Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 201 In an emergency, every second counts!

They immediately cast their flustered eyes on Lin Yi.

Seeing this situation, Song Borui couldn't help but frowned tightly.

The patient's heart stopped and he needed emergency chest compressions and cardiopulmonary resuscitation.

However, due to a piece of glass inserted in the patient's chest, chest compressions cannot be performed!
How can this be good!
"Epinephrine 1mg static push, hurry up!"

Lin Yi immediately said to the nurse.

Now the patient has suffered cardiac arrest and needs to restore his heartbeat as soon as possible.

Otherwise, once the heartbeat stops, beyond the golden 4 minutes, brain cells will die irreversibly.

Even if the heartbeat recovers, it may become a vegetable!
Under the urgent situation, Lin Yi didn't dare to hesitate!

He directly took a pair of scissors, and without any explanation, cut the patient's shirt.

He's going to open the chest and give the patient chest compressions.

Intrathoracic cardiopulmonary compression requires that after the chest is opened, the palm of the hand is inserted into the chest cavity, and the heart is pressed directly to make it resume beating.

Although the risk is high, the effect of compression is much better than chest compression.

After disinfection as soon as possible, wear sterile gloves, and use a scalpel to cut the skin from the 2th or 4th intercostal space to the pleura from 5cm from the left edge of the sternum to the left midaxillary line.

Then Lin Yi stretched his right hand into the chest cavity and squeezed the outside of the pericardium with one hand.

Keep pressing 80-100 times per minute while closely observing the patient's response.

Song Borui was stunned when he saw that Lin Yi was going to perform chest compressions on the patient.

This is too fierce!

Brother Yi played all extreme moves today!

It was the first time he had seen the chest opening and cardiac compression in the emergency department for so many years.

Doctors are generally afraid to do this because the risk is too great.

"Brother Yi, you are... a bit risky!"

Lin Yi's pressing action did not stop at all.

He said directly:
"Do you think we still have a choice? If we don't, he will definitely die!"

Song Borui was speechless for a moment.

Indeed, even if you are not a doctor, you can tell the difference, and the priority must be to save the patient's life.

Even if the patient has a serious infection due to chest compressions, it can still be controlled with antibiotics.

If the patient's heartbeat cannot be saved, his life will be over.

Seeing Lin Yi's skillful movements and resolute face, Song Borui swallowed his words to stop him.

Lin Yi pressed his heart tightly in a regular manner.

Finally, the patient's heartbeat resumed again.

Lin Yi was fine, Song Borui breathed a sigh of relief.

He couldn't help but look at Lin Yi with admiration again.

He found that Lin Yi's chest compressions were very skillful.

This chest compression, if he was asked to do it, it would not be so easy and have such a good effect.

Seeing that the patient had finally recovered to sinus rhythm, Lin Yi also breathed a sigh of relief.

However, the patient in front of him did not survive the danger, but only temporarily stabilized his vital signs.

He still needs to have an operation as soon as possible to pull out the shards of glass stuck in his chest.

Otherwise there is still a risk of cardiac arrest.

There are currently two patients who need emergency surgery.

One is the patient with a comminuted fracture of the left lower limb and a ruptured femoral artery, who must be operated on as soon as possible.

Otherwise, life is in danger!

Secondly, it is the patient in front of him with a glass in his chest.

If surgery is not performed soon, there is a risk that the heart will stop beating again.

The patient with tension pneumothorax has now been exhausted.

Just watch your vital signs closely.

There were also a few bruises, and patients with broken upper limbs who did not need emergency surgery.

There is also a patient with craniocerebral injury who is still conscious.

Although there is subdural hemorrhage, it is not too much and can be observed temporarily.

However, this patient with subdural hemorrhage needs regular review of head CT to prevent increased bleeding.

Once this patient becomes comatose or the disturbance of consciousness worsens, it means that the subdural hemorrhage has increased, and surgical treatment is required if necessary.

There are two patients who need emergency surgery, but every doctor is busy.

This made Lin Yi face a difficult situation.

After thinking about it, Lin Yi said to Song Borui:

"Borui, please refer to the orthopedic department for the patient with the comminuted fracture of the left lower limb."

"Patients can't wait anymore, they must be operated on as soon as possible. We can't spare manpower, so we have to transfer it to the orthopedics department."

"But the patient in front of me with hemorrhagic shock must also undergo surgery as soon as possible, the two of us will do it together!"

At present, only Song Borui is free to be with him.

Lin Yi must go to the operating table with him as soon as possible to operate on the patient!
Song Borui immediately agreed and said:

"Okay, no problem, what do I need to do?"

Lin Yi pointed to the film made by the patient and said:
"The inserted glass slice was at least five centimeters deep, and it has already injured the pericardium and lung lobes."

"I can do this operation, but you need to hold the glass piece steady so that it doesn't shake."

Lin Yi has absolutely no problem with taking glass slices for this operation.

But the premise is that someone needs to stabilize the glass to prevent the glass from shaking and aggravating the damage to the heart.

That is to say, the first assistant requires a particularly stable hand.

He was holding the glass slide, and it couldn't be shaken in the slightest, so as to facilitate Lin Yi's operation.

Song Borui looked at the position of the glass on the film, nodded directly and said:
"Okay, Brother Yi, I must hold the glass and keep it still."

"That's good, get ready for surgery!"

"Have the family members come? Hurry up and get them to sign."

Wang Qiaoya on the side hurriedly said:

"Brother Yi, the family members of the patients injured in the car accident here are all outside the hall. I'll go and call the family members of this patient."

Soon, Wang Qiaoya called the man's family.

Lin Yi explained to the family in detail that the patient's condition was very critical and that an operation must be performed immediately to remove the glass slides.

Otherwise, the heartbeat may stop again, and it may not be possible to rescue it again.

After a few minutes of preoperative conversation, the family members hurriedly signed and agreed to the operation.

The patient is then wheeled into the operating room.

Because other doctors are busy.

This operation was performed by Lin Yi.

The first assistant is Song Borui, and the second assistant is Chen Qiang. Let him pull the hook and cut the thread.

Lin Yi and Song Borui also hurriedly made preparations, washing hands and disinfecting in the bathroom.

Then I came to the operating room, put on surgical gowns and sterile gloves, and stood on both sides of the patient.

"From now on, Bo Ruiying will be responsible for stabilizing the glass so that it doesn't shake. I'm about to start the operation."

Holding a scalpel in his right hand, Lin Yi said to Song Borui cautiously.

Song Borui also looked dignified, firmly holding the glass piece with his right hand, and nodded heavily.

"Okay, Brother Yi, don't worry, the glass will never shake even the slightest bit!"

(End of this chapter)