Chapter 138

On the patient's ECG monitor, the heartbeat ripples, the P wave, and the QRS wave lost their normal shape, just like a messy line.

Without Zhang Yi saying anything, the nurse next to him immediately brought the electrode defibrillator over.

Lift the patient's clothes on his chest and apply conductive gel on the electrocoagulation board.

"One-way wave defibrillation, 360 joules, ready."

Beside the bed, Zhang Yi held up the electrocoagulation board and said.

"Okay, one-way wave defibrillation 360 joules ready."

Bang!

The old man lying on the bed was instantly shocked by the electric shock and bounced off the bed!

Bounced up and fell down again.

After the electrode, cardiopulmonary resuscitation needs to be performed again.

"Do an endotracheal intubation and ventilator-assisted ventilation."

Zhang Yi ordered while rescuing.

"Okay!"

After pressing less than ten times, everyone found that the ECG was still a mess of ripples.

This means that the first defibrillation was not successful.

"Again! One-way wave 360 ​​joules!"

"Okay, 360 joules are ready!"

Bang!

The old man's chest was bounced up again.

After the electric shock, the heart will instantly return to a stable state.

At this time, cardiopulmonary resuscitation must be performed again to restore the heart to normal beating.

While doing cardiopulmonary resuscitation, Zhang Yi gave another oral doctor's order:

"1 mg of adrenaline intravenous push!"

"Okay."

After the adrenaline was pushed, the heart rate and blood pressure rose slightly.

But in less than a minute, the tangled waves appeared again!

Defibrillate again!

Still 360 joules!

Bang!

The sound of electric shock defibrillation rang in the emergency room.

Although the other patients stared at it intently, no one dared to disturb it.

Because this is saving lives.

After the third defibrillation, it finally worked.

Everyone breathed a sigh of relief.

If this defibrillation can't solve the problem, then there is no hope.

Continue cardiac compression.

"50 mg of lidocaine is injected intravenously!"

"Okay!"

Three minutes later...

"Another injection of epinephrine, and another 5% sodium bicarbonate is dripped intravenously."

"Okay!"

Three minutes later...

Zhang Yi let go, and the patient's blood pressure rose to 80/47mmhg.

Shine a flashlight on the pupil, and the light reflex is restored but a little slow.

Look at the patient's heart again, and it has completely recovered to an autonomous heartbeat.

Everyone breathed a sigh of relief.

Rescue success!

The total rescue time is 23 minutes.

To be honest, this time is a bit long.

Especially for a 73-year-old man.

Zhang Yi walked outside the rescue room and explained the patient's condition to the family.

"Don't worry, the rescue was successful and the process went smoothly.

However, considering his history of coronary heart disease, the possibility of another cardiac arrest or sudden myocardial infarction cannot be ruled out.

I suggest that you arrange hospitalization as soon as possible.

In addition, the rescue took a total of 23 minutes.

Relatively speaking, it is relatively long. If his other organs and brain are ischemic and hypoxic for a long time, they are also prone to damage.

So, we can't be sure of the exact time of waking up."

The family members did not blame Zhang Yi, but said with a face full of fear:

"It's okay, thank you! As long as my dad can live, thank you!"

Fortunately, the family members are relatively reasonable.

Some patients took a long time to rescue, although their heartbeat and breathing recovered in the end.

But the patient's consciousness has not recovered for a long time, and some family members will also make trouble with the doctor.

Say that the rescue is useless and ask for compensation.

There are even some patients who were successfully rescued but never woke up.

That would become a vegetable.

Of course, this old man is really in good health.

After two hours of rescue, he woke up before the internal medicine department admitted him to the hospital.

When the nurse informed Zhang Yi, Zhang Yi was stunned for a moment.

This old man woke up so early?

He immediately went to the emergency room with a flashlight.

The pupils, pulse, and heart were all checked.

The man was indeed awake.

And there were no other problems.

But the first sentence the old man said...

It scared several family members around!

"Who are you? Why are you in my room? Make way, I need to get up and squat."

The family members were very happy that the old man woke up.

As a result, when he opened his mouth, they were scared and took two steps back.

What the hell is going on? !

How can he speak the Chengdu dialect after waking up? !

How scary!

"Doctor... what... what's going on..." The family member asked tremblingly, pulling Zhang Yi's sleeve.

Zhang Yi looked at them and asked:

"What's wrong? Isn't it great that he woke up and can talk? He said he wants to go to the toilet, so help him."

But the family member next to him shook his head like a rattle and said:

"No, no, no! My dad is not from Rong Province, he can't speak the Rong dialect at all!"

"Huh?"

Zhang Yi frowned after hearing this.

He is not from Rong Province, but he speaks the dialect very well.

Even Mous can speak it? ?