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Back to 1999: From operating surgeons to becoming a top doctor - Chapter 188

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Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 188
"Is that your car?"

Xiao Chenguang comforted the woman while looking out of the hall.

Through the French windows of the inpatient hall, a black Santana was seen parked not far away.

In fact, in this era, cars are still easy to recognize.

Because of their scarcity, there are only a few cars parked in front of the hospital.

"Yes, yes, this is my car,"

It can be seen that the woman was very scared, so that the hem of her white coat was tightly grasped by her, as if she was grabbing a life-saving straw.

Not daring to delay, Xiao Chenguang ran out immediately.

The black Santana was parked diagonally in front of the door, the door was wide open, and even the engine was humming.

It seemed that the situation was urgent, and the woman didn't even have time to park the car, so she ran to the hospital for help.

The patient was in the back seat of the car, an elderly man, who was paralyzed there without any reaction at the moment, motionless.

The situation was unclear, Xiao Chenguang did not hesitate, and got into the car in one step.

At the same time, his voice came from the car.

"The old man died suddenly. You hurry to the emergency room to call for help and ask them to push the rescue equipment over. I will rescue him here first."

Obviously, this sentence was said to the old man's daughter outside the car.

The latter was frightened when she heard it. She knew what sudden death meant. She didn't dare to hesitate and immediately ran to the emergency room on the other side.

"If it's sudden death, it will be troublesome..."

Xiao Chenguang thought of a Chinese quintessence.

He thought about cerebral infarction and myocardial infarction, but he didn't expect the old man's condition to be so serious.

Sudden death.

As the most serious type of disease, because the situation is unclear and the diagnosis is unclear, the chance of rescue is only 50-50.

At this time, the old man's face was gray, his body was stiff, and his skin was bloodless.

It was not clear how long the heart stopped.

There was a fermented smell in the car, and the mats on the old man's body and feet showed jet-like vomit.

Seeing this scene, Xiao Chenguang's heart sank.

It seems that this old man should not have died of sudden cardiac death. It is very likely that he suffered from secondary cardiac arrest caused by vomiting and suffocation.

As for the reason for the sudden vomiting.

Xiao Chenguang has already made some judgments.

He opened the door on the other side to increase ventilation, but did not follow the most standard CAB cardiac arrest rescue process.

Instead, he tilted the old man's head to one side, quickly cleaned the secretions in the mouth and throat, and kept the airway open.

This method can only be used in some specific rescues.

The most typical one is the drowning patient.

After ensuring that the airway is unobstructed, Xiao Chenguang once again confirmed that the patient's carotid artery pulse disappeared, and immediately began external chest compression.

In the narrow space, Xiao Chenguang half-bent over, crossed his hands, and pressed on the patient's chest area.

The strong compression and fast frequency made the whole car shake.

Passers-by outside saw this scene and stopped to watch.

But when I saw the scene inside the car, I was immediately frightened and trembled all over. Even under the scorching sun, I felt cold in my heart.

At this time, a group of emergency personnel in dark green clothes pushed a flatbed and ran over in a hurry.

When they saw Xiao Chenguang pressing the patient non-stop, everyone's heart was lifted up at once.

Although I just heard the family say that the patient died suddenly and quickly prepared the rescue items, but when I really saw the patient's gray face, the adrenaline in my body was involuntarily secreted crazily.

"First lift the patient onto the flatbed, send him to the emergency department for rescue, and notify the neurosurgery department for emergency consultation."

The cramped space could not accommodate so many emergency personnel. Now, while there are so many people, everyone can perform rescue and transfer safely at the same time.

"Okay."

"No problem."

Xiao Chenguang's instructions were like an imperial decree to everyone in the emergency department.

The simple respirator was directly buckled on the patient's mouth and nose. As the airbag was squeezed, the patient's chest began to rise and fall.

Xiao Chenguang did not stop pressing. Even though everyone worked together to lift the patient onto the flatbed, he still maintained a high-intensity compression frequency and performed chest compressions.

"First, give him an epinephrine injection. Return to the emergency room and immediately establish an intravenous access for him. Prepare all the items for tracheal intubation."

Xiao Chenguang continued to press, and the rescue doctor's orders were also issued quickly.

The patient was in critical condition, with cardiac arrest and blood circulation disorders throughout the body. It was extremely difficult to find a blood vessel to establish a pathway in the noisy scene.

So he directly asked the nurse to inject an epinephrine intramuscularly. Even if the drug was used one second earlier, the patient's hope of survival would be one point higher.

Upon hearing this, the nurse directly drew out an epinephrine and stabbed it into the patient's arm.

"Check his pupils to see if there are any changes."

As soon as Xiao Chenguang finished speaking, someone immediately went to check the patient's pupils.

The eyelids were opened,The pupils that were dilated to the side were like two infinitely extending black holes, gradually swallowing up the patient.

"Director Xiao, the patient's pupils are dilated and fixed, and there is no reaction at all."

As soon as these words came out, the people involved in the rescue felt awe.

A dilated and fixed pupil means that the patient is on the verge of death and unable to struggle.

"Prepare atropine and lidocaine hydrochloride, and combine them with epinephrine later, and inject them together."

Xiao Chenguang made up his mind. In order to stimulate the patient's stopped heart, he directly took a strong dose of medicine and chose a triple needle for injection.

"Right away!"

The nurse ran with the flatbed while breaking the bottle of medicine and sucking the liquid medicine.

Then, another injection was given to the patient.

At this time, the patient had been pushed to the emergency door, and there was still a dozen steps away from the rescue room.

"Take another look at the pupil."

"No, it's still dilated and fixed."

As soon as these words came out, the medical staff involved in the rescue felt a little depressed.

Chest compression, pressurized oxygen, and various rescue drugs were used in turn, but they still didn't work.

This patient, I'm afraid, can't be saved because the sudden death lasted too long.

He sighed in his heart, with a little regret in his eyes.

At this moment, the patient's whole body was stiff, unresponsive, and all kinds of reflexes gradually disappeared, even without breathing and heartbeat.

How can he be saved.

"Dad, can you hear me? Wake up, don't sleep anymore, Jiaojiao is still waiting for grandpa to come back and hug her."

A helpless and desperate voice sounded in front of the hospital, and everyone who heard it was silent for a while, as if their hearts were torn open.

But there is no way to do this.

No one wants it to happen, but there are hundreds of thousands of patients who die suddenly every year.

About every minute, someone dies suddenly, and very few can persist in the hospital for rescue.

Even fewer can survive and recover.

Just when everyone was a little discouraged, Xiao Chenguang's voice sounded again.

"Change someone to press, give me the tracheal tube, prepare the laryngoscope, and open the patient's airway."

As the rescue drugs were injected into the patient one after another, Xiao Chenguang calculated the time and directly stopped the transport flatbed.

He turned over and got off the flatbed, strode to the patient's bedside, took the laryngoscope, and prepared to intubate the patient.

"Don't worry about me, don't stop pressing."

"One Nikethamide and one Lobeline, intramuscular injection."

Seeing that everyone was a little unresponsive, Xiao Chenguang reminded again.

Could it be that Director Xiao had another way?

The male doctor closest to him came to his senses, immediately took over Xiao Chenguang's position, and started pressing again.

After hearing the doctor's advice, the nurse quickly prepared the medicine and gave the injection.

No one would question Xiao Chenguang's sudden decision.

As long as there is hope, they are still doing their best to treat the patient.

Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 188

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