Chapter 103: Chapter 87: Elevator Terror, High-Quality Cardiopulmonary Resuscitation—And You Still Claim You’re Not a Military Doctor!
This is also the most critical arrhythmia in emergency medicine.
If not handled promptly or correctly, the patient could be fatal in a short time.
Thus, it is also called the terminal arrhythmia.
However, just as the electrocardiogram briefly showed ventricular flutter, He Xiaohong noticed that the alarming ventricular flutter quickly changed to even more alarming, varied-sized and differently shaped fibrillation waves, meaning death ventricular fibrillation had arrived.
If not rescued in time, within a minute it could be deadly enough to kill!
"Xiaohong, I’ll do CPR, you apply a 200 joule shock to the patient!!"
Just as he was bewildered, preparing to arrange for President Zhang in front of him to cooperate in the rescue.
He unexpectedly found that President Zhang had already started external chest compressions without him knowing, and the posture was very standard, with extremely high quality!!
One hundred to one hundred and twenty compressions per minute.
The compression depth controlled at a very standard five centimeters each time.
And each compression allowed the chest to fully rebound, the whole process uninterrupted.
"Charging: 50... 91... 150..."
"Charged: 200 joules"
"Beep beep beep——"
The defibrillator sounded.
"Old man! What’s wrong with you!"
The nearby aunt shouted at the man on the bed, because his hand was tightly clenched into a fist, his upper arm and lower arm at a right angle, and his whole body began twitching bizarrely.
Sudden scene.
Frightened the slow-reacting aunt to tears.
But Zhang Lingchuan ignored her and continued performing CPR.
In ventricular fibrillation, CPR is key to maintaining essential vital signs.
Usually, a ventricular fibrillation patient will enter a coma directly after 10 seconds, simultaneously losing consciousness.
After ventricular fibrillation, there are few respiratory adjustments, the face will gradually turn purple, and the pupils dilate within a minute, so time is life!!
If I stop, the patient dies!!
Unbelievable.
Didn’t expect to bump into such a thing coming to the hospital to persuade the father to be discharged from the hospital!
So ridiculous!!
"Charge 200 joules, prepare to shock, everyone step away!!"
At this moment, seeing President Zhang performing CPR so steadily, He Xiaohong felt somewhat relieved, observing him as he came to the bedside holding a defibrillator with one hand.
"Family members! Quickly step aside!!"
Zhang Lingchuan swiftly pulled the aunt away from the bedside.
Because if she were close, she could easily get shocked.
During defibrillation, everyone should stay away from the bedside.
"Oh oh!"
The aunt quickly stepped aside.
"Zi!"
The defibrillator operated up and down.
"Shock completed!!"
Soon, the discharge was over.
The defibrillator was returned.
"Heart rate still hasn’t changed, Xiaohong continue with defibrillation!"
Zhang Lingchuan seamlessly continued CPR.
Meanwhile, checking the electrocardiogram, it’s still ventricular fibrillation!
"Okay!!"
Continue charging.
And the elevator was ascending.
First floor, second floor, third floor...
The cardiac catheterization laboratory is on the seventh floor.
Which means.
If the elevator moves slightly slower, it generally takes just over a minute to arrive!!
"Beep beep beep——"
The defibrillator recharging was completed a second time.
"Family members! Don’t touch the bed!!"
Zhang Lingchuan again pulled the family members away.
And within this minute.
His forehead was covered in beads of sweat.
"Zi——"
Second defibrillation initiated.
"Oh darn——"
He Xiaohong’s face paled, and he felt a bit distracted.
Because after the second defibrillation, the electrocardiogram still had not changed, remaining in ventricular fibrillation state.
It’s over!
This time it’s truly over!!
"This is stubborn ventricular fibrillation, I’ll continue maintaining essential vital signs!!"
Zhang Lingchuan continued seamless CPR.
"Ding——"
At this moment.
The elevator doors of the seventh floor opened.
The deputy director of the cardiology department and some patients and their families were waiting for the elevator when the suddenly raised elevator doors opened.
He glanced inside.
Found three people in the elevator.
A helpless old lady, a young doctor just putting away the defibrillator, and a handsome guy wearing deep red shorts and a white top, whose clothing choice inversely matched his looks, performing CPR.
As the deputy director of cardiology, he instantly recognized the high quality of the CPR performed by this guy.
"What’s going on!!"
Director Wu Bin of the cardiology department asked.
"Director Wu, this is a patient from our emergency department being transported for percutaneous coronary intervention surgery, and the patient suddenly experienced ventricular fibrillation in the elevator, the heart rate remained unchanged after two defibrillations!"
He Xiaohong explained simply.
"Quick quick quick! Help! Change personnel!!"
Upon hearing that the second defibrillation had no effect.
Wu Bin’s pupils constricted.
Immediately took charge personally.
Quickly invested in the rescue.
Followed by intubation, breathing bag application, five-point auscultation, intravenous adrenaline injection.
Carbon dioxide concentration monitoring.
CPR ETCO2 value 12.
Initiating third defibrillation.
"Beep——"
Finally.
With the cooperation of several doctors.
Defibrillation succeeded, the electrocardiogram transformed from ventricular fibrillation to sinus rhythm.
He Xiaohong, whose face had turned pale, also let out a sigh of relief.
"Immediately open the culprit vessel."
Wu Bin instructed.
Simultaneously, his gaze rested on the unknown young man.
"Whew——"
Zhang Lingchuan’s white T-shirt was soaked with sweat.
These doctors are really relentless!
Typically they should switch personnel!
Seeing his CPR was good, they just kept pulling more from him!
"Young man, are you a new doctor at our hospital? You look unfamiliar! The quality of your CPR is really outstanding!"
Wu Bin praised.
Having just seen such mature CPR performed by the other.
It seemed as though the heart was beating on its own.
He didn’t take him off.