What the hell is going on
The doctor on the 120 car was stunned.
No one knows the patient's condition better than him. After all, he has watched the patient go from hemorrhagic shock to respiratory and circulatory arrest.
Can such a patient recover from cardiac compression? That's nonsense.
Could it be that I have been busy all night and my eyes are blurry from exhaustion
The doctor on the 120 bus asked the nurse beside him in a low voice: "Do you think the patient is alive?"
The nurse breathed a sigh of relief and said, "The First City Hospital has rescued me. Is there anything strange about it? Hand over quickly. There are no more patients on the highway. I can still sleep for an hour or two if I rush back. I'm exhausted." But the doctor who took the patient just now is really good-looking. If you are on duty with him, you won’t feel tired for several 24 hours.”
As she said that, the nurse glanced at the doctor on the 120 car with disgust.
He is old and ugly. He has been busy all night and his face is so pale that it is really hard to look at him.
wipe! Really alive! The doctor on the 120 car didn't pay attention to the little nurse's eyes and was surprised.
"You are here to hand over, right?" Zheng Ren stood at the door of the emergency room, waved his hand and said, "This way, the formalities are done here."
"Brother Yuan, please explain to them."
The doctor on the 120 car walked over in a daze and saw that Zheng Ren was very young, but his eyes were bright, and even his hair, which was flattened by the sterile cap, seemed to have a different look.
If he were in a TV series, he would be the kind of person who would know at a glance that the game is going to be won as soon as he appears.
"Did you rescue him?" the doctor on the 120 car asked cautiously.
"Yes." Zheng Ren nodded and asked Yuan Li to come and handle the handover formalities with him.
Zheng Ren didn't want to get involved in such trivial matters.
Yuan Li had been working hard all night, his beard had grown long, and he looked extremely depressed.
"Excuse me, what's your name?" the doctor on the 120 bus asked.
"My surname is Zheng, the chief resident of the emergency department." Zheng Ren said.
"Mr. Zheng, how did you press it back?"
The doctor on the 120 car was particularly curious. He knew the patient's condition very well, and he performed cardiopulmonary resuscitation for more than 4 minutes in the car, plus several electric defibrillations.
The cardiopulmonary resuscitation I performed was extremely standard. No one would dare to get on the 120 ambulance without even practicing cardiopulmonary resuscitation.
A few years ago, he won first place in the hospital's emergency first aid competition.
His operation is completely textbook-style, he can guarantee this.
But the facts are there. The patient who he had not been able to save and who thought he was dead came to the No. 1 Hospital in the city and came to life in less than a minute.
It is nonsense to say that he is alive and kicking, but the patient has just opened his eyes and is still talking... This is what I saw with my own eyes.
So he was curious and asked.
"If the cardiac arrest lasts for more than 3 minutes, there is no need to control the strength of the cardiac compression. Of course, this is my understanding. This is not what the book says. Are you a surgeon? It's simpler and more direct." Zheng Ren knew he was asking. Since he was not busy now, he explained to him: "If you press it, the ribs will be broken, and then the heart will receive greater strength, and the possibility of saving it will be much greater."
"..." The doctor on the 120 car was stunned. This is not a standard procedure. If that's the case...
"Mr. Zheng, what should I do if I have secondary injuries?"
"Everyone is exhausted. Are there any side injuries?" Zheng Ren was also surprised by this question.
Secondary injury refers to whether the living person is well or not. There is no side injury to a dead person.
The doctor on the 120 car was speechless again.
What Mr. Zheng said seemed reasonable, but something seemed wrong.
"Besides, the secondary injury is just that the myocardium may be stabbed by the broken ribs. Doesn't the hospital have a cardiothoracic surgery department? As long as the person can be saved, it can be done with just one stitch in the chest." Zheng Rendao.
The doctor on the 120 car was completely speechless and burst into tears.
Look at people who have suffered cardiac trauma and are confident enough to say that just one stitch will be all it takes... It's... really weird!
Imagine that kind of rough and wild rescue, pressing the patient with both palms... No, the standard procedure is to press on the lower 1/3 of the sternum.
"Mr. Zheng, CPR is not about pressing the sternum..."
"Non-cardiac cardiac arrest, when pressing the sternum, I feel that my strength is limited." Zheng Ren saw that Yuan Li was filling in the form and nothing happened, so he explained to him, "The elasticity of the sternum is relatively poor, and most of the The force is dispersed across the sternum.
A little to the side, press the left side of the sternum to break the costal cartilage, so that a huge part of the pressing force can be transmitted to the heart. "
Unusual operation? The doctor on the 120 car was a little confused.
"For cardiac causes, defibrillation is required, but for non-cardiac causes, as long as the force is strong enough, it will be enough." A smile appeared on the corner of Zheng Ren's mouth, "Have you ever done a chest opening and performed heart compressions under direct vision?"
"without… "
"Oh, that's such a pity." Zheng Ren said: "In cardiac arrest caused by ischemia, as long as a large enough starting force is given, the heart will temporarily restore the supply of bioelectric current, and then give time for rescue."
Seeing that the doctor on the 120 car still looked unbelievable, Zheng Ren knew that no matter how much he explained, it would be useless.
He smiled and said: "Your efforts on the 120 ambulance are still effective, otherwise the patient would not be able to open his eyes after the heartbeat is restored. This patient's emergency rescue was successful, and the effect will be very good. Thank you for your hard work."
"No... it's not hard." The doctor on the 120 car said in a daze.
At this time, Yuan Li had already filled out the form and handed it to the nurse.
The nurse took the doctor on the 120 car back.
Along the way, he was still mumbling something, looking in a daze, and looking like he had lost his soul.
Zheng Ren looked around and saw that the corridor of the emergency department was in a mess.
They have been rescuing and triaging all the time. The nurses have been so busy that they have been running at a trot for several hours. There is no time to clean up.
"Director Pan, everything should be fine. I'll go to the ICU to take a look. You can go home first," Zheng Ren said.
"It's already past three o'clock. I won't go back." Old Director Pan looked at the time and said, "I'll take a nap in the office. If you need anything, just call me."
"Okay." Zheng Ren responded crisply and took the time to go to the inpatient department.
The emergency department was cold and cold. I was wearing an isolation gown and only a white coat. It was really overwhelming.
I don't feel it when I'm busy, but when I'm free, I immediately feel like my whole body is shivering.
Zheng Ren walked quickly to the ICU and took a look at the patient who had just undergone surgery. The drainage strips in the liver and kidney recesses were draining smoothly, and about 10ml of blood was drained out.
This was all expected. Zheng Ren took another look at the patient's doctor's instructions. Three groups of hemostatic drugs were used at the same time.
That's probably it. Zheng Ren couldn't say anything about special treatment if he really wanted to.
However, there was no Su Yun sitting next to the patient's bed, holding an A4 paper and pen in his hand, and a liquid cart beside him. Zheng Ren felt that something was strange and was always uneasy.
…
…
This rescue happened when I was in the emergency room in 2008. A 42-year-old male patient was angry with his wife and smashed the TV screen with one punch, scratching the left radial artery.
Because I was angry, I wrapped my wrists in a towel at home and asked my family to send me to the hospital no matter what. After he fainted, his family called 120.
Our hospital's ambulance rushed over, but the patient's heartbeat stopped on the way. I tried compressions and defibrillation all the way, but she didn't come back.
At that time, I was sitting in the clinic, and my idea was to give it a try. No matter what, I had to give the family some psychological comfort. Habitually using unconventional operations, I can't hear the sound of ribs breaking, and I always feel that my heart cannot be pressed properly...
Actually, after having the experience of opening the chest and applying direct pressure, things like rib fractures are not that important.
Anyway, just a press, the ribs were broken, and the patient regained consciousness. I told the nurse that I would send him to a hand surgery department, and then walked away.
It is said... the back is very handsome. I didn't realize it, it was just cardiopulmonary resuscitation. The 120 doctor at that time has now retired. Every time I meet Brother Li, he is very enthusiastic towards me.