"Today, we are doing an emergency live broadcast. The patient is a doctor and suffered a sudden myocardial infarction. At the strong request of the patient, we conducted a live broadcast demonstration of emergency first aid for myocardial infarction." Zheng Ren wore live broadcast glasses and sat calmly in the study. In front of the table, start explaining.
Because it was an emergency, there was no advertising or publicity in Xinglin Garden, and there were only a few people who happened to come in in the live broadcast room.
There were only a few barrages, and Zheng Ren was not interested in watching them.
In the picture, Liu Xuzhi has walked into the interventional operating room with the help of a nurse.
"Old Liu, take an ECG first," Zheng Ren said.
Liu Xuzhi lay down on the operating table, feeling a little weird.
The nurse was preparing things in a hurry. He held up his mobile phone with one hand and unbuttoned his coat with the other hand.
"Find a mobile phone holder and ask the nurse for it," Su Yundao said.
"First pull the EKG."
"Hold your phone and increase the load on your heart."
"Emergency thrombolysis is needed!"
Before it even started, Zheng Ren and Su Yun started arguing.
The live broadcast room of the surgery was filled with excitement.
Is this a god-like magician starting to argue with his flawless assistant? Was this planned or an accident
The barrages started to increase.
After Xinglinyuan learned the news, he hesitated for less than a minute before agreeing to the live broadcast request.
Now Peng Jia only has executive power because he is no longer the majority shareholder of Xinglin Garden.
Offend the boss behind the scenes? Peng Jia is not that stupid.
Besides, live streaming of the diagnosis and treatment of chest pain patients falls under the category of emergency care, and you wouldn’t have the chance to live broadcast it.
Boss Zheng is really a genius, Peng Jia thinks so.
When live broadcasts of TIPS surgery, Gaucher's disease surgery, and liver cancer surgery had reached their peak and then slowly declined, they actually came up with such a genius idea!
Boss Zheng is awesome!
Boss Zheng is mighty!
Boss Zheng is domineering!
Peng Jia was in the office, watching the live broadcast and applauding Boss Zheng's genius marketing ideas.
But is it really okay to live broadcast emergency first aid? What if the patient dies
This thought flashed through Peng Jia's mind.
Leave him alone!
It’s true that you need traffic first.
…
Liu Xuzhi held up his mobile phone very hard.
In fact, what happens to patients with chest pain is a trivial matter. His strongest belief is that even if he dies, he must leave some money for his wife and children.
And he used his life to add fuel to Boss Zheng's career. Should this be considered friendship? The son may have some security in the future.
The middle-aged man's thoughts are very simple.
Even though girls usually drool when they look at short skirts that cover their buttocks, but between life and death, they only think of their wives and children.
The ECG leads were turned on. Taking advantage of this time, the nurse took out the mobile phone holder and fixed Liu Xuzhi's mobile phone on the operating table.
The electrocardiogram appeared in Zheng Ren's field of vision.
Complete right bundle branch block, third-degree atrioventricular block, high-peaked T waves in inferior leads, and ST-segment depression in lateral leads.
"According to the new version of the diagnostic criteria for myocardial infarction, which adopts the "1+1" principle, positive myocardial injury markers are accompanied by typical ischemic chest pain symptoms or electrocardiogram changes. Although the electrocardiogram has changed now, we still cannot determine that it is acute heart disease. Funny." Zheng Ren said in the video.
"..." Liu Xuzhi was stunned.
"But because the patient's area is extremely remote, if we collect creatine kinase isoenzyme and troponin and wait for the test results to come out, the myocardial infarction may be irreversible." Zheng Ren continued to explain.
"So, at this time, after asking for the patient's opinion, we can adopt a more radical method - such as imaging diagnosis." Zheng Rendao, "Old Liu, do you agree?"
"I agree." Liu Xuzhi said.
"You can definitely do radial artery puncture, but you have to stabilize your emotions, because every time you move your body, you will feel like you are on the verge of death." Zheng Ren said in a deep voice.
Liu Xuzhi lay on the operating table and nodded.
The nurse thought it was strange, but the electrocardiogram was there. No one at Xilin Town People's Hospital except Liu Xu could perform cardiac interventional surgery. This was also true.
Are you sure this isn't nonsense? The nurse was also a little skeptical.
"Now, prepare for the operation. Take off your clothes first, and then let the nursing staff prepare the medicine."
"Get ready first. Take off your shirt and connect to the ECG monitor."
"Okay, that's it, electrocardiogram... The field of view of the mobile phone is on the side of the electrocardiogram monitoring, or further away, I want to see the electrocardiogram monitoring." Zheng Ren's voice became more and more certain, leaving no room for doubt.
When the operation begins, even though he is thousands of miles away, he is still the king and rules all operating rooms.
"Okay! Now prepare the medicine. Oral loading dose of aspirin + clopidogrel as preoperative preparation."
"Take sublingual nitroglycerin to relieve chest pain symptoms, and use opioid analgesics if necessary."
"Prepare emergency medications! Adrenaline, atropine, analgesics, defibrillator."
"Okay, that's it, perfect."
"Old Liu, do you feel better now?"
"Ask the nursing staff to inject 5 mg of morphine intravenously." Zheng Ren said, "Old Liu, after injecting the morphine, you must be careful not to fall asleep. You are now a patient and an operator, so you have a special status."
"What thrombolytic drugs are available in your hospital? Urokinase or streptokinase? Or second-generation tissue plasmin activator? If there are third-generation thrombolytic drugs including retepro, a variant of tissue plasminogen activator Enzymes, even better.”
"Oh, only urokinase. That's okay. The benefit of the first-generation urokinase is that it is difficult to lose its effect, so that's all." Zheng Ren kept saying, trying to comfort Liu Xuzhi with his own words.
"Micro pump, prepare. First intravenously inject 60,000 U of urokinase, and then pump in 50 ml of saline + 60,000 U of urokinase with a micro pump. This dosage is a bit large and may cause complications such as cerebral hemorrhage. But in the emergency room There is nothing we can do to ensure the safety of the situation." Zheng Ren continued.
Urokinase was injected as a bolus and the micropump continued to pump in. Liu Xuzhi felt a little better.
Maybe it was the medicine, or maybe it was Zheng Ren's unhurried instructions and explanations.
Always, Liu Xuzhi felt that as long as Boss Zheng was around, he would not die.
The doctors who watched the live broadcast, including Peng Jia and other Xinglin Garden staff, were dumbfounded.
The electrocardiogram was then sent to the background by Hu Yanhui and can be viewed at any time.
What a heart attack! Although the electrocardiogram is a bit messy and cannot be 100% determined to be myocardial infarction, and there is no support from D2 polymer and other tests, the probability of myocardial infarction is very high.
Does anyone really dare to broadcast this live
Patients are also required to act as surgeons and perform thrombolytic treatment themselves.
Boss Zheng is playing with fire!
As time went by, there were more and more barrages, and Zheng Ren had no choice but to turn off the barrages.
"Has Xiao Feng booked a flight ticket?" Zheng Ren asked.