406 Resuscitation (2/2)
Everyone in the resuscitation room suddenly went silent.
Even though cardiac arrest merely meant that the heart had stopped working, five minutes was considered quite long. Cyanosis throughout the body meant that the patient's entire blood circulation lacked oxygen, and if the patient's pupils were completely dilated, it meant that there was no longer pupillary light reflex. It was one of the signs of brain death.
It could be said that such a patient was in an utmost critical condition. There was even the possibility that he could no longer be rescued.
As all the doctors present were treating a patient, they hesitated on whether they should go over for a little while.
Ling Ran did not even think about it. He immediately ran toward the patient.
”Defibrillator!” Ling Ran's voice was so loud that everyone could hear it.
When the paramedic saw that a doctor was here, after finishing his current set of external chest compressions, he immediately made way for Ling Ran.
Two nurses swiftly placed paddles on the patient's chest and connected the defibrillator to the source of electricity.
”150 joules. Clear!” Ling Ran shouted and pressed the defibrillator button with his thumb.
The patient showed no reaction.
Ling Ran straightaway knelt on the gurney without looking at anything. He pressed the patient's chest with the defibrillator and ordered, ”Venous injection of sixteen minims of epinephrine.”
Defibrillators were not miracle tools.
It was quite normal for a doctor to fail in his efforts to resuscitate a patient with a defibrillator. At this moment, the only thing a doctor could do was cardiopulmonary resuscitation (CPR).
Ling Ran got into the correct position and tried his best to think of the best way to perform CPR on the patient based on the patient's current condition.
In the field of medicine, it was often said that for every minute the heart stopped beating, the patient's chance of survival would drop by 10%. This could only be remedied with CPR that was performed really well.
In modern medicine, high-quality CPR was the key to pulling many patients back from Death's door.
This was why even though the paramedics around him were trained in that, Ling Ran was not willing to let them do it. Instead, he started giving them orders.
”Sixteen minims of atropine and 811 minims of lidocaine.” Ling Ran then turned as he compressed the patient's chest. ”Open the respiratory tract.”
Doctor Zhou ran over and cut open the patient's trachea in one slash, performing a quick tracheostomy for the patient.
It would be relatively harder for patients to recover from tracheostomies that was carried out in such a hasty manner, but the prerequisite was that the patient managed to survive.
”One, two, three…” Ling Ran quickly counted as he skillfully performed compressions on the patient's chest.
For every thirty compressions, he had to give the patient artificial respiration twice. It was just an extremely ordinary procedure, but he had to repeat the same process again and again...
He saw the patient's face when he lowered his head.
It was that of a young man, but there were some wrinkles on his face.
He was probably a little over thirty years old. His skin was rough, as if he spent half his time in the wild. He probably never took care of his skin.
There were no major external wounds, and there was no internal bleeding either. He had no idea why the patient went into cardiac arrest.
Ling Ran slowly adjusted his breathing so that he had the stamina to continue compressing the patient's chest.
The standard maneuvers for CPR was simple, but it took forever and seemed endless.
”One, two, three…” Ling Ran counted until thirty before stopping to perform artificial respiration twice. When he continued again, he was still as energetic as ever.
The paramedic who performed CPR on the patient for five minutes before the patient arrived at the hospital was already very tired. He panted as he stood beside the gurney and looked at Ling Ran.
From his perspective, the maneuvers of the doctor on the gurney was extremely spot-on, and his strength was even as he compressed the patient's chest. There seemed to be a subtle rhythm behind his movements.
However, CPR could only do so much.
Three minutes passed by.
Five minutes.
Ten minutes.
The combination of epinephrine, atropine, and lidocaine was already injected twice, and they had already defibrillated the patient thrice.
However, the patient's condition was worsening. His entire body was so purple that he did not seem like he could be brought back to life anymore.
”Is Old Hu dead?” The patient with the bandaged shoulder behind Lu Wenbin had already gotten out of bed and was watching Ling Ran as he tried to save the patient.
”Watch your mouth.” Lu Wenbin turned and said sternly, ”If you don't return to your bed now, we won't perform a full body examination on you.”
”Do you think that I'm scared of you?” Even though the patient with the bandaged shoulder said so, he turned and went to his hospital bed. He climbed on it, covered himself with the blanket and leaned against the pillow. He looked like a burrito.
Lu Wenbin then turned toward Ling Ran again. A voice then rose. ”Old Hu's family members are here.”
”Hmm?” Lu Wenbin looked over. A plump woman dashed into the area.
”Old Hu!” a woman shouted.
”Old Hu! That's my Old Hu, let me go over!” She was shouting so loudly that her voice was hoarse.
Three bodyguards went over to stop her, and a nurse explained to her, ”Don't go over. The doctors are resuscitating him right now, and if you go over, it'll make the situation worse.”
”Old Hu…” The woman struggled a few times before she stood still. She yelled, ”Don't close the curtains. If you guys don't close the curtains, I won't go over.”
The nurse who was about to close the curtains and separate the patient from the woman looked subconsciously at the head nurse.
The head nurse shook her head slowly.
The nurse then lowered her head and left.
As she promised, the plump woman stood behind the glass door that separated her from the resuscitation room and looked at the situation inside through the glass door. Her voice was a little lower compared to just now. ”Doctor, my son is only nine years old. He can't lose his father. Orphans get bullied a lot…”
The bodyguards beside her could not take it anymore and lowered their heads. They knew what it meant when a CPR was required for a patient.
Ling Ran did not care about his surroundings at all inside the resuscitation room. He counted mechanically, ”One, two, three…”