White armor

Chapter 185 You Qing? No, your boss’s face is more important
3 minute later.

The patient's heartbeat resumed, albeit rapidly, but the respiratory and circulatory arrest was reversed.

The golden rescue time for amniotic fluid embolism is only 3-10 minutes, and many scholars even believe that it is not even 3 minutes.

Speaking of embolism, more doctors and scholars now believe that substances in the amniotic fluid enter the capillaries, causing allergic reactions in the mother.

This situation is extremely rare, but the mortality rate when encountered is about 80-90%.

This is under the premise that a large tertiary hospital has strong comprehensive treatment capabilities.

If you go to a rural hospital, you can almost be sure of death.

After passing the first level in front of him, Luo Hao glanced at the system panel, which was still frighteningly white.

Judging from Luo Hao's experience, this is the background color given by the system when it determines that the patient's mortality rate exceeds 95%.

"Send to ICU." Luo Hao let go and observed for a minute. Seeing that there was no risk of cardiac arrest, he waved and said.

Lift the patient and send the patient to the ICU in a hurry.

Suddenly, a fierce singing voice came.

I have done all the work I should do, and leave the rest to the emergency department of the First Hospital of Medical University.

"Everyone who moves forward will be rewarded, but retreating will inevitably result in a knife."

"Old Chai, what are you trying to do? Let Dr. Luo do the compressions and I'll see how tired you are. Don't you know how old you are? You're so old and scumbag, yet you still run up to do heart compressions. Don't worry, the mother is still rescuing you. I'm really out of breath." Mr. Fang came to help Boss Chai and complained.

Boss Chai squatted on the ground with his back against the wall, like a bad old man.

Mr. Chai raised his head and said, "Xiaoluohao, are you good at the next treatment?"

The operating room became quiet. People from the First Hospital of the Medical University, including Dean Zhuang, Dean Jin, and Feng Zixuan, were all busy. Only Mr. Fang and the leaders of the provincial and municipal health commissions were left.

The fatigue on Mr. Chai's body faded a little with each question and answer, until Luo Hao sang "Hand over the troops", Mr. Chai's face glowed red, as if he was twenty years younger.

What he said was very vague, but Luo Hao understood what the boss meant.

"Yes, I'll go and watch later. The critical care unit in the first year of medical school is pretty good, and the ecmo team is very elite, and they're all online."

Luo Hao squatted down in a military posture and supported Boss Chai with his hand.

Chai Lao had never been exposed to Ecmo and other equipment when he was young. If he really looked into it, he knew that he was not as good as the team members who had been playing Ecmo all year round, so he was not prepared to talk too much.

The young people didn't know what the voice was singing, but they knew it.

Mr. Chai smiled.

Boss Chai stood up, but Luo Hao did not stand up with him. Instead, he squatted in front of Chai Lao in a military posture, like a soldier, waiting for Chai Lao's order.

Mr. Chai nodded and breathed a sigh of relief.

"Hand over the troops!!!"

He was exhausted, and his laughter was uglier than his tears.

The people from the provincial and municipal health commissions had never seen such a scene before. They all stared with big eyes, their faces were pale, and they couldn't say a word.

Luo Hao did not follow.

Boss Chai laughed loudly, reached out to hold Luo Hao's hand, and stood up directly.

"Three-way drum~"

"Knife out of the sheath!!!"

One question, one answer, one old man, one young man, the cooperation is perfect.

"Zhanfanzao!" Luo Hao sang.

"Tou Tonggu~~~" Boss Chai sang along with Luo Hao's singing.

Mr. Fang suddenly raised his head and looked at Luo Hao in shock.

"Four tong drums~"

The operating room was in a mess, and leaders of the provincial and municipal health commissions stood outside the door, looking confused.

The sound was not loud, but it was like a drumstick beating on the hearts of Chai Lao and Fang Lao.

Especially Boss Chai, his breathing became much more even.

"Two tong drums~"

The voice was not loud, but it sounded a bit old, and it was not like someone of Luo Hao's age could sing it. It echoed in the operating room, layer by layer, Fang Lao's heartbeat accelerated, and his old face turned red.

Boss Chai’s eyes lit up.

Luo Hao used the word elite.

"Tighten the shirt!!" Luo Hao responded.

Judging from his condition, he was no better than a mother with amniotic fluid embolism, as if she would be unable to take a breath in the next second and die suddenly.

"Daerlang listens to root seedlings~~~"

Are you old?
"The three armies standing at the camp gate shouted~~~"

"Boss." Luo Hao shouted softly.

Although he is still a little out of breath, his mental state is obviously much better, and he is full of energy.

"Let's go and take a look at the ICU."

Luo Hao was serious, bowed slightly, and followed Boss Chai.

Mr. Fang's eyes were so red that they looked like they were about to bleed, and he was so envious that he wanted to cry.

He finally understood why whenever someone touched Luo Hao, those old guys felt as if their tails had been stepped on, and the hair all over their bodies exploded.

In the past, Mr. Fang didn’t understand.

Years ago, it was said that Luo Hao was reported by his real name. Boss Chai, an old man, didn't care what others said and flew directly over to support Luo Hao.

Years later, it was said that Dr. Luo's girlfriend, who was the Northeast region manager of Southern MicroPort, was being bullied.

Mr. Zhou and Mr. Miao from 912, who have always been unwilling to offend others and have always been kind to others, actually stood up directly. No matter how much pressure there was, it didn’t matter. They expressed their attitude very directly and without concealment - Ronaldinho is my person, Aiwujiwu, you Southern Minimally Invasive... You have to take care of your own troubles!
Now Mr. Fang finally understood, his envious eyes were bloodshot.

What did you say? Just laugh at the old bones, isn't this true? !
After Luo Hao rescued him, he directly said a few words of "Dingjun Mountain" to himself.

This guy doesn't seem to care about the selection of Youqing at all, he only cares about his boss's face.

And it's not just about face, Luo Hao sang a few lines, telling himself and Lao Chai that the sword is still young, and that the martyrs are still full of ambition in their old age.

And everything.

The same goes for Lao Chai, awesome!
How did he diagnose amniotic fluid embolism at the first time? !

This scene is so perfect with the scene in "Dingjun Mountain" where Lao Huang Zhong kills Xia Houyuan in formation. It's really hard for Luo Hao to find such a scene that suits the situation.

After singing a few lines, Chai Lao feels rejuvenated and full of energy.

Mr. Fang followed behind the old man and the young man with red eyes, his eyes bloodshot.

Thinking back on his students, although he liked them, they were not as clever as Luo Hao.

Alas, why didn’t I discover this seedling back then?

No wonder those old guys almost got into a fight over Luo Hao a few years ago.

"Boss, how did you discover amniotic fluid embolism?" Luo Hao asked.

Got it!
Now the flattery started, and Mr. Fang sighed in his heart again.

There are numerous difficulties in successfully rescuing amniotic fluid embolism.

The most difficult point is that the onset of disease is rapid, mainly cardiopulmonary failure. If there is a delay at the first time, it is really delayed. For every 1 second of delay, the possibility of successful rescue will decrease by 1 percentage point.

Boss Chai judged that the patient had amniotic fluid embolism faster than the system. Luo Hao was surprised, and Mr. Fang was also surprised.

This question must be Lao Chai's proudest point. Being asked and being able to say it in public is considered the highlight of his life.

Even if Lao Chai is an academician, this is still a highlight moment.

"You young people haven't seen him before. It would be nice to meet him a few times." Mr. Chai said calmly.

"..." Luo Hao scratched his head, "Boss, don't hide your secrets."

"Amniotic fluid embolism is most likely to occur during normal delivery + lateral incision, followed by caesarean section. ECG monitoring has started to be called, so check to see if there is no coagulation, and then check to see if the mother is apathetic and has difficulty breathing."

"There is nothing difficult to judge."

"Little snail number, remember?"

Chai Lao's eyes were bright and he asked calmly.

"Boss, I remember it, but if we encounter it again, I guess I still won't be able to diagnose it, at least not as quickly as you." Luo Hao said calmly.

Mr. Chai came to the locker room and sat under the "No Smoking" sign.

Luo Hao took out a pack of cigarettes, opened them, found one he hadn't bitten, and handed it to Boss Chai.

"Click~"

A wisp of flame erupted from the lighter marked Concord Men's Department.

Chai Lao took a beautiful puff.

The smoke is lingering, and the words "No Smoking" are hidden in it, like a fairyland.

After a busy day, a cigarette can significantly reduce physical fatigue and fatigue, which is really comfortable.

Mr. Fang sat next to Mr. Chai and looked at Luo Hao.

Luo Hao was startled, and then gave Mr. Fang a cigarette.

"There will be a lot of troubles after that. It used to be a matter of fate, but now it's better. The mortality rate of this disease used to be as high as 8% or 90%. After having ecmo, the mortality rate has dropped to less than 50%... or so."

50%, Luo Hao sighed.

"Prepare blood." Chai Lao smoked a cigarette and explained to Luo Hao, "Is your dean strong?"

Luo Hao shook his head, indicating that he didn't know.

"This is a crappy thing. The blood bank in the city center definitely doesn't have enough blood." Mr. Chai said, "Let me think about it."

As he spoke, Mr. Chai looked up at the leaders of the provincial and municipal health committees.

"Is there any way?"

"Mr. Chai, how much blood do you need? 2? Do you really need that much? Then you have to replace the person's blood many times." One person bent down and asked in a low voice.

"2? That's a small amount." Mr. Chai puffed out a puff of cigarette and said calmly, "The mother's heart did not stop, and she performed chest compressions immediately; Xiaoluohao also cut the uterus very quickly, so no more allergens entered the blood. , so I judge that we will need 1 to 2 blood products for the time being.”

"If it's ten minutes later, even if I can temporarily save 5 to 6 blood, I won't be able to bring it back."

5-6 million!
That's blood.

The leaders of the provincial and municipal health commissions are in trouble.

The "Ponzi scheme" of blood has come to an end. In recent years, blood banks have been under constant pressure. As long as it is not an emergency, they have to "mutual aid", that is, the amount donated by family members will be given.

As for the words that once you donated enough blood, you and your immediate family members would use the blood for free, no one mentioned it again.

2 blood was given at once, which was still a small amount. The leaders of the Health and Medical Commission were in trouble. "It's better to save people than let them water the flowers." Mr. Chai curled his lips and said disdainfully.

"Boss, this joke is too old. Now the department uses the albumin that the patient has ordered." Luo Hao said with a smile, "After the albumin is ordered, there is always some hanging in the bottle. After opening it, add water to water the flowers."

Mr. Chai glanced at Luo Hao and then at the others.

"Xiao Qian, when I was rotating, I encountered a patient with acute pancreatitis who died suddenly and there was no chance for rescue." Chai Lao said, "But he still struggled for nearly 36 hours. The next day he went back to the dormitory to sleep... I didn’t have a mobile phone at the time, so I was taken back directly by the director of the medical department.”

"This kind of thing needs to be reported to the Military Council. This may be the only opportunity for most doctors to communicate with the Council of Ministers in their lives."

"But who would think so?"

The face of the person who just said that 1 to 2 blood was too much turned into an eggplant color.

He is not a medical professional.

There are so many people in the National Health Commission who are not medical professionals, so it is inevitable that they will not be able to grasp the seriousness of things like this.

Every mother is a patient in the hospital before and after delivery.

What Mr. Chai said about the report to the State Council was not groundless, but actually happened.

"If they can be rescued, women and children will have less trouble. If they cannot be rescued, generally speaking, more than half of them will be killed. Patients, their families, doctors, and nurses will all suffer."

"!!!"

Chai Lao simply said that saving people is the priority now. As for the maternal and child line and the dean and deputy dean of the First Hospital of the Medical University, he didn't care whether they would be killed or not.

"Lao Chai, your old bones are really useful." Mr. Fang praised while sitting under the "No Smoking" sign and smoking.

Luo Hao smiled, arching his waist a little deeper.

All due respect.

"Hey, it's okay. But I really can't bear the trouble anymore. It's only been a few minutes of compressions. When I was young..."

When Chai Lao said this, he stopped talking and took a deep breath of cigarette, but he spit it out without losing his lungs.

Luo Hao reached out to take the cigarette butt, went to the faucet to put it out, and threw it into the trash can.

"Change your clothes and go to the ICU for a look. Xiaoluo, you said this ECMO team is very elite?"

"Well, during the epidemic that year, several ECMO teams ran across the province. There were machines in some places, but because there were few people using them and the local hospitals lacked experience, they didn't know how to use them. The Health Commission coordinated, and the first and second hospitals of the Medical University Technicians provided support from all over the country and saved many people.”

"Yes." Mr. Chai nodded with satisfaction.

"Rich combat experience and high level." Luo Hao emphasized again.

Mr. Chai didn't say anything, changed his clothes silently, and then went to the ICU to take a look.

The first-aid and critical care level of the First Hospital of the Medical University is indeed what Luo Hao said - elite.

Not long after stepping down, the phone was turned on and the mother's vital signs gradually stabilized.

Not bad. Mr. Chai looked it over and found no major problems. If the current treatment is followed, the mother has a high probability of 7 to 80% of surviving.

If other diseases require surgery, the mortality rate is over 10%, and not many people are willing to do it.

But it is a blessing that patients with amniotic fluid embolism can have such a high cure rate.

The Ecmo team was already in place and turned on, moving quickly.

It is worthy of being the hospital with the largest number of ECMO cases in the province. The team is well-trained and responds promptly and effectively.

Dean Zhuang was not an outsider to the Health Commission. His hair was already blowing up, and he kept calling the phone, shouting for blood.

The atmosphere in the ICU was solemn, but everything was in order. After reading it, Mr. Chai nodded and turned to leave.

"Boss, I'll take you back to have a rest."

"No, I'll answer it myself while you watch here." Chai Lao said, "Send me all the test results and changes in condition via WeChat. If that doesn't work, I'll ask our critical care team for support."

"Okay." Luo Hao was not polite and agreed directly.

The country's policy is here, it is the will of the country, and every independent individual is so small that it is insignificant before the will of the country.

……

"Lao Meng, you and Luo Hao met a patient with amniotic fluid embolism?" Chen Yong asked Meng Liangren after hearing the gossip after undergoing surgery.

"Yes." Meng Liangren still seemed to be dreaming.

"How is it? Are you rescued?" Chen Yong asked.

Meng Liangren did not answer directly, but hesitated for a long time.

"What are you thinking about?" Chen Yong was a little confused.

"Xiao Chen, it's like this. Whether amniotic fluid embolism can be saved depends on life. If it happens, the ancestral graves of the mother's family will emit green smoke, the kind that is three feet high... Not only that, but also the surgeons, anesthetists, critical care doctors who are present. The ancestral graves in the doctor’s house are also covered in smoke.”

"!!!" Chen Yong was surprised.

He was considered a clinical novice and had never heard of a case of amniotic fluid embolism, so he didn't understand what Meng Liangren said about the smoke coming out of the ancestral grave.

"Anyway, no one who has ever heard of amniotic fluid embolism can be saved. Let alone amniotic fluid embolism. There is a county below us. My classmate is an obstetrician and gynecologist there, and the county hospital."

Meng Liangren told Chen Yong some old stories while straightening out his thoughts.

What happened at that time was like a flash of lightning, and Meng Liangren had no time to think about it.

"A woman died in their county hospital. It might have been placenta previa or something, not amniotic fluid embolism. Because she was an elderly woman, the patient's family also recognized it, but later because of this incident, the obstetrics and gynecology department of the county hospital... the obstetrics department... No, if you give birth in the county, you have to come to the city.”

"why?"

"The health commissions at the provincial, city and county levels have inquired and investigated more than ten times in half a year. How can a good person stand up to this kind of scrutiny? Let's put it this way, the people who came here are all experts in the industry, although they are not like Mr. Chai. level, but he is also a well-known expert and professor in the provincial capital.”

"Medical records are dug out word by word; disposal is done one by one. It's like interrogating criminals, endless." Meng Liangren sighed deeply.

When encountering amniotic fluid embolism, the mother is unlucky, and so are the doctors and nurses.

"Why?" Chen Yong was stunned.

"The annual maternal mortality index in our provincial capital should be three, based on percentage. It was higher in previous years. After all, there have been fewer children recently. Every mother is precious, so there is no way."

"That……"

Chen Yong didn't understand this and was very surprised.

"It's true that today, there are trees growing on the ancestral graves of Dean Zhuang's family." Meng Liangren sighed with emotion, "You didn't see it. The child was just cut out in the surgery room. He was crying. There was an abnormal sound from the monitor. You said you would Do you care?"

Chen Yong shook his head.

"Mr. Chai walked by at that time, took a look inside, and then entered the surgery room."

With that said, Meng Liangren stood up.

He imitated Chai Lao's movements and walked to a position.

"When we came to the operating table, Mr. Chai looked at me like this."

"Then Mr. Chai raised his head again."

Meng Liangren simulated it for a while before knowing that Mr. Chai was looking at the numbers on the monitor and whether the ventilator was ready.

"Further on, Mr. Chai said something to the mother, took a look at her eyelids, and made a direct diagnosis - amniotic fluid embolism."

"What a magical method."

Speaking of gods, Chen Yong raised his eyebrows.

"It's true, Xiao Chen." Meng Liangren sighed with emotion, "Most hospitals cannot save similar patients at all. Let's put it this way, even if our First Hospital of Medical University can save the patient, there are all the words on the hospital homepage. There must be publicity about this rescue that will last a lifetime.”

"Fuck me!"

"Moreover, smaller hospitals need to have a good relationship with higher-level hospitals. They go all out and the ecmo team is in place as soon as possible. Even if the relationship is good, you have to be lucky. The ecmo team happens to be fine."

Meng Liangren said a lot.

Speaking of which, luck always comes down to luck in the end.

Today's mother's life is good or not. If it is really good, she will not encounter amniotic fluid embolism; but it is not good, but she just happened to meet Mr. Chai and Mr. Fang to visit the First Hospital of the Medical University. Mr. Chai did not wait for respiratory and circulatory arrest. Chest compressions were performed, and the hysterectomy was completed within a few minutes.

Anyone else would probably not know what happened.

"Is it really that difficult?" Chen Yong frowned.

"Let's put it this way, Dongzi's sister was cured of this disease a few years ago. The hospital is a high-level tertiary hospital, comprehensive. Dongzi wants money and people, and tens of thousands of blood can really save a person. Jingdong Xiao I’m lining up to donate blood.”

"What happened next? It's still gone."

"Xiao Chen, it's a pity that you didn't see the quick work of Mr. Chai and Professor Luo today. But I read it from beginning to end, and I still don't know how Mr. Chai made the diagnosis." Meng Liangren sighed as he spoke Take a breath.

……

A few hours later.

Dean Zhuang sat in his office exhausted.

"Dad, let's have some food." Zhuang Yan went to the cafeteria to fetch some food and brought it to Dean Zhuang.

The close-fitting little cotton-padded jacket was really warm, and Dean Zhuang was a little pleased.

If you don’t want to go abroad, don’t go abroad. It doesn’t matter, it’s better to stay at home.

But Dean Zhuang was too lazy to move a finger, "Put it down, I need to take a breath."

"Dad, how much blood does the ICU require?"

"Nearly 1 yuan of blood was transferred." Dean Zhuang said softly.

"So many!!!" Zhuang Yan was stunned.

It costs tens of thousands of blood, this matter...

Dean Zhuang looked up at his daughter and tried his best to smile.

"Let me tell you this, if I want to use blood, and I am lying on the bed in the ICU, and my blood type is the same as that of the mother, who do you think the blood will be given to?"

"..." Zhuang Yan looked at her father with twinkling eyes.

"There are a bunch of deputy deans below having a meeting, and the blood will definitely be given to the mother in the end!" Dean Zhuang said firmly.

Zhuang Yan was really dumbfounded this time.

"They want me to die, and they have such a good excuse. Those people in the provincial and municipal health commissions just want to avoid taking the blame. Who cares about a dean."

"If the director dies, only one position will be vacated. But if the mother dies, from the beginning to the end of the investigation, none of the relevant personnel can escape."

"Uh..." Zhuang Yan didn't expect this matter to be so serious.

"In hospitals, all assessments and KPIs are fake, just for show." Seeing Zhuang Yan's confused look, Director Zhuang continued to explain despite his fatigue, "Maternal mortality rate is one of the core KPIs of the medical system, the core! "

"If the mother dies, although it has nothing to do with the hospital, the modern medical system still does not accurately identify amniotic fluid embolism, let alone treatment, cure, and avoidance. But who cares, maternal death is a big deal. "

Zhuang Yan was even more confused.

"An overcorrection must be overcorrected. If there is no attitude from the top, the implementation below will definitely go wrong. So, I think it's okay." Dean Zhuang sighed, "I was lucky this time. Boss Chai is really awesome. They completed the rescue I haven’t reacted yet.”

As he said that, Dean Zhuang's cell phone rang.

"Lao Zhuang, the blood bank is out of blood." A tired voice came from the other side of the phone, "What do you think we should do?"

(End of this chapter)