I'm really an intern

Chapter 153 Comparing Speed ​​With Death

In the emergency room, people came and went, and the corners of white clothes were flying.

There were two patients who needed to be rescued at one time, and the staffing, which seemed a little redundant, was suddenly stretched.

Everyone is trying their best to do their own thing.

Talking is not speaking, it is roaring.

Walking is not walking, it is flying.

But the emergency room is like this, a place where you race against death.

At this moment, Dr. Chen, who is still surrounded by many untreated patients in the emergency internal medicine department, has no one to care about.

As long as he doesn't send serious patients in at this time, thank God enough!

Still holding the electrodes in his hand, Zhang Tianyang retreated from the bed.

Nurse Ouyang quickly took his place and gave the old man chest compressions.

Zhang Tianyang moved to the bed, and shook the bed down in twos and outs to make it easier to press.

Nurse Ouyang took the time to glance at him and nodded slightly, but her subordinates were still doing the compressions in a standardized manner.

Zhang Tianyang was not idle either. While grabbing people to work, he quickly found the ventilator and the tools for tracheal intubation, and quickly made preparations.

Turn on the ventilator, adjust the parameters, and connect the ventilation tube.

A video laryngoscope was opened and a disposable coat was installed.

Remove the tracheal tube, check for leaks, equip the guide wire, and lubricate.

All actions are done in one go!

Holding the video laryngoscope in his left hand, Zhang Tianyang managed to slide the laryngoscope in only two seconds amidst the turmoil of chest compressions.

The epiglottis was exposed, as was the access for endotracheal intubation.

However, chest compressions are tasks that require strength. As a popular male nurse in the emergency department, Nurse Ouyang's movements are also very standard.

The final result is that the picture seen under the visual laryngoscope is abnormally turbulent.

But what matters is not the turbulence of the screen, but that the approach is changing at any time, and there is no way to perform endotracheal intubation in this situation.

Zhang Tianyang squinted at the screen of the video laryngoscope that was shaking at any moment, and yelled at Nurse Ouyang.

"Intubation! Give me five seconds!"

"Five seconds is too late!"

Nurse Ouyang didn't stop pressing immediately, she was still sweating profusely.

"Do you want to call me Professor Yang!"

"Need not!"

Zhang Tianyang stared at the screen, "I can! You are ready to call me!"

Nurse Ouyang stopped talking and continued to press.

While pressing, the number was counted in his mouth. After the last few clicks, the voice gradually increased.

"Twenty-seven, twenty-eight, twenty-nine, get ready! I'll let you go!"

Zhang Tianyang frowned, and at the moment when the picture started to freeze, he held the endotracheal tube with half of the tube in the old man's mouth with his right hand, aimed at the entrance and sent it inside!

"Pull the wire!"

The moment Zhang Tianyang yelled, Nurse Ouyang reached out and grabbed the guide wire with great insight.

The next moment, nurse Ouyang pulled the guide wire out, and Zhang Tianyang continued to push the endotracheal tube in.

In place quickly!

It took less than five seconds at all!

"You can continue to press!"

Zhang Tianyang roared out his judgment, and his men kept on inflating the airbag quickly, connected the catheter to the ventilator, and turned on the automatic gear.

Over there, Nurse Ouyang rushed forward again at the first moment and continued to perform chest compressions.

In an emergency, it all depends on adrenaline. Now that she has calmed down, Nurse Ouyang couldn't help being shocked.

While continuing to press, he turned his head to look at Zhang Tianyang, who was putting dental pads on the patient and fixing the endotracheal tube.

The more I looked at it, the more I found the white coat said to be an intern to be pleasing to the eye.

As a nurse who has been in the emergency department all year round, nurse Ouyang has experienced too many rescues.

But look at the old man Zhang Tianyang is in charge of.

How long has it been since the discovery of ventricular fibrillation?

2 minutes?

Then what did Zhang Tianyang do?

He had chest compressions, first defibrillation, and was intubated.

Don't say anything else, just talk about endotracheal intubation.

Endotracheal intubation itself is an operation that requires skill, let alone a difficult airway, even if it is an ordinary airway, it is common for ordinary doctors to toss for five to six minutes.

Even for an experienced emergency doctor like Professor Yang, it is normal to intubate the trachea for more than a minute.

But what about Zhang Tianyang?

Be confident that you can be there in five seconds.

In fact, five seconds is really in place!

It's so arrogant!

Moreover, in the 2 minutes after the rescue started, in addition to the above operations, he also gave a bunch of oral doctor's orders.

The little nurse next to her had just retreated from another patient's chest compression rescue, when she was caught by Zhang Tianyang to pump adrenaline.

The white meat shield was also sent out to communicate with the family members.

His body is relatively safe, whether it is for himself or for his family members.

He grabbed one of the nurses at the guidance desk, and told him to look at the old lady of the family outside. Don't make a mistake, the old couple were sent to the emergency room.

Soon, another set of chest compressions ended, and within two seconds of the pause, the ventilator was just performing a new ventilation, and Zhang Tianyang pressed the stethoscope on the old man's lungs.

Although he is very confident in his operation, Zhang Tianyang still rigorously verified it.

"The sound of breathing is clear! The endotracheal tube is in place!"

While listening to the sound of breathing, he fixed his eyes on the curve on the monitor and quickly made a judgment.

"The patient's ventricular fibrillation has not recovered!"

The next second, the stethoscope was pushed aside by Zhang Tianyang, and he picked up the electrode pads that had been prepared by the side and pressed them seamlessly on the old man's chest.

"Prepare for the second defibrillation!"

"preparation!"

"Discharge!"

"Drip!"

The discharge reminder sounded, and the old man jumped up half of his body again, and was pressed down by Zhang Tianyang again.

"Keep pressing!"

The moment the voice just fell, Zhang Tianyang had already rushed forward, taking over the position of nurse Ouyang.

"Give me the adrenaline!"

Zhang Tianyang's movements were too fast, and the little nurse prepared the adrenaline pump according to the normal "rescue speed", but it still seemed to be late.

Nurse Ouyang quickly took the epinephrine pump tube and connected it to the old man's three-way tube.

Fortunately, the old man had an accident in the courtyard.

Not only is the monitor monitoring at all times, but all kinds of consent forms have also been signed, and the intravenous access has been established long ago.

In case the family members didn't make a fuss just now, put him outside and get an infusion.

Or just let him go home and have an accident on the way.

Then there is really no chance of coming back at all.

Nurse Zhang Tianyang and Ouyang took turns to perform chest compressions on the old man. At the same time, oral medical orders were continuously given and carried out.

Compression, defibrillation, ventilator emergency rescue.

Dopamine, norepinephrine, and adrenaline stimulate the heart.

Lidocaine, Esmolol antiarrhythmic.

Potassium chloride corrects electrolyte disturbances.

Magnesium sulfate sedative, antispasmodic therapy

All medical workers moved.

All the family members were terrified outside the door, looking forward to it.

But everyone can only do their best.

How is the result?

Resignation.

　In fact, I have always been puzzled. The department I am in does not recruit girls at all, but why do I have to undergo surgery every day?

　　Moreover, I only have three patients in my hands, so why do I have to perform two surgeries tomorrow after having undergone five surgeries in the past few days? ?

　　When asking people to come on stage, they don't say "call someone to help", but directly call the name, "call junior sister to help"

　　And I am the only junior sister!

　　Where is the problem!

　　

　

(End of this chapter)