Chapter 1188： Raised

Director Ruan, if you can get away, please bring someone to the rescue room... It’s a 40-week pregnant woman. The cardiac arrest has been for 20 minutes. Dr. Ling is doing cardiopulmonary resuscitation in person..." Zuo Cidian I picked up the phone and dialed it out.

Ruan Gaoge, who was on the other end of the phone, was originally planning to consider factors such as status and consultation, but when he heard that it was Ling Ran, he immediately agreed: "I arrived within 10 minutes."

"Please do it as soon as possible. Dr. Ling plans to make a final decision after 10 minutes." Zuo Cidian said roughly, and then hung up the phone. He didn't know what Ruan Gaoge was doing, so he just urged him.

However, he believed that Ruan Gaoge would rush to the rescue room as quickly as possible.

If he can't do it, the existence of the ICU group in the emergency center will cease to exist.

This is also the best time for Ruan Gaoge to prove himself.

When Ling Ran needed it, he was involved in the most important rescue... As long as Ruan Gaoge’s IQ was online, he knew that it was time to show himself. There are small universe explosions, tasks that can be started for a limited time, some plug-ins that can be used, and some potions that can be eaten. This time should be used.

Zuo Cidian once again called the director of the obstetrics and gynecology department in the speed dial under the grace. After connecting, he quickly said: "Director Li, Dr. Ling is doing cardiopulmonary resuscitation for a 40-week pregnant woman... Yes, I I think you have received the call, but we think about it and believe in your technology. If you have time... Ok, Dr. Ling will make a final decision after 9 minutes!"

Hanging up the phone again and dialing the phone again, Zuo Cidian called the anesthesiology department and the neonatal department in turn, followed by the cardiology department and the cardiac surgery department, and then Huo Congjun and the hospital office.

After everyone understood the situation and requirements described by Zuo Cidian, their attitude was similar to that of Ruan Gaoge, and no one delayed or procrastinated.

As far as the current Yunhua Hospital is concerned, Ran Ran has played in person, so it is appropriate to invite them to form a team.

In fact, even if Zuo Cidian didn't call, he asked the departments directly for an emergency consultation. As long as Ling Ran's name was put on, each department would have to send elite soldiers to come.

After a series of phone calls, Zuo Cidian turned back and saw that Ling Ran was sweating on his forehead.

The standard and high frequency of cardiopulmonary resuscitation is very tiring, but if you want to save people, you must do the standard and high frequency.

Ling Ran frowned, not because of the hard work of chest compressions, he was just thinking hard about the solution.

High-quality chest compressions will not necessarily save the patient in front of you. Even with a large amount of medicines that are not suitable for pregnant women, you will not necessarily get a definite answer.

The latter thought came up, and Ling Ran quickly threw it away. What a definite answer was needed at this time, it was good to have a ray of life.

Thinking of this, Ling Ran immediately ordered: "Check the airway, prepare for defibrillation, one milligram of adrenaline, intravenous injection."

The first two commands are natural, the latter request makes the anesthesiologist hesitate for a few seconds, can't help saying: "Dr. Ling, it took less than 4 minutes to get an adrenaline."

"Well." Ling Ran didn't mean to cancel the doctor's order.

Seeing this, the anesthesiologist retreated silently.

The doctors on the side listened to the conversation between the two without blinking their eyebrows. At this time, any decision made by the chief surgeon is correct, and the risks brought by drugs and treatments are not avoided if they want to avoid them.

But one thing is certain. Without the use of drugs and treatments, although there will be no side effects, people will not survive.

"Dr. Ling, the defibrillator is ready." The nurse applied the gel and whispered.

"200J." Ling Ran said that he took a step back, and then saw Lu Wenbin holding a defibrillator, steadily leaning on the patient's chest.

A silent tremor, everyone put their eyes on the monitor, trying to find an exciting bump from the straight curve.

not at all.

Several young doctors turned around and saw that Ling Ran had already started chest compressions.

In the process of cardiopulmonary resuscitation, chest compression is the most important. The shorter the stop time, the better. Therefore, in addition to giving a short time to defibrillation, Ling Ran restored the chest compression status for the first time.

Chest compressions can actually be understood as purely mechanical physiotherapy. The heart originally functions as a pump. Now the pump function stops, and the pumping of blood stops, so it is replaced with uninterrupted chest compressions.

Now, the patient's internal organs and brain, as well as the fetus in the abdomen, all rely on the blood pumped by the chest to survive.

High-quality chest compressions can provide 40%, up to 60% of the blood supply, which can ensure the basic needs of the internal organs, brain and fetus.

This is the theoretical basis for ultra-long cardiopulmonary resuscitation, and it is also the basis for Ling Ran to dare to fight for 10 minutes.

He believes that 10 minutes can bring great survival opportunities to the pregnant women in front of them, and at the same time, the damage to the fetus will not be too great.

However, the foundation is the foundation after all, no matter how good chest compressions can not restore the patient's heartbeat, you must successfully defibrillate.

In 80% of adults, the initial arrhythmia of ventricular fibrillation is ventricular fibrillation. Ventricular fibrillation has to undergo the stage of electrophysiological disorders, circulatory disorders and metabolic disorders. Is there a time point and how to find such a time point for electrosurgical Vibration is still a matter of discussion in the medical community-various CPR guidelines are very concerned about and simplify the process of CPR, that is because the implementation of CPR is often not a CPR expert, or even a trained professional doctor, but an ordinary Doctors, nurses and even non-medical persons.

Allowing ordinary people to perform a simplified cardiopulmonary resuscitation process in the correct way can theoretically bring the greatest benefit to patients with sudden cardiac arrest.

But at this moment, as Ranhua Hospital, and even a number of cardiopulmonary resuscitation specialists in Xichang Province, Ling Ran no longer needs to think about the way to break through this kind of thinking.

A correct time, a correct defibrillation, and a little luck is the only way to bring miracles.

The current obstacle is that Ling Ran does not yet know the correct time, nor the energy required for correct defibrillation, nor how to obtain luck...

"Adrenaline." Ling Ran pondered and ordered again.

The nurse executed without hesitation.

The anesthetist took a deep breath and then turned his head to whisper to the anesthesiology director who had just arrived: "The fourth one."

In the first 20 minutes of rescue, two epinephrine were used, and only a few minutes later, Ling Ran got two more.

The director of the Department of Anesthesiology said, "Dr. Ling's style is like this."

"This is not the same as the guideline requirements..."

"If people succeed, they can modify the guidelines according to their own experience." The director of the anesthesiology department waved his hand, motioned to get up, and sat down on the small round bench beside the bed.

The directors of the neonatology department, obstetrics and gynecology department and the ICU group also arrived, but they could only stay around the bed, watching Ling Ran doing chest compressions.

Until the end of CPR, none of these directors will come in handy. Even if the CPR fails, all of their directors are considered to be in vain-and not necessarily, when death is discussed, there may still be trouble for them.

"Dr. Ling, let me operate the defibrillation." Ruan Gaoge looked left and right and took the initiative to find a job for himself.

He has worked in the ICU for so many years, and the defibrillator is of little use. If cardiopulmonary resuscitation, etc., are also experienced.

However, Ling Ran unexpectedly shook his head and refused: "No defibrillator is needed."

"Do not defibrillate?" Ruan Gaoge was surprised.

"Except." Ling Ran said a word concisely, and said nothing.

Several directors who came one after another looked at each other a little bit puzzled? I don't know what Ling Ran means, and it's not good to ask at this time.

Ling Ran continued to do chest compressions, but the frequency gradually accelerated.

Lu Wenbin looked at Ling Ran's sweat, and could not help saying: "Dr. Ling, let me replace it."

"No Ling Ran lowered his head, just doing chest compressions, more than 100 compressions per minute, and quickly produced enough sweat to make them drop by drop. The neck slipped down.

Lu Wenbin stepped back, unknown, and looked up at the watch. The ten-minute deadline has passed for another seven minutes.

Suddenly, Ling Ran stopped suddenly, and saw that he straightened his upper body, staring at the chest of the patient, and after the chest wall fully rebounded, he raised his right hand without hesitation, punched with one hand, and hit hard The patient's precardiac area.

"Hammering in the chest?" Ruan Gaoge saw Ling Ran's approach and opened his mouth in surprise, but his body turned unconsciously to the side monitor.

Drop~

A small bump leaped slightly from the edge of the screen.

...

Checked some information, later than expected

(End of this chapter)

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