Chapter 56 Ventricular fibrillation! Ventricular fibrillation! Ventricular fibrillation once more!
“Physician Solar, there may be an accident in 20 beds!”
Liu Mei shouted eagerly, which shocked Lu Chen, and his coronary heart price rose to 120 beats/min.
“Right here!” Solar Guoguo and Lu Chen responded probably the most shortly. They grabbed the stethoscope and ran exterior the workplace.
Jiang Qingyan, Ke Yue and others adopted.
…
“Physician Solar, 20 beds fainted in the bathroom, he locked the door, and now there isn’t a motion!”
Everybody shortly ran to the ward the place mattress quantity 20 was.
Liu Mei stood on the door of the bathroom, trying anxious.
“The affected person within the subsequent mattress stated that he went in two minutes in the past, and after some time, he heard a thump from inside, and there was no motion, and nobody responded after shouting a number of instances. We’ve known as the members of the family, and the members of the family rushed over instantly. arrive.”
Lu Chen instantly understood the urgency of the scenario.
These 20-bed sufferers are almost certainly to be compelled to defecate, aggravating the load on the guts, inducing acute coronary heart failure, malignant arrhythmia, and even sudden demise!
Within the Division of Cardiology, some sufferers with myocardial infarction died in the bathroom, the reason is “squeezing the stool”!
“Senior sister, the door is locked, and the one factor you are able to do is kick the door.”
With Solar Guoguo’s reply, the 2 boys Lu Chen and Dong Hao began kicking the door.
On the facet of , Solar Guoguo regarded extraordinarily gloomy.
What the physician is most afraid of is just not that he’s in a essential situation.
is the concern of disobedient sufferers and tough members of the family.
She has repeatedly warned the 20-bed affected person that he should defecate beside the mattress.
However he was utterly ignored!
…
Luckily, the door of the hospital lavatory is made from PVC plastic!
Chen and Dong Hao kicked exhausting twice earlier than kicking the door open.
The odor of is blended with the odor of bathroom disinfectant, which is extraordinarily disagreeable.
I noticed Zhang Guangming mendacity in the course of the bathroom along with his pants at his knees, and he was utterly unconscious.
The colour on his head, little question, is brilliant pink!
“The defibrillator is prepared!”
Solar Guoguo shouted to the nurse.
“It is prepared!”
Liu Mei has pushed the ambulance and defibrillator into the ward.
On the identical time, Lu Chen and Dong Hao labored collectively to get Zhang Guangming out of the bathroom and put him on the open area of the ward.
At the moment, Li Yao additionally rushed to the ward.
“My coronary heart stopped!”
“Put together for defibrillation!”
“Liu Mei, push an adrenaline!”
After auscultation of the guts, Li Yao shortly judged the situation, and instantly knelt on the bottom and began chest compressions.
“Ice bag mind safety!”
“Balloon Assisted Respiratory!”
“Lu Chen, inform the CCU catheterization lab to organize, the affected person could come to the stage for emergency intervention at any time!”
“obtain!”
After receiving the order, Lu Chen instantly ran out of the ward, went to the nurse station, picked up the landline telephone, and began to contact the CCU ward.
Solar Guoguo and Li Yao have been current on the identical time to rescue him, and he could not assist a lot both.
…
“Dududu…”
CCU is on the telephone.
“Good day, CCU Ward A.”
“I’m right here within the eighth space of the guts. A myocardial infarction affected person has sudden cardiac arrest and might have emergency surgical procedure!”
“What’s the particular scenario? The affected person’s age, which blood vessel is taken into account blocked? Has the household agreed to the operation?”
Lu Chen instantly stated: “The 31-year-old male affected person is contemplating occlusion of the anterior descending department. The members of the family are on their method right here.”
“Okay. If the members of the family conform to the operation, they are often transferred to the division. I’ll contact the physician within the catheterization lab.”
“OK, thanks.”
hung up the telephone, and Lu Chen hurried again to the ward.
“Trainer, I’ve already contacted CCU.”
“Okay.” Li Yao nodded.
At this level, the affected person’s ECG monitor has been related, and it exhibits the guts price of steady ventricular fibrillation.
Solar Guoguo was half kneeling on the bottom, defibrillating the affected person.
“Increase…”
The primary defibrillation is over.
The ventricular fibrillation on the monitor instantly was sinus rhythm, however earlier than everybody was completely satisfied, sinus rhythm was ventricular fibrillation immediately!
“Proceed CPR!”
The 2 defibrillations can’t be carried out consecutively, and cardiopulmonary resuscitation is required in between.
Jiang Qingyan took over from Li Yao and instantly carried out chest compressions on the affected person.
On the facet, Ke Yue was utilizing a balloon to help the affected person in respiratory.
“Second defibrillation!”
Everybody avoided the affected person. Solar Guoguo adjusted the vitality of the defibrillator, utilized conductive paste, and aimed it underneath the proper clavicle and underneath the apex of the guts.
“Increase…”
Defibrillation succeeded!
After the ventricular fibrillation was transformed to sinus rhythm, it remained secure with no indicators of reconversion to ventricular fibrillation.
shortly transformed to sinus rhythm, which means hope of life.
Persistent ventricular fibrillation, steady cardiac electrical storm, if the time is just too lengthy, even when it could lastly be transformed to sinus rhythm, extended ischemia and hypoxia of assorted organs, the prognosis is extraordinarily poor!
“Zhang Guangming! Zhang Guangming! Are you able to hear me?”
Solar Guoguo got here near Zhang Guangming’s ear and shouted loudly.
I noticed Zhang Guangming slowly open his eyes, after which slowly shut them.
Though there isn’t a response, he has regained consciousness.
Everybody breathed a sigh of reduction.
“Come on, give me a hand, and put the affected person on the mattress.”
The scenario was essential simply now, and it was too late to place the affected person on the mattress.
There are extra individuals and extra energy, so everybody moved Zhang Guangming to the hospital mattress.
At the moment, Zhang Guangming’s father lastly arrived.
He regarded flustered, and was carrying a big bag of steamed buns in his hand.
“This… what’s unsuitable with this?”
“The affected person’s members of the family, proper, come, you and I’m going exterior and discuss.”
Li Yao regarded critical, pointed to the surface of the ward, and walked out first.
Zhang Huaming’s father additionally knew that the feminine physician in entrance of him was the director of the division, checked out his son on the mattress, and adopted Li Yao out of the ward.
This sort of communication in essential instances is after all the director of the division.
…
The rescue was over, however Lu Chen was not idle.
He pushed an electrocardiograph and reviewed the 18-lead electrocardiogram for Zhang Guangming.
In contrast with earlier than, the electrocardiogram right now confirmed that the ST section in leads V1-V6 of all the chest was all elevated!
Now there could not solely be an issue with the blood vessels of the anterior descending artery, however different coronary heart vessels might also be blocked!
Holding the electrocardiogram, he walked out of the ward.
Lu Chen noticed that Mr. Li Yao was speaking with the affected person’s household about his situation.
“The affected person could have cardiac arrest once more at any time, and the following time is probably not as fortunate as now and may be rescued.” Li Yao frowned, “Now whereas the affected person’s situation improves, interventional surgical procedure ought to be carried out instantly to open the blood vessels. A lifeline.”
The center-aged uncle gritted his enamel.
“how a lot is it?”
“Take a look at what number of stents are positioned. Judging from the present state of the affected person, you need to put together at the very least 50,000 yuan.”
“Fifty thousand…” The center-aged uncle hesitated, “This… can he be okay?”
Li Yao shook her head barely, “We will not assure that no hospital can assure the impact of remedy, until it is a hospital in Putian. You have to be grateful now that your son has the chance to have emergency surgical procedure! How many individuals died all of a sudden after a coronary heart assault and wished to do There isn’t any likelihood of surgical procedure!”
“Director Li, let me give it some thought!” The center-aged uncle paused.
“There isn’t any time to consider it!” Li Yao frowned, “Each minute that passes, the affected person turns into extra harmful!”
As quickly as he completed talking, Solar Guoguo’s voice got here from the ward.
“The affected person has ventricular fibrillation once more!”
(finish of this chapter)