661 Cardioplegia (2/2)

Meanwhile, Ling Ran stared at the patient without blinking.

The patient was sweaty and forced himself to talk, ”Should I call my family members?”

”Let the nurse help you make the call,” Jin Xiongteng replied.

The patient then wanted to take his phone. He moved his arms for a while before they quickly fell down.

Jin Xiongteng was shocked. 'Is this cardioplegia?'

”Push the moving bed over, get the patient on it, take off his shirt, prepare for cardiac pacing. Be quick.” Jin Xiongbo still sounded quite calm, unlike in the dramas where the doctors kept shouting loudly.

In fact, the doctors in the Emergency Department would only sacrifice their voice during accidents. Every patient whom they rescued was in critical condition. Even if they could shout for one or two days, it would be impossible for them to shout for three to five years.

Take Jin Xiongteng as an example. Since he had predicted that the patient was about to suffer from myocardial infarction, he did not need to shout. All he needed to do was following the operational guideline for myocardial infarction and perform it step by step.

The gurney at the side was pulled over. Once they stepped on the brakes, the patient was carried on it. His chest was exposed, and Jin Xiongteng took up the electrode pad…

After two continuous defibrillations, Jin Xiongteng climbed up on the gurney and started to perform CPR.

The other two doctors in the Emergency Department came over too, but they did not know what to do.

Ling Ran knew that aside from Jin Xiongteng, the other two young doctors might not have any related experience. Although Jin Xiongteng had certain experiences and skills, he may not have dealt with CPR for some time already.

Even in a big city like Beijing, there may not be patients with heart attacks being sent to the district hospital every month.

Ling Ran looked at Jin Xiongteng with a compassionate gaze. He then walked forward and said, ”Open the airway, inject epinephrine, and open the second venous access pathway.”

The young doctor at the side was stunned a little as he stared at Ling Ran, then he looked at Jin Xiongteng.

Without waiting for them to reply, Ling Ran said, ”I have experience in multiple prolonged CPRs. The longest was up to two hours.”

In short, prolonged CPR was the hardest among all CPRs. Even a single successful case could allow the doctor to boast for a very long period of time. Having multiple successful cases could only explain one thing… That person really knew CPR really well.

”Inject epinephrine and open the second venous access pathway.” Jin Xiongteng repeated the order, but he did not agree to open the airway.

Ling Ran then said, ”Open the airway as soon as possible. That will benefit the following operation. High-end tracheostomy management can benefit all patients who need CPR.”

Jin Xiongteng continued performing CPR while saying, ”This is in-hospital CPR, and there is no urgency to cut the trachea immediately.”

In-hospital CPR had a higher success rate than CPRs performed outside the hospital. Jin Xiongteng did not want to perform any operations that would harm the patient first, which was a normal mindset to all.

After all, many in-hospital CPRs would be effective in a few minutes.

Ling Ran shook his head gently, but he did not argue. He was not too sure if this patient could recover his heart rate in a few minutes. However, according to Ling Ran's experience, if a man at the prime of his life like the patient suddenly had a heart attack, the underlying problem would be more serious.

In-hospital CPR had a higher success rate. This was mainly because the patient would soon receive treatment when he or she underwent cardioplegia, but that did not mean that there was anything special about the patient that allowed his or her quick recovery.

Many patients would suffer myocardial infarction outside the hospital. Some could be rescued through sufficient treatment given before reaching the hospital. Ling Ran had seen many cases where the paramedics gave the patients CPR on the way to the hospital, and most of them had also received good treatment.

But from Ling Ran's perspective, the prerequisite for good treatment was that they had to accept that the current situation was bad.

It was true that the patient could wake up in a few minutes' time. But Ling Ran did not agree with Jin Xiongteng putting his hope on this. If the airway was not opened now and the patient did not wake up, what should they do?

Time passed.

”It has been three minutes.” The nurse was calculating the time by the side.

”Replace me,” Jin Xiongteng shouted for another doctor to come over. Sweat had broken out on his face. He looked gloomy as he frowned and said to the nurse, ”Get the tracheotomy pack.”

After he said that, Jin Xiongteng cast a glance at Ling Ran, and he noticed that Ling Ran had changed to the white coat of his hospital. He frowned once again and spoke with a Beijing accent, and asked, ”You're from our hospital?”