medical road high rise

Chapter 281

A Will Eternal Chapter 281

With Wang Xiong's help, Qin Feng freed his hands and asked the nurse for a 50ml syringe needle.

When he was about to give the needle, Qin Feng suddenly realized that he had to seek the consent of the patient's family before he could do the cricothyroid membrane puncture.

This puncture is dangerous, otherwise, if something happens, the family members can sue Qin Feng for it.

Qin Feng went out to explain the situation to the patient's family, and the patient's mother shouted: "I promise anything, as long as it can save my child."

The patient's father also nodded, and Qin Feng asked the nurse to contact Li Xuewen to prepare a consent form, while he went into the rescue room again.

This puncture is also a must.

The patient suffered from organ blockage caused by eating grapes. Direct intubation is definitely not an option. The upper end of the trachea is blocked by grapes. The only option is to open an opening through the lower trachea.

Let the air enter the patient's lungs first, to ensure the patient's support, and then have a chance to save the patient.

"Give me the needle, and you go prepare the tools for tracheotomy." Qin Feng said.

The nurse nodded quickly and left.

Qin Feng pinched the needle with his right hand and the side of the patient's neck with his left hand, found the cricothyroid membrane by touch, and pricked it with a needle.

"scoff~"

There was a sound of airflow like deflation, Qin Feng raised his head and glanced at the ECG monitor, the waveform on it had ups and downs.

Wang Xiong is still pressing. Compared with the previous pressing, Wang Xiong's psychological pressure is much less now.

After all, the patient's heart rate was still zero during the previous compressions, and the more he pressed, the more panicked he became.

But now that there are fluctuations, it proves that there is an effect, and it is a kind of encouragement to Wang Xiong.

Qin Feng opened the patient's mouth, shone in with a medical flashlight, and saw round green grapes shaking with the fluctuations of the airflow.

After waiting for a while, the nurse brought over the surgical kit for the tracheotomy.

"Doctor Qin, surgical kit."

"Thank you."

Qin Feng directly tore open the surgical kit, put on sterile gloves, performed seven-step disinfection, picked up the scalpel in the surgical kit and dropped it.

The selected area is the safe triangle area of ​​the neck. This area is the triangular area with the suprasternal fossa as the top and the front edges of the sternocleidomastoid muscles on both sides as the sides.

Qin Feng began to speed up, and the movement of his hand separated the trachea very quickly, and Qin Feng cut it open with a knife.

The air flow rushed into the air duct, making a whirring sound.

Qin Feng connected the patient with a medical trachea, which belongs to assisted breathing.

The trachea was connected, and the gas pushed out by Wang Xiong spurted out along the trachea, and a gurgling sound could be heard.

"Ventilator, prepare 1mg of epinephrine." Qin Feng said.

Another nurse quickly pushed over the ventilator that had already been prepared. Pure oxygen entered the patient's lungs through the ventilator, combined with the blood, and then merged into the heart.

Wang Xiong continued to press, the fusion of blood and oxygen became faster.

Wang Xiong's forehead was already dripping with sweat. He didn't know how many sets of CPR he had done. At this moment, he only felt that his shoulders were filled with lead.

"Huhu~" Wang Xiong panted heavily, but his speed slowed down a lot.

Qin Feng glanced at the ECG monitoring and said: "Change to me!"

Switching without gaps, the moment Wang Xiong let go, Qin Feng pressed up.

Wang Xiong's two arms were loosely placed, and he stood aside and gasped for breath. Only doctors who have experienced cardiopulmonary resuscitation can understand this feeling.

"Push adrenaline." Qin Feng roared.

The nurse quickly pushed in the prepared adrenaline.

1 minutes.

2 minutes.

3 minutes.

The patient's ECG still did not change, Qin Feng shouted again: "Push again!"

"Yes! There is ventricular fibrillation!"

Wang Xiong shouted excitedly.

Qin Feng breathed a sigh of relief, stopped the cardiopulmonary resuscitation, and directly took over the defibrillator for defibrillation.

a bit.

Twice.

The ventricular fibrillation stops and the adrenaline rushes in again.

It lasted for a full 15 minutes, with a bolus of epinephrine every 3 minutes, and the patient's electrocardiogram finally appeared normally.

"The electrocardiogram is here."

Hearing the excited shouts in the emergency room, Qin Feng stopped his hands and looked at the electrocardiograph. The ST segment and T wave on it were constantly rising.

"Saved!"

Qin Feng breathed a sigh of relief, and continued defibrillation for 15 minutes, and Qin Feng felt a lot of pressure in his heart.

After all, Qin Feng is not a god, he can only ensure that his surgery is perfect, but this kind of suffocation is sometimes really fateful.

"Doctor Qin is amazing!"

"Invincible!"

Not knowing who would start first, all the participants started shouting.

Fortunately, there is no one else in the rescue room, so the rescue of others was not disturbed.

Qin Feng waited for the emergency room door to open and said with a smile: "The patient has been rescued."

"Thank you, doctor, you are a living Bodhisattva!" The patient's mother knelt down at the door for Qin Feng as she spoke.

The patient's father did not hesitate at all, and knelt down with his wife.

Qin Feng deserves their kneeling.

It's just that this made Qin Feng a little flustered, and quickly pulled the two of them up.

"Don't do this, this is what I should do."

Welcoming the patient's family members into the emergency room, Qin Feng began to give medical orders, and as for the grape, Qin Feng also took it out.

As long as the heartbeat is restored, these foreign bodies are minor operations.

Before Qin Feng had time to leave the emergency room, another patient was pushed in.

"Doctor Qin, you are here, come and see this patient." The ambulance followed Doctor Che.

"What's the condition of the patient?" Qin Feng asked.

"The patient had vomiting of blood before coma. According to the instrument test, the initial diagnosis was gastrointestinal bleeding." Doctor Cha said.

Qin Feng frowned, the digestive tract was bleeding, and he didn't seem to have dealt with it yet.

But now I can only take over by myself, and then see if there is a doctor with relevant experience.

"I'll do the rescue first, you go to contact Director Zhao or bring Dr. Li over," Qin Feng said.

"Doctor, you must save my dad!" said the patient's son.

Qin Feng looked up and found that two family members of the patient had followed in, namely two sons.

"Connect the ECG first."

Qin Feng issued orders one after another, and soon the instruments were connected.

It's just that the data presented by the patient is really not good. The blood pressure is only 70/40mmhg, the heart rate is 130 beats per minute, and the blood oxygen saturation is only 95%.

Blood pressure is very low, and the cause should be related to hemorrhagic shock.

"Open the vein."

Qin Feng opened three intravenous channels in one breath, and the blood transfusion, fluid infusion, and drug infusion were carried out simultaneously.

"Before coma, the patient vomited blood a few times, do you know?" Qin Feng asked.

"I'm not sure, maybe three or four times." The eldest son said, "But each time the amount is very large."

"A large amount?" Qin Feng's expression became serious, "Wang Xiong, take a blood test from the patient and pay attention to retaining urine for routine urine collection."

Wang Xiong nodded, and quickly took over the work that Qin Feng had given him.

Qin Feng continued to ask about the patient's condition, "Did the patient suddenly vomit blood or did he vomit blood before?"

(End of this chapter)