I Can See Health: Chapter 224 actually woke up!
Chapter 224 Actually woke up!
Clinical work, the repeatability is very high.
On this point, Fan Zhiping is very aware.
Now the degree of specialization is very high, and there are only a few common diseases in each department.
For example, in the Department of Cardiology, the common diseases are coronary heart disease, heart failure, hypertension, arrhythmia and so on.
As long as you are familiar with the routine diagnosis and treatment of these diseases, you can be a qualified cardiologist in a primary hospital.
However, since coming to the Department of Cardiology of Jinghua Second Hospital for further study, Fan Zhiping found that everything has changed!
As the top tertiary hospital in the province, most of the patients in the Cardiology Department of Jinghua Second Hospital are critically ill patients!
In addition to the patients of Cardiology, there are other professional diseases.
Fan Zhiping feels that his brain is not enough!
Especially since he was with Lu Chen, he has encountered all kinds of severe and strange cases one after another.
This not only opened his eyes, but also enriched his diagnosis and treatment thinking!
As a Deputy Chief Physician, although Fan Zhiping came to study in a primary hospital and followed a graduate student, he did not have any embarrassment or psychological burden.
The master is the teacher!
What's more, in the Jinghua Electrophysiology Exchange Group, Lu Chen has long been "Professor Lu"!
Lu Chen also slowly got used to Fan Zhiping being by his side.
Although Fan Zhiping was born in a primary hospital, he has rich clinical experience.
The two usually communicate with each other.
Fan Zhiping has made progress, and Lu Chen has also gained a lot!
Now Fan Zhiping can even conceive the idea of taking a postgraduate entrance examination.
"Brother Fan, do you want to go to graduate school now?" Lu Chen heard Fan Zhiping's thoughts.
"Well, what do you think?" Fan Zhiping nodded.
"Very good, it's good to be a part-time graduate student." Lu Chen smiled.
Medicine is a process of continuous communication and progress.
is the so-called learning to live to old age.
For the profession of a doctor, the standards of diagnosis and treatment are updated very quickly. If you don’t learn, you will be eliminated sooner or later.
"Postgraduate student?" Fan Zhiping frowned, "But I want to study full-time."
Lu Chen was taken aback for a moment, he glanced at Fan Zhiping beside him.
Comrade Lao Fan is not simple, he actually has such an idea!
Part-time and full-time are completely different.
On the job, to put it bluntly, it is a mess.
Full-time, that is a real diploma.
"Brother Fan, I support you." Lu Chen smiled.
Lao Fan grinned, "This matter has to be considered in the long run."
Lu Chen and Fan Zhiping chatted for a while, then each did their own thing.
…
10:33am.
The nurse suddenly walked quickly to the office.
"Bed 15 just felt chest tightness, the doctor of the director team go to see!"
15 is a new patient who just arrived this morning.
This bed is the bed that Ke Yue manages.
Ke Yue immediately stood up and grabbed the stethoscope beside him, "I'll go now!"
As soon as she walked to the door of the office, she heard the cry of a nurse from outside the ward.
"Come here! 15 beds are not enough!"
Ke Yue was startled and ran to the ward immediately.
Lu Chen also stood up and shouted to Yao Jie, "Sister, go to the director's office to find Sister Sun!"
"Received!" Yao Jie nodded and ran out of the office.
And Lu Chen and Fan Zhiping ran to the ward together!
…
Outside the 15-bed ward, there was already a circle of people.
Lu Chen and Fan Zhiping pushed aside the crowd and walked into the ward.
The patient in 15 beds is an elderly male approximately 60 years old.
At this time, he was lying on the bed, gasping for breath.
Lu Chen looked at his head, his health was only 35!
Ke Yue is auscultating the patient's heart and lungs.
At this time, the ECG monitor suddenly issued a "beep" alarm!
"Ventricular fibrillation!" Fan Zhiping roared in a low voice.
Lu Chen also noticed the patient's condition, and immediately rushed forward when he saw it.
Start giving the patient chest compressions.
At this point, the patient has been breathing like a sigh, lost consciousness, and the fluctuation of the aorta has disappeared!
Ke Yue stood beside the bed, feeling a little overwhelmed for a while.
The nurse has pushed the ambulance and defibrillator over.
Lu Chen immediately opened his mouth and ordered: "Immediately give an electric defibrillation, the energy is 360j!"
"Give another adrenaline push!"
Fan Zhiping has turned on the defibrillator and applied conductive paste to the electrode pads.
At this time, Sun Guoguo had already heard the sound.
Seeing Lu Chen and Fan Zhiping being rescued, Sun Guoguo's heart sank: "Junior sister, you took this patient, what's the specific situation?"
Ke Yue spoke a little nervously, and whispered: "The patient was admitted to the hospital with chest pains, suspected of angina pectoris, and just had sudden chest tightness. When I came over, he suddenly had ventricular fibrillation."
Sun Guoguo looked at the ECG monitor on the bedside, the patient's blood oxygen saturation was constantly dropping.
"What about the patient's family?"
Ke Yue said: "Wait at the door of the ward."
"I'm going to talk to the patient, maybe intubation."
Sun Guoguo immediately walked out of the ward, found the patient's family, and informed him of his condition.
The family did not hesitate, and immediately agreed to endotracheal intubation and related operations!
…
On Lu Chen's side, although he had been defibrillated once, on the ECG monitor beside the bed, the patient was still in ventricular fibrillation!
"Brother Fan, you'll do chest compressions, I'll intubate the trachea!"
The patient's blood oxygen saturation is constantly declining. At present, the primary task is to maintain the patient's blood oxygen in addition to maintaining the heartbeat.
"Okay!" Fan Zhiping immediately took over from Lu Chen.
The nurse has brought the tools for endotracheal intubation.
Lu Chen did not hesitate to intubate the patient immediately!
At this time, Sun Guoguo also returned to the ward.
She glanced at the ECG monitor at the head of the bed and said solemnly, "Push another adrenaline! At the same time, cool the ice cap!"
"Received, a static push of adrenaline!" The nurse immediately executed the doctor's order.
At this point, Lu Chen had finished inserting the tube.
Fan Zhiping started the second defibrillation!
Defibrillation ended.
VF is still on the ECG monitor, but still no success!
Lu Chen took Fan Zhiping's place and continued chest compressions.
"A solid push of adrenaline!"
Five minutes later, Sun Guoguo issued another doctor's order.
Lu Chen calmed down and looked at the health on the patient's head, only 21!
Is it really impossible?
…
Outside the ward, the patient's family members were already crying.
"The third electrical defibrillation!" Fan Zhiping picked up the defibrillator again.
Defibrillation ends,
is still ventricular fibrillation!
"Lidocaine 50mg intravenously, and another adrenaline!"
I don't know when, Li Yao came to the ward.
"Received, lidocaine 50mg and a bolus of epinephrine!" The nurse did not hesitate and immediately executed the doctor's order.
"Give another 125ml of 5% sodium bicarbonate intravenously!" Li Yao continued.
"receive!"
Fan Zhiping glanced at Lu Chen who was doing chest compressions.
"I'm going for the fourth defibrillation!"
Lu Chen nodded.
When he stopped chest compressions, Fan Zhiping immediately took his place.
4th defibrillation!
Defibrillation ended.
"Dududu..."
Above bedside monitoring, the patient's heart rate suddenly changed from ventricular fibrillation to sinus.
The patient's HP has also risen to 48!
Sun Guoguo stepped forward and performed a physical examination on the patient.
"The pupil is dilated to 5mm, and the light reflex is sluggish!"
The rescue was successful!
Although the patient's consciousness has not recovered, his heart rate and blood oxygen saturation have been maintained!
Everyone present breathed a sigh of relief.
From the beginning of the rescue to the end of the rescue, it was only twenty minutes, but Lu Chen felt like he had run a marathon.
I was soaked with sweat all over my body.
Lu Chen and Fan Zhiping looked at each other and smiled.
This kind of joy of successful rescue cannot be given by other professions.
…
Sun Guoguo brought the family members of the patient to the office.
"The patient was admitted to the hospital this time, the possibility of myocardial infarction is higher, the rescue time is longer, and the patient's central damage is greater, so he may not be able to wake up."
The patient's family members are very compliant and understandable. They nodded and said, "Just save me."
This is actually a very simple rescue of in-hospital ventricular fibrillation.
The medical and nursing cooperation is very smooth, and the rescue process is still perfect.
However, although the patient's heartbeat has recovered, it is difficult to regain consciousness.
But what everyone can't think of is...
About 30 minutes after the rescue was successful, the patient actually woke up on his own!
And more updates!
(end of this chapter)