Chapter 1189： Create a miracle

"Jump!"

"Heartbeat recovered?"

"Whack?"

The doctors, who had been depressed for a long time, gave soft cheers.

Whether it is a doctor in the emergency department or not, in fact, there are more births and deaths. However, ordinary doctors can calmly face the birth and death of ordinary people. It can be seen that a young mother who is gestating a new life is unaware of life and death, and it is difficult to see the death of a new life that has not yet seen the world. Ordinary peace can not be maintained. Go on.

Even if it is an old fritters like Zheng Pei, even if he likes to make fun of the little nurse on weekdays, he likes to spend a lot of time, he is willing to take no small professional risks and try to call out the only solution.

Fortunately, this seems to be a successful adventure.

Zheng Pei glanced at Ling Ran.

Not to mention, as long as it's not one dead body, two lives, Ling Ran should not be too angry. If both mother and child can live, it is more likely to be a happy situation.

Ruan Gaoge also looked at Ling Ran with a mixed expression of surprise and admiration.

Chest thumping is a first-aid technique that emerged in the 1960s. It is not a traditional skill. The first report occurred in 1960, and it was not a thoughtful invention. It was only because the effect was unexpectedly good, but it spread naturally.

From the 1960s until 2000, the advantages of thumping in the chest were quite obvious. First, it does not require additional electrical defibrillation equipment, which means it can be used in any rescue scenario. Especially in the era when the defibrillator has not been invented and has not been popularized, chest thumping can be said to be the only defibrillation method doctors can use.

Secondly, a more important factor is that the defibrillator until the 96th year was single-phase wave technology.

Therefore, if you watch medical dramas before 2000, you will often find that the doctors say 360 joules. If you watch medical dramas after 2000, the energy required by the doctor will be reduced to 200 or 120 joules.

The effect of the biphasic wave defibrillator is significantly higher than that of the monophasic wave, so it was not until the 2010 guidelines that the chest thump was clearly listed as a second-line technique. Because the defibrillator with biphasic wave technology developed in 1996, it was basically common until this time.

From another point of view, before the advent of biphasic wave technology, the technique of chest thrashing is actually not weak, at least not significantly weaker than the defibrillator of monophasic wave technology. And looking at the early reports of cardiopulmonary resuscitation, the success rate of chest thrashing is still quite high, which also makes the use of chest thrashing quite extensive.

Especially in the 1960s, 1970s, and until the 1980s, even when single-phase wave defibrillators were not popularized worldwide, thumping in the chest can be said to be the best way for ordinary doctors to help patients.

Considering this direction, it was only in the 2010 guidelines that chest thrashing was included in the second line. There are also fewer and weaker doctors who have mastered chest thumping techniques.

After all, technology is ultimately to be practiced. Early doctors can have enough cases to practice, review and even expand. Later doctors still use more and more defibrillators. The craft is never good at unskilled to no. Dare to use it is also a matter of course.

Ruan Gaoge will thump in the chest, but he has barely practiced it a few times.

What he didn't even think was that Ling Ran would use it, and it seemed to be just right.

At this moment, Ruan Gaoge feels that from the result backstepping process, Ling Ran's thumping in the chest is indeed a better choice than a defibrillator.

The defibrillator mainly relies on a strong current through the heart to stop ventricular fibrillation and allow the sinus node to re-start the impulse, so that the heart can recover.

In short, the defibrillator depends on the current.

Whether it is a two-phase wave or a single-phase wave, there is no difference in this point.

Thumping in the chest has a certain mechanical force.

After having tried the defibrillator many times, repeat the shock once again to get satisfactory results?

In fact, according to the guidelines of today's guidelines, single defibrillation has the highest success rate, and the subsequent multiple defibrillation, although effective, cannot be compared to the first defibrillation.

If Ling Ran has enough time, he may be able to try the defibrillator two or three more times, but in times of embarrassment, it may be more risky for Ling Ran to try other methods, but it may indeed be more effective.

This is also one of the differences between a perfect cardiopulmonary resuscitation expert and an ordinary doctor who only understands the guidelines.

Ordinary doctors have no right to choose, because other than the methods provided in the guidelines, ordinary doctors will not refine their CPR skills at all. ICU and emergency doctors may understand more, but there are very few who can reach the level of expertise.

What the guide provides is always the most basic solution.

In fact, just looking at the changes in CPR guidelines over the years, one can appreciate its imperfections, imperfections, and unreliability. For example, the early CPR guidelines required 60-80 beats per minute for chest compressions. In 88 years, it was changed to 80-100 beats per minute. In 2010, emphasis was placed on high-quality chest compressions to ensure 100 beats per minute. the above.

From the point of view of the post-mortem, if a patient who received CPR before 1988 encountered a doctor who accurately grasped the number of chest compressions, it is not necessarily alive, and there must be more sequelae.

Clinical medicine is always an empirical medicine, and success is the best reason.

Ling Ran chose the thumping plan from the chest, and he succeeded, which proved the correctness of his experience and viewpoint.

"Too bold." Ruan Gaoge looked at Ling Ran, not knowing what to say.

If this fails, then the husband who lost his wife and child at the same time, if he heartbrokenly wants to sue the hospital and the doctor, a thump in the chest may become a wrong action in the lawyer's mouth.

Of course, success will not be blamed.

"Do you cut it now?" The obstetric director looked at the recovered heartbeat curve, but already bent his arms and put on latex gloves.

The directors in a daze beside him also seemed to be awakened and looked at Ling Ran together.

"Wait a minute, wait a minute..." Ling Ran did not rejoice in "playing with the people," and still remained objectively cautious.

The patient's heartbeat has just recovered does not mean that she can immediately undergo an emergency caesarean operation.

Although it is estimated by the technology of the director of the obstetrics department of Yunhua Hospital, she may only need a few tens or even ten seconds to cut the fetus from the mother's belly, but to say that the maternal body will not be able to cover her ears because of this thunder If you can’t respond quickly, it’s too much.

An immediate caesarean section is equivalent to putting the maternal life on the gaming table again.

Although he wanted to gamble after all, Ling Ran still hoped that his hand could be better.

"Ice cap, take the ice pack again and cool the body surface together..." Ling Ran also stared closely at the curves and numbers on the monitor, with new commands in his mouth, and said to the director of obstetrics with a deep voice: " Wait a minute."

"Okay." The obstetric director objected, but swallowed it anyway. She chose to believe Ling Ran's judgment.

The doctors surrounding them didn't say anything against it. Today, everyone believes in Ling Ran's ability to create miracles.

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