that the opening of the advanced airways is beneficial for prolonged cardiopulmonary resuscitation.

Now asking for the opening of advanced airways can actually explain Wei Jiayou's judgment from the side that the time of CPR will be greatly extended, which means that the CPR is no longer a blitz but a protracted battle.

5 minutes……

10 minutes……

Cardiopulmonary resuscitation time quickly exceeded 15 minutes.

If you are in a hospital in the United States, the cardiopulmonary resuscitation for such a long time is basically the limit. Most doctors have achieved this level and will almost choose to give up chest compressions.

Even in China, doctors are willing to take a two-to-one chance.

Some doctors are not confident in their own methods and are not confident in the rescue ability of our hospital or undergraduate department, so they will not do ultra-long CPR.

Some doctors understand the patient's choices, or have a poor judgment on the patient's prognosis, and will not die for CPR.

In fact, after a long CPR, the probability of the heart recovering is 5%, which is no longer a small value, and the difference between 2% and 5% usually belongs to Brain dead.

Several doctors turned their eyes to Wei Jiayou, seeming to guess his decision.

At this time, if it is a familiar doctor in this hospital, someone will definitely come forward to remind him of the time of CPR.

However, everyone is not familiar with Wei Jiayou, nor do they like it.

"Substitution." Wei Jiayou finally did not move his chest to press, but his decision was not to give up, but to substitute.

A doctor of cardiac surgery hesitated, and came up and said, "Dr. Wei, I'll help."

Wei Jiayou himself is a new doctor, but his teacher Di Maocai is one of the best in the country. For the doctors of the Yunyi Cardiology Department, please please others and make a fuss. It is also an investment.

Wei Jiayou persisted for another minute, then jumped down and gave up.

The cardiology surgeon jumped onto the flat bed and started to do chest compressions.

Huh Huh ...

Humming humming ...

Whirring whirring……

Wei Jiayou looked at each other's movements, and after five waves of time, he said, "Substitute another person."

The director of cardiac surgery has come downstairs at this time. In his eyes, another attendant of the cardiac surgery came out, and then another.

Several young attendants of cardiac surgery, plus Wei Jiayou, several people changed round after round, and even the on-site medical staff changed rounds.

Ling Ran followed the flow of people and walked in.

He was quite curious about the skills of the armed patrol personnel in the foreign court.

From the replacement frequency of chest compressions, to the use of medicines, to the use of defibrillators, there are no absolute rules in the process of saving lives, but more of a doctor's judgment on the spot.

After insisting on cardiopulmonary resuscitation for 40 minutes, Wei Jiayou finally made a judgment of lack of surgery.

"No way." Wei Jiayou looked up at the wall chart: "Time of death ..."

"You can continue to do CPR ~ www.novelhall.com ~ There is still a chance." Ling Ran interrupted Wei Jiayou's death.

The 40-minute cardiopulmonary resuscitation, although it is already an extraordinary cardiopulmonary resuscitation, it seems to Ling Ran that it is far from being declared dead.

Especially the ECG of the patient at this time, although the baseline is unstable and the waveform is chaotic, it is because of the chest compression caused by many people, which is caused by a lot of interference.

On the other hand, patients are in their 50s. As far as life and physical conditions of modern people are concerned, the prognosis can be optimistic as long as they are saved.

Wei Jiayou did not like someone to intervene in his own patient. He turned around and glanced at Ling Ran, stunned his face, and was even upset. He shook his hand and said, "Your patient."

"Okay." Ling Ran was not like a doctor Wei Jiayou often, crying and shouting first to clarify the ownership of the patient. With just one sentence, he knelt on the flat bed and continued to perform CPR.

"001, 002, 003 ..."