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Chapter 1188 Bulge

Director Ruan, if you can get out of your body, please bring someone to the rescue room... It is a 40-week pregnant woman. She has been in a cardiac arrest for 20 minutes. Dr. Ling is undergoing cardiopulmonary resuscitation in person..." Zuo Cidian fucked her cell phone and dialed it out.

Ruan Gaoge on the other end of the phone was originally planning to consider the factors such as status and consultation, but when he heard that Ling Ran was taking action personally, he immediately agreed: "I'll arrive within 10 minutes."

"Please be as soon as possible. Dr. Ling plans to make the final decision in 10 minutes." Zuo Cidian said a few words roughly, then hung up the phone. He didn't know what Ruan Gaoge was doing at the moment, so he just urged him.

However, he believed that Ruan Gaoge would definitely arrive at the rescue room as quickly as possible.

If he can't do it, the meaning of the existence of the ICU group in the emergency center will no longer exist.

This is also the best time for Ruan Gaoge to prove himself.

When Ling Ran needs it, participate in the most important rescue... As long as Ruan Gaoge's IQ is online, he knows that it is time to show himself. There is a small universe that explodes, a limited-time mission that can be activated, plug-ins that can be used, and spiritual medicine that can be taken, so it should be used at this time.

Zuo Cidian took the phone number of the obstetrics and gynecology department director in speed dialing again. After answering, he quickly said: "Director Li, Dr. Ling is doing CPR for a 40-week pregnant woman... Yes, I think you have also received the call, but after thinking about it, we still believe in your skills more. If you have time... OK, Dr. Ling will make the final decision in 9 minutes!"

After hanging up the phone again, dialing the phone again, Zuo Cidian called the Department of Anesthesiology and Neonatal, then the Department of Cardiology and Cardiology Surgery, and then the Department of Huo Congjun and the Hospital Office.

After everyone understood the situation and requirements described by Zuo Cidian, their attitude was similar to Ruan Gaoge, and no one delayed or delayed.

As for the current Yunhua Hospital, Ling Ran has personally taken the stage, so it can be said that it is suitable for them to join a team or something.

In fact, even if Zuo Cidian did not call and directly asked for emergency consultations from various departments, as long as Ling Ran's name was placed, each department would have to dispatch elite soldiers and generals to come.

After calling out a string of phone calls, Zuo Cidian turned around and saw sweat on Ling Ran’s forehead.

The standard and high frequency of cardiopulmonary resuscitation is quite tiring, but if you want to save someone, you must do the standard and high frequency of cardiopulmonary resuscitation.

Ling Ran frowned. It was not because of the hard work of external chest compressions, but because he was just thinking about the solution.

High-quality chest compressions may not necessarily save the patient in front of you. Even if you cooperate with a large number of drugs that are not suitable for pregnant women, you may not necessarily get a definite answer.

The next thought came out, and Ling Ran quickly threw it away. At this time, what else is there to be a definite answer? It would be good if there is a glimmer of hope.

Thinking of this, Ling Ran immediately ordered: "Check the airway, prepare for defibrillation, one milligram of adrenaline, and intravenous injection."

The first two orders were natural, while the latter request made the anesthesiologist hesitate for a few seconds and couldn't help saying: "Doctor Ling, it took less than 4 minutes for the previous adrenaline."

"Yeah." Ling Ran had no intention of canceling the doctor's order.

Seeing this, the anesthesiologist had to retreat silently.

The doctors next to them listened to the conversation between the two without blinking their eyebrows. At this time, the surgeon's decision is correct, and the risks brought by the medication and treatment process cannot be avoided just by trying to avoid them.

But one thing is certain: without medication or treatment, although there will be no side effects, people will not survive.

"Doctor Ling, the defibrillator is ready." The nurse applied gel beside her and said in a low voice.

"200j." Ling Ran said as he took a step back, then he saw Lu Wenbin holding a defibrillator in his hand and steadily hitting the patient's chest.

With a silent tremor, everyone looked at the monitor, trying to find an exciting bump from the straight curve.

Not.

Several young doctors turned around and saw that Ling Ran had already started chest compressions.

During the process of cardiopulmonary resuscitation, chest compression is the most important. The shorter the stop time, the better. Therefore, in addition to giving up a short period of defibrillation, Ling Ran immediately restored the chest compression state.

Chest compression can actually be understood as purely mechanical physical therapy. The heart originally played the role of a pump. Now that the function of the pump stops, the blood pumping stops, so it is replaced by uninterrupted chest compression.

Now, the patient's internal organs, brain, and fetus in the abdomen are also alive by relying on the blood pumped from chest compression.

High-quality chest compressions can provide 40% or up to 60% of blood supply, which can ensure the basic needs of the internal organs, brain and fetus.

This is the theoretical basis for super long cardiopulmonary resuscitation and the basis for Ling Ran to dare to strive for 10 minutes.

He believes that 10 minutes can bring great survival opportunities to the pregnant woman in front of him, and at the same time, the damage to the fetus will not be too great.

However, the foundation is the foundation after all. No matter how good the chest compression is, it cannot restore the patient's heartbeat. It must be successfully defibrillated.

80% of adults have an initial abnormal cardiac arrest cardiac rhythm, which has to go through the electrophysiological disorder stage, the circulatory disorder stage and the metabolic disorder stage. Whether there is a time point and how to find such a time point to perform electrodefibrillation is still a question discussed in the medical community - various CPR guidelines are very concerned and care about simplifying the process of CPR, because performing CPR is often not a CPR expert, or even a professional doctor trained, but an ordinary doctor, nurse or even non-medical person.

Letting ordinary people perform simplified CPR processes in the right way can theoretically bring the greatest benefits to patients with cardiac arrest.

But at this moment, Ling Ran, who is a number of cardiopulmonary resuscitation experts in Yunhua Hospital and even Xichang Province, no longer needs to use this idea to think about the way to break the situation.

A right time point, a correct defibrillation, and a little bit of luck, is the only way to bring miracles.

The obstacle now is that Ling Ran does not know the correct time, does not know the energy required for correct defibrillation, and does not know how to obtain luck...

"Adrenaline." Ling Ran thought hard and ordered again.

The nurse did not hesitate to execute.

The anesthesiologist took a deep breath, then turned his head and whispered to the director of the anesthesiology department who had just arrived: "The fourth one is here."

In the previous 20 minutes of rescue, two adrenaline were used. In just a few minutes, Ling Ran had two more.

The director of the Department of Anesthesiology did not comment and said, "Dr. Ling's style is like this."

“This is not the same as the guideline requirements…”

"If they succeed, they can modify the guideline based on their own experience." The director of the anesthesia department said, waved his hand, signaled his subordinates to get up, and sat on the small round stool beside the bed.

The directors of the neonatal department, obstetrics and gynecology department and the ICU team also arrived, but they could only gather in front of the bed and watched Ling Ran do boring chest compressions.

Before the CPR ended, these directors were useless. Even if the CPR failed, all of them would be in vain. It is not necessarily true that when the death discussion, it may still be that trouble for them.

"Doctor Ling, let me do the defibrillation." Ruan Gaoge looked left and right, and took the initiative to find a job for himself.

He has worked at IU for so many years, and defibrillators are used a lot. If it is CPR, etc., they are also experienced.

However, Ling Ran shook his head and refused unexpectedly: "The defibrillator is not needed."

"No defibrillation?" Ruan Gaoge was extremely surprised.

"Except." Ling Ran said one word concisely, then pursed his lips and stopped talking.

Several directors who came one after another looked at each other in a daze. They didn’t know what Ling Ran meant, and it was not easy to ask at this time.

Ling Ran continued to do chest compressions, but the frequency slowly increased.

Lu Wenbin looked at Ling Ran's sweating profusely and couldn't help but say, "Doctor Ling, let me replace him."

"No." Ling Ran lowered his head and just did chest compressions hard. More than 100 times a minute, quickly creating enough sweat, causing them to slide down their necks drop by drop.

Lu Wenbin stepped back without understanding, looked up at his watch, and said that the ten-minute period had passed by another 7 minutes.

Suddenly, Ling Ran stopped suddenly, and saw him straighten his upper body and stare at the patient's chest. When the chest wall completely rebounded, he raised his right hand without hesitation, clenched his fist with one hand, and hit the patient's heart heavily.

"Hacking on the chest?" Ruan Gaoge opened his mouth in surprise when he saw Ling Ran's actions, but his body unconsciously turned to the monitor on the side.

Drop ~

A small bulge jumped gently from the edge of the screen.

...

I checked some information, it was later than expected

(End of this chapter)
Chapter completed!
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