medical road high rise

Chapter 262 Full Firepower ([-])

Chapter 262 Full Firepower ([-])

Although adrenaline has a toxic reaction, it is a life-saving drug when injected in an appropriate amount. Only one mg of intravenous injection is needed to save lives.

"Defibrillation!"

Another nurse, Qian Yi, took another injection needle, smashed the 2% lidocaine test tube, and then used the method of intravenous injection to defibrillate the patient.

Because electric shock defibrillation is too extravagant for the current simple operating room, it is a great effort to connect a few common equipment to the power supply.

Qin Feng performed positive pressure ventilation on the patient, allowing the drug to diffuse into the bronchi on both sides under the pressure, and enter the left ventricle after being absorbed by the bronchial mucosa capillaries.

After the lidocaine injection, Qin Feng's frequency became faster, but it still had no effect.

Glancing at the ECG monitor, Qin Feng's heart sank to the bottom of the sea.

The above results made everyone in the operating room feel desperate. In routine cardiopulmonary resuscitation operations, if the patient's heartbeat has not recovered after drug defibrillation and electric shock defibrillation, then the patient can be declared dead.

"Xiao Qin, why don't you give up." Li Xuewen advised.

Qin Feng shook his head stubbornly, "There must be a way, we can't just give up."

"Oh." Li Xuewen sighed.

It was obvious that his persuasion was useless, and Li Xuewen had also seen many stubborn doctors, all of whom would not give up until the Yellow River.

It's just about giving up this matter, it seems that after giving up once, it will become a matter of course later.

On the contrary, Qin Feng's refusal to give up will only benefit and not harm him in his future career as a great doctor.

Li Xuewen decided to respect Qin Feng's choice, no matter whether he could save the patient or not, Li Xuewen would accompany Qin Feng regardless of the final result.

"I've thought of a way!" Qin Feng looked happy, "Use 5ml of 250% sodium bicarbonate and 1ml of 5% procaine."

Li Xuewen recalled these two drugs in his mind. Sodium bicarbonate is to correct the acidosis after long-term hypoxia, and procaine can directly act on the ventricle to reduce the stress of the myocardium.

After taking another look at the patient, the patient's myocardium was still responding. Qin Feng's method seemed to be really useful.

Li Xuewen started injecting sodium bicarbonate, Qin Feng injected procaine, and then Qin Feng performed chest compressions.

Inject again.

Repeated three times, when Qin Feng pressed the upper chest for the third time, the sound of the ECG monitor sounded.

"Drip drip!"

"There is a response!" Nurse Zhao Ran shouted.

Qin Feng and Li Xuewen looked back at the same time, and saw that the ECG monitor, which had been silent for a long time, suddenly started beating, which meant that the patient's heartbeat had recovered.

Qin Feng clenched his fist excitedly, which proved his persistence was right.

Li Xuewen wept with joy, tears streaming down his face.

Qin Feng blinked his eyes. Since he was wearing protective clothing, Qin Feng's tears could not be wiped away. He could only blink his eyes so that the tears would not affect his vision.

With the recovery of the heartbeat, the patient's blood pressure gradually stabilized, and Qin Feng also took his hand out of the patient's chest cavity.

At the pericardial incision site, tiny blood spots began to appear, which was a sign that the heart's pumping function was restored, which was good news.

Qin Feng didn't stop, he ligated Zhang Xiu'e directly, and flushed the pericardial cavity and chest cavity.

Then he took a scalpel and made a pericardial drainage incision on the back side of the phrenic nerve, and then perfectly divided the pericardium together. After completing the pericardial treatment, Qin Feng performed another chest tube drainage.

This is to facilitate the transportation of patients. The takeoff of rescue helicopters at this moment is not counted. As long as there are critical patients, they will arrive, provided that the weather can reach them.

Qin Feng finally put down the needle-holding forceps, and he breathed a sigh of relief.

Li Xuewen looked at Qin Feng, suddenly a little dazed.

Patients who were clearly on the verge of death were rescued by Qin Feng. If Li Xuewen was the surgeon, with Li Xuewen's experience, there would be no need to rescue this patient.

The heart stopped beating for nearly 10 minutes, and the defibrillation was ineffective. At the same time, there was no electric shock and defibrillation. The probability of being rescued can be said to be zero.

However, Qin Feng created a miracle.

At this moment, Li Xuewen began to reflect on himself.

Is it possible for those patients who were abandoned by me before, as long as I think about the medicine again, will there be a chance to save them?

Since when did you start judging the patient's life and death based on your experience?It seems that the patient is just a commodity in the eyes.

It seems that it started when I gave up for the first time. At that time, I was still as stubborn as Qin Feng, but the operation failed because of my stubbornness, and after experiencing the medical trouble, my heart completely cooled down.

What I am afraid of is not the failure of the operation, but the series of things that happen after the failure of the operation.

The patient was pushed out of the operating room, and Qin Feng stood there gasping for breath. The repeated pressure was also a test of Qin Feng's endurance.

The nurse poured Qin Feng a glass of water and gave it to Qin Feng to drink. Now that Qin Feng's hands are stained with blood, it is unrealistic to hold a glass.

Li Xuewen took off his sterile gloves and threw them into the waste bin, then picked up the water glass brought in by another nurse and drank from it.

Qin Feng just moistened his lips and didn't drink much.

"Dr. Qin, drink more. You haven't drank any water all afternoon." Nurse Zhao Ran said.

"I want to go to the toilet after drinking too much. Once I go to the toilet, this isolation suit is useless." Qin Feng shook his head.

Then Qian Yi silently wiped the blood on Qin Feng's body, and then performed a second disinfection. Qin Feng stood the whole time.

Before Qin Feng had time to rest, another seriously injured patient was brought in.

I heard that it was found in the ruins of the hospital. I don't know if it is a doctor or a patient, but the condition is very serious and the spleen has ruptured.

"Xiao Qin, why don't you rest for a while, and I'll come?" Li Xuewen was worried when he saw the tired look on Qin Feng's face.

"Adrenaline push." ​​Qin Feng ignored Li Xuewen.

The nurse pushed statically, while Qin Feng cut open the patient's abdominal wall, and then put his hand in to operate.

Ten minutes later, Qin Feng picked up the broken organs, stitched them up, and sent them to the temporary departure point to wait for today's rescue helicopter to arrive.

"By the way, remember to ask the rescue helicopter to bring more adrenaline and antibiotics today." Qin Feng said.

Li Xuewen nodded, and explained to Chen Peng when sending the patient out.

As for the other two doctors, knowing that their skills were not as good as Qin Feng's, they chose to treat patients with minor injuries who needed suturing. Critical patients were sent to Qin Feng.

It also made Chen Peng feel lucky. Fortunately, Qin Feng was there, otherwise the death rate of the wounded would have increased by at least 80%.

"Thank you Doctor Qin for me." Chen Peng said.

It was inconvenient for him to go in the operating room, and he didn't dare to go in.

Although they rescued people outside, the operating room with three tents is now a holy place in the eyes of all rescuers in Yingxiu County. As long as the wounded are sent in, their lives can be saved.

(End of this chapter)