MTL - I Can See Health-Chapter 23 elevator horror

   Chapter 23 Elevator Cry

The    sine wave represents chamber flutter!

   And ventricular flutter is often unstable and can be transformed into ventricular fibrillation at any time!

  Lu Chen didn't have time to act.

   The waveform of the electrocardiogram suddenly changed!

The    sine wave has turned into a flutter wave with no rules!

This is…

   Ventricular fibrillation!

  VF is a very dangerous malignant arrhythmia!

   Usually 10 seconds after the onset of ventricular fibrillation, patients are often accompanied by sudden convulsions.

  20~30 seconds later, the patient lost consciousness, and after several sigh-like breaths, the patient's breathing slowly stopped, and the patient's complexion gradually turned from pale to purple.

   After 30-60 seconds, the patient's pulse and blood pressure disappeared; pupils were dilated; heart sounds disappeared on auscultation.

   Lu Chen was shocked and hurried to the bed.

   Give the patient chest compressions immediately!

   At this time, the patient in the hospital bed was already twitching, his eyes were turned up, and a small amount of foam was spit out from the corner of his mouth.

   The body of the female intern beside her was trembling uncontrollably.

   She was completely frightened!

  …

   And the elevator is still there, on the sixth floor.

   While doing chest compressions, Lu Chen shouted to the female intern, "Can you use a defibrillator?"

  The monitor at the bedside is an all-in-one ECG monitoring and defibrillation machine.

   "I, I..." The female intern's lips were trembling, her expression was flustered, and her voice was trembling, "I learned..."

   When Lu Chen heard this, he was even more anxious.

   She looks like this, don't think of her to help with defibrillation.

   For patients with ventricular fibrillation, CPR alone is not enough!

   Needs to rely on electrical defibrillation, the most effective way to convert ventricular fibrillation to a normal heart rate.

   If defibrillation is delayed, the patient's chances of survival are greatly reduced!

   However, CPR cannot be stopped while defibrillation is being performed!

   So this kind of operation generally requires two people to cooperate!

   Unless there is only one person at the scene, then there is no way.

   "Will chest compressions work?"

  Lu Chen continued to ask loudly.

  …

   At this time, the elevator reached the fifth floor.

   "Yes, yes!"

   Seeing Lu Chen's very skilled CPR operation, the female intern's mood gradually stabilized.

   "Okay, I count to three, and you immediately take over for me to perform chest compressions! I'll call for defibrillation!"

"it is good!"

  Lu Chen moved his body to the side, preparing to make way for the female intern.

   "3!"

"2!"

"1!"

   Count to one.

  Lu Chen stopped chest compressions.

  The female intern immediately took over from Lu Chen!

   Although her movements are relatively unfamiliar, they are still standard.

  Lu Chen immediately started debugging the defibrillator, adjusted the mode to defibrillation mode, and picked up the two electrode pads of the defibrillator.

  According to the normal operation, you need to apply conductive glue on the electrode plate to prevent the skin from being burned.

   But now the situation is urgent, there is no such thing as a backup.

   For the first defibrillation energy, choose 200J.

   Tap the charge button.

Charge!

"Step aside!"

  Lu Chen shouted to the female intern.

  The female intern was ready and quickly stepped aside.

  Lu Chen immediately attached the two electrode pads to the patient's left lower chest and the upper part of the outer border of the sternum.

   "Get out of the hospital bed!"

   Lu Chen roared, and the female intern quickly took a step back.

   Press the discharge button.

   Discharge!

   The patient's body flicked slightly.

  Lu Chen immediately put the defibrillator aside and started CPR.

   At the same time, he stared intently at the waveform of the monitor.

   Flutter, still flutter!

   The ventricular fibrillation continues!

  …

  The elevator finally reached the fourth floor.

  The elevator door slowly opened.

   The people who were waiting for the elevator at the elevator door were startled.

   Li Qinghua, a CCU doctor who was preparing to go out for emergency consultation, was also among the crowd waiting for the elevator.

   As soon as he opened the door, he saw a hospital bed.

   On the hospital bed, a boy in black sportswear is doing chest compressions to the patient.

   And beside the hospital bed, a girl in a white coat was looking around nervously.

   The situation is critical, and he has no time to think about the weirdness of this combination.

  Li Qinghua immediately greeted everyone, helped move the hospital bed out of the elevator, and pushed it towards the CCU ward.

"what's going on!"

  Li Qinghua shouted to Lu Chen while pushing the hospital bed.

   "The patient suffered sudden ventricular flutter, ventricular fibrillation, and lost consciousness in the elevator. He has been defibrillated once, but it is still ventricular fibrillation!"

  Lu Chen replied without raising his head.

   "Teacher, this is a patient with myocardial infarction, and is about to be transferred to CCU for emergency intervention." The female intern added.

   Li Qinghua heard the words and immediately judged the patient's condition.

   myocardial infarction complicated by ventricular fibrillation!

   This patient has a very poor prognosis!

   "A second defibrillation is required." Li Qinghua said solemnly, "I'll do it!"

   This time, Lu Chen and Li Qinghua cooperated very well.

  Lu Chen stopped pressing, Li Qinghua immediately adjusted the defibrillation energy to 200J.

   Do the second defibrillation!

  Lu Chen kept staring at the monitor.

   At the moment when the electrode plate discharge ends.

  The sine wave, suddenly, disappeared!

   Then came a series of normal sinus rhythms.

  Lu Chen's face was overjoyed, the defibrillation was successful!

   Li Qinghua was also relieved. He glanced at Lu Chen and felt a little awkward.

   It seems that this boy has never been seen before, and he is not wearing a white coat. Where did this guy come from?

   And the heart that the female intern on the side was holding was finally let go, and there was a feeling of seeing the sun and the rest of her life after the catastrophe.

   She glanced at Lu Chen secretly, and couldn't help recalling that if she was the only one in the elevator just now, the consequences would be really unimaginable.

  …

  The crowd pushed the hospital bed to the door of the CCU.

  The door opens.

  Li Qinghua immediately called the CCU doctor for the next step of rescue.

   "The patient needs immediate emergency interventional surgery to open the culprit's blood vessel."

   "Notify the cath lab to prepare!"

   At the same time, Li Qinghua looked at the female intern.

   "Classmate, which ward are you an intern?"

   "What about the patient's family?"

   "Why are you the only one escorting the patient?"

  The female intern immediately became a little nervous, and she said with promise: "Teacher, I am from Teacher Lin's group in the eighth district in my heart. The patient's family signed upstairs, and Teacher Lin asked me to send the patient down first."

   "Mr. Lin, is it Lin Cui?" Li Qinghua frowned, pondered, and then looked at Lu Chen, "Then who are you..."

   "Oh, teacher, I'm a graduate student who just arrived this year." Lu Chen said, "I just finished the re-examination yesterday, and I came to my supervisor to sign today."

  Li Qinghua suddenly realized, and nodded in relief.

   "Yes, your kid's basic rescue skills are solid, much better than any graduate student I've seen."

   "Whose student are you?"

  Lu Chen said: "Mr. Li Yao."

   "Who?" Li Qinghua thought he had heard it wrong.

   "Li Yao." Lu Chen repeated.

   "Huh?" Li Qinghua's expression was a little surprised, and at the same time he couldn't help feeling pity.

  Why is Li Yao, what a pity for this good seedling.

   "What's the matter, teacher?" Lu Chen frowned.

   He clearly felt that the middle-aged doctor's expression changed when he heard Li Yao's name.

"nothing."

   Li Qinghua coughed lightly and patted Lu Chen on the shoulder.

"work hard."

   "There is an emergency consultation waiting for me in the gastroenterology department, so I will go first."

After    finished speaking, Li Qinghua waved his hand and left.

  Lu Chen looked suspiciously at the back of Li Qinghua leaving.

   Instructor Li Yao seems to have a problem?

  …

   At this point, the patient just now was pushed to the catheterization room.

  The female intern is ready to return to the eight districts in her heart.

   "Classmate, wait a moment."

   As soon as he walked out of the CCU ward, Lu Chen stopped the female intern.

  The female intern stopped.

   "Senior brother, do you call me?"

   She just learned of Lu Chen's graduate student status.

   "Well, Junior Sister, do you know Teacher Li Yao?" Lu Chen whispered.

  The female intern nodded: "I am currently intern in the eight districts of the heart, and Professor Li Yao is the ward director of the eight districts of the heart."

   "How is she?"

   "This, how do you say it." The female intern paused, "Professor Li Yao doesn't come to the ward very often, so I see her less often and don't know her very well."

   "Oh, thank you Junior Sister." Lu Chen nodded.

   The female intern smiled: "Senior brother, I should thank you. If you weren't here today, I really don't know what to do."

   "You're amazing too."

  Lu Chen smiled.

   "There is still a lot to learn from senior brothers."

  The female intern flattered.

  Lu Chen is extremely useful.

   "Senior brother, I still have things to do in my ward, so I'll go first."

  The female intern waved her hand gently and walked into the elevator.

   At this moment, Lu Chen also received a prompt from the system.

   "Congratulations, +1 for the thank you from Ke Zunyu!"

   The total thank you value has come to 5 points!

  The completion of the system has risen to 40%!

   (end of this chapter)