Looking at the constantly surging waveform on the ECG in your hand, it seems to be a life reminder.
All of a sudden, no one thought why such a thing would happen.
Originally, the patients were ready to leave the hospital. The discharge certificates were opened in advance and recovered quickly.
Who could have thought that such an important thing happened at such an insignificant time.
Ventricular fibrillation!
Now, the cause of the coma has been found, which is ventricular fibrillation.
Ventricular fibrillation (VF) is one of the common causes of sudden cardiac arrest and death.
In fact, the heart is a muscle that contracts and pumps blood regularly
However, the power is limited. If your frequency is fast, the power will certainly be insufficient. Naturally, you can''t pump much blood.
When the ventricle continuously, rapidly and evenly sends out excitation more than 240 times per minute, it is called ventricular flutter. If ventricular excitation is rapid and irregular, it is called or ventricular fibrillation.
The frequency of ventricular fibrillation can be between 250-600 times per minute.
What terrible data is this?
Rescue!
At this time, ventricular defibrillation is the only option, but the defibrillator does not!
Chen Cang hurriedly said:
"Prepare amiodarone!"
The nurse nodded quickly.
At this time, Meng Xi suddenly remembered that there was a mature emergency doctor standing here.
Experienced and skilled!
Before long, the defibrillator came up.
Chen Cang quickly started to prepare for defibrillation.
Wu Peng was relieved when he saw Chen Cang.
After all... This is Chen Cang!
First defibrillation!
Not successful!
Chen Cang glanced at Wu Peng: "don''t stop pressing outside the chest!"
Then he turned and looked at the nurse: "push one with adrenaline!"
The patient''s family members have been crying.
Young mothers and children have never seen such a battle, and the patients in the next bed are also stunned.
Who would have thought that the young man who was still running, jumping, laughing and chatting just now could suddenly become like this.
It''s all ready to leave the hospital
Chen Cang immediately started the second defibrillation!
This time it worked!
In less than two minutes, the waveform on ECG monitoring gradually became normal.
At this time, the patient finally recovered his spontaneous heartbeat.
The soul stirring rescue finally came to an end!
However, they dare not relax. They stare at the ECG monitor one by one for fear that the beautiful waveform and perfect heart rhythm will suddenly disappear
Perhaps for doctors, the most perfect figure is: sinus rhythm!
A few more minutes!
The patient finally calmed down. At this time, everyone was relieved.
But suddenly he found that his back was full of cold sweat.
I don''t know whether the heating in the room is too sufficient or because I was too nervous just now.
The blood pressure also stabilized, the heart rate was maintained at 120 beats per minute, and the blood oxygen protection was 98%.
Chen Cang turned to the nurse and said, "do a blood gas analysis."
This is the time to analyze the reasons.
Why does the patient suddenly have arrhythmia.
That''s it.
Help first, then cure.
Now that the patient''s life is stable, we need to find out what causes arrhythmia.
Before long, the blood gas analysis showed that the pH value was basically normal, 7.31, and the normal value was between 7.35 and 7.45, but... Did not affect it.
This rescue is basically stable.
Next, we need to find out the reason.
Because the reason can not be found, the patient can not be said to be absolutely safe.
At this time, Chen Cang said to the nurse, "take a blood sample, test it, blood routine, electrolyte... Liver and kidney function. Let the laboratory check it urgently."
At this time, he turned around, took off Mr. Meng''s stethoscope and took it directly to his ear.
Um!
There is a smell
Chen Cang constantly ponders his heart sound and wants to find a trace of abnormality.
But it all sounds normal.
Why does the patient have arrhythmia?
Why ventricular fibrillation?
Chen Cang turned and looked at GE Huai: "give me the medicine the patient took recently."
Ge Huai nodded and immediately gave a doctor''s order.
Chen Cang saw that these drugs are commonly used in cardiac surgery. These drugs... Let alone lead to arrhythmia, but also have the effect of treating arrhythmia!
Chen Cang continued to ask, "does the patient have any abnormal reactions these two days?"
"For example, chest tightness, panic... These abnormal conditions?" Chen Cang asked the patient''s wife.
The woman shook her head: "no, he has been saying that the operation is very successful and feels very good..."
At this time, I suddenly remembered something: "Oh! He had a cold yesterday. I didn''t take it seriously. I told Dr. Ge."
Ge Huai nodded: "well, I don''t think his condition is serious, so I didn''t let him take care of it. After all, now the infusion is a pile of drugs. Don''t have any adverse reactions."
At this time, Chen Cang seemed to be the director.
A man stood there, surrounded by small nurses and doctors. Although the patient was surprised, why didn''t he see the doctor.
But
It was the doctor who saved his husband. No matter who he is, he is a good doctor!
Indeed, Bo Er and Bo San were also present at this time, and everyone listened to the patient''s condition.
Constantly help think!
But sometimes, the head of an emergency doctor is really different from that of other doctors.
Emergency patients have all kinds of situations. In contrast, specialists are more professional.
Chen Cang suddenly changed his face: "will it be myocarditis?"
In a word, people were stunned.
Don''t underestimate a cold!
If it''s severe myocarditis, it''s dangerous.
However, the heart sound is basically normal, and I''ve just caught a cold for a day. Won''t it be myocarditis?
Meng Xi said, "do you want to let the color Doppler ultrasound room come up."
After meditating for a moment, Chen Cang nodded: "well, make an exclusion."
Because of the special situation of the patient, the operation tonight may be postponed until tomorrow.
Or transfer the patient to ICU for observation.
At this time, Chen Cang suddenly looked down and saw the medicine on the table.
Suddenly his face changed!
"Did he take cold medicine?"
His wife nodded, "well, he said the doctor didn''t prescribe it for him, so he asked me to buy some cold medicine outside."
"I think there''s nothing wrong with cold medicine, so I bought some."
Chen Cang suddenly changed his face, opened the drawer and took out the medicine.
Gan Kang!
White and black!
Paracetamol!
Chen Cang was stunned when he saw it.
Maybe the reason has been found.
Chen Cang sighed: "did he take a lot of cold medicine?"
His wife nodded: "well, when he was in his hometown, he took cold to pass these. It''s useless to eat less."
Chen Cang turned to the nurse and said, "urgently check the blood concentration of acetaminophen."
The nurse nodded, drew blood and hurried away.
While waiting, the patient suddenly woke up.
Staring at such a large circle of people, he was suddenly stunned: "I''m asleep?"
"Doctor, I''m really sorry. I fell asleep after taking cold medicine... Hey? No, what''s wrong with me?"
The man looked at a lot of lines on his body and was stunned.
Chen Cang stared at the man and asked, "how much cold medicine did you take?"
The man coughed: "I ate two tablets of white and black, two tablets of paracetamol and one tablet of Gankang..."
Chen Cang was speechless: "where are you eating?"
The man shook his head: "I often eat, and everything I eat is drug-resistant."
Chen Cang couldn''t help shaking his head: "you fainted with ventricular fibrillation just now. You almost lost your life!"
The man suddenly looked silly: "I... I''m fine now? I''m just a little dizzy and flustered..."
The people around also looked at Chen Cang and were puzzled.
Ge Huai said, "Dr. Chen, if color Doppler ultrasound is done, the doctor of Cardiology is also here."
Chen Cang shook his head: "no, wait for the blood drug concentration."
The blood drug concentration was very fast. Soon, a phone call came. It was clearly diagnosed as acetaminophen drug poisoning!
All of a sudden, everyone was stunned.
Staring at Chen Cang with a shocked face.
Can he do that?
Can this be diagnosed?
The patient was sent to the dialysis room for dialysis, and the basic problem was not big.
However, no matter the doctor in the Department of cardiology or Wu Peng in the emergency department, everyone around him was staring.
Even the doctor in the dialysis room said, "it can be detected. It''s amazing!"
Yes, everyone stared at Chen Cang with adoring eyes, which made him a little shy
After coming back, sanbo stared at Chen Cang:
"Dr. Chen, how on earth does your head grow?"
"Yes! You know the adverse drug reactions of acetaminophen!"
"Have you memorized all the drug guidelines?"
Chen Cang smiled.
Meng Xi also looked at Chen Cang happily: "great! It''s all right!"
Chen Cang couldn''t help saying, "the teacher taught well!"
Meng Xi didn''t hold up, while sanbo raised his middle finger together.
"Dr. Chen, this flattery is too much!"
"Yes, I didn''t shoot my ass, I did..."
Meng Xi stared at the crowd: "what''s the matter? He''s powerful. He''s not my student?"
The crowd couldn''t help laughing awkwardly: "yes... Director Meng is powerful!"
[Ding! Meng Xi''s popularity + 10!]
Chen Cang smiled.
……
……
PS: one thing, there are a lot of cold patients in the clinic during this period. Don''t be nervous, let alone panic and take a lot of cold medicine.
Because now cold medicine is not prescription medicine, everyone can buy it at will, but it''s best not to overdo it, let alone eat many kinds at once.
Because taking drugs in excess dose not only does not increase the efficacy, but the toxic and side effects of drugs will increase in proportion.
Although acetaminophen is safe enough, it can cause serious adverse reactions such as liver injury and arrhythmia for some sensitive patients. After all, who can say the probability?
If you are physically sensitive, it means 100% and if you are not sensitive, it means zero%. Don''t take the physical test. You are not Shennong. Besides... The mice have tried it for you, so don''t worry about it.
PS: I''m used to being sexy. Thank the local tyrant. Thank the leader of "Qingyan Xiaoguan 168" for his 100000 reward!
Thanks to master Zhili Yulan for his 10000 reward!
Continue to add more tomorrow