The patient still has a heartbeat and breathing is very weak, but at this time, he has no consciousness because of fainting.
Chen Cang greeted the nurse: "ECG monitoring!"
"Contact ICU, cardiology department and emergency consultation!"
All the nurses, like soldiers, threw themselves into all their work in an instant.
Chen Cang turned and looked at Chang Lina with a gloomy face: "go and call Yan Ming."
Chang Lina nodded and turned away.
Yan Ming is really irresponsible.
Thinking of this, Chen Cang wants to punch him. What a fucking fool!
Let him do rounds. Let him do rounds. I have a number in my heart. I give more instructions to the patient, but I just don''t check.
It''s alright now!
……
But this is not the time to get emotional.
All rescues have begun.
"The endotracheal intubation is established and the ventilator has been connected."
At this time, the results of ECG monitoring came out.
Just seeing the picture, Chen Cang was stunned.
Was there a heartbeat just now?
Why not?
Chen Cang was frightened.
How did the heart suddenly stop?
Is it cardiogenic shock?
Thinking of this, Chen Cang felt his scalp numb for no reason.
The probability of death from cardiogenic shock is too high.
At this time, I don''t know anything about the patient, but what I have to do now is not anything else, but rescue!
Chen Cang was sweating for a while. He quickly turned to the nurse and said:
"Adrenaline!"
"Sputum suction!"
After that, Chen Cang immediately began cardiopulmonary resuscitation.
After several groups, the patient''s heartbeat still did not recover.
At this time, Zhao Jianhai, a doctor in ICU, ran over.
Looking at this scene, his face suddenly changed: "prepare for electric shock!"
Chen Cang saw Zhao Jianhai and nodded quickly, "Miss Zhao, you''re here!"
Zhao Jianhai nodded: "Hmm!"
The two quickly began to organize rescue.
Electric shock!
Cardiopulmonary resuscitation!
Air bag oxygen!
After the two groups, Yan Ming came over yawning, stood aside and stared at all this.
The patient lay motionless on the rescue bed.
Chen Cang gave him chest compression alone.
The endotracheal tube has been inserted and the ventilator has been connected.
One nurse is responsible for pushing medicine and one nurse is responsible for sucking sputum.
Yan Ming knew what had happened, and his face suddenly changed.
Chen Cang was sweating at this time. Fortunately, he ate something and had strength. Otherwise, he really didn''t know whether he could insist on chest compression for so long.
Chen Cang turned around and saw Yan Ming, ignoring the blame: "contact your family quickly!"
Chang Lina nodded and hurried to the nurse station to make a phone call.
Another little nurse has invited the doctor in her heart.
Yan Ming looked at Chen Cang and couldn''t help but say, "I''ll come. Take a break first."
Chen Cang has red eyes and has been rescued for more than ten minutes, but the patient has not responded. Chen Cang is somewhat unwilling.
Hearing Yan Ming''s words, Chen Cang didn''t lift his head and continued to press.
Just a rolling word shouted angrily!
"Get out!"
One word contains all Chen Cang''s grievances, and one word contains all Chen Cang''s discontent.
You''re a fucking doctor, an emergency doctor!
A little face?
Can you have a little sense of responsibility?
At this time, Chang Lina brought the patient''s medical record.
"A 62 year old male, who had chest pain for 1 hour, came to the hospital and did an ECG. He saw obvious ST-T segment changes. The blood test for troponin was still normal. The patient had a history of hypertension in the past. This time, the possibility of acute coronary syndrome was the greatest."
Chen Cang and Zhao Jianhai couldn''t help looking at each other.
Elderly men, chest pain, must first consider myocardial infarction.
This is a very simple emergency thinking.
The reason why patients stay in hospital must be worried about acute myocardial infarction. Although troponin is normal, it can not be ruled out.
Now there is cardiogenic shock
The consequences are self-evident.
If the patient is clear about myocardial infarction, severe myocardial infarction will instantly cause heart failure, and the heart cannot pump blood, there will be cardiogenic shock, such as low blood pressure, dyspnea, near death feeling, etc.
And the same!
Once cardiogenic shock occurs, you will die!
At this time, the patient had cardiac arrest.
Everything came so suddenly that everyone had no time to make any preparations.
Chen Cang still kept pressing the patient''s chest.
The nurse gave adrenaline every few minutes, but ECG monitoring still showed no improvement.
The cardiologist came, but it was useless at this time.
I can only watch Zhao Jianhai, Chen Cang and the nurse rescue with all their strength!
At this time, the family also came. A son and three daughters gathered outside the emergency room. Chang Lina has explained her condition.
The four were restless. The youngest of the three daughters was in their forties, while the youngest son was only in his early thirties.
At this time, the boy stood there with expectation in his eyes.
The three daughters were already crying.
……
……
At this time, in the room, Zhao Jianhai looked up at the clock on the wall. It has been rescued for 40 minutes. It is estimated that there is no play.
He couldn''t help sighing and pulled Chen Cang: "OK."
Chen Cang didn''t stop after hearing the word, but continued to press it a few times.
But he is a man!
After pressing for more than 40 minutes, both arms had lost consciousness.
Hearing Zhao Jianhai say "OK", his face changed.
He knows what that means.
It means that this fresh life has passed.
It''s said that there''s a lot of life and death in the emergency department.
But when this moment comes, who can be hard hearted?
Chen Cang saw too many rescue failures.
But even so, when life passes in their own hands, this helplessness is really difficult to describe!
Well, it seems ordinary.
Words are full of helplessness.
……
Chen Cang approached the patient, his face was cyanotic, his skin was blue and blue, his limbs were cold, his pupils were dilated, and his reflection to light disappeared
Almost all the signs show a result
This is already a dead man.
Chen Cang took off his strength and fell to the ground.
Zhao Jianghai has got up and walked out to communicate with his family. It is estimated that he told the family the worst news.
It must be a very sad night.
After all, when it was delivered, the patient was still fine. Suddenly it disappeared, and the family members must not accept it.
But such things are not rare.
Who would have thought that patients could faint in the bathroom when they went to the bathroom.
Who would have thought that emergency patients were not accompanied.
Who would have thought
No one can think of it!
Life is so fragile, but as a medical worker, what we can do is to try our best to say more to patients and think more about patients.
Patients with myocardial infarction are dangerous and must be told all the time.
Chen Cang got up and put his hands on the bed, but his arms were unstable and fell to the ground again.
Yan Ming didn''t go out. He didn''t even dare to go out. When he saw Chen Cang fall, he came to help him.
Chen Cang suddenly punched angrily!
Hit Yan Ming in the face!
"You don''t deserve to be a fucking doctor!"
With tears in his eyes, Chen Cang clenched his fists and stared at Yan Ming: "do you think you deserve to wear this white coat?"
Yan Ming was silent and sat on the ground, letting his nose blood gurgle out.
What can he say?
He didn''t argue.
Does sophistry make sense?
Maybe it has nothing to do with his strict.
But did he really fulfill the responsibilities of a medical staff?
Chen Cang picked up his arm to wipe his tears, but he didn''t lift it for a long time, leaving two lines of tears behind.
PS: Hey... After writing this chapter, I suddenly don''t know what I want to say. I hope all medical workers deserve this white coat.