Chapter 1189 Create a miracle
"Jumped!"
"Hand beating back?"
"Hit?"
The doctors who had been suppressing each other for a long time made a soft cheer.
Whether it is an emergency department or not, they actually have seen life and death. However, ordinary doctors can calmly face the birth, old age, sickness and death of ordinary people. But they don’t know the life and death of a young mother who is raising a new life and death. When they see a new life and death that has not seen the world, ordinary peace cannot be maintained.
Even if he is an old fried dough stick like Zheng Pei, even if he likes to tease the young nurse and talkative, he is willing to take considerable career risks and try to call out the only solution.
Fortunately, this seems to be a successful adventure.
Zheng Pei looked at Ling Ran attentively.
Not to mention, as long as it is not a single corpse or two lives, Ling Ran should not be too angry. If both mother and son can live, it is more likely that everyone will be happy.
Ruan Gaoge also looked at Ling Ran with a surprised and admiration.
Chest thrust was a first aid technology that emerged in the 1960s. It was not a traditional skill. The first report took place in 1960. It was probably not a well-thought-out invention. It was just because the effect was unexpectedly good and it spread naturally.
In the 1960s and 2000, the advantages of chest thrust were quite obvious. First of all, it did not require additional defibrillation equipment, which means it could be used in any rescue scenario. Especially in the era when the defibrillator had not been invented and not yet popularized, chest thrust was the only defibrillation method that doctors could use.
Secondly, the more important factor is that defibrillators until 1996 were single-phase wave technology.
Therefore, if you watch medical TV series before 2000, you often find that doctors speak 360 joules. When watching medical TV series after 2000, the energy required by doctors will be reduced to 200 or even 120 joules.
The effect of the defibrillator with biphase wave technology is significantly higher than that of single-phase wave, so it was not until the 2010 guide that the chest thrust was clearly listed as a second-line technology. Because the defibrillator with biphase wave technology developed in 1996 was basically common at this time.
From another perspective, before the emergence of biphase wave technology, the chest thrust technology was actually not weak, at least not significantly weaker than the single-phase wave technology defibrillator. Looking at the early reports of cardiopulmonary resuscitation, the success rate of chest thrust was quite high, which also made the use of chest thrust quite widespread.
Especially in the 1960s, 1970s, and until the 1980s, when even single-phase wave defibrillators were not popular all over the world, chest pounding can be said to be the best way for ordinary doctors to rescue patients.
Considering this direction, it was not until the 2010 guide that chest pounding was included in the second line. There are also reasons why fewer and fewer doctors have mastered chest pounding techniques and are getting weaker and weaker.
After all, technology needs to be practiced eventually. Early doctors can have sufficient cases to practice, review and even expand. Later doctors still use defibrillators more and more. It is natural that craftsmanship goes from not being good at it to not being proficient to not daring to using it.
Ruan Gaoge would pound his chest, but he had hardly practiced it several times.
What he didn't expect was that Ling Ran would use it, and it seemed to be just right.
At this moment, from the process of reversing the results, Ruan Gaoge felt that Ling Ran’s chest pounding was indeed an option that was better than a defibrillator.
Defibrillators mainly rely on powerful currents to pass through the heart, stop ventricular fibrillation, and cause the sinus node to re-initiate impulses, thereby causing the heart to resume beating.
In short, defibrillators rely on the action of electric current.
Whether it is biphasic wave or single-phase wave, there is no difference in this regard.
The chest pounding has a certain mechanical force.
After trying the defibrillator several times, repeat the electric shock and you will get satisfactory results?
In fact, according to the current guidelines, single defibrillation has the highest success rate. Although the subsequent multiple defibrillation is effective, the effect is completely incomparable to the first defibrillation.
If Ling Ran had enough time, he might also try to use a defibrillator two to three times, but in the face of time, Ling Ran might be more risky to try other methods, but it may be more effective.
This is also one of the differences between a perfect CPR expert and an ordinary doctor who only knows how to read the guide.
Ordinary doctors have no choice, because except for the methods provided by the guidelines, ordinary doctors will not refine the skills of cardiopulmonary resuscitation. ICU and emergency doctors may know more, but there are very few who can reach the specialization level.
And what the guide provides is always the most basic solution.
In fact, just looking at the changes in the CPR guide over the years, you can feel its imperfection, imperfection, and unreliability. For example, the early CPR guides required chest compressions 60-80 times per minute, which was changed to 80-100 times per minute in 1988. In 2010, it emphasized that high-quality chest compressions should be guaranteed to be more than 100 times per minute.
From the perspective of hindsight, if a patient who underwent cardiopulmonary resuscitation before 1988 met a doctor who accurately grasped the number of chest compressions, it would not be certain whether he could survive, and the sequelae would definitely be greater or less.
Clinical medicine has always been an empirical medicine, and success is the best reason.
Ling Ran chose the external chest pounding plan, and he succeeded, which proved the correctness of his experience and views.
"So bold." Ruan Gaoge looked at Ling Ran, not knowing what to say.
If this fails, the husband who loses his wife and children at the same time, if he wants to sue the hospital and the doctor in a grief, the punching on his chest may become a wrong action in the lawyer's mouth.
Of course, success will not be criticized.
"Are you having a dissection now?" The obstetrics director looked at the recovery heartbeat curve, and he bent his arms and put on latex gloves.
The directors next to them who were still in a daze seemed to have been awakened and looked at Ling Ran together.
"Wait a little longer, wait a moment..." Ling Ran did not feel happy "to share the people" and still maintained objective caution.
The patient's heartbeat has just recovered, which does not mean that she can undergo an emergency caesarean section immediately.
Although estimating the technique of the director of obstetrics at Yunhua Hospital, it may take only a few dozen or even dozens of seconds to dissect the fetus from her mother's belly, if the mother's body will not react at all because of the lightning speed, it is because she is thinking too much.
Immediate caesarean section is equivalent to putting the life of the mother on the gambling table again.
Although he had to bet after all, Ling Ran still hoped that his cards would be better.
"Ice cap, take the ice pack and cool the body surface..." Ling Ran also stared at the curves and numbers on the monitor, put a new command in his mouth, and said to the obstetrics director again in a low voice: "Wait a little longer."
"Okay." The obstetrics director was determined to object, but he swallowed it. She chose to believe Ling Ran's judgment.
The doctors surrounding the surroundings did not say anything against each other. Today, everyone believes in Ling Ran's ability to create miracles.
Chapter completed!