I really don't want to be a doctor

Chapter 23 Electrosympathetic Storm

"Patient has sudden ventricular fibrillation!"

Ventricular fibrillation, irregular heartbeats, a fatal heart rhythm disorder.If it lasts too long, the heart cannot eject blood to the whole body, which will cause irreversible damage to the brain, liver, and kidneys.

"Blood pressure dropped!"

"Blood oxygen saturation drops progressively!"

"Quick!" The young doctor in hand-washing clothes shouted immediately: "The defibrillator is ready! Defibrillate now!"

The bedside nurse trotted over to push the defibrillator: Here it comes!

Connect the power supply!

Charge!

Apply conductive paste!
"Everyone stay away from the hospital bed!"

Discharge!

"boom……"

First defibrillation failed!
The ECG pattern on the monitor is still a sine wave of ventricular fibrillation!

Charge again!Discharge!
"boom!"

Defibrillation still failed!

"Again!" shouted the young doctor in a hand-washing suit.

The bedside nurse nodded and immediately charged again.

Discharge!

Finally succeeded, the ECG waveform of the monitor turned to normal!
"Take blood gas immediately, pump in dopamine, magnesium sulfate, and Cordron!"

"Students from the internship do an electrocardiogram!"

"Inform the family members that the patient is critically ill again! Inform the family members that the patient may die at any time!"

"Baoche, what's the situation?" At this time, the director of the ICU had already heard the news, "Didn't the situation in bed 12 stabilize yesterday?"

With a serious expression, Liu Baoche said quickly, "Director, the patient suffered from ventricular fibrillation and has been defibrillated three times, and has recovered to sinus rhythm (normal heart rhythm)."

The director looked serious: "Consider what causes the ventricular fibrillation?"

"The patient had a history of burns in the past, but most of them have recovered. This time, it was mainly self-harm and suicide. I think it may be due to insufficient blood volume, which leads to insufficient blood supply to the heart, so that ventricular fibrillation occurs."

The director nodded slightly, and he looked at the monitor.

"It trembled again!"

"Ready to defibrillate again!"

The director yelled, and he did it himself, picking up the defibrillator.

Charge!Discharge!
no!Again!
"How could this be?" Liu Baoche clenched his teeth, continuous defibrillation didn't work.

Defibrillator defibrillation is the most effective and fastest way to defibrillate.

"Blood pressure and blood oxygen saturation continue to drop, and it's almost unbearable!"

Except for the nurse in charge of the bed, most of the other nurses came to help, changing dressings, taking blood gas, and preparing rescue items.

If it was normal, the two family members Jing Xiaoran and Ling Xi would be driven away by the nurses standing in the hospital bed.But everyone is busy with rescue now, and no one cares about the two of them.

"Xiao Ran..." Ling Xi's pretty face was already covered with tears, "Yi Ran, she...is she dying..."

Jing Xiaoran didn't reply, he was staring intently at the medical staff's rescue.

"Spontaneous ventricular fibrillation occurred multiple times in a short period of time..."

"Most of them are people with underlying heart disease, but Ling Xi's best friend is so young, so she should have no underlying heart disease."

Jing Xiaoran recalled in his heart that he met a patient in the emergency department in his previous life.

It was also sustained ventricular fibrillation, which recurred shortly after successful defibrillation.The last one was confirmed to be ventricular fibrillation caused by severe psychological trauma.

"Heart Electrosympathetic Storm!"

Jing Xiaoran spat out a noun from the corner of his mouth.

Ling Xi was in grief, completely ignoring Jing Xiaoran's reaction.

"But so what if I know? Who will listen to me?" Jing Xiaoran shook his head helplessly. He is a patient's family member who is in the emergency ward, so it's good if he didn't get kicked out.

Although Liu Baoche is the attending doctor of the 12-bed hospital, the emergency rescue is nothing to do with him now. The head of the department has already done it himself, and other senior doctors are helping.

"Dr. Liu, I called the patient's family members outside several times, but no one paid attention! I can't communicate with the family members about the condition!"

A nurse ran into the ward.

"Family?" Liu Baoche's thoughts were pulled back from the rescue, "Didn't her family just come in to visit?"

Liu Baoche looked towards the door of the ward, and happened to find Jing Xiaoran and Ling Xi.

"I saw her family members, I will communicate."

"Okay, Doctor Liu."

When Jing Xiaoran saw the young doctor walking away from him last night, he suddenly had an idea.

"Is the family member of the 12th bed?" Liu Baoche asked Ling Xi, "Let's go to the interview room to communicate. You have also seen that the doctors and nurses are doing their best to rescue them. We need to sign the rescue information and authorization with you."

Ling Xi sobbed and nodded.

"Wait a minute." Jing Xiaoran stopped him, "I want to ask why the defibrillation didn't work?"

Liu Baoche looked at Jing Xiaoran in surprise, this boy saw at a glance yesterday that the girl might have an ectopic pregnancy.

Now you can tell at a glance that their defibrillation is not working, and you still say that you are not a doctor?
"Maybe the ischemia is too severe?" Liu Bao said.

"Why can't it be an electrosympathetic storm?" Jing Xiaoran asked back.

Liu Baoche thought about this unfamiliar term in his mind.

"Electrical sympathetic storm? But this usually has underlying heart disease, such as coronary heart disease, cardiomyopathy, or heart failure. On the basis of these diseases, a sympathetic storm is generated. The 12-bed patient is so young that he should have no underlying disease."

Jing Xiaoran smiled: "But you are talking about most cases, a small number of people do not have organic heart disease, because of severe mental stimulation and psychological problems, it is possible to happen!"

"Are you a doctor?" Liu Baoche stared at Jing Xiaoran, "How do you know this?"

Jing Xiaoran quickly said: "Hurry up, don't be naughty, use metoprolol, esmolol and other β-blockers, and cooperate with the defibrillator, maybe the ventricular fibrillation will be stopped!"

"Otherwise, continuous ventricular fibrillation, even if the person is alive, and her major organs are ischemic and hypoxic, and their function fails, what's the point?"

Knowing the seriousness of the matter, Liu Baoche turned around and ran to bed 12 without hesitation.

Maybe not an electrosympathetic storm, but what if it was?

"Hurry up and get out! This place is being rescued, and family members are not allowed to watch!"

At this time, the nurse next to him found Jing Xiaoran and Ling Xi, and began to urge them to go out.

The two were driven out of the ICU gate by the nurse.

"Xiao Ran, what is the sympathetic storm you just mentioned?" Ling Xi burst into tears, "If the medicine you mentioned is used, can Yiran be saved?"

"It's hard to explain it clearly to you with too professional terms." Jing Xiaoran said, "I'm just raising a possibility. Whether it can be saved or not depends on the doctors and nurses in the ICU."

Jing Xiaoran comforted and patted Ling Xi's shoulder: "No matter what happens, I hope you will be stronger."

Ling Xi shook her head bitterly: "She is my only friend. We grew up in an orphanage together. It can be said that she is my relative."

"Yi Ran's boyfriend has already left, on the second day of her hospitalization. She also has no parents, she only has me."

Jing Xiaoran didn't expect that there was such a relationship, and he didn't know where to start when he wanted to comfort him. He only hoped that the ICU could rescue him successfully.

……

"Xiao Ran, have you gone in to see Xiaohui?"

Seeing Jing Xiaoran coming out, Chen Yanfang hesitated for a while before stepping forward to ask.

"En." Jing Xiaoran nodded, "No big problem, and I should be able to transfer back to the general ward in a few days."

"Really?" Chen Yanfang's face brightened, "What did the doctor in charge say?"

"Probably." Jing Xiaoran thought for a while.

Chen Yanfang said gratefully, "Thank you. As for Xiaoxiao's matter, I'll go back and find a solution."

Jing Xiaoran laughed mockingly: "Think of a way? Take another 1000 yuan and throw it on the ground? On my dad's face?"

"Xiaoxiao is 7 years old this year. Since she was diagnosed with congenital heart disease at the age of 2, how many times have my parents visited your house? How many times have I knelt down and kowtowed?"

"Auntie, I remember Uncle said a word, why should you help my family with the money you earn by yourself?"

"Hehe, to you, our family is just a poor relative."

Jing Xiaoran stood up with a calm expression: "But I helped Jing Hui only because...she is my younger sister."

Chen Yanfang was stunned.

Jing Xiaoran, he... is he really Jing Xiaoran?
……

Inside the ICU.

"Director, do you think this looks like a cardiac electrosympathetic storm?" Liu Baoche shouted at the ICU director who was being rescued.

"Sympathetic storm?"

The director was holding the defibrillator, and he was looking at the sinusoidal waveform of the monitor's ECG.

It has been defibrillated four times, and the ventricular fibrillation rhythm has not recovered.

"As far as I know, sympathetic storms are common in patients with organic heart disease!" A doctor next to him said.

"But there are exceptions. This patient suffered severe psychological trauma before!" Liu Bao said.

"But in case of heart failure, the use of metoprolol is contraindicated."

The ICU director's eyes flickered, and the 12-bed patient was still in ventricular fibrillation!

"Baoche, what do you think?"

"Give Metoprolol!"

"Push half a dose of metoprolol." The director immediately shouted to the nurse beside him, "Push slowly!"

"Roger that!"

The white liquid is slowly pushed in from the venous access.

The patient's heart rate did not change at all.

"Boost!"

The syringe in the nurse's hand was tightened, and the speed of pushing the medicine was accelerated.

"Heart rate has slowed down!"

I don't know who shouted.

The director shouted: "Cooperate with defibrillation and try again!"

Liu Baoche nervously looked at the ECG pattern of the monitor.

Charge!discharge...

It worked!The sinusoidal waveform becomes a normal sinus rhythm!
"Ding..." The announcement outside the ICU door sounded.

"Please invite Meng Yiran's family members to the ICU interview room!"

The door of the ICU opened.

Hearing this, Ling Xi wiped away her tears and ran into the ICU.

"How is she?" Ling Xi grabbed Liu Baoche's white coat.

"The situation is stable, temporarily out of danger." Liu Bao said, "Where's your friend?"

"He?" Ling Xi glanced outside the door, Jing Xiaoran had disappeared, "Didn't you just be here?"

……

The hospital is a place where hope and despair are gathered. There are life and death here, there are people who are warm and cold, and there are joys and sorrows.

Jing Xiaoran stood at the gate of the hospital with his hands behind his back.

He looked back, as if he saw the intersection of past and present.

"That's..." Jing Xiaoran saw a figure.

The familiar figure flashed past, like a glimpse in his life.

(End of this chapter)