I Can See Health Chapter 175

Chapter 175 Don't, don't, you are my senior brother!

"Ventricular fibrillation again!"

Lu Chen just ran to the bedside, and the ECG monitor at the patient's bedside showed ventricular fibrillation again!

Lu Chen roared, and after reminding the surrounding medical staff to pay attention, he started chest compressions.

"The patient is 70 years old this year. He has coronary heart disease, high blood pressure, and diabetes in the past. When this incident happened, he was still far away from the scene of the incident. After being frightened, he started to get sick!"

Gong Nannan explained the patient's condition and brought a defibrillator.

"Charge is complete!" Gong Nannan adjusted the defibrillation energy.

"Junior Brother, I'm ready to defibrillate!" Wang Xiaodong took the defibrillator and spread the conductive paste evenly.

"it is good!"

Lu Chen nodded and withdrew from the hospital bed.

Wang Xiaodong immediately took his place and placed the two electrode pads of the defibrillator on the patient.

"boom!"

After the discharge, the ECG monitor is still ventricular fibrillation!

Wang Xiaodong put down the defibrillator, and Lu Chen immediately started CPR again!

failed, is it an acute psychogenic reaction?

No, if it's just a stress response, then it won't be ventricular fibrillation all the time?

But now is not the time to think, the most important thing is to convert the patient's ventricular fibrillation first!

"Junior Brother, you come to defibrillate, do it again!"

"it is good!"

Continue to charge, 360J energy.

Lu Chen took over the defibrillator and discharged it!

"boom!"

The second defibrillation is over.

On the ECG monitor, the ventricular fibrillation rhythm was finally converted into sinus rhythm.

Wang Xiaodong breathed a sigh of relief.

Lu Chen put the defibrillator aside and frowned: "Sister Nan Nan, check the patient's cardiac enzymes, I think it's not as simple as a stress reaction!"

"Okay." Gong Nannan nodded and immediately started preparing the test tube for blood collection.

Lu Chen brought an electrocardiograph and performed an electrocardiogram on the patient. The ST depression in the chest leads and the extensive T wave inversion!

"Junior brother, do you think it is ventricular fibrillation caused by acute coronary syndrome?" Wang Xiaodong said aside.

"It is possible." Lu Chen said, "The patient has a medical history, and various malignant arrhythmias are prone to occur on this basis."

"Well, it makes sense." Wang Xiaodong nodded.

The emergency room of the emergency ward was already overcrowded.

Lu Chen is currently taking care of two critically ill patients, one with head trauma and cerebral hemorrhage, and the other with ventricular fibrillation just now.

Wang Xiaodong went to deal with the newly arrived critically ill patients.

"Is there any free nurse, here is a patient who needs catheterization!"

Lu Chen was beside the rescue bed, and a young doctor shouted to the surroundings.

But in the ward, all the nurses were busy, the environment was noisy, and no one heard his voice at all.

"Is there a nurse, this patient can't hold back!" He called four or five times, but still no one responded.

"Senior brother, you help me take care of these two patients, I'll insert the catheter."

Lu Chen walked to the young doctor and pointed to the two hospital beds beside him.

"You? Can you insert a urinary catheter?" Ning Siyang frowned and looked at the unfamiliar classmate in front of him.

He is currently rotating in the emergency department, and he doesn't seem to have seen this person yet.

"I will. I've been inserted in the ward many times." Lu Chen nodded.

He has trained countless times in the virtual space, and has many practical experiences in the eight areas of his heart.

Ning Siyang was still a little hesitant.

If you are a novice and damage the patient's urethra, it will be even more troublesome.

"Ning Siyang, Lu Chen will insert it, you can let him come." Gong Nannan, who was collecting blood from the patient, raised her head and said something.

Hearing Gong Nannan's words, Ning Siyang believed, "Okay, then you can insert the catheter, and I will take care of the patient."

Lu Chen nodded, and immediately found a catheter kit.

Disinfect, spread towels, lubricate the catheter, find the urethral opening, and insert the catheter. .

In less than thirty seconds, Lu Chen's operation was completed.

"Ah? You, you..." Before Ning Siyang had time to react, he felt that this junior brother was done.

too fast!

Faster than he saw those nurses insert catheters before!

"Senior brother, don't put too much the first time, four hundred is enough, put it slowly, otherwise the bladder will easily bleed."

"Oh." Ning Siyang stared blankly at Lu Chen, feeling that this junior brother is a little unusual!

At this moment, the old man with ventricular fibrillation just now, the ECG monitor at the bedside suddenly alarmed.

Lu Chen looked back.

Heart trembled.

I wipe, why is he having ventricular fibrillation again!

What's even more terrifying is that the old man's blood oxygen has also dropped!

Lu Chen immediately rushed to the bed and started chest compressions.

Ning Siyang also picked up the breathing bag at the head of the bed, fastened the mask on the patient's face, and performed balloon-assisted ventilation.

"Sister Nannan, hurry up and call Senior Brother Wang over!" Lu Chen shouted at Gong Nannan.

"Okay!" Seeing this, Gong Nannan ran out immediately.

Lu Chen pressed about 30 times, and he found that the patient's ventricular fibrillation actually recovered!

Although the heart rate is still fast, the heart rhythm waveform is normal!

He stopped chest compressions.

However, the blood oxygen of the old man is continuously decreasing!

"No way! I need endotracheal intubation!" Lu Chen said loudly.

Ning Siyang was taking some balloons, kept pressing, delivering oxygen, "Intubation? Then we have to wait for Senior Brother Wang to come."

As soon as he finished speaking, he saw Lu Chen take out the tracheal intubation equipment from the rescue cabinet, including the laryngoscope and the tooth pad.

"Junior Brother, you, you..." Numerous question marks appeared on Ning Siyang's head.

This guy actually has to intubate his own trachea?

They did learn about endotracheal intubation and took the exam.

But it has never been used clinically!

"Senior brother, this patient can't wait any longer!" Lu Chen frowned.

Balloon-assisted ventilation alone cannot maintain blood oxygen.

The continuous decrease of blood oxygen will cause hypoxia to major organs, especially the brain to supplement hypoxia, and the consequences are almost irreversible damage.

On Lu Chen's side, he had already prepared all the supplies for endotracheal intubation and stood beside Ning Siyang.

"Senior brother, make room."

"But, this..." Ning Siyang looked out of the ward and didn't see Wang Xiaodong's shadow at all. After hesitating for a while, he removed the balloon and mask, and made way for Lu Chen.

Lu Chen was wearing gloves, holding a laryngoscope, half squatting at the head of the bed, and started intubation.

Tilt the patient's head back and lift the lower jaw forward and upward with both hands to open the mouth,

Lu Chen holds the laryngoscope handle with his left hand, puts the laryngoscope blade into the patient's mouth from the right corner of the mouth, and pushes the tongue to the left side and then slowly advances.

After seeing the uvula, lift the lens vertically forward until the epiglottis is revealed, and after provoking the epiglottis, the glottis is revealed.

Lu Chen pulled out the stylet and inserted the catheter into the trachea.

"Plug it in!"

The whole process, Ning Siyang could see it very clearly.

Fast, accurate and steady!

Lu Chen's technique was not sloppy at all, and it took less than a minute from preparation to completion.

This kind of person actually calls him senior brother?

Ning Siyang blushed.

"Brother, bring a tape over here, and I'll fix the catheter." Lu Chen said to Ning Siyang.

"Don't, don't, don't call me senior brother, I want to call you senior brother." Ning Siyang waved his hand quickly, took out the tape from the treatment tray on the side, and handed it to Lu Chen.

He is not such a powerful junior brother!

Lu Chen fixed the tracheal tube, connected the ventilator, and set all the parameters of the ventilator. The patient's blood oxygen finally started to rise!

Ning Siyang on the side was even more surprised.

"You can even adjust the ventilator!"

But thinking about the speed at which he inserted the urinary catheter and tracheal intubation before, he felt that it was nothing.

At this moment, Wang Xiaodong finally came over, and before entering the ward, he called out to Gong Nannan.

"Bring the laryngoscope here, ready for intubation!"

However, as soon as he walked into the ward, he saw that Lu Chen was setting the parameters of the ventilator.

"Junior brother, this, is this what you inserted?" Wang Xiaodong asked in disbelief.

Lu Chen nodded and said solemnly: "The patient's blood oxygen drops very quickly, it is impossible not to plug it in!"

Wang Xiaodong showed a hint of surprise in his eyes, and patted Lu Chen on the shoulder: "Good job, Junior Brother."

But now is not the time to be shocked.

He picked up the stethoscope and auscultated the patient's lungs. The position of the trachea should be right!

The blood oxygen of the bedside ECG monitor is also 97%!

The patient's vital signs have temporarily stabilized, and now it is time to consider why the condition has suddenly changed.

"Why did the patient's blood oxygen suddenly drop?" Wang Xiaodong wondered.

The beginning is ventricular fibrillation, and after ventricular fibrillation, blood oxygen drops.

At this time, Lu Chen handed the result of fast troponin to Wang Xiaodong.

"Senior brother, the patient's rapid troponin results, and the troponin increased by more than 50 times! It should be severe heart failure after acute myocardial infarction, and respiratory failure caused by pulmonary edema!"

"Then you have to ask for an emergency consultation from the Cardiology Department!" Wang Xiaodong glanced at Lu Chen.

Lu Chen nodded and said, "I have already called the inpatient department of Cardiology."

Just as the two were discussing, Xia Yingzheng's shout suddenly came from the emergency bed next to him.

"Where is the head nurse?! The patient on my side can't get the needle!"

Wang Xiaodong put down the laboratory test sheet in his hand and frowned slightly: "It's the patient with severe burns. He doesn't have a piece of good skin on his body at all, and there is no way to start with the needle. After finally getting a needle, the liquid can't get in at all!"

When Lu Chen came to the emergency department, he also saw this patient, his whole body was completely wrapped in gauze.

"I went to the head nurse, she was just putting needles on another patient with low blood pressure."

Gong Nannan ran away immediately after hearing the words.

At this time, new prompts kept popping up in Lu Chen's system panel.

"Congratulations, catheterization proficiency has increased by 3%!"

"Congratulations, the proficiency of endotracheal intubation has increased by 5%!"

"Congratulations, the defibrillator proficiency has increased by 6%!"

However, Lu Chen just glanced at the system prompt and didn't care.

If this is normal and the skill proficiency increases, he will be happy.

But at this time, he was not at all happy at all.

In addition to the urgency of rescue, his heart was filled with a faint sadness.

In his emergency room, the patient's condition is relatively stable.

In the emergency room of Teacher Xia next door, all patients were severely burnt, severely shocked, and even had to rely on oxygen and ventilators to maintain their lives.

(end of this chapter)

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