Back to the Republic of China as a doctor

Chapter 242 240. Starting Defibrillation (Seeking Subscription Monthly Pass)
In this world, the meeting between people is actually very wonderful, the most important thing is... eye contact.

Forsman saw the young man's expression, the earnest anxiety and concern, and he couldn't fake it. He didn't know how good the young man's medical skills were, but based on what he observed, he knew that this was a real doctor. doctor.

To be honest, he really wanted to follow up... But after all, he didn't know the doctor yet.

It's just that Doctor Yu and the young man beside him looked at him...

……

Jiang Lai did not expect that he could really see the father of the intervention among his colleagues, and after telling Yu Wen and the others to continue to give the patient CPR, he went directly towards Forthman. In fact, he did not expect that, He clearly came to see Fussman, but he met a patient in cardiac arrest in the hospital, "Hello, Dr. Fussman, I'm Jiang Lai."

"Doctor Jiang? Hello!" Fussman was pleasantly surprised. He didn't expect that Jiang Lai was really so young.

"Rescue the patient now, I'm sorry, I don't have time to chat with you...the condition is urgent, we need to give first aid to the patient, I think there should be something you want to see." Jiang Lai said in a serious tone, and then turned to a new recruit The nurse yelled, "Call the patient's family and bring the consent form for defibrillation and thoracotomy!"

"Okay, Director Jiang!" Soon a nurse responded.

Forsman naturally agreed, and then he saw Dr. Jiang communicating with a young man in Chinese, which he could barely understand.

"Your father's heartbeat has stopped suddenly, and you can see it too. He can't feel his pulse, and he's not breathing." Jiang Lai said to the young man, "That is to say, he's already dead."

The young man nodded blankly, "My father..."

"But! We haven't given up yet. Just yesterday, the equipment I bought from the United States arrived!" Jiang Lai emphasized, "I'm not sure if I can save your father, but... the chance is one in ten thousand. ! If you are willing to try, sign the consent form! Because we may open your father's chest in you!"

Yes, although there is no external defibrillator yet, internal defibrillators have already come out.

Last year, some American doctors announced at the Physiological Annual Meeting that the combination of manual compression and electrical defibrillation can increase the probability of resuscitating the heart.

It's just that the current defibrillator... is quite large, and it needs to be plugged in. Moreover, it directly acts on the heart. Jiang Lai had no choice but to buy this device.

When teaching CPR to others in the emergency department, in order to make up for the lack of a defibrillator, he asked Smith for a defibrillator. Of course, he had just arrived.

At the same time, he also stipulated that in addition to uncontrollable factors, the rescuer is required to carry out cardiopulmonary resuscitation until the angiography room. Whether it is angiography or cardiopulmonary resuscitation plus defibrillation, the contrast room will become a rescue room.

If the defibrillator hadn't been installed yesterday, he would only be giving the old man CPR today.

"Okay!" The family member naturally nodded. He watched his father collapse with his own eyes. He was registering at the time, but within 2 minutes, his father lost his breath and pulse.

Now, since Dr. Jiang has said that there is still a chance... then there is still a chance.

Without hesitation, the young man signed the consent form.

Seeing this, Jiang Lai took the consent form and looked at the young man seriously, "I'm not sure if I can save your father, but I will try my best!"

"Thank you!" The young man's eyes turned red, "Thank you!"

Jiang Lai gave the consent form to the nurse, "Let's go, Dr. Forsman!"

"Okay!" Of course, Forsman was not polite, since the other party said that there will be something he wants to see here, then...you must go in!
……

imaging room.

On a rather simple rescue bed, Ji Qing had been replaced by Yu Wen, and he was wiping the sweat from his forehead. After pressing for a few minutes, not only his hands were sore, but his back was even more sore.

However, he persisted until the patient was pushed into the imaging room.

Yes, in the imaging room, there is still a chance for everything. Soon, Ji Qing saw Jiang Lai bringing that foreign doctor in...

"Doctor Forsman, I think, since you have seen your own heart scan, you should be familiar with the equipment in this room." Jiang Lai pointed to the X-ray machine, "I hope you will cooperate with me when the time comes."

"Okay!" When Forsman saw the machine, he was instantly bloodied.

"pulse!"

"no!"

"Ji Qing, wash your hands and change into surgical gowns with me, and the others continue CPR!"

"Yes!"

In just a few minutes, Jiang Lai had already washed his hands, changed his clothes, briefly sterilized the patient's chest, and cooperated with Ji Qing to spread the towel, and began the chest opening operation.

At this time, the others immediately brushed their hands and changed their clothes, and even Forsman was taken away together.

The scalpel slides in an arc along the left sternum from the left edge of the sternum to the anterior axillary line, and then enters the chest through the fourth intercostal space, cutting the fourth rib.

Then, Jiang Lai put the scalpel in the curved plate, directly inserted his right hand into the patient's chest, and felt the heart: stop beating.

Therefore, extrapericardial cardiac compressions were performed directly.

The pericardium, as the name suggests, is the membranous sac that covers the surface of the heart.

Next to him, Ji Qing cooperated with Ai Le, directly put in the thoracotomy retractor, and opened the patient's chest cavity.

And Yu Wen, standing in Jiang Lai's countermeasure, judged the position, cut the pericardium longitudinally in front of the phrenic nerve, freed the pericardial tissue, and exposed the heart.

Extrapericardial cardiac compressions quickly became intrapericardial cardiac compressions.

"0.1% epinephrine 1ml!"

"Yes!" The nurse quickly prepared the medicine and handed it to Jiang Lai.

Jiang Lai took it steadily, injected the adrenaline directly into the patient's heart cavity, and then continued to press the heart.

Forsman stood aside, his eyes wide open. He didn't expect that Jiang Lai would open his chest directly. That was one of the reasons why he... was expelled from the Berlin Hospital!
Can this really restore the patient's heartbeat?

He became skeptical, but then he remembered some information he had seen... there was a case of "reviving" the dead!But after all, that was just the words he saw in some history books!

……

Jiang Lai looked serious, frowning, and then shouted, "Doctor Yu, prepare for internal defibrillation!"

"it is good!"

Without further ado, Yu Wen took the two iron lumps of the defibrillator from the nurse.

Of course he also knows about some of the latest research. After all, he usually pays more attention to it, but he never thought that Jiang Lai would really buy this machine. If he hadn't researched this machine with Jiang Lai yesterday, he really doesn't know what to do. use.

Fortunately, the nurse who cooperates today is not a new nurse, but an old employee Mia. This nurse... even looks at Jiang Lai from time to time when rescuing patients.

"Prepare for the first defibrillation!" Yu Wen placed the electrodes of the defibrillator on both sides of the heart, "Start defibrillation!"

boom!
　Chapter 1.

　　As the title~
　　It's the weekend, have a good weekend.

　　People are stupid, the serial number of the previous title is wrong!

　　That's right now!
　　
　
(End of this chapter)