Chapter 900： Expected scene

Task: rescue the wounded.

Task content: Rescue 10 patients in ICCU (1/10)

Quest reward: Heart Trauma Repair (Master)

Ling Ran nodded slightly looking at the prompts on the system panel.

Whether it is emergency rescue or rescue in icu, it is a team cooperation behavior in the end, being an assistant can also advance the task progress, which is a reasonable system.

"Take it away." Ling Ran murmured, and saw the system panel flicker twice and disappeared.

Turning his head, Ling Ran was ready to continue the process of ward inspection, and the alarm sounded from the monitor again.

Once the monitor sounds, it will sound one after another. In icu, this is like some kind of metaphysical formula, and it always happens again and again, from people interested in research to numbness.

Ling Ran was still the first to reach the rescue position.

Behind him, the doctor of Icu was also driven away faster, but obviously could not be as sensitive as Ling Ran. When the warning sound of the monitor appeared in the emergency room, it seemed as if the charge was sounding, and in the ICU, it was at most the level of the telephone ringing.

"Defibrillation." Ling Ran had completed the examination at this time, and made a decision faster than Icu's doctor.

The nurse next to me also responded immediately, leaving both hands with the patient.

"Compression on the chest." Ling Ran said, and he had already started CPR on the patient who was lying flat.

The success rate of in-hospital rescue is much higher than that of out-hospital rescue, because the judgment is timely and there are fast and high-quality rescue measures. For example, cardiopulmonary resuscitation, the average value of in-hospital rescue must be much higher.

In the intensive care unit, cardiopulmonary resuscitation is done every day, and it can always be won in prime time. Patients in ICU can live longer, which often depends on it.

However, cardiopulmonary resuscitation has always been tiring. At this time, Ling Ran was willing to do it. Later, the doctor would not rob him. He looked at Ling Ran's ups and downs, only felt that the rhythm was very strong, but he didn't know it .

Even with a perfect CPR, chest compressions are still mechanical, and the position is more accurate, the frequency is more stable, and the rhythm is better.

"Adrenaline." Ling Ran whispered a doctor's order.

After a few seconds, the adrenaline has entered the patient.

"Defibrillation." Ling Ran then let go, and a silent vibration came immediately.

"Heart rhythm is restored." Dr. Icu who looked at it later smiled, and sent a compliment without money, saying: "Dr. Ling seized the opportunity."

Ling Ran gave the other person a long-awaited smile. Before speaking, Didi's warning sounded again.

"You come." Ling Ran, who had just done CPR, didn't rush to get started, but modestly gave it to the attending doctor of icu.

Several of the doctors in the thirties were inexplicably happy, but also a good step, and arrived at the location, and immediately began the familiar rescue process, but unlike before, today's doctors are suddenly full of hurries, that is a kind of ...

Want to show the impulse.

Yes, in the area where he is best, do what Ling Ran can't ... at least, it's better than Dr. Ling Ranling ...

The attending doctor looked at the old and fierce nurses on both sides. Although he didn't have any ideas, the impulse to install a wave, show a wave, and a wave of war could no longer be suppressed!

After a brief inspection, the attending doctor ordered: "Mannitol. Do an intubation."

The nurse was prepared.

Another senior nurse came over, and in Ling Ran's ear, he introduced: "The patient had brain metastases from nasal cancer. Before that, the head was swollen and the brain swelling was often unconscious, but he could breathe spontaneously ..."

Ling Ran nodded slightly and was able to breathe spontaneously. Even in the ICU, he was in a better state. However, patients with brain metastasis have almost no chance of being rescued. Whether to continue to live in the ICU depends on the patient. And family life outlooks and emergencies.

Ling Ran stood in front of the hospital bed, watched the attending doctor unfold the tracheal intubation bag, put on gloves, took out the adult laryngoscope, and started intubation.

The expression of the attending doctor was slightly excited.

"A bit of laryngeal obstruction." The attending doctor spoke without stopping, apparently preparing to challenge.

Ling Ran frowned slightly and didn't say anything to stop it.

The technique of tracheal intubation, placed in the food industry, is equivalent to making pasta. It is really diverse and easy to find.

If you make a judgment based on the score, you can see the soft palate, throat, uvula, and anterior and posterior pharyngeal arches in the airway of level i. It is as simple as cooking instant noodles!

But the ii and pharyngeal arches are missing in class ii, and only the soft palate, throat, and uvula can be seen. The difficulty has risen to cooking ... pasta ...

And when you can only see the soft palate and the base of the uvula, it is really difficult to score iii.

Generally speaking, intubating a Class III airway is equivalent to making noodles at home. Normal people do not make noodles at home. Therefore, Class III tracheal intubation only appears in special circumstances, such as the current one. Patients with swollen heads have developed laryngeal obstruction, and the starting price is grade iii.

A tracheal intubation of grade iii is actually not as good as a tracheotomy. However, it depends on the doctor's decision.

The attending ICU was obviously confident in tracheal intubation, and Ling Ran had no need to stop it.

Just like when he was performing surgery, some operations were also unconventional. A good surgeon would do some extraordinary operations.

Ling Ran quite understands this.

Of course, if Ling Ran were to choose, he would still choose tracheotomy rather than tracheal intubation. The reason is simple—his tracheotomy is perfect. The tracheal intubation has been practiced to this day, at most it is senior Introductory, less specialized.

Therefore, let alone the possibility of a class iv airway, even when encountering a class iii airway, Ling Ran would not hesitate to perform a tracheotomy ...

After all, tracheal intubation can be deadly if it is not done well.

Thinking of this, Ling Ran took it seriously.

Clinical medicine is such a huge system that doctors in the system need to learn many basic operations for many years.

Even Ling Ran needs to make full use of time.

"Look into the esophagus!" The scolding self-assured attendant scolded, pulling the atmosphere around the bed into the valley instantly.

"The tracheostomy package." Ling Ran was ready to take over the first time.

To him, this is also a very familiar scene. The failure of the operation, the guitarist who failed to play, and the athlete who failed to dunk, are always inevitable in his life, and it is not surprising.

On the contrary, ICU's indications are a little embarrassing.

He is really professional in tracheal intubation. Of course, there is always a possibility of failure in this kind of work, especially for trachea of ​​level III difficulty ~ www.novelhall.com ~ It is not easy to insert it to anyone, but it is still relatively rare to insert it into the esophagus.

The attendant couldn't help but sighed secretly, and swept towards Ling Ran with the light of his eyes, and said, "This wave was not successful."

The flow of thoughts is an instantaneous event.

However, without waiting for the attendant to sort out his mood, Ling Ran "tracheotomy bag" had already passed into his ear.

The attendant looked up suddenly and saw that the nurse, like a mutinous lioness, had cut the trachea and bagged it to Ling Ran.

Ling Ran had already put on his gloves, opened the bag without a word, and glanced at the patient who was unconscious. Without anesthesia, he took a scalpel and made a longitudinal incision in the patient's neck.

"So fast!"

"So handsome!"

"It's all up to Dr. Ling."

The scenes where nurses can't wait to clap their hands and dance is exactly the scene the attending expectant.