Chapter 407： Autonomic rhythm (1/2)
”Autonomous heart rhythm.” Nurse Niu shouted for the first time.
She has been a nurse for more than 20 years, and she is older than some doctors present. Although she has rarely seen cardiopulmonary resuscitation for more than an hour, she rarely sees it, but it does not hinder her knowledge of the patient's condition.
At this time, it is about the most critical time for this patient.
Lu Wenbin also cheered up a little: ”It's QRS, it's a bit wide ...”
Ling Ran nodded silently, and said, ”Touch the aorta.”
His own hands had fallen out, for fear he could not figure out anything.
As soon as Ling Ran's words fell, Nurse Niu caught the patient's arteries: ”Very weak.”
Weakness is better than nothing.
At this time, the usual unacceptable physical condition has also become a good thing.
Ling Ran resumed chest compressions and said, ”Push lidocaine and epinephrine, plus 15 mg of dexamethasone.”
Nurse Niu performed it immediately. If she had doubts about Ling Ran a few hours ago, she has now been transferred to admiration.
Doing CPR is actually a mixture of despair and hope.
Ordinary people do cardiopulmonary resuscitation in 5 consecutive groups, and each group is very hard for two minutes.
Cardiopulmonary resuscitation only requires three groups in the medical examination in some places, and the latter two groups only need to do oral simulation. That is to say, the physical problems of the students who take the medical examination are considered.
But in reality, a single person completes an hour or even two hours of cardiopulmonary resuscitation.
In most hospitals, there will be a story about a doctor who has been doing cardiopulmonary resuscitation for 30 minutes or 40 minutes.
These stories do not necessarily happen to some strong doctors. More often, it is because they are unable to save their lives because they are saving lives.
10 minutes, maybe you can save it ...
Maybe you can survive if you stick to it for another five minutes ...
Do two more groups, and the two groups will know the situation later ...
Maybe we can do another group ...
Hold on for a while ...
CPR is about having the greatest expectations and often seeing the greatest disappointment.
This is especially true for very long CPR.
Of the 100 patients undergoing ultra-long CPR, only one person can recover spontaneous heartbeat, and it is possible to encounter a person waking up after doing 200 extra-long CPR.
However, if 2 million people undergo CPR, 10,000 people will be discharged alive.
Of the 20 million cases of CPR, 100,000 are awake.
However, from another perspective, such efforts in hope often breed greater disappointment.
By the age of Nurse Niu, she no longer expected miracles.
Complete daily work step by step, save people is happy, failure is not sad, when you go home, leave the emotions in the hospital with the white coat ...
However, Nurse Niu is still looking forward to seeing a doctor like Ling Ran.
Ask yourself, when really bad things happened, Nurse Niu also hoped that if there was such a doctor, he would work hard to get one percent chance of survival.
”Prepare magnesium and calcium. A bolus.”
Ling Ran's voice was clear and her order was firm.
Nurse Niu turned to work, but found that there was already a young nurse next to her, completing the task.
She turned back in surprise, and saw Huo Congjun, Director Tao, and at least 20 or 30 medical staff surrounded them.
There have been many people who have seen ultra-long cardiopulmonary resuscitation. Not many people have seen ultra-long cardiopulmonary resuscitation.
Ling Ran lifted his sore neck and gently released his hand as the chest wall recovered.
”130 rhythms, self-help rhythm ... blood pressure 120, 74 ...” Nurse Niu read the numbers on the monitor.
Ling Ran's fingers trembled and touched the patient's aorta. His mood fluctuated, but the main reason for the finger tremor was that the chest compression time was too long.
His muscles started to sore.
”How?” Huo Congjun asked with anticipation.