Chapter 660： Stop

For the emergency department, myocardial infarction and cerebral infarction are big things. If you have been to the emergency room of a hospital, many times, you can see a prominent place with "chest pain treatment", or "chest pain center" and other similar words.

Of course, chest pain is not all myocardial infarction, but from the perspective of the emergency department, any chest pain patient is a high-risk patient and should not be missed.

Missed it and was ordered by a doctor in a foreign hospital, it should not be even more so.

The doctor who was consulting with other patients turned around, glanced at the mature patient and glanced over, whether it was or not, ask first and then say.

The nurse next to me was a little young and explained a little sensible first: "He has an injured hand. He was bandaging in our hospital before, and he will change the medicine today. Because there are more people, I will let him wait."

Several doctors, including senior nurses present, were silent. What is happening to the patient is a reality, not an explanation that can explain the past. Looking at it now, it ’s not the best to have a myocardial infarction. It ’s best to scold this foreign hospital ... The handsome and over-doctor scolded him for nosy business, but if it is a myocardial infarction, now he hastily speaks for himself Already.

Several emergency room doctors approached together, naturally making the patient sitting on the bench feel strange, holding the arm of the chair and want to stand up ...

"Just sit." Jin Xiongteng, the attendant of the emergency department of Donghuang District Hospital, hurried forward and stopped the patient.

When he got closer, he also saw that the problem was coming. The patient was sweating in the forehead of his head. If he had a pain in his hand, he couldn't understand it.

"Where does it hurt?" Jin Xiongteng asked directly.

"It's awkward here." The patient pointed between his chest.

This is basically the diagnosis. Jin Xiongteng reached out and touched the patient's clothes again, and found that he was sweating.

"Go get the nitroglycerin, come over the cart, pull the ECG, hurry up. Xiao Liu, go and call and inform the intervention department." Jin Xiongteng's brain was sweating, and he whispered a command, turned his head immediately Ask the patient, "Have you had surgery recently?"

The patient pointed at his hand and spoke slowly, with some difficulty: "It was a broken hand ..."

"Well?" Jin Xiongteng asked in a hurry.

The sweaty, mature patient shook his head slightly. "No."

"Is there hypertension?"

"No."

"Have you been in bed for a long time recently? Do you have a cold and fever?" Jin Xiongteng said, also called the nurse to measure bilateral blood pressure. The whole process was tense and ... confusing.

In Ling Ran, who is familiar with the Yunyi Emergency Center, the level of the emergency department in Donghuang District Hospital is indeed quite average. The experience of doctors and nurses is obviously not up to the level of Yunyi.

The biggest difference is that only one patient with chest pains mobilized most of the staff in the emergency room. Looking at the eyes, at least three nurses ran around in the room to pick up trolleys, two nurses helped to measure blood pressure, and one The nurse wanted to help but couldn't help. The doctors only came because there were only three doctors on duty in their emergency room.

At this moment, if there is another patient with chest pain, it may be ignored again. It is not necessary to be ignored, but the busy medical staff obviously lacks sufficient energy and attention to deal with it.

However, just for this patient with chest pain, Jin Xiongteng and others did not have any problem, it was nothing more than a waste of manpower.

However, step-by-step treatment does not mean that the patient's condition develops and he will follow the steps.

Ling Ran looked for a while, seeing that Jin Xiongteng had confirmed that the aorta was not ruptured, he turned back to the little doctor who smiled at Jingba and said, "Give me a white coat."

The little doctor hesitated, and said, "This, isn't Dr. King taking over?"

"Take one first." Ling Ran didn't say much. He has been in the emergency room for a long time and knows the importance of equipment. Doctors in white coats tend to do things more smoothly, rather than repeatedly questioning them.

The little doctor fumbled for a white coat and handed it to Ling Ran: "I don't know if it fits well."

"Well. Thank you." Ling Ran took it and put it on.

The white coat was certainly not too fit, but after wearing it, it was still handsome and dazzling.

He looked at the family members and nurses of Ling Ran's patients intently, and looked at Ling Ran without blinking.

Ling Ran stared at the patient without blinking.

The patient was sweating and said barely: "Should I call my family?"

"Let the nurse call you," Jin Xiongteng answered.

The patient then wanted to get his mobile phone, his arm moved, and he dropped down sharply.

Jin Xiongteng hesitated in his heart. Is this a pause?

"Pull over the bed, lift the patient up, take off your clothes, prepare for a cardiac pacing, and move fast." Jin Xiongbo's voice was fairly stable, not yelling like on TV.

In fact, emergency doctors splurge on their throats only in emergencies. Otherwise, critical patients will be rescued every day. Even if they can shout for a day or two, it is impossible to shout for three or five years.

Like Jin Xiongteng, if the patient is expected to have myocardial infarction, then there is no need to shout. Follow the operation guide of myocardial infarction and do it step by step.

The car next to it was pulled over, stepped on the brake, the patient was lifted up, his chest was exposed, and then Jin Xiongteng picked up the electrode plate ...

After two consecutive defibrillations, Jin Xiongteng climbed onto the flat bed and started CPR.

Two other doctors in the emergency room also came around, but for a while they didn't know what to do.

At first glance, Ling Ran knew that in addition to Jin Xiongteng, the other two little doctors are likely to have no relevant experience, that is, Jin Xiongteng. Although they have certain experience and skills, they should have not played CPR for some time.

The huge capital city was not sent to the district hospital every month.

Ling Ran took a pity look at Jin Xiongteng, and then stepped forward, saying: "Open the airway, hit adrenaline, and open the second venous channel."

The little doctor next to him looked at Ling Ran a little, then looked at Jin Xiongteng.

Ling Ran didn't wait for them to speak, and said, "I have had many long CPR experiences, the longest is more than 2 hours."

In a nutshell, ultra-long cardiopulmonary resuscitation is the king of cardiopulmonary resuscitation. Successful cases can be bragged for a long time. There are many successful cases, at least to explain ... People really understand CPR.

"Playing adrenaline, the second venous channel." Jin Xiongteng repeated the order but did not agree to open the airway.

Ling Ran said: "Opening the airway as soon as possible is conducive to the next operation. Advanced tracheal management will benefit all patients who need CPR."

Jin Xiongteng was doing cardiopulmonary resuscitation and said, "This is cardiopulmonary resuscitation in the hospital. There is no need to cut the trachea immediately."

Cardiopulmonary resuscitation in hospitals generally has a much higher success rate than cardiopulmonary resuscitation outside the hospital. Jin Xiongteng didn't want to do damaging operation immediately, and it was normal thinking.

After all, CPR in many hospitals works within minutes.

Ling Ran shook her head slightly, but did not argue. He is also not sure that this patient will not be able to recover his heart rhythm within a few minutes, but, according to Ling Ran's experience, such a strong male with sudden myocardial infarction often has more serious problems.

The high success rate of cardiopulmonary resuscitation in the hospital ~ www.novelhall.com ~ is mainly because the patient was quickly treated after cardiac arrest, which does not mean that the patient itself will have nothing special.

Many patients have developed illnesses outside the hospital, and some of them can be fully treated with pre-hospital emergency treatment. Cardiopulmonary resuscitation all the way to the hospital, Ling Ran has seen many cases, and most of them have been well treated.

But as far as Ling Ran is concerned, the premise of all good treatment is to face the bad situation.

The patient may wake up in a few minutes, but Jin Xiongteng puts his hope here, but Ling Ran disapproves. The airway is not open now, what if the patient cannot wake up within a few minutes?

Time passes by every minute.

"It's been three minutes." A nurse did the timing.

"Substitution." Jin Xiongteng shouted another doctor, secret sweat was leaking from his face, and his face frowned very badly, and said to the nurse, "Go get the trachea and cut the bag."

After speaking, Jin Xiongteng looked at Ling Ran again and noticed that he had changed the white coat of the hospital, so he frowned again, with a bit of Beijing accent, and asked, "Are you from our hospital?"