From small clinic to medical empire

Chapter 82 Life Ambulance

In dry drowning, there is a kind of drowning after escaping water, which refers to a small amount of water entering the lungs. The patient's life is not in any danger at that time, and he dies within a few hours after escaping the water.

This phenomenon is common in children and adolescents. Although there is no discomfort at the beginning, as time goes by, the lung function is more and more affected, and symptoms such as fatigue, sore throat, cough, and difficulty breathing begin to appear, and then some strange behaviors will occur. behavior, and finally died of foaming at the mouth.

The reason for this symptom is that there is a certain defect in their own alveolar surfactant, which will be destroyed when it encounters the effect of water, causing loss of lung function.

Pulmonary surfactant is a compound synthesized and secreted by alveolar type II epithelial cells, which can effectively prevent alveolar overexpansion during inhalation and alveolar collapse during exhalation, and can effectively maintain the relative stability of alveolar volume and increase lung compliance.

……

You can ignore the above.

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In human terms, the human lungs are like a huge sponge. When it is fully contracted, it will become a mass of material the size of a ping pong ball, and it must rely on a leavening agent to maintain its shape.

The so-called drowning after getting out of the water means that these leavening agents are destroyed unconsciously by the patient, which is very critical.

Generally speaking, to deal with this kind of emergency, you must rely on mechanical ventilation, that is, a ventilator, and you need to assist the intervention of artificial alveolar surfactant.

The Haoran Outpatient Department currently has neither an emergency department nor a ward, and naturally there is no ventilator and other equipment.

Zhang Zifan originally planned to ask Li Chao to send the child to the nearest hospital for emergency treatment, but then he suddenly realized that the [Life Ambulance] has breathing equipment.

Even if not, relying on the heaven-defying hidden attributes of [Life Ambulance], it is enough to safely send the child to the hospital.

The condition will not worsen within 30 minutes, and the blood can be locked to the limit within 60 minutes. This is indeed a BUG-level rescue ability.

Carrying Chen Zexin, who had already started dancing due to lack of oxygen in his brain, Zhang Zifan completely forgot about being tired.

Li Chao, who was accompanying him while running, couldn't help but look at him with admiration. He didn't expect that this bookish-looking Director Zhang actually has the physical fitness comparable to a training pacesetter!
It's a race against death!
Finally, in less than 7 minutes, Zhang Zifan sprinted all the way from the fish selling farm community to the parking lot of the outpatient department with the child on his back, and carried the child into the ambulance.

At this time, Zhang Zifan finally breathed a sigh of relief, and he was not so anxious anymore.

【Life Ambulance】Have SA yellow license plate, registration certificates are all available, and you can hang the special siren for rescue when you go on the road.

According to Chinese laws and regulations, ambulances with sirens can speed and run red lights. With the performance of [Life Ambulance], they can definitely arrive at a hospital with first aid capabilities within 30 minutes, and even drive to the attached hospital without any problem.

However, Zhang Zifan breathed a sigh of relief, but Li Chao was still anxious.

He asked: "Doctor Zhang, what should I do next? Let me do cardiopulmonary resuscitation and artificial respiration, you rest!"

"No, go directly to the ventilator!" Zhang Zifan quickly stopped.

The disease has developed to this point, and the rescue effect by bare hands is no longer good, and the equipment on the ambulance is the most reliable!
What's more, Li Chao's wrist has just been broken, so he can't perform qualified chest compressions at all.

There is a joke in the emergency room that if you don't crush a few ribs of the patient, it is not called effective chest compression.

Although these words are exaggerated, they are basically true.

According to standard first aid actions, the patient's sternum must be pressed down by 5 cm.

With such a large range, as long as the patient's bone quality is not particularly good and strong, there is a high possibility of fracture.

In the past, there have been cases where the doctor managed to kill the patient and returned, but the family members claimed compensation for the patient's fracture. This is really Mr. Dong Guo and Bai Yanlang.

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Due to cost issues and the small space occupied, many ambulances are not equipped with ventilators, or are only equipped with simple ventilators.

This simple ventilator consists of a balloon and a throat tube, and requires intubation after a tracheotomy.

Since the doctors and nurses following the car are basically young people running errands and are unable to perform emergency tracheotomy, this simple ventilator cannot provide first aid for patients with sudden dyspnea.

The main purpose of putting such a thing on the ambulance is not to save people, but to continue life.

Many patients don't want to die in the hospital, and want to go home with a sigh of relief and wait for death. At this time, this kind of ventilator comes in handy.

Therefore, in Zhang Zifan's view, this ventilator is not so much a first aid device as a hospice device.

On the [Life Ambulance], the situation is completely different.

Like the most advanced on-board ECG monitoring equipment, here also has the most advanced on-board ventilator.

Since the patient still has a certain degree of spontaneous breathing, Zhang Zifan chose synchronous intermittent mandatory ventilation with a respiratory rate of 18 breaths per minute and a tidal volume of 700ml.

At the same time, blood gas, oxygen saturation and other data are detected and adjusted in real time.

Li Chao had never been in an ambulance, and had no concept of the space inside the car, so he didn't feel how amazing this huge car compartment that he could turn somersaults on himself was.

But for the equipment in front of him, his eyes are still shining.

Although I don't understand it at all, these high-tech medical instruments all reveal one word: expensive!

Thinking of Mr. Liu complaining about the lack of information materials recently, he quickly picked up his mobile phone and took a few photos.

……

"Di Di-"

There was a crisp horn sound outside the car. It was Yang Tingting who received the call and returned.

She stopped the scooter indiscriminately, and then quickly got into the ambulance.

"How is the child!"

After getting into the car, Yang Tingting hurriedly wanted to help, but found that under the mechanical ventilation, the child's complexion had gradually returned to normal.

At this time, Yang Tingting noticed the furnishings inside the ambulance.

This was the first time she stepped into an ambulance, and she was too shocked to speak.

"Don't stand still, go and drive!" Zhang Zifan shouted.

"What? You asked me to drive?" Yang Tingting didn't realize it all at once. Didn't Senior Brother Zhang call himself a heroine of the first aid team to turn the tide?
However, there was no time for her to continue thinking. Under Zhang Zifan's urging again, Yang Tingting bit the bullet and went to the cab.

God is sorry, although she drives a manual transmission, she has never driven an ambulance before!A B2 certificate is required to drive an ambulance, but who is free to take the B2 certificate test!

Although the driver's license is different, there is actually no big difference between an ambulance and a manual car when driving, except that the body is longer and more careful when turning.

After getting started, Yang Tingting unexpectedly discovered that the handling performance of this ambulance is excellent, the gears are soft, and the acceleration is excellent!
As a policeman, Li Chao could only pretend that he didn't see this kind of unlicensed driving under his nose. Instead, he kept calling his brother's unit to coordinate the traffic on the road.

And Zhang Zifan called Dr. Yan from the Emergency Department of the First Attached Hospital.

Yan Yejun was a doctor who entered the First Attached School in the same year as Zhang Zifan, but as a returnee, Dr. Yan was much better off than Zhang Zifan.

When receiving Zhang Zifan's call, Yan Yejun wanted to chat about family affairs. He had just applied for a National Natural Science Foundation of China recently, and it was the time when the spring breeze was in full swing.

Seeing Yan Bo and Brother Jun's little brother calling in the past, he naturally wanted to show off.

But when Zhang Zifan explained the situation, he realized the urgency of the matter, and immediately said that he was on duty and would help coordinate everything!
(End of this chapter)