My Medical Skills Give Me Experience Points-Chapter 344 - 167: A Special Medical Technique, A Turning Point for 6 Patients

"Just come to the office and wait for me at around 3:30 PM tomorrow."

It seems that Director Liu will be on the night shift tomorrow.

"Do you have WeChat? Later, I’ll add you to the work group of the team. Any temporary shift changes or other matters will be notified in the group."

Nearly every department’s doctors are divided into several medical teams.

For example, in orthopedics, there is a bone trauma team, whose doctors all specialize in the field of bone trauma diseases. Then there’s a joint team. Microsurgery team. Hand surgery team. Ankle surgery team. Spinal surgery team.

Zhou Can has just joined the Intensive Care Medicine Department and is not very familiar with the department’s organization.

The Intensive Care Medicine Department is generally divided into three teams.

Mainly including respiratory, multiorgan dysfunction, and cardiocerebrovascular and neurological, these three areas.

Simply put, they are the three major systems of internal, external circulation, and neurological.

As long as these three systems function well, life is assured.

External circulation mainly refers to respiration, which includes the entire respiratory system, oxygen exchange, synthesis, and so on.

Internal circulation primarily refers to the delivery of blood, the provision of oxygen and nutrients within the body, and the excretion of wastes.

The neurological system, needless to say, refers to the entire nervous system with the Brainstem as the central hub.

After analyzing the three major life support systems of a person, the job of an anesthesiologist does not seem so mysterious anymore.

To induce loss of pain sensation in patients, it’s enough to just cut off the neural signals.

General anesthesia, spinal anesthesia are the most commonly used methods by anesthesiologists. As for localized anesthesia, it’s seldom required of them.

Considering surgery costs, the lead surgeons generally take care of this themselves.

"Doctor Hu, remember to add Dr. Zhou to our team’s work group after work."

After Director Liu gave his instructions, he did not wait for Zhou Can to say anything else and left directly.

Once Director Liu left, Doctor Hu visibly relaxed quite a bit.

"In the future, it will be the world of you young people! The waves of the Yangtze River push forward the waves behind, and each new generation is stronger than the last." Doctor Hu’s expression was very complex.

Seeing Zhou Can achieve great accomplishments, to say he wasn’t envious would be a lie.

Now, Zhou Can had garnered the appreciation of Director Liu and could be said to be spreading his wings.

Doctor Hu could only accept reality.

He tried hard to maintain a good professional relationship with Zhou Can and no longer treat him like an ordinary resident.

At this moment, the alarm on bed 6 went off.

Actually, each machine’s alarm sound is different.

Zhou Can had been working here for a day now. One listen and he knew it was a blood pressure issue.

Rushing over to check, indeed, the blood pressure was plummeting vertically.

It looks like bed 6 may have to say goodbye to another patient, when will this curse be broken!

Doctor Hu, having long been accustomed to various major events, was not panicked.

After inspecting, he decisively stated, "It’s ventricular fibrillation, definitely ventricular fibrillation. Defibrillate immediately."

Ventricular fibrillation is when the heart muscles contract quickly and weakly or flutter rapidly in an uncoordinated manner.

It leads to the heart being unable to pump blood, resulting in the disappearance of heart sounds and pulse.

Blood perfusion to the heart, brain, and other organs and peripheral tissues stops.

The human heart is like a water pump, constantly beating to pump blood out and through the arterial vessels to all major organs and tissues of the body.

When ventricular fibrillation occurs, it’s as if the pump has malfunctioned, and the blood is pumped out weakly.

Brain ischemia for three minutes can result in irreversible damage. Brain cells begin to die in large numbers.

Ventricular fibrillation is extremely dangerous.

At this time, the most common rescue method is to use a defibrillator.

"Xiao Zhou, you were taught how to defibrillate yesterday, do you know how to operate it?"

"Yes!"

Zhou Can took the prepared defibrillator without any fuss.

He applied an electric shock defibrillation to the patient’s chest.

The patient’s body jerked violently due to the electric shock.

This is a normal response.

[Emergency Wisdom, Experience Points +1.]

Zhou Can was somewhat dumbfounded.

He had never gained this medical skill before! How did a skill in Emergency Wisdom suddenly emerge?

He was in a rush to save the patient and had no time to ponder in detail.

The first attempt at defibrillation was not very effective.

"Again!"

Doctor Hu stood by, calmly directing.

Zhou Can administered another electric shock defibrillation to the patient.

[Emergency Wisdom, Experience Points +1.]

The patient’s heart rate and blood pressure gradually returned to normal, temporarily saving their life.

Both he and Doctor Hu sighed in relief.

The sight of the patient’s blood pressure plummeting straight down was really frightening.

Some patients living in the ICU have to fight death many times a day.

Doctors and nurses work together each time to pull them back, then continue various life support and treatment. Until they have exhausted all means, helping them successfully escape danger and leave the ICU.

Or eventually, sending the person away.

There are also special circumstances that may result in transferring the patient out.

For example, if the family disagrees with further treatment. Or in the case of patients with malignant tumors or other terminal diseases, when it’s known that they cannot be cured.

As a principle, these types of patients will be transferred out.

Some private hospitals or small hospitals may keep patients for a few extra days considering the operating costs of the ICU when there are not enough patients, which is a common sneaky practice.

For upstanding doctors like Tu Ya, when implementing rescue measures in the ICU, if material costs exceed 200 yuan, they must obtain family members’ signature and consent.

Moreover, the operating costs of the ICU are very high, and it is generally a loss-making endeavor.

Below are two examples of charges to explain why the daily treatment fees in the ICU can range from a minimum of two to three thousand to several tens of thousands, yet it is still said to be loss-making?

Performing a thoracentesis or abdominal paracentesis on a patient is charged at approximately ninety yuan per instance.

Performing a thoracentesis requires at least two medical staff.