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Chapter 370 Jianghu!(1/2)

Outside the rescue room, there was still a group of people busy. Lu Cheng took off his gloves at this moment, frowned and ran to the sink to wash his hands.

Zhou Linli followed Lu Cheng and asked with a trembling tone: "Teacher Lu, can this patient be saved?"

There was uncertainty and embarrassment in his expression.

"It's difficult! But it's not completely impossible. We must seize the time to complete the examination and send him to the operating room. Otherwise, he will be dead within an hour at most." Lu Cheng replied solemnly in his voice.

But my mental estimate may be shorter than the time mentioned.

A normal person's life is related to too many things. Breathing, heartbeat, and blood pressure are the three most basic elements.

Although Lu Cheng helped him restore his airway and his breathing rhythm, bleeding was still a headache, and it could not be counted as unexpected factors such as sudden cerebral infarction, arrhythmia, myocardial infarction, etc.!

Lu Cheng was still washing his hands when the sound of the monitor's beeping alarm came from inside again.

"Ventricular fibrillation! The patient has ventricular fibrillation, start defibrillation immediately!" This is Zou Qian's calm voice.

"Everyone, get out of the way!"

"The drainage tube in my chest hasn't been put in yet," the chief resident of the thoracic surgery department shouted.

"Get out of the way!"

Just when Zou Qian was about to perform electric defibrillation, the neurosurgery staff once again delivered bad news: "The patient's pupils have been dilated and his direct light reflex has been slowed. There is probably a hidden cerebral hemorrhage and cerebral infarction."

For a while, even if the defibrillation restored the heart rate, it wouldn’t mean much!”

"Brother Qian, what do you say?"

"Have the patient's examination been done? If so, it can be rushed to the operating room immediately."

Zou Qian took a deep breath and said quickly: "Defibrillate first! Prepare for chest compressions, call the main duty phone again, contact family members, inform the condition, and inform the medical department!"

After a person suffers a trauma, it still takes a while to get from the scene of the accident to the hospital, even if it takes 120 seconds to drag and disobey traffic rules.

Without accurate examination results, a rash craniotomy is nothing more than looking for a needle in a big haystack. It is impossible that the problem has not been discovered yet. We should perform a craniotomy first, and then ask, what kind of operation is needed?

At that time, who can answer?

But no matter what, humanitarian rescue must still be done!

"The blood pressure has dropped again, and now the high pressure is only 67mmHg." The nurse shouted.

"Didi! Didi!" The monitor once again gave a ruthless scythe amidst the chaotic shouts!

"The patient's heart rate is gone!" the nurse added.

"Get on the ventilator, pause defibrillation, perform external cardiac compressions, and continue to complete advanced life support!"

Advanced life support mainly includes ventilator to provide sufficient oxygen at a fixed frequency and chest compressions!

Trying to restore the beating rhythm of the heart while ensuring the blood supply to important organs, but no one can guarantee whether it can return!

After hearing the conversation inside, Zhou Linli's face suddenly turned pale and he murmured: "Are you still dead? Is there nothing else you can do?"

Lu Cheng glanced at him and froze his hands in the air. In fact, there is a very subtle way, that is to open the chest now, and then perform heart compressions from inside the chest, or quickly install a pacemaker instead.

The stopped-beating sinoatrial node sends instructions for the heart to beat.

This can restore heartbeat and breathing, but?

Is this meaning really useful?

Is the person who was rescued like this the same person?

How to deal with brain damage? What should a person do if he or she becomes a vegetative state after living? If he or she is not a vegetative state but has lost language and motor functions and only regained consciousness, what should he do? He will lie in bed for the rest of his life.

Lu Cheng couldn't answer this question, so after washing his hands immediately, he walked into the emergency room again and asked Zou Qian: "Is the CEO of the cardiology department here?"

"Here, emergency consultation, arrived five minutes ago. The tall and thin doctor who is performing external cardiac compression is his name is Zhu Yong." Zou Qian gave the answer, and Lu Chengcheng said nothing more.

Lu Cheng's current identity is just the chief resident of the Department of Orthopedics. As a cardiologist here, he is the authority. He has the right to diagnose and the right to choose!

Lu Cheng sighed, then stood aside silently and waited, ready to take over the chest compressions at any time.

In today's situation, cardiac arrest is the first priority!

About five minutes later, the patient's heartbeat and breathing still hadn't recovered, and the general residents of the neurosurgery department, thoracic surgery department, and general surgery department all left.

Five minutes is the window period. After this period, even if the person is alive, many cells in the brain are dead, and there is no point in performing neurosurgery again!

Twenty minutes later.

The boss of the cardiology department also stopped all rescue measures. While watching the patient looking for a wrist band, he said: "The patient's rescue failed and he died at 11:14!"

"Hmm? Where's the wristband? What's his name?"

"Jin Minzhong has no family members. He only registered with a temporary ID card, without a wristband or other information!" Zou Qian said.

"Then leave it to the general on-duty to negotiate with the patient's family, Brother Qian, issue a death note for the patient, and make up the rescue record! Thank you for your hard work." The CEO of the Department of Cardiology said with a calm expression.

Next to him, a doctor from the emergency department was writing down the words of the CEO of the cardiology department word for word, his hands trembling slightly. He was a graduate student who came to the department of rotation, and this was one of the few deaths he had ever seen.

When Lu Cheng saw this, he also said goodbye to Zou Qian and left. Although he participated in the rescue, only records of his tracheostomy and chest drainage appeared in the rescue records. Everything else had nothing to do with Lu Cheng. And Lu Cheng

Cheng is now the chief resident. Even if he is not the chief resident in the Department of Anesthesiology and Thoracic Surgery, he can still perform invasive operations such as tracheotomy and puncture in emergency situations!

Otherwise, if an emergency happens in the orthopedic ward, wouldn't the orthopedic staff be able to provide rescue immediately?

Major operations are not possible, but emergency operations are possible.

As Zhou Linli and Lu Cheng walked up the stairs, he said with great pity: "Teacher Lu, what a pity this patient is. Such timely and perfect rescue failed to save him. If he could be saved, then

That’ll be fine.”

If the treatment is successful, Lu Chengcheng will once again become famous in the hospital for his quick actions and decisiveness.

Lu Cheng walked in front, still thinking about this patient. He felt that if the battle scene skills were still there at this moment, then he could give it a try, but that scene skills were no longer available.

Therefore, Lu Cheng did not feel any regrets. He had already tried his best.

It’s just that in this world, there are many lives that are beyond human reach.

If the 120 car can be equipped with a CT machine, there is still hope for the patient to get off the car and be pushed directly to the operating room. However, if there is a CT machine on the 120 car, then everyone in the car will have to eat radiation, and the 120 doctor

Who dares to do it?

Risk your life for everyone?

Use your life to make money, and then use the money to support cancer? This is impossible, and it is impossible to happen.

Therefore, everything will eventually have regrets.

Lu Chengcheng said to Zhou Linli: "We have tried our best. We have completed the maximum treatment that our medical workers can do and exerted their greatest abilities. However, life is strong and fragile."

"To save a person, it may only take a few hours or days. But to end a life, the fastest way only takes one second, or even less."

"So it is no pity that any doctor, no matter how skilled he is, can only slowly break down the barriers of the existing medical system, but cannot cure everything."

"Life and death are natural and objective laws. If you suffer such a serious injury, the result is death. The damage caused by the injury cannot be reversed, and the result cannot be reversed."

Zhou Linli listened thoughtfully to Lu Cheng's words.

Then he quickly followed two more steps and asked: "Teacher Lu, is this one of the rare death cases that you have come into contact with?"

Lu Cheng thought about it carefully and replied: "To be precise, it should be the eighth case. It is the first case I left the last training unit."

Speaking of this, Lu Cheng smiled again, trying to calm down Zhou Linli and himself, so he joked: "Why, in your heart, am I supposed to be the kind of omnipotent miracle doctor, as long as I am a patient?"

, do you think you will definitely not die if you get into my hands?"

Zhou Linli quickly shook his head, this is a layman's view.

Outsiders think that as long as you come to the hospital alive, you are safe, as if you have purchased 100% insurance.

"Teacher Lu, that's not what I meant." Zhou Linli quickly explained to Lu Cheng, fearing that Lu Cheng would misunderstand him.

Although Lu Cheng didn't save his life, his reaction and speed during the rescue were outstanding. He just encountered a condition that was difficult to treat with human power. Even if the patient's final outcome was death, there was still no way to cover up Lu Cheng's treatment.

The process is perfect for these things.

In the eyes of outsiders, it was just showmanship and pretentiousness. But Zhou Linli knew that it was a reflection of Lu Cheng's medical level.

Lu Cheng didn't say much. After returning to the ward, he saw the little girl's family at the nurse's station. They were sitting on the four rows of green and white metal chairs opposite the nurse's station. After seeing

After Lu Cheng arrived, the whole family stood up quickly.

They greeted Lu Chenglai and said hello, and the man and the girl's grandfather also personally apologized to Lu Cheng.

Naturally, Lu Cheng would not have any special opinions on them because of what they had said before. He quickly helped the old man up and said, "Thank you very much for trusting our hospital and the diagnosis we made for you. There is no need to apologize.

.”

"It's just that the child's current situation exists objectively, and the corresponding risks are also objective."

"It's not you or me who can reduce it by worrying, worrying, believing, or saying anything."

"It's just that because there is no particularly detailed information, based on the results of an X-ray, this is all I can tell you. For example, if you knew that I only had three dollars, you wouldn't force me to ask for it.

I bought something worth thirty yuan, because you also know that I have no money to give you."

"This is just the same principle, but the specific next step of diagnosis and treatment plan, whether surgery should be performed and how to perform surgery, still needs to be planned in detail. So I suggest you go through the hospitalization procedures first, and then improve the CT results.

, the CT results will be more detailed.”
To be continued...
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