I really don't want to be a doctor

Chapter 156 Broken Heart
"Heart rupture?" Teacher Cao turned to look at Jing Xiaoran at the side, and then turned to look at the patient below him, "Xiao Jing, go and get the portable ultrasound."

"Ok."

Jing Xiaoran hurriedly brought a portable ultrasound from the central nurse station.

"You take my place and continue to give the patient chest compressions." Teacher Cao said.

Jing Xiaoran nodded and took Teacher Cao's place.

Teacher Cao turned on the portable ultrasound, applied couplant, and placed the probe on the patient's apical four-chamber view.

The ultrasound image appeared immediately, only the pericardium and surrounding effusion could be vaguely seen, and the normal tissue structure of the heart was completely gone.

"It's really a broken heart!" Teacher Cao was surprised.

The risk of death from a ruptured heart is close to 100%, and the only cure is immediate open-heart surgery.However, most patients will die suddenly in a short period of time, and they will not be able to persist until the moment of surgery.

Teacher Cao took out his mobile phone and took an ultrasound picture of the broken heart.

"Xiaojing, how do you know it's a broken heart?"

Teacher Cao took back the mobile phone and put the ultrasound machine aside.

Jing Xiaoran said: "I carefully observed the patient, he was in a hypotensive shock state: pale complexion, shallow breathing, rapid pulse, drop in blood pressure, etc. In addition, the patient's heart rate was very fast at the beginning, and gradually became sinus rhythm. Brady, followed by ventricular escape in a state of electro-mechanical dissociation."

Electromechanical dissociation refers to the electrical activity of the heart without effective mechanical (pump) action.It is often a manifestation of dying and is also a form of sudden death.

"These don't seem to be cardiogenic shock, and if it's a conventional pump failure, I don't think this person died so soon." Jing Xiaoran said.

After hearing this, Teacher Cao pondered for a moment before continuing: "Well, it makes sense, and this patient has a large area of ​​myocardial infarction, and is one of the risk groups for heart rupture."

"Ms. Cao, do you still need chest compressions?" Jing Xiaoran suddenly asked again.

Contraindications to external cardiac compression include the following common situations, such as shock caused by trauma, especially for patients with chest wall fractures or heart rupture, it is contraindicated to perform external cardiac compression, because if the compression is improper, it will Cause secondary injury to the patient, or aggravate the patient's condition,
"Oh." Teacher Cao sighed, "The person is gone, so you can press it symbolically."

"it is good."

At this time, Zhu Zhu came back from the interview room.

"Nurse, clean up the patient's surroundings, clean up the garbage after the rescue, and the patient's family members will come in to take a look later. Xiao Jing, please continue to press the chest, even if it doesn't work, just pretend."

"Okay." Jing Xiaoran nodded, and then said to Hong Sheng who was beside him, "You can replace me, my hands are sore."

Hong Sheng really didn't expect that he came over to take a look, and got involved, so he had no choice but to take over Jing Xiaoran's position.

Chest compression is a lot of work for the doctor. If the compression time exceeds 10 minutes, the arm will definitely be sore.

In a night shift in the emergency department in her previous life, Jing Xiaoran used to perform continuous chest compressions for over an hour.When he woke up the next morning, his whole arm was numb and it felt like it wasn't his own.

"Zhu Zhu, come and take a look at this."

Teacher Cao took out the ultrasound machine again, and showed Zhu Zhu the picture of the patient's heart ultrasound.

"This is...is this a broken heart?" Zhu Zhu rolled his eyes for a moment, and then understood the meaning of this picture.

"Hmm." Teacher Cao said, "It should be a complication after a massive myocardial infarction, and it's too late to rescue."

"Okay, I see." Zhu Zhu nodded, "I will communicate with the patient's family later."

……

After about 5 minutes.

The nurse came in with the young man and a woman.

As soon as she walked into Room 1, the woman burst into tears and threw herself beside the bed.

"Why did you leave me alone..."

"Why did you leave all of a sudden..."

The woman's cry was very shrill.

But the nurse stopped the woman immediately, because there are many heart patients around, and it would be bad if it disturbs other patients.

Jing Xiaoran and Hong Sheng took turns to press the patient's chest, listening to the sobbing of the woman beside the bed, they both felt uncomfortable.

Logically speaking, Jing Xiaoran was used to life and death in his previous life.Many senior doctors would say to their subordinates, don’t be too kind to your patients, or put your emotions into it; because doctors have to meet too many patients every day, if every patient dies and feels sad, then The work of a doctor can no longer be carried out.

But once this kind of thing really happened, Jing Xiaoran still couldn't help being a little sad, he still couldn't truly ignore life and death.

"Doctor, I see that on the ECG, occasionally there will be a waveform. Does that mean that my husband is not dead yet!"

The woman cried and said to Jing Xiaoran.

Jing Xiaoran shook his head, "Auntie, that's because we pressed the heart."

As long as the chest is pressed every time, a waveform will suddenly appear on the monitor.

The woman seemed a little unwilling to give up, she just held the dead patient's hand tightly, and kept muttering something in her mouth.

"Doctor Zhu, I just want to ask why my dad died suddenly?!"

At the central nurse's station, the man who had given teacher Zhu Zhu a red envelope before suddenly yelled loudly.

"You said to have an operation, I agreed to do it!"

"You said to put a stent, but I still agreed!"

"You said my dad must live in the emergency room, but I agreed!"

"But! Now you suddenly say that my father is gone?" The young man roared angrily, "What's the matter! You say that my father is gone, can you shirk all responsibility for the matter?"

Zhu Zhu and the young man were separated by a distance of three feet, and said: "Family, I have told you the truth about the danger of this disease and the risk of interventional surgery, and we have not shirked our responsibility at present."

"Isn't that called shirking responsibility?" The young man sneered and said slowly, "From the very beginning, we were asked to sign the informed consent, and now we are still asked to sign when we are rescuing, and you are at your own risk."

The young man became more and more excited as he spoke, and his voice covered the entire central nurses' station.

"Hello, is there security?" Nurse Guan Xin saw that something was wrong, and immediately called the security department of the hospital, "Someone is making trouble in the intensive care unit of the cardiology department."

……

Then there is no intern thing at all.

The doctors in the intensive care unit prevented the interns from seeing this scene, or prevented them from being accidentally injured, so they asked all the students to leave work.

Jing Xiaoran and Hong Sheng returned to the 6-person dormitory arranged for them by Fancheng Central Hospital, and it was a 6-person dormitory with bunk beds, which was far worse than the dormitory conditions of Ning'an Medical College.

(End of this chapter)