"Ajun's heartbeat and breathing stopped spontaneously for two hours and five minutes. He has undergone electrical defibrillation, epinephrine injections, intubation, and has been doing chest compressions."
The propellers were rumbling, and in the ambulance cabin of the rescue helicopter, Uncle Dan quickly explained the general situation to his colleagues in the rescue team.
Liu Mingfeng, an expert from the emergency department of the medical department of the headquarters and now a member of the spell department, served as the captain. This middle-aged man in his forties knew Gu Jun and Uncle Dan, but he was in charge of logistics rescue work. While listening, Liu Mingfeng checked the vital signs of Gu Jun who was fixed on the stretcher.
This time the task force did not lose supplies and equipment after entering the different space. The portable defibrillator, portable ventilator, etc. are still there, so the quality of the on-site first aid CPR is very high. In addition to being ventilated by a ventilator and continuing chest compressions... Uncle Dan and the others have done everything they can.
only…
The bilateral pupils are dilated, the light reflex disappears, and all the reflexes of the muscles of the whole body disappear. Now even the electrocardiogram also shows that there is no spontaneous heartbeat.
It's been 125 minutes.
Uncle Dan said that the situation after the decisive battle was that they waited for a while before resuming their actions, so they started the rescue within about 6 minutes after Gu Jun's cardiac arrest, so even with high-quality CPR, the success rate was only about 10%.
The current international standard is that if CPR is performed with bare hands for more than 30 minutes, if the patient has not recovered, he can be declared dead.
Moreover, if the heartbeat stops for more than 5 minutes, due to the long interruption of blood supply to the brain, brain cells will begin to be irreversibly damaged. Brain death is the reason why some patients become vegetative after being rescued with heartbeat and breathing.
Gu Jun still had obvious skin lacerations up to 5 centimeters long on his right forehead, local skin swelling and bruising, and his right eyeball was congested, suggesting craniocerebral injury.
Compared with these two injuries, the multiple fractures of his limbs did not seem to be a serious problem.
The situation is very pessimistic.
The body on the stretcher that Liu Mingfeng and the others were facing could basically be called a corpse.
"He's not dead yet." Standing aside, Wu Shiyu said firmly, she was still holding the dissecting instruments, "I can feel that he's not dead yet."
Uncle Dan knew that this situation was especially difficult for Ms. Wu, she was the one who led the old seal to break down the banyan tree...but her mental state was still stable.
No matter how anyone feels, the rescue team never thought of giving up. Their job is to compete with death for life.
Besides, although it is rare, it is not so uncommon to rescue patients whose heartbeat has stopped for two or three hours, or even patients with cerebral hemorrhage, in the emergency room of ordinary hospitals. Gu Jun is not an ordinary person, but they have the best use of medical resources.
For the other two injured, Deng Ximei's condition was milder, Xue Ba's condition was heavier and earlier, but the quality of the on-site CPR was very high, and neither of them could give up.
At the same time, Zhang Huohuo continued to perform chest compressions for Gu Jun. A nurse immediately wrapped Gu Jun's head with an ice cap to cool down, and another nurse inserted a urinary catheter for him. Liu Mingfeng, Uncle Dan and the others looked nervously at the transparent urine bag. If there is urine in the first aid, there is a chance. If there is no urine catheterization, it is basically impossible to save.
When the catheter was opened, dark yellowish brown urine was seen flowing out of the catheter and poured into the urine bag.
"There is a chance, there is a chance!" Uncle Dan couldn't help but excitedly said, everyone's spirits were lifted up, and Wu Shiyu's complexion also improved.
"Yes, there is still salvation, remember the amount of urine." Liu Mingfeng said decisively to the nurse, the urine may have existed in Gu Jun's bladder before he fell into a coma, but it is always a good thing to have urine, and said: "The other side of the boat has prepared It’s easy to do ecmo, just go and do it.”
ECMO is Extracorporeal Membrane Oxygenation. The principle is to use tubes to connect the patient's veins to the relevant artificial heart-lung machine equipment, lead the venous blood to the oxygenator for artificial oxygenation, and then the power pump will return the oxygenated blood to the patient's body. Maintain organ function and assist cardiopulmonary resuscitation.
This kind of extracorporeal circulation can completely replace the heart and lungs in a short period of time, and it can be said to be the last resort in severe emergency.
However, because the equipment is expensive and the operation technique is difficult, a specially trained ecmo team is required to have the equipment. Therefore, not every tertiary hospital in China can do ecmo, and there are very few mature teams. But these are not questions for the on-call salvage team on the destroyer.
Cardiovascular Medicine, Cardiac Surgery, Interventional Medicine, Emergency Medicine, Anesthesiology, Neurosurgery, Neurology, Orthopedics, Respiratory and Critical Care Medicine…
A team composed of hundreds of experts and professors from various disciplines, some on site and some connected remotely, this ecmo must be completed quickly.
Gu Jun still has this life, and now he is counting on this.
As long as the ecmo is connected, even if Gu Jun is really a corpse, it won't let him rot so quickly.
And Xue Ba will also do ecmo for rescue.
"Is the patient's coma affected by abnormal power?" Liu Mingfeng asked again at this time.
As soon as Uncle Dan recalled the situation at that time, he felt a little creepy, "Ah Jun gathered the dark forces together, he was basically swallowed up, and we had a chance to counterattack and win. This is also what caused him to fall from a high altitude, these fractures and forehead That's how the injury came."
The old spiritual seal has also been used, and the purification stone has also been used, which shows that Gu Jun has not been corroded by the spirit.
This is up to Wu Shiyu to talk about the feeling, "I don't feel it, the dark power almost swallowed him at one point... But in the end, those powers have been scattered, and his taste is still salty, not so salty, but still salty It's him."
Liu Mingfeng and the others nodded, hoping not, otherwise there would be too many unknowns.
It took less than five minutes for the helicopter to land on the deck of the destroyer after taking off from the island. They immediately carried the stretcher carrying Gu Jun out and put it on the emergency bed. The ECMO operating room rushed away, and the chest compressions continued and could not be stopped.
A minute earlier, or a minute later, may decide whether the patient is dead or alive.
The frontline battle of the Mobile Task Force is over, and their logistics battle has just begun, and they must do their best to win.
On the other side of the command center, Master Tong, Yao Shinian and others all looked at the scene of rescue through the big screen with condensed expressions.
Soon, Gu Jun was pushed into the ECMO operating room. The nurses changed his uniform into patient clothes, and the surgical team that had already been prepared started immediately.
The first step is to do femoral arteriovenous cannulation, which is also the most important and most difficult step in the operation.
While continuing the chest compressions, they had to make a small hole in Gu Jun's thigh, find out his femoral artery and femoral vein and complete the intubation, and then use a thick and long connecting tube to connect to the ecmo machine. If this step is not done well, it will cause the patient to bleed heavily, which not only delays the first aid time, but also makes the situation worse.
At this time, the shadowless lamp was on, and under the guidance of ultrasound, a dozen doctors and nurses in blue sterile surgical gowns were busy around Gu Jun who was lying flat on the operating table.
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