Siheyuan: living in a prosperous era

Chapter 48 Cardiopulmonary resuscitation
Early the next morning, Yang Shuning walked out of the small courtyard with her arms around her waist. Wang Xue and Lou Xiaoe beside her were beaming.

Yesterday, Wang Xue and Lou Xiao'e were embarrassed at first, but later they became sisters and tried to defeat their big devil.

What disappointed them was that although Yang Shuning's fuel depot capacity was not a Big Mac, it was still enough to cope with their two small-displacement cars.

It's a pity that after his oil depot refilled the three oil nozzles of each small-displacement vehicle, the oil level in the oil depot bottomed out, leaving only a thin layer of oil.

At work, Yang Shuning held his waist while checking the ward. When his colleagues asked him about it, he unanimously replied that he accidentally twisted his waist while moving things last night.

After the ward check, Director Yang called him to the office, "Xiao Yang, the notice for you to support the Hongxing Steel Rolling Mill Affiliated Hospital has come down. The medical office has agreed for you to go there for support. It is tentatively scheduled for two years, with weekly support. Two days, you will report there next month, and the medical office will send an official letter to them after you sign and confirm."

After saying that, he took out a confirmation form for supporting lower-level hospitals, asked Yang Shuning to fill in each item carefully, and finally signed for confirmation.Finally, Yang Shuning was asked to take the form and submit it to the medical office.

Yang Shuning walked out of Director Yang's office and went to the medical office in the north building of the hospital to hand in the support form.When he returned to the department doctor's office and was about to write a medical history, he heard the department nurse Huang Binfang calling for support, "Bed 33 has fainted, please come and help with first aid."

When Yang Shuning ran over, Li Zhan's target nurse Dong Cong was already starting cardiopulmonary resuscitation.

During the morning handover meeting, Yang Shuning learned about the 33-bed patient, a 55-year-old patient with high blood pressure and coronary heart disease who was admitted to the hospital the day before yesterday due to chest pain.

Lei Ren, the leader of the second team, had received symptomatic treatment when he was admitted to the hospital. When handing over the shift in the morning, he mentioned that his blood pressure had returned to normal, and the electrocardiogram also showed that his condition had improved significantly and had stabilized.

Yang Shuning first examined the patient. At this time, the patient was already unresponsive. The patient's pupils had begun to dilate and his pulse disappeared when he pressed the carotid artery.

At this time, his patient in bed 34 of the ward reminded that his family members in bed 33 seemed to have had an argument with him when they came to visit this morning, because he had just started to go out for a short walk, and he heard a few words when he was about to come back. The specific situation is unknown.

Later, the two of them shared one pill, and then he went out again.I didn't come back until I heard something was going on.

After understanding the situation, Yang Shuning considered that the patient's blood pressure fluctuated violently due to emotional excitement, leading to syncope.Considering the patient's history of coronary heart disease, there is a possibility of myocardial infarction.

However, now there is no electrocardiogram or monitor, so we can only rely on empirical judgment.

There is no portable electrocardiogram now. If you want to do an electrocardiogram, you have to go to the electrocardiography room.

The same is true for B-ultrasound.

As for the defibrillator, it’s a no-brainer.Therefore, in this era, there is no rescue step such as defibrillation.

"Nurse Huang, please open the patient's intravenous access first,"

"Dong Cong, give the patient oxygen first, and control the flow rate at 3-4 liters per minute."

Yang Shuning took over Dong Cong's cardiopulmonary resuscitation and untied the patient's clothes that Dong Cong had not untied.Then he took off his military coat to facilitate his own first aid.

"Nurse Fang, you draw the patient's blood first, and I want to check the myocardial enzyme profile."

At this time, more and more doctors and nurses have arrived.

Yang Shuning has pressed 110 times at a frequency of 5 times per minute and a depth of [-] centimeters.
Then he started to open the airway again, and no foreign object was found after inserting his fingers.

Then, regardless of hygiene, he pinched the patient's nose, looked at the patient's chest, and blew mouth to mouth twice. The patient's chest also had two erections.

Continuing to press the chest, he also ordered nurse Huang Binfang: "Quickly inject 1 mg of epinephrine intravenously. After the injection, flush the catheter with [-] ml of normal saline."

After Yang Shuning repeated two groups of cardiopulmonary resuscitation, he said to Huang Binfang: "Continue to inject 1 mg of epinephrine intravenously. After the injection, continue to flush the catheter with 10 ml of normal saline." Finally, after Yang Shuning pressed for 25 minutes and injected epinephrine 4 times, the patient The heartbeat began to resume.

At this time, Yang Shuning was sweating profusely, and his yellow-green military uniform was soaked through. He touched the carotid artery on bed 33, put his finger under his nose to feel it, and said:

"The patient has resumed breathing on his own. Let him rest. Team Leader Lei, I will leave the patient to you."

At this time, Director Yang, who was watching the study from the side, said: "Xiao Yang, go and change your clothes quickly. You are sweating. Don't freeze. The weather is so cold now."

At this time, Li Zhan had already taken the initiative to put Yang Shuning's military coat on him again.

"Thank you, Director Yang. I'll go back to the backroom to wash up first."

Yang Shuning was sweating profusely, but now his body began to feel cold after he stopped exercising. He had to take a hot bath.

Otherwise, after sweating so much, exercising so much, and having a one-on-one match yesterday, his body was really a little weak, and he needed to take a good rest.

Yang Shuning returned to the waiting room and took a good hot bath. Fortunately, the 301 Hospital had complete living facilities, otherwise he would have had to go to the bathhouse outside.

After taking a hot bath and drinking a cup of hot water with some sugar and salt in it, he felt that he had energy again and the oil in the oil depot began to be abundant again.

During lunch, Li Zhan helped bring it back, using his lunch box. Yang Shuning devoured it, and after finishing it, he felt his stomach and felt extremely satisfied.

It was almost time for lunch when he received the first aid, and he was exercising so much that he didn't feel it at first. After he took a shower, he felt very hungry. Fortunately, Li Zhan helped.

Yang Shuning slept for a while in the preparation room at noon and returned to the department to work in the afternoon. At this time, everyone in the department was talking about how successful today's rescue was.Li Zhan also asked about a topic that everyone was concerned about, why Yang Shuning's cardiopulmonary resuscitation method was so different from theirs.

Yang Shuning also explained.

Before the 60s, there were methods of rescuing patients such as the horseback method, the folding box method, etc., and chest compressions also began to show signs of success, but there was no complete cardiopulmonary resuscitation method yet.

Compression of the chest wall not only produces a pulse but also helps restore forward blood flow and ultimately restore spontaneous circulation.

The catheter is flushed with saline to accelerate the release of epinephrine.

Intravenous injection of epinephrine can strengthen the contractility of the heart muscle.

……

Yang Shuning gave an introduction and finally said:
"I think I can write a thesis on cardiopulmonary resuscitation. I also want to sort out the information and look at the methods of foreign people."

Yang Shuning said to Director Yang again:

"Director Yang, if possible, I will teach you the cardiopulmonary resuscitation method I am using now, and please help me see the effect, so that I can write a paper."

"Okay, I think your cardiopulmonary resuscitation technique is pretty good. I'll go ask the leader for instructions and ask you to teach everyone a lesson."

Director Yang believes that good methods should be learned by the whole college, and it is best to spread them across the country.

(End of this chapter)