Chapter 668： Cover your mouth and run

Chapter 668: Running With Her Mouth Covered

There are actually many types of consultations in hospitals, such as those that require a doctor to arrive quickly in the shortest time, and urgent consultations.

When this happens, the representative is the invited doctor, who must arrive at the invited department as soon as possible. Even if there is a sick number in his hand, he must deal with it accordingly.

There are many such situations in the hospital, especially in the department of cardiology, and a doctor must always make time to prepare for unexpected situations.

To be honest, in internal medicine, the most urgent and most dangerous emergency in the heart, often is to decide between life and death in seconds.

The complexity of the heart is different from the complexity of the brain. The complexity of the heart is changeable, and the complexity of the brain is unknown.

If there is bleeding or infarction in one part of the brain, whether surgery or conservativeness is needed, there is still a certain choice, but the heart is different. Once a problem occurs, you must first deal with the corresponding symptoms before you consider other things.

The heart is changeable because this thing is a combination of two systems moving together.

One set of electrophysiology and one set of fluid mechanical physiology. To be honest, if you want to be a great cardiologist, you must pass physics first.

There are too many physics problems about fluid viscosity, electrical signals, and turbulence. It is difficult for doctors to hang on the heart.

When Zhang Fan looked at Xu Lili's face, he didn't need to check his body to find out that Xu Lili had a heart problem. As for the heart, something was wrong.

If Zhang Fan could be given a little longer time, perhaps he could rely on the relevant knowledge of anatomy, physiology, and pathology, but in a matter of seconds, let him confirm the diagnosis. He knows that he has no skill.

Medicine is a very strange thing. It seems that all the organs of the human body and the basic physiology are studied. No matter what discipline the doctor is engaged in, it must be mastered.

Slightly upgraded, a department and a department are directly like two disciplines in different fields.

If doctors want to go further, these are interdisciplinary knowledge, and they must be tied together to overcome them. Therefore, to become an authoritative doctor, you must have some hard work and hard work for decades.

Heart disease, it will not give you time to think about it. It must be like eating dumplings. Take a bite without thinking. What disease will be uttered by the taste buds. When you say it, you must also give relevant information. Deal, whether you like to eat or not.

Therefore, Zhang Fan asked the nurse to call the Department of Cardiology as an urgent call, and specifically instructed that it is best to bring the department director, because young people generally do not have heart symptoms, but once they have, it is more dangerous.

Ren Li is not only the director of the Department of Cardiology, but now also serves as the senior official of the hospital. She was dug up by Ouyang from the Bird City Hospital that year. Currently in the Chasu area, as far as Cardiology is concerned, it is estimated that Ren Li has already It's the first person.

Like Zhang Fan, she is a different person from Ouyang. Ouyang gave the surgery to Zhang Fan, and the internal medicine was Ren Li.

After receiving the urgent emergency call, Ren Li rushed to the hospital on the way.

When the male doctor was anxious to speed up and run, like Huang Feihong in the movie, he pulled up his gown and ran, because the white gown was too long, which affected the span of the legs.

When women doctors in white coats run at high speeds, they do n’t know why, they do n’t raise their horns, but instead press one hand against the waist, and one hand often covers their mouth, which is a strange action. Is the wind going to cover your mouth?

However, this does not affect their running speed. The little white shoes are smashed, and the broken steps are rapid. It is still fast. If it is less than three minutes, it is an accident!

Therefore, when you see a female doctor with her mouth running in the hospital, you must avoid it. Even when there is no wind, I'm not curious, holding her to ask why cover my mouth.

Ren Li ran to the emergency center with that flower in two minutes. Before the person arrived in front of the patient, Zhang Fan started to report the patient's preliminary situation to the two people in the distance.

"Hurry up, the ECG is out. The stethoscope was auscultated!" The person had not arrived yet. After hearing Zhang Fan's report, Ren Li had already begun to deal with it accordingly.

"The ECG is coming out!" When Ren Ligang finished speaking, the doctor at the emergency center had pulled the paper and gave it to Ren Li.

Rescue is so. Whoever leads and cooperates is very clear to everyone, and no temporary dispatch is required.

"Approximately once syncope, once syncope, the ECG showed a rapid heart rate, how about that rhythm?"

Medically, a word and a word often have different meanings and consequences. For example, heart rate, in popular terms, is the speed of heartbeat, while heart rhythm is the law of heartbeat.

Syncope, let alone ordinary people, is that some surgeons are not very clear about the definition of this term.

When the patient suddenly loses consciousness, it is syncope, and dizziness is similar to syncope. The definition is so defined, but it is difficult to identify it clinically and quickly, to be honest.

And this syncope and similar syncope represent different diseases, one by one, this is the disease in the heart.

The wrong way, the treatment is wrong, this treatment must take effect within a few minutes, if you choose wrong, it means failure.

"Irregularity, too fast!" The one lying on the patient's side, gave the auscultation result within a few seconds, and the girl's basic knowledge was quite solid.

Talking, Ren Li, like a female leopard, swiped to Xu Lili's side.

Put your hands on the patient's neck, and then say, "Zhang Yuan, hurry up, get ready for cardioversion."

"it is good!"

So, if you do n’t engage in medical treatment, you do n’t understand it at all. In plain words.

Xu Lili was attacked by anger, and then hormone secretion caused problems in the electrophysiology of the heart. Like radio waves, it used to be ticking and ticking like elderly prostate patients. It was very regular.

But a lot of hormones stimulated the brain, the brain drank too much hormones, and then anxious to anger and issued a fatal life, the radio waves of the heart became anxious like orders, biu! Biu! Biu!

The signal is messed up, and the heart muscles are also messed up. It was contracted regularly because the signal was out of order.

What is the heart, the heart is a pump, and the contraction is disordered, then the blood pumped out is a problem.

The original smooth blood was like a child spitting, and it was smooth.

And this very irregular contraction will cause countless swirls in the blood of the blood vessels, which is turbulence.

When turbulence appears, blood can no longer flow out, and all gather together to play in circles. If the blood vessels are enlarged, the blood at this time is like a spin on a human head. Countless spins, one after another play.

The blood starts to circle around, then the body starts to appear ischemic, and then the brain is more anxious. It used to take a little excess hormone, but now it is not only hormones, but also hypoxia, ischemia, and lack of energy.

At this time, the brain, like a neurotic person, opens its mouth nonsense.

The original order was very messy, but it was even more messy at this time.

In blood vessels, the blood pressure in circles will detach the thrombus that originally attached to the blood vessel wall, and the immediate consequences are more serious.

Moreover, if this disordered order cannot be corrected in a short time, the muscles of the heart don't know what to do, so if they work hard, these muscle men will go on strike. This is the so-called cardiac arrest, Lao Tzu Quit!

After cardiac arrest, heart failure, kidney failure, electrolyte disturbances, and multiple organ failures occur, just like a major defeat, and people hang up.

Ren Li put her hands on the patient's neck, which was doing a carotid sinus massage.

Many people may have this kind of experience. Sometimes, for no reason, there will be sudden panic, and I feel that my heartbeat is particularly severe, as if I want to jump out.

This is palpitations. Many people will have them, no matter how old or young. Heart palpitations can be adjusted for a short period of time. When a long period of palpitations occurs, problems will occur and arrhythmias will occur.

Therefore, in general, ordinary people can cough like an awkward cough, or take a deep breath and then breathe out, then suddenly spit out, or massage the eyeballs, these actions can correct heart palpitations, but, like the original heart disease So don't even think about it, and rush to the hospital.

While massaging, Ren Li gave her oral medical advice: "Single wave electric shock preparation for 360J, adrenaline 1mg static push, prepare amiodarone, prepare lidocaine!"

Ren Li ordered a doctor. The monitor was installed, and Xu Lili's chest was full of lines. Zhang Fan was ready for electric shock.

Outside the hospital, Xu Lili's boyfriend and Wang Xiaohu's father, the two of them were swollen and swollen, but when they heard the nervous and urgent voices of doctors and nurses inside the hospital, they could not bother.

When Xu Lili's boyfriend saw the doctors as if they were close to their enemies, he felt a little hesitant. He knew that his girlfriend had a big problem.

"Doctor, doctor!" Shouted anxiously, a doctor from the emergency center came out, and came out with a book-like notice.

"Who are you from?"

"I'm her boyfriend!"

"It is best to contact her immediate family members. Now you sign first. The patient has reported a critical illness. The situation is very serious and there is a possibility of rescue failure."

"Ah!" This voice was not from Xu Lili's boyfriend, but Wang Xiaohu's father shouted. He never expected that the boy in his family caused such a serious disaster.

"It's over! It's over!" Although it is a relocating household, it is still an ordinary person. In his mind, he was not thinking whether his son had passed the age of 14 but was thinking of being saved!

When Xu Lili's boyfriend heard it, her heart stirred like a knife. She trembled and took out the phone. He wanted to notify Xu Lili's parents.

After making the call, the young man looked at Xu Lili in the rescue room in despair, but turned around and saw Wang Xiaohu's parents.

Instantaneously, the original disappointment looked like a fire in his eyes. He didn't call or make any noise, so he took out the phone and said, "I want to call the police. Wang Xiaohu and his father of XX Village killed the school teacher!"

"No, no killing, no, no!" Wang Xiaohu's father cried directly, hands folded, begging.

Xu Lili's boyfriend stared at him with a vengeful look ...

Rescue of arrhythmia is effective, just like a dam that has broken a mouth. If it cannot be intercepted in the early stage, it will bring disastrous consequences.

Electric shocks and drugs, when the five cycles have not been seen, it can mean that the rescue has failed, and this time is the so-called golden six minutes.

Doctors and nurses are more and more involved. Ren Li almost gave an oral medical order without stopping.

"Please anesthesia, prepare for intubation if necessary!" This is ready to go on the ventilator.

"it is good!"

In the setting sun, Xu Lili's pale face was illuminated by a faint iris.

(End of this chapter)