Back in 2002 as a doctor
Page 270
He was afraid of what would happen if Zhou Congwen was "right" again if he was wrong.
Staring at the monitor, Director Sui was really afraid that something might happen to the patient after the tourniquet was loosened.
But although the tourniquet is not often used, it is not particularly rare. Director Sui rarely sees such a serious injury in front of him, but he has seen patients who use a tourniquet.
Director Sui has seen patients with tourniquets, but nothing happened.
It is possible that Zhou Congwen made a fuss out of a molehill!
This little doctor is simply too arrogant, even pointing fingers at orthopedic patients, Director Sui is very upset.
one second……
ten seconds...
30 second……
60 second……
As time passed bit by bit, Director Sui saw that the patient's blood pressure dropped slightly, but Liu Wei immediately increased the drip rate of dopamine.
Director Sui was really worried that the patient's blood pressure would drop suddenly, and he needed emergency treatment.
But he thought a lot, but he didn't think of the reason why the blood pressure suddenly disappeared.
The infusion channel has already been established, blood is being given, and there are various other colloids and crystals. The blood volume of the patient has already been replenished, and nothing will happen.
Just as Director Sui guessed, after waiting for a full 3 minutes, the blood pressure on the ECG monitor was still stable.
Seeing that the blood pressure was stable, Director Sui sneered and began to treat the patient's wound.
When Liu Wei heard Director Sui's sneer, he felt a little embarrassed, and felt that the laughter was harsh.
He wanted to refute, but he didn't know what to say.
Glancing at Zhou Congwen, Liu Wei was a little surprised.
Zhou Congwen's expression was rarely serious, and Liu Wei could feel the nervousness during emergency rescue from Zhou Congwen.
He has a lot of thoracic teams. Zhou Congwen took over the command of emergency rescue on the operating table a few times before, and Zhou Congwen exuded this kind of aura when he left Wang Chengfa aside.
It is said that the breath is more idealistic, but Liu Wei is sure that he did not "see" wrong.
Is there any problem that the patient has not discovered?Liu Wei stared at the ECG monitoring again in surprise.
It's okay, all indicators are stable, and the blood pressure is slightly low, but it is enough for patients with hemorrhagic shock.As for blood pressure, just enough is enough, why make it so high.
The patient's heart rate was slightly elevated, but this could also be explained by hemorrhagic shock.
Sinus rhythm, blood oxygen saturation is also normal, what the hell is Zhou Congwen looking at!
"Old Liu, I'm here."
During the stalemate, the anesthesiologist on emergency standby came in hastily.
"I'm looking at this, you go to the surgery room next door." Liu Wei didn't leave, but stayed here.
In a while, if Director Sui puts on the airs of the chief orthopedic director to hurt Zhou Congwen, Liu Wei is ready to roll up his sleeves and do it.
Liu Wei knows how much money he earns in the chest department in a month, so who should he help?Even if Zhou Congwen doesn't take it seriously, I have to stand by his side.
Shit, every time Director Sui mentions the chronic surgery, he is so late. Others open at 08:30, and the orthopedic department has to open at 10:30.
Liu Wei has already begun to turn over the black accounts in his heart, preparing for the unexpected needs in case of a quarrel.
"Xiao Zhou." Director Sui said gently.
"Well, what's the matter, Director Sui?" Zhou Congwen replied, his eyes were fixed on the ECG monitoring, and he didn't leave for a second.
"Why are you preparing so many things? Are you worried that the patient's blood will enter the room?" Director Sui laughed, "I've already found all the blood vessels. You must be too careful."
Director Sui's words sounded fine, but there was a big problem with his tone.
How to say exactly the same words, his tone was full of bitter sarcasm, and Liu Wei was furious in his heart.
"Oh, be careful, there is no big mistake." Before Liu Wei had an attack, Zhou Congwen replied flatly, "It is best not to have an accident, and if an accident occurs, it will save you from being in a hurry."
"An accident? What could have happened. Do you think I'm from your department, a bunch of melon eggs?" Director Sui looked up at the ECG monitor. The patient's vital signs were still stable, and he satirized Zhou Congwen while performing the operation happily.
The revenge of being pointed at the nose and scolded last time has finally been avenged, and this little guy must know the seniority of the hospital!
Director Sui thought to himself.
His body seemed to be a little lighter, and the operation went smoothly, and he was very happy.
"Director Sui..." As soon as Liu Wei spoke, Zhou Congwen raised his left hand, Liu Wei was taken aback, and then swallowed all the words.
What the hell!Liu Wei cursed secretly in his heart, Congwen was still too cautious, so what if he scolded Director Sui a few times.
It's like this in the work unit. If you don't bark your teeth, there will always be some bitches who think it's easy to bully.
However, Liu Wei respected Zhou Congwen's opinion and did not argue with Director Sui.
18:34 minutes.
The patient's vital signs remained stable, and the blood pressure, which had dropped slightly before, also increased under the action of dopamine.
"Your thoracic department has had a lot of chronic operations recently, but Xiao Zhou, let me tell you the truth." Director Sui was even more happy to see the patient's blood pressure rising instead of falling, and his sour tone could not be resolved.
"External experts can only be hired for a while, not for a lifetime. Only those who have learned their skills can be regarded as skills. Don't you really think that the amount of surgery in thoracic surgery has anything to do with you?"
I want you to manage! I*&^&*^*……
Liu Wei cursed viciously in his heart.
"I came from the People's Hospital. It is an evil way to invite experts from outside. You are going astray. You are not afraid of going astray, but you are afraid that you think it is all your own ability."
"A tall building rises on the ground, and you don't even have a foundation. Isn't this nonsense. It's like you just asked to prepare so many things. Tell me, what's the use?"
Director Sui satirized Zhou Congwen very easily, just like the last time Zhou Congwen pointed at his nose and scolded him.
He was in a good mood, very happy, extremely happy.
Liu Wei wanted to refute several times, but he was a little surprised when he saw that Zhou Congwen's expression didn't change at all, and he was staring at the ECG monitoring closely.
18:35 minutes.
The ECG monitoring suddenly called the police without warning, and the blood pressure plummeted like a cliff.
This... an old anesthesiologist like Liu Wei was stunned, was it a hallucination?
Chapter 0470 Kneeling
"Keep the airway open."
At the moment when everyone panicked, a steady voice sounded.
Liu Wei immediately calmed down, and immediately checked the patient's airway.
"See if the cable is not connected properly." Director Sui was a little flustered, his voice trembling.
At the same time, Zhou Congwen stood on the left side of the patient's body and began to perform chest compressions.
"Prepare for defibrillation."
"Epinephrine 1 mg, intravenous injection."
"Whole blood, 200, hang a bag."
"Dopamine tuned up."
"Give me the defibrillator!"
A series of medical orders came out of Zhou Congwen's mouth in an orderly manner. No one paid attention to Director Sui's trembling voice, and got busy following Zhou Congwen's medical orders.
"Put on the ice cap."
"Call the echocardiogram for the bedside machine."
"Furosemide, 40mg IV."
"..." Liu Wei was startled when he heard the doctor's order.
The patient's blood pressure is gone, and the booster drugs are not enough at this time, so furosemide should be given?Was Zhou Congwen confused, or did he hear it wrong?
"Congwen, furosemide?" Liu Wei asked.
The rhythm of the rescue stopped, Zhou Congwen didn't even look at Liu Wei, and said coldly, "Push!"
Just one word, extremely domineering.
Even Liu Wei suspected that Zhou Congwen came on stage without brushing his hands. If he was standing on the operating table, the hemostatic forceps would have already flown over.
He had seen Zhou Congwen throw hemostatic forceps at people, and he had also heard that it seemed that someone from the group company broke into the operating room and was thrown out by him.
furosemide!
Liu Wei had no choice but to bite the bullet and push 40mg furosemide to the patient.His hands were shaking when he pushed, isn't this doctor's order really random?
But Liu Wei still pushed the medicine in.
Liu Wei knew in his heart that at this time he did not understand but carried out the doctor's order not because of the large amount of money given by the chest department, but because of Zhou Congwen's miraculous performance after several rescues.
Pulmonary embolism can be rescued by Zhou Congwen. It is best to listen to what this kind of person says.
With the addition of oxytocin, Liu Wei got to the bottom of it and was already on his knees, so even though he was very scared, he pushed the medicine into it.
hope……
Zhou Congwen don't lose the chain this time.
"10ml calcium bicarbonate intravenously."
"Epinephrine 1 mg intravenously."
"Morphine 5 mg intravenously."
"One static push each of methylprednisolone and prednisone hydrochloride."
Zhou Congwen gave the doctor's orders while doing chest compressions.
There is no problem with these doctor's orders, and they will be pushed into the patient's vein as soon as possible.
Director Sui stared blankly at Zhou Congwen doing chest compressions. He wanted to regain the right to rescue, but what's the use of regaining it?I don't even know why the patient's vital signs plummeted and fell to the bottom.
Rescue is not just about taking care of vital signs. Director Sui looked at Zhou Congwen in a daze, feeling an indescribable light radiating from his face.
Suddenly, Zhou Congwen, who was doing chest compressions, said in a deep voice, "Turn your body to one side."
Director Sui twisted his body subconsciously, but immediately he knew that Zhou Congwen was talking about patients.
It was so embarrassing, Director Sui was helpless, but fortunately no one paid attention to his actions.
Do a good job of resuscitating the patient, what are you doing to move the patient, aside from delaying the rescue, in Director Sui's opinion, there is no benefit.
Thinking so, Director Sui didn't say it.
The strange condition of the patient was beyond his cognition.
Maybe it makes sense or maybe, Director Sui also knelt unconsciously, but he didn't feel the change in himself.
Liu Wei immediately moved the patient's head, paying attention to protecting the cervical spine, and turning the head to one side.
Sure enough, the next second, Director Sui saw countless blood foam spraying out from the patient's endotracheal tube, like a fountain.
Luckily, he didn't push himself blindly, Director Sui secretly rejoiced.
"Suck!" Zhou Congwen roared loudly, and Liu Wei, who was dumbfounded, reacted quickly, and immediately inserted the suction tube.
The hissing sound continued, and the blood foam was continuously sucked out.
It wasn't until then that Liu Wei knew why Zhou Congwen gave furosemide to him—the patient had reexpansion pulmonary edema!
Originally, Liu Wei didn't know much about this disease, but after Li Qinghua came, Wang Chengfa performed a thoracoscopy, and happened to encounter reexpansion pulmonary edema.
After that, Liu Wei studied it carefully.
Thinking back to Zhou Congwen's push for furosemide just now, he foresaw the very rare reexpansion pulmonary edema in the patient!
It's amazing!Liu Wei admired while sucking the blood foam in the patient's respiratory tract.
Just like when the patient's blood pressure and heart rate were stable, Zhou Congwen prepared the rescue medicine and equipment, his eyes seemed to travel through time and space, and saw the patient's impending complications.
Awesome!
Liu Wei thought about it while sucking on the blood foam, and his admiration couldn't be further increased.
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