Chapter 607 Simple, Rude and Direct

What the hell is going on?

The doctor on the 120 car was stunned.

No one knows the patient's situation better than him. After all, he watched the patient go from hemorrhagic shock to respiratory and circulatory arrest.

Can such a patient return to heart compression? Nonsense.

Could it be that I have been busy all night and my tired eyes are blurry?

The doctor on the 120 car whispered to the nurse beside him, "Have you seen the patient alive?"

The nurse let out a sigh of relief and said, "The first hospital in the city has been rescued, what's so strange. Hurry up and hand over, there are no patients on the highway, and now I can sleep for an hour or two when I rush back. I'm exhausted. But the doctor who ran with the patient just now is really good-looking, if you are on duty with him, you won’t feel tired for several 24 hours.”

As she said that, the nurse glanced at the doctor in the 120 car with disgust.

Old, ugly, and pale after a busy night, it's impossible to see.

wipe! Really alive! The doctor on the 120 car didn't pay attention to the little nurse's eyes and was surprised.

"You are here to hand over." Zheng Ren stood at the door of the emergency room, waved his hand, and said, "This side, this side goes through the formalities."

"Brother Yuan, explain to them."

The doctor on the 120 bus walked over in a daze, and saw that Zheng Ren was very young, but his eyes were bright, and even his hair, which was squashed by the sterile cap, seemed to have a different look.

If it was in a TV series, he would be the kind of person who knew at a glance that the game was won as soon as he appeared.

"You rescued it?" The doctor on the 120 car asked cautiously.

"En." Zheng Ren nodded, calling Yuan Li to go through the handover procedures with him.

Zheng Ren didn't want to interfere with such trivial matters.

Yuan Li didn't look good all night, with a long beard, he looked extremely depressed.

"May I ask your surname?" the doctor on the 120 bus asked.

"My surname is Zheng, the chief inpatient of the emergency department." Zheng Ren said.

"Mr. Zheng, how did you press it back?"

The doctor on the 120 car was very curious. He knew the patient's condition very clearly, and he performed cardiopulmonary resuscitation for more than 4 minutes in the car, plus several times of electric defibrillation.

And the cardiopulmonary resuscitation done by myself is extremely standard. No one dares to go to the 120 ambulance without even practicing cardiopulmonary resuscitation.

A few years ago, he won the first place in the emergency first aid competition in the hospital.

His own operations are completely textbook-style, he can guarantee this.

But the fact is that the patient who was not rescued by himself and thought to be dead came to the city's first hospital and came back to life in less than a minute.

It would be nonsense to say that he was alive and kicking, but the patient just opened his eyes and was still talking... This is what he saw with his own eyes.

So he was curious and asked.

"After 3 minutes of cardiac arrest, there is no need to control the strength of the heart compressions. Of course, this is my understanding, and it is not written in the book. If you are a surgeon, you should be simple and straightforward." Zheng Ren knew that he asked What is it, anyway, I am not busy now, so I explained to him: "Press it down, the ribs will be broken, and then the heart will receive greater strength, and the possibility of being rescued is much greater."

"..." The doctor on the 120 car was stunned, this is not a standard procedure, if that's the case...

"President Zheng, what about the secondary injury?"

"I'm out of breath, and there are secondary injuries?" Zheng Ren was also very surprised, asking this question.

Secondary damage refers to whether the living person is healthy or not. Dead people, how can there be secondary injuries.

The doctor on the 120 car was speechless again.

What this President Zheng said seems to make sense, but there seems to be something wrong.

"Besides, the secondary injury is only the heart muscle that may be stabbed by the broken rib. Doesn't the hospital have a cardiothoracic surgery department? As long as the person can be saved, it's easy to open the chest and suture the patient." Zheng Ren said.

The doctor on the 120 car was completely speechless and burst into tears.

Look at this guy, he suffered a heart injury, yet he confidently said that it would be over with just a single stitch... Really... What the hell!

Just imagine that kind of rough and wild rescue, pressing both palms on the patient... No, the standard procedure is to press on the lower 1/3 of the sternum.

"Mr. Zheng, CPR is not pressing the sternum..."

"Non-cardiogenic cardiac arrest, when I press the sternum, I feel that my strength is limited." Zheng Ren saw that Yuan Li was filling out the form and nothing happened, so he explained to him, "The sternum is relatively poor in elasticity, and most of the Power is distributed by the sternum.

Slightly off, press the left side of the sternum to break the costal cartilage, so that a large part of the pressing force can be transmitted to the heart. "

Unconventional operation? The doctor on the 120 car was a little confused.

"The cardiogenic ones need electrical defibrillation, and this kind of non-cardiac ones, as long as the force is strong enough." Zheng Ren showed a smile, "Have you ever done chest opening and looked directly at the heart?"

"without……"

"Oh, that's such a pity." Zheng Ren said: "For cardiac arrest caused by ischemia, in many cases, as long as a sufficient starting force is given, the heart will temporarily restore the supply of bioelectricity, and then give a time for rescue."

Seeing that the doctor on the 120 car still had a look of disbelief, Zheng Ren knew that no amount of explanation would be of any use.

He smiled and said: "Your efforts in the 120 ambulance are still effective, otherwise the patient would not be able to open his eyes after recovering his heartbeat. This patient's emergency rescue is successful, and the effect will be very good. Thank you for your hard work."

"No...it's not hard." The doctor on the 120 bus said in a daze.

At this time, Yuan Li had already filled out the form and handed it to the nurse.

The nurse took the doctor in the 120 car back.

Along the way, he was still muttering something, his expression was in a trance, and he looked as if he had lost his soul.

Zheng Ren looked around and saw that the corridor of the emergency department was in a mess.

They have been in rescue and triage all the time, and the nurses have been running for several hours at a trot, so there is no time to clean up.

"Director Pan, there should be nothing wrong. I'll go to the ICU to take a look. You should go home first," Zheng Ren said.

"It's past three o'clock, so I won't be going back." Director Pan looked at the time and said, "I'll sleep in the office. If you have something to do, call me directly."

"Okay." Zheng Ren replied crisply, and hurried to the inpatient department.

The emergency department was cold and gloomy, wearing isolation clothing and only a white coat, it was really unbearable.

I don't feel it when I'm busy, but when I'm idle, I feel shivering all over my body.

Zheng Ren walked quickly all the way to the ICU, and took a look at the patient who had just undergone surgery. The drainage strips in the liver and kidney recesses were draining smoothly, and about 10ml of blood was drawn out.

This was all expected, Zheng Ren glanced at the patient's doctor's order again, three groups of hemostatic drugs were applied at the same time.

That's about it. Zheng Ren couldn't say anything about special treatment if he really wanted to.

But without Su Yun sitting beside the patient's bed, with A4 paper and pen in his hand, and a liquid cart beside him, Zheng Ren felt that something was weird, and he was always worried.

...

...

This first aid came when I went to the emergency room in 2008. A 42-year-old man, angry with his wife, punched the TV screen and scratched the left radial artery.

Because he was angry, he wrapped his wrist with a towel at home, and sent his family to the doctor if he said nothing. After he fainted, his family members called 120.

The ambulance from our hospital rushed over, and the patient's heartbeat stopped on the way. Pressed all the way, defibrillated, but did not come back.

At that time, I went to the clinic, the idea was to give it a try, and no matter how I said it, I had to give my family members psychological comfort. Habitually using unconventional operations, I can't hear the sound of broken ribs, and I always feel that the heart compression is not in place...

In fact, after opening the chest cavity and pressing under direct vision, things like broken ribs are not so important.

Anyway, I just pressed it, the rib was broken, and the patient woke up. I told the nurse to send it to surgery, and then walked away.

It is said... the back is very handsome. I didn't feel it myself, it was just cardiopulmonary resuscitation. Brother Li, the 120 doctor at that time, has retired now. Every time I meet Brother Li, he is very warm to me.

In addition, our chief of medical affairs is a close buddy. He disapproved of my actions and had heated arguments several times. The academic views are different... Don't shoot bricks with your peers.