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Chapter 405 Rescue(1/2)

"Doctor! Doctor!" The man lying on the flat bed shouted loudly.

His shoulder was bandaged, and there was a slight amount of blood leaking out. There were two bottles of liquid hanging on the IV pole beside him. His gray and gray upper body, as well as the abrasions on his hands and face, made him look miserable.

However, none of the doctors and nurses passing by responded to his call.

At this moment, the emergency center is already extremely busy.

There were already quite a few doctors and nurses who rushed over after receiving the news, but even more patients were sent. The best emergency department in Yunhua is in Yunyi Hospital. The newly upgraded emergency center faced more than half of the seriously injured and injured people.

A large number of lightly wounded people.

At this time of year, even one seriously injured person consumes a lot of resources.

As for the lightly wounded, naturally no one paid any attention to them.

The man with his bandaged shoulder frowned, took out his mobile phone, checked it secretly, put down the mobile phone again, raised his voice, and yelled: "Oh... I can't, I'm going to die, oh, I feel so uncomfortable, my chest is so tight"

, Chest pain..."

"I'll go." Lu Wenbin, who was fixing a broken fracture, said to the attending surgeon in front of him.

The attending nodded slightly.

Chest tightness is a critical sign and requires immediate response in the emergency room.

Some patients complain of chest tightness and chest pain, pouting, and then disappearing in the blink of an eye.

Therefore, even if you still don't believe him, you still have to send someone over to take a look.

Lu Wenbin took off his gloves, shook off his clothes, took out the alcohol gel and smeared his hands, then went to the corner of the treatment room.

The man with bandaged shoulders had a hairy head, wide eye sockets, a wide nose, thick lips, fat cheeks, and a round face. When he saw Lu Wenbin in a white coat coming over, he immediately groaned: "Doctor, look at me...

…”

"Listening to your scream just now, it was quite loud." Lu Wenbin looked at the other person's appearance and already had some guesses in his mind.

When doctors look at a patient's appearance, they cannot simply take a look at it.

When doctors see people, they basically use the routine of visual diagnosis, which is what ancient Chinese called "looking, hearing, asking and feeling".

An experienced doctor can judge a lot of information by looking at the patient's respiratory rate, looking at the patient's fingernails and lips, etc.

The man with his shoulder bandaged laughed twice and said indifferently: "I have to shout loudly so that you can hear me. Right? It's really tiring to shout."

Lu Wenbin sighed helplessly: "Then how does your chest feel now?"

The other party rolled his eyes and said: "It's still a bit boring, and it hurts a bit."

"Let me take a look for you." Lu Wenbin took out the stethoscope.

"This is useless." The patient lying on the hospital bed turned around flexibly, unwilling to let Lu Wenbin listen.

"Well... what's the use?" Lu Wenbin, who was no longer a newcomer, asked softly.

The man with the bandaged shoulder looked around and said softly: "Let me tell you one thing first. The cost of our medical treatment is all paid by the government, right?"

"Either it's insurance, or it's the construction company you work for, I don't know the specifics..."

"Anyway, someone will reimburse you, right?"

Lu Wenbin hesitated for two seconds, nodded and said, "Normally that's the case."

"Then you give me a full set of tests."

"kindness?"

"Take a look at the chest X-ray, CT scan, electrocardiogram, etc., and take a blood test and so on." The patient laughed twice: "You make money, and I'll check my body. Is that okay?"

The boots of speculation fell to the ground, and Lu Wenbin felt a little relaxed.

"Let me listen to the sound first." Lu Wenbin was still a little worried. Although the patient looked like he was lying, he told no other lies but lied about chest tightness and chest pain, so Lu Wenbin had to pay attention to it.

The patient did not insist anymore, and opened his arms, letting Lu Wenbin touch him, and said: "If you can't do what you promised me, don't blame me for making trouble."

"I got it." Lu Wenbin's expression remained unchanged. Examinations such as chest X-rays were not worth much money, and given the other party's current situation, he couldn't do it even if he didn't want to.

At the very least, an electrocardiogram is required, and blood tests and CT scans are also required.

Of course, Lu Wenbin will not say these words now, lest the other party feel that he is not taking enough advantage.

"The heart sound is fine." Lu Wenbin put down the stethoscope.

"Hey, doctor!" The voice of the patient lying on the bed suddenly became louder.

Lu Wenbin nodded: "There must be nothing wrong with the lungs."

"We agreed..."

Lu Wenbin shook his head, not bothering to argue, and said, "I'll give you a checkup. But it will take a while. We are too busy now."

"No, what if I have a myocardial infarction?" the patient shouted loudly, also worried about the long nights and dreams.

Ling Ran happened to come over after the operation at this time. When he heard the word "myocardial infarction", he came over immediately.

Lu Wenbin was so familiar with Ling Ran. Looking at his movements, he could guess what he was thinking and quickly said: "There is no heart attack."

"I'm having a myocardial infarction." the patient yelled.

"You didn't." Lu Wenbin comforted softly.

"I just roared and it worked!"

"You..." Lu Wenbin suddenly felt guilty. If this guy really shouted that he had a myocardial infarction...

Lu Wenbin turned his gaze to Ling Ran.

At this time, Ling Ran's attention was already focused on the flat cart that had just been pushed in. A first aid worker was kneeling on it, pressing and counting while the first aid worker pushing the cart hurriedly shouted:

"Cardiac arrest for 5 minutes, generalized cyanosis, bilateral pupils dilated, aortic pulse disappeared, no spontaneous breathing..."

There was sudden silence in the emergency room.

Cardiac arrest is when the heart stops. It lasts for 5 minutes, which can be said to be a long time. Cyanosis of the whole body means that the blood in the whole body is deprived of oxygen. If the pupils are dilated and the pupils are fully alive, then there should be a loss of light reflex, which is one of the signs of brain death.

.

It can be said that such patients are in the most critical state. Or, perhaps, they have passed the most critical state.

The doctors present all have work in hand, so they inevitably have to think about it for two seconds more.

Ling Ran ran over without thinking.

"Defibrillation!" Ling Ran's voice was loud enough for everyone to hear.

The first responder saw Ling Ran's white coat, finished the last set of chest compressions, and immediately gave up his position.

Two nurses quickly applied a patch to the patient's chest and charged the defibrillator.

"150 joules. Get out of the way!" Ling Ran shouted and pressed the button with his thumb.

No response.

Ling Ran didn't even look, he knelt directly on the cart, and while pressing the patient's chest, he ordered: "Inject 1 mg of epinephrine intravenously."

A defibrillator is not a universal device.

It is common for defibrillation to fail. At this time, the only thing the doctor can do is cardiopulmonary resuscitation.

Ling Ran adjusted his posture, assessed the patient's physical condition, and provided the best quality cardiopulmonary resuscitation possible.

According to the medical profession, if the heart stops beating for one minute, the chance of survival is reduced by 10% unless high-quality cardiopulmonary resuscitation is performed.

High-quality cardiopulmonary resuscitation is a key factor in modern medicine's recovery from death.

Therefore, even if there were first responders who were trained in cardiopulmonary resuscitation around him, Ling Ran was not willing to hand it over to him and only gave orders.

"Atropine 1 mg, lidocaine 50 mg." Ling Ran then turned his head while pressing and said: "Open the airway."

Doctor Zhou ran over and performed a quick tracheotomy on the patient.

Such a tracheotomy will be more difficult to recover during the recovery period, and the recovery time will be longer. The premise is that the patient can survive until that time.

"001,002,003..." Ling Ran quickly reported the number in a standard posture.

Every 30 times of chest compressions, coupled with two artificial respirations, ordinary cardiopulmonary resuscitation can no longer be performed, it just keeps repeating, repeating, repeating...

He could see the patient's face when he lowered his head.

This is a somewhat old young face.

He must be in his 30s, or early 30s. His skin is rough, as if it is in a semi-wild state, and he must have never been cared for.

No major wounds were visible on his appearance, and there were no signs of internal bleeding. There was no way to know the cause of the cardiac arrest.

Ling Ran gently adjusted his breathing to ensure continuous chest compressions.

The standard actions of cardiopulmonary resuscitation are simple, lengthy, and seemingly endless.

"001,002,003..." Ling Ran counted to 30 and then stopped twice, but his movements remained unchanged.

The first responder who had just performed cardiopulmonary resuscitation for five minutes was already feeling very tired. He was panting and looking at Ling Ran under the flat bed.

From his perspective, the cardiopulmonary resuscitation movements of the doctor on the flat bed were more standardized, the compression force was more even, and there seemed to be some faint rhythm.
To be continued...
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