It's not that hard to open a hospital in another world, right?
Chapter 783 Level 8 Knight, How Much Energy Should I Use for Defibrillation?
Chapter 783 Level 8 Knight, How Much Energy Should I Use for Defibrillation?
Aortic tear...severe pain...blood pressure...reason...
The middle-aged knight and the young knight glanced at each other, and read confusion from the eyes of their elder brother and younger brother at the same time:
Do you understand these words?
I do not understand.
Have you heard of it?
I have never heard of...
The two looked at each other, then turned back and stared at Gretel eagerly.Maybe the caster, the healer, is how they talk?After all, the magicians in the team often don't understand what they say...
Turning their heads, the two of them yelled "Oops" in unison:
"Master Your Excellency! You are..."
On the treatment bed, the old knight frowned, tossed and turned, and moaned softly.The two knights stared at their father for a while, and asked cautiously:
"Master Your Excellency, you... canceled the Tranquility Technique?" Why cancel it!Father has been suffering for so long, and finally he has a tranquilizer, which can relieve him for a while!
"Well, it's cancelled." Gretel stared at the old knight's electrocardiogram, thinking desperately.While scrutinizing the cause of the disease, he answered very familiarly:
"This thing has been working, and it's not very beneficial. The patient is under anesthesia and confinement, and any changes are not easy for the healer to see. Although there are these—"
Pointing to the flashing light screen next to it, the electrocardiogram, sphygmomanometer, and blood oxygen magic are lined up, showing the patient's condition at any time:
"However, nothing can beat the patient's own reaction. Each of these subtle signs must be considered by the healer..."
Hey, the heart rhythm is still not very good. After all, I just had a hemorrhagic shock, and the hypokalemia and hyponatremia have not been completely corrected.According to the previous examination results and his clinical experience, this patient will theoretically encounter N kinds of death possibilities:
disseminated intravascular coagulation...
Malignant arrhythmias caused by hypokalemia...
Cardiac tamponade...
Pheochromocytoma crisis...
Large-scale cerebral infarction or cerebral hemorrhage, involving the vital center...
Outflow tract obstruction...
Acute pulmonary embolism...
acute myocardial infarction...
Acute aortic dissection just happened, and it has been repaired. By the way, the aorta was scanned, and there should be no possibility of aortic sinus aneurysm rupture.But all kinds of other things are possible, and you must be vigilant about them.
Before he could figure out why, the old knight suddenly opened his eyes on the treatment bed, and muttered indistinctly:
"Where is this...I...I'm fine...I want to go back..."
"Father! Father, you are awake!"
The middle-aged knight was the first to pounce on it.The younger knight was half a beat slower, and holding the chest bottle, a head popped out from the side of the treatment bed:
"You can't go back now! You were rescued after bleeding so much just now. Your Excellency the mage didn't say you can go!"
"Let me go back!"
The old knight suddenly lost his temper.He swung his arm vigorously, and Gretel only felt a "woo" in his ear, and the wind howled.
Immediately following a loud bang, the middle-aged knight fell backwards and hit his treatment table with his head, causing the heavy basswood table to collapse on the spot.
Gretel: "..."
This is what "rich clinical experience" cannot cover.In the previous life, although the patient was able to fight, he couldn't fight to this extent!
Also, the family members of the patient are too weak, you are already middle-aged, have you not reached level 8 knight yet?If you get an arm from your father, you will still be beaten out on the spot!
Fortunately, Gretel was standing at the end of the bed, still a little away from the patient's attack range, and with quick eyesight and quick hands, he quickly cast a tranquility spell.The spell confinement was thrown over, and the effect was immediate. The old knight fell on the bed in an instant, motionless.
"This...Master Nordmark, I'm sorry..."
The middle-aged knight propped himself up from a pile of broken logs in a state of embarrassment, limping back with a face full of embarrassment.Gretel waved his hand nonchalantly:
"It's okay. Remember to pay for the table when you look back. - I'll wipe it!"
Amidst the middle-aged knight's "I pay! I pay!", Gretel's eyes widened and he rushed over.
Just after such a round of tossing, the waveform of the old knight's electrocardiogram changed suddenly.On the side of the electrocardiogram cloud screen, at the same moment, a hoarse alarm sounded!
I go!
Ventricular fibrillation!
Why did he suddenly have ventricular fibrillation! ! !
"Father!"
The two knights rushed over at the same time.They were scruples about the breastplate, and they didn't dare to grab the shoulders and shake it desperately. They just grabbed the old knight's arm and shouted one after another:
"Father! Father, wake up!"
"Father, wake up! - Master Nordmark, do you want to press the heart?"
"Get out of the way!" Gretel yelled.Seeing that the two knights didn't react immediately, they frowned and pointed with their hands——
boom!
boom!
Two large transparent force field hands soared into the air, one left and one right, and directly sent the two of them flying.
"Get out of the way! Keep your distance!"
Gretel snapped the order.After yelling, he immediately concentrated slightly and mobilized the spell configuration of the electric defibrillation magic——
"The first time direct current defibrillation, electric claw one-way wave electric defibrillation 360 joules, start!"
Thankfully, this time it is not "the first time DC cardioversion, I don't know how many joules the claws of lightning have".The magic adjusted this time can finally see people...
Undressing, unnecessary, I took it off when doing the chest piercing before.The couplant does not exist, and the electric claw directly hits it.Sticking electrodes, no need, in the configuration of the electric defibrillation magic, the function of automatic positioning has been added...
The bright lightning hit the old knight.The old man's strong body straightened up, emitting a scorching smell, and fell down again without sound.Gretel frowned, and the hands of the two high-ranking mages waved out, pressing down hard——
Can't hold it down.
An eighth-level knight, even if he loses consciousness, his bones and muscles are strong enough.The hands of two high-level mages are stacked together, and they can't output enough power at all.
"Go up and do CPR! Quick!" Gretel turned around and shouted.The two knights jumped up in a panic, posed, pressed down, and their whole bodies were trembling.Gretel had to direct from the side:
"Straighten your upper body! Straighten! Press straight down!"
"Strong! It's useless if you don't go deep enough! - Don't be afraid to break your ribs!"
"Don't swing your body from side to side! You are saving your father's life, not dancing!"
Hey... You have a problem with your cardiopulmonary resuscitation training!The action is not standard, it is useless at all!
Under the command of Gretel with one command and one action, the two knights relayed and finally completed 5 sets of external compressions for a total of 2 minutes.When the time was up, Gretel immediately shouted:
"Back off!"
Very good, I obeyed the order immediately this time, and didn't let him use the force field to pump...
"The second direct current defibrillation, electric claw one-way wave defibrillation 360 joules, start!"
Gretel said it silently in his heart, stretched his hands forward, and the snow-white lightning came out for the second time.The second burning smell rose, and the old knight's body bounced, but there was still no movement...
"CPR! Quick!"
Gretel yelled a second time.Throw the two knights forward and give their father external compressions.Standing on the side by himself, he quickly threw an inspiration spell to replace adrenaline, and at the same time thought quickly in his heart:
Why is defibrillation ineffective?
Inaccurate timing of electric shock?
No, this magic has been adjusted many times, and it should be able to get on the rhythm;
Combining electrolyte disturbance, acidosis, hypoxia and other factors?
He quickly drew a drop of blood and threw out the blood test magic.The blood potassium and blood sodium have been corrected, and the blood sodium is normal, so it should not be caused by electrolyte disturbance; the pH is normal, and the blood oxygen saturation is okay;
Ventricular fibrillation from fine tremor to coarse tremor?Impossible, he has been staring at the electrocardiogram;
So... Maybe it's the defibrillation energy?After all, the energy required for electrical defibrillation is closely related to the patient's body.For example, to defibrillate a child, the energy used for the first time should be 2 joules/kg body weight, and for the second time, the energy should be 4 joules/kg body weight.
Knight, 8th-level knight, with strong muscles and bones, strong muscles, and strong resistance to energy——
For example, if you hit an ordinary person with an electric claw, you will be knocked down on the spot; if you hit Bernard, a level 8 fighter, he would shake, be paralyzed, and continue to charge forward with a roar...
Ok, so please tell me, how much energy should be used to defibrillate a level 8 fighter?
I have no data accumulation before!
****
Ask for subscription, ask for monthly pass, ask for recommendation ticket, ask for book review, ask for various...
ps: Potassium chloride was used in the lethal injection mentioned in the previous chapter. Some readers were shocked and asked if it should be potassium cyanide.It's actually Potassium Chloride... This stuff is injected into the bloodstream in large doses and can cause cardiac arrest...
My group's peach and plum bread has arrived!
I ordered two copies, and it will be no problem to ship the buns until the 20th!
Seeing the forwarding in the circle of friends, it said that all the Hema brothers in Xinjiangwan City were wiped out, and they were all taken away. I am so scared. If the logistics here tightens up, we will suffer if we don’t give anything to the group.
Hurry up and make another 15-jin vegetable bag, only this is the most indispensable...
ps, the third big gift pack from the community arrived today, including 2 packs of noodles, 2 small boxes of milk, a pack of dried tea, a square leg, a pack of Shuanghui ham sausage, 2 salted duck eggs, 4 packs of Wujiang mustard...
I happened to cook porridge with the 10 catties of rice distributed yesterday, and it was very good, thanks to the government ^_^
(End of this chapter)
Aortic tear...severe pain...blood pressure...reason...
The middle-aged knight and the young knight glanced at each other, and read confusion from the eyes of their elder brother and younger brother at the same time:
Do you understand these words?
I do not understand.
Have you heard of it?
I have never heard of...
The two looked at each other, then turned back and stared at Gretel eagerly.Maybe the caster, the healer, is how they talk?After all, the magicians in the team often don't understand what they say...
Turning their heads, the two of them yelled "Oops" in unison:
"Master Your Excellency! You are..."
On the treatment bed, the old knight frowned, tossed and turned, and moaned softly.The two knights stared at their father for a while, and asked cautiously:
"Master Your Excellency, you... canceled the Tranquility Technique?" Why cancel it!Father has been suffering for so long, and finally he has a tranquilizer, which can relieve him for a while!
"Well, it's cancelled." Gretel stared at the old knight's electrocardiogram, thinking desperately.While scrutinizing the cause of the disease, he answered very familiarly:
"This thing has been working, and it's not very beneficial. The patient is under anesthesia and confinement, and any changes are not easy for the healer to see. Although there are these—"
Pointing to the flashing light screen next to it, the electrocardiogram, sphygmomanometer, and blood oxygen magic are lined up, showing the patient's condition at any time:
"However, nothing can beat the patient's own reaction. Each of these subtle signs must be considered by the healer..."
Hey, the heart rhythm is still not very good. After all, I just had a hemorrhagic shock, and the hypokalemia and hyponatremia have not been completely corrected.According to the previous examination results and his clinical experience, this patient will theoretically encounter N kinds of death possibilities:
disseminated intravascular coagulation...
Malignant arrhythmias caused by hypokalemia...
Cardiac tamponade...
Pheochromocytoma crisis...
Large-scale cerebral infarction or cerebral hemorrhage, involving the vital center...
Outflow tract obstruction...
Acute pulmonary embolism...
acute myocardial infarction...
Acute aortic dissection just happened, and it has been repaired. By the way, the aorta was scanned, and there should be no possibility of aortic sinus aneurysm rupture.But all kinds of other things are possible, and you must be vigilant about them.
Before he could figure out why, the old knight suddenly opened his eyes on the treatment bed, and muttered indistinctly:
"Where is this...I...I'm fine...I want to go back..."
"Father! Father, you are awake!"
The middle-aged knight was the first to pounce on it.The younger knight was half a beat slower, and holding the chest bottle, a head popped out from the side of the treatment bed:
"You can't go back now! You were rescued after bleeding so much just now. Your Excellency the mage didn't say you can go!"
"Let me go back!"
The old knight suddenly lost his temper.He swung his arm vigorously, and Gretel only felt a "woo" in his ear, and the wind howled.
Immediately following a loud bang, the middle-aged knight fell backwards and hit his treatment table with his head, causing the heavy basswood table to collapse on the spot.
Gretel: "..."
This is what "rich clinical experience" cannot cover.In the previous life, although the patient was able to fight, he couldn't fight to this extent!
Also, the family members of the patient are too weak, you are already middle-aged, have you not reached level 8 knight yet?If you get an arm from your father, you will still be beaten out on the spot!
Fortunately, Gretel was standing at the end of the bed, still a little away from the patient's attack range, and with quick eyesight and quick hands, he quickly cast a tranquility spell.The spell confinement was thrown over, and the effect was immediate. The old knight fell on the bed in an instant, motionless.
"This...Master Nordmark, I'm sorry..."
The middle-aged knight propped himself up from a pile of broken logs in a state of embarrassment, limping back with a face full of embarrassment.Gretel waved his hand nonchalantly:
"It's okay. Remember to pay for the table when you look back. - I'll wipe it!"
Amidst the middle-aged knight's "I pay! I pay!", Gretel's eyes widened and he rushed over.
Just after such a round of tossing, the waveform of the old knight's electrocardiogram changed suddenly.On the side of the electrocardiogram cloud screen, at the same moment, a hoarse alarm sounded!
I go!
Ventricular fibrillation!
Why did he suddenly have ventricular fibrillation! ! !
"Father!"
The two knights rushed over at the same time.They were scruples about the breastplate, and they didn't dare to grab the shoulders and shake it desperately. They just grabbed the old knight's arm and shouted one after another:
"Father! Father, wake up!"
"Father, wake up! - Master Nordmark, do you want to press the heart?"
"Get out of the way!" Gretel yelled.Seeing that the two knights didn't react immediately, they frowned and pointed with their hands——
boom!
boom!
Two large transparent force field hands soared into the air, one left and one right, and directly sent the two of them flying.
"Get out of the way! Keep your distance!"
Gretel snapped the order.After yelling, he immediately concentrated slightly and mobilized the spell configuration of the electric defibrillation magic——
"The first time direct current defibrillation, electric claw one-way wave electric defibrillation 360 joules, start!"
Thankfully, this time it is not "the first time DC cardioversion, I don't know how many joules the claws of lightning have".The magic adjusted this time can finally see people...
Undressing, unnecessary, I took it off when doing the chest piercing before.The couplant does not exist, and the electric claw directly hits it.Sticking electrodes, no need, in the configuration of the electric defibrillation magic, the function of automatic positioning has been added...
The bright lightning hit the old knight.The old man's strong body straightened up, emitting a scorching smell, and fell down again without sound.Gretel frowned, and the hands of the two high-ranking mages waved out, pressing down hard——
Can't hold it down.
An eighth-level knight, even if he loses consciousness, his bones and muscles are strong enough.The hands of two high-level mages are stacked together, and they can't output enough power at all.
"Go up and do CPR! Quick!" Gretel turned around and shouted.The two knights jumped up in a panic, posed, pressed down, and their whole bodies were trembling.Gretel had to direct from the side:
"Straighten your upper body! Straighten! Press straight down!"
"Strong! It's useless if you don't go deep enough! - Don't be afraid to break your ribs!"
"Don't swing your body from side to side! You are saving your father's life, not dancing!"
Hey... You have a problem with your cardiopulmonary resuscitation training!The action is not standard, it is useless at all!
Under the command of Gretel with one command and one action, the two knights relayed and finally completed 5 sets of external compressions for a total of 2 minutes.When the time was up, Gretel immediately shouted:
"Back off!"
Very good, I obeyed the order immediately this time, and didn't let him use the force field to pump...
"The second direct current defibrillation, electric claw one-way wave defibrillation 360 joules, start!"
Gretel said it silently in his heart, stretched his hands forward, and the snow-white lightning came out for the second time.The second burning smell rose, and the old knight's body bounced, but there was still no movement...
"CPR! Quick!"
Gretel yelled a second time.Throw the two knights forward and give their father external compressions.Standing on the side by himself, he quickly threw an inspiration spell to replace adrenaline, and at the same time thought quickly in his heart:
Why is defibrillation ineffective?
Inaccurate timing of electric shock?
No, this magic has been adjusted many times, and it should be able to get on the rhythm;
Combining electrolyte disturbance, acidosis, hypoxia and other factors?
He quickly drew a drop of blood and threw out the blood test magic.The blood potassium and blood sodium have been corrected, and the blood sodium is normal, so it should not be caused by electrolyte disturbance; the pH is normal, and the blood oxygen saturation is okay;
Ventricular fibrillation from fine tremor to coarse tremor?Impossible, he has been staring at the electrocardiogram;
So... Maybe it's the defibrillation energy?After all, the energy required for electrical defibrillation is closely related to the patient's body.For example, to defibrillate a child, the energy used for the first time should be 2 joules/kg body weight, and for the second time, the energy should be 4 joules/kg body weight.
Knight, 8th-level knight, with strong muscles and bones, strong muscles, and strong resistance to energy——
For example, if you hit an ordinary person with an electric claw, you will be knocked down on the spot; if you hit Bernard, a level 8 fighter, he would shake, be paralyzed, and continue to charge forward with a roar...
Ok, so please tell me, how much energy should be used to defibrillate a level 8 fighter?
I have no data accumulation before!
****
Ask for subscription, ask for monthly pass, ask for recommendation ticket, ask for book review, ask for various...
ps: Potassium chloride was used in the lethal injection mentioned in the previous chapter. Some readers were shocked and asked if it should be potassium cyanide.It's actually Potassium Chloride... This stuff is injected into the bloodstream in large doses and can cause cardiac arrest...
My group's peach and plum bread has arrived!
I ordered two copies, and it will be no problem to ship the buns until the 20th!
Seeing the forwarding in the circle of friends, it said that all the Hema brothers in Xinjiangwan City were wiped out, and they were all taken away. I am so scared. If the logistics here tightens up, we will suffer if we don’t give anything to the group.
Hurry up and make another 15-jin vegetable bag, only this is the most indispensable...
ps, the third big gift pack from the community arrived today, including 2 packs of noodles, 2 small boxes of milk, a pack of dried tea, a square leg, a pack of Shuanghui ham sausage, 2 salted duck eggs, 4 packs of Wujiang mustard...
I happened to cook porridge with the 10 catties of rice distributed yesterday, and it was very good, thanks to the government ^_^
(End of this chapter)
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