Come on, Dr. Wu

Chapter 39: Failing to make a comeback
  The beeping sound of the monitor is the sound that doctors and nurses least want to hear, because it is the alarm sound of the machine. As long as this sound occurs, it means that certain indicators of the patient are not within the normal range, or even enter the normal range. The crisis is worth it.

And the indicators of the patients in front of me are almost all critical levels. The charge has already been sounded.

The rescue is still going on, and the results of the emergency blood test have come out.

Urea is 13, and creatinine is over 90, both of which are obviously high. Prerenal oliguria is very dangerous. Liquids are continuously infused. At this time, the only option is to take supplements.

At this moment, another voice came.

"The pH value is 7.0, serum potassium is 5.0, and lactic acid is 13." It was too late to get the results. The examining doctor just read out the indicators.

The normal pH value is 7.35-7.45, but now the pH value is only 7.0, which is already severe acidosis.

The most important thing is lactic acid 13.

There is a saying in the hospital that if the lactate exceeds 10, even the gods will not be able to save it. The normal range of lactate is 0.5-1.7mmol/L. Now it is not even a little bit higher. Lactic acid is generated under anaerobic metabolism, so High lactic acid indicates that the patient's brain and myocardium are already under hypoxic conditions, and this is severe hypoxia, which is basically irreversible.

The doctors in the emergency room all looked at each other. When the value came out, they looked at the monitor. Even their eyes were full of helplessness.

Feeling of powerlessness, at this moment, the doctor also felt completely powerless.

Some patients can be saved from death just by thinking about it.

"My brain doesn't work either."

At this time, the patient was already in a coma, his brain basically stopped working, and his blood pressure could hardly be measured. The doctors and nurses in the emergency room repeatedly performed chest compressions, but to no avail at this time. The cardiopulmonary resuscitation machine was in place. Ban Meng looked at the doctor on duty.

"Go and sign for his family members. Rescue the critically ill patient. By the way, has the patient agreed to deep vein piercing or something?"

"Agree, we all agree, let me see if this can still be stable."

"Stop and see if it works, but it still doesn't work."

Many people are frightened by the CPR machine. They call it a pile driver and it is basically hopeless once used. However, this statement is inaccurate. It was not invented to save the physical strength of doctors and nurses. It is because it can surpass manual cardiopulmonary resuscitation, provide higher hemodynamic indicators and myocardial perfusion, and improve the success rate of resuscitation.

However, the effect is very weak at this time.

From the time of admission to the present, the heartbeat, blood pressure, etc. have stopped for ten minutes, and the rescue has been for forty minutes. During the active treatment, the heartbeat has recovered twice, but recovery alone is not enough. Maintaining If you don't stop, it's just a waste of effort. The patient is too old, 80 years old, and his heart vitality is far behind that of young people.

The neurosurgery doctors also seemed very helpless at this time. The patients did not even give them a chance to operate.

After the car accident, the patient suffered multiple injuries, the most serious one being the brain, which could only be solved by surgery. But now even the conditions for surgery cannot be met, the circulation cannot be restored, and there is no chance for a craniotomy. Look carefully, The pupils are dilated and fixed. They say that a person only lives with his brain and heart. Now the brain and heart have basically stopped working, and the power of life seems to have stopped at this moment.

The patient's family members have already arrived. The doctor on duty explained to the patient that the cries of the family members were very distressing. They looked at the doctor with hopeful eyes, hoping that the doctor would give him some more hope. But even if the doctor couldn't bear it, at this time They could only put the cruel reality in front of them. They looked at the doctor and shook his head. The patient's daughter had already fainted.

"Doctor, thank you."

At this moment, the patient's eldest son suddenly said, staggering to the old father, looking at the old father's face, the eldest son's eyes were already blurry with tears.

However, at this time, there are other brothers and sisters and other juniors behind him, and he must carry everything on his shoulders. "Go back."

Wu Xiaofu could imagine how much pain his eldest son must have endured when he said these words. As these words fell, he almost exhausted all his strength and staggered even more.

"Some things, you can only do your best. If you still can't succeed when you try your best, then you will be unable to do anything."

Zhu Yun patted Wu Xiaofu and Qu Ying on the shoulders and said.

In this car accident, a total of nine people were brought in. The old man was hit by a large truck. Although the large truck tried its best to avoid the accident, it still could not avoid the accident. Instead, the accident continued, and the cars behind the large truck had no time to avoid. , all crashed into large trucks in an instant, and one was even thrown off the bridge in an instant.

Two of them were pronounced dead on the spot.

Nine people were sent, four of them were being rescued, and the old man was the most seriously ill. During the process, the other three had already been rescued and entered the operating room for the next step of surgical treatment.

The other five are in better condition and are being examined at this time.

Having the experience in the dream, Wu Xiaofu actually accepted it quickly, but he still felt a little uncomfortable. He looked at Qu Ying beside him and said, "Let's go, stay in the observation room, there is still our work."

Qu Ying was already choked with sobs. Perhaps this was the first time she had truly faced the death of a patient.

"These doctors are too calm!"

……

At the door of the emergency room, not only their doctors were busy, but there were also many patients and their families watching. Some of them were brave enough to watch the entire rescue process.

When it was all over, some people couldn't help but sigh.

There were many comments, either praising or sarcastic, but Wu Xiaofu didn't say anything and just followed Zhu Yun back to the observation room.

When facing patients, anyone can be chaotic, but doctors must remain calm at all times.

The remaining five patients all had injuries of varying degrees, but they were all skin injuries. After Wu Xiaofu and Qu Ying inquired about their medical records, they were arranged to be admitted to the hospital and observed in the observation room.

In terms of debridement and suturing, even Qu Ying has started to practice at this time. In the past two days, she has followed Wu Xiaofu and sutured a lot. With Wu Xiaofu on the front line, she has made rapid progress, but her speed is still a little behind, but this is It was already very good. The two of them cooperated and the five patients were quickly dealt with.

Snapped!
  At this moment, a man who had been taking care of his wife in the observation room suddenly fell to the ground.

Wu Xiaofu was shocked when he saw this situation.

I quickly recalled the situation of this man and his wife. When the incident occurred, the husband was driving. Even if the husband applied the emergency brake, he could not avoid the fate of hitting the car in front. The wife did not wear a seat belt and directly hit the car radio. The patient had a head trauma. The wound was sutured by Wu Xiaofu, using cosmetic sutures. After the patient heard that the wound was cured, he used some scar remover, which was almost invisible, and he couldn't help but thank Wu Xiaofu.

My husband is also very polite. After the accident, he has been busy all the time, but he is a little impatient.

After taking a few steps to reach the man, Wu Xiaofudang felt a slight thump in his heart when he saw the man's bloodless expression.

(End of this chapter)