Invincible Hand

Chapter 39 Septic shock

Bai Mei's medical records are very simple, and it seems that the writing standards seem to be impeccable, but Yuan Ye still found some problems in it, for example, the diagnosis basis for breast cysts is not sufficient!Also, the preoperative examination obviously ignored the determination of hormones in the body.

Far from being an accidental mistake, it must have been done on purpose.And the purpose of doing this is nothing more than to cover up something.

After putting down the medical records, Yuan Ye became clearer about his own judgment. However, it was somewhat difficult to find a direct basis. Everything was just his inference, and what medicine pays attention to is scientific basis, not subjective assumption.

Yuan Ye fell into a predicament for a while.

"It's not good, patient No. [-], Awei, is in shock!" Yuan Ye was flipping through the medical records in the gynecology ward on the third floor, when a little nurse hurried over!It was Xiao Fang who irradiated the ward with infrared rays that day.

shock?Septic shock?
This terrible consequence quickly came to Yuan Ye's mind, and he had no choice but to think, he quickly stood up, and ran to the ward behind several doctors!
The moment he broke into the ward, he saw the extremely miserable scene of the woman lying on the hospital bed. She was pale, her lips were cyanotic, her hands were fluttering in the air, and she was speaking vaguely. Clear words!Apparently, she was also suffering from mental symptoms.

What surprised Yuan Ye was that Director Wu had already stayed in front of the patient, but he didn't give any doctor's order!
"Doctor Yuan, your hands are really long! Since you are here, I will hand over this patient to you!" Director Wu did not put any personal grievances behind him because of the critical condition of the patient!After seeing Yuan Ye, he took off the gloves on his hands, threw the medical records on the hospital bed, sneered, and walked out of the ward sideways!
Yuan Ye had no intention of arguing with Wu Jianhua, let alone arguing in such a situation, so he walked quickly to the patient's bed, and after observing the patient's condition briefly and quickly, he followed behind The little nurse issued a doctor's order: "Get on the monitor immediately!"

This time, the nurse did not hesitate at all, and put the patient under surveillance as quickly as possible!
A few piercing "beep beeps" sounded that the patient's condition was indeed not optimistic!
Yuan Ye looked up, his blood pressure had dropped to 70/45, and his blood oxygen saturation was only 70%!

Several data clearly show that the patient has entered the late stage of shock!If the necessary rescue measures are not taken, the patient will die of organ failure in a very short period of time!
"What kind of surgery did this patient have before?" Yuan Ye asked eagerly, time was running short, he didn't have time to look through the medical records at all!
"Ovarian cyst, today is the fifth day after surgery!" The little nurse quickly replied.

"Ovarian cyst..." Yuan Ye's brain quickly called up a series of knowledge points about ovarian cyst surgery like a computer!
In the process of Yuan Ye's thinking, the patient's condition deteriorated again. First, there was a burst of violent restlessness, and then, her eyes opened wide, and after a burst of exhausted screams, she suddenly calmed down!The whole process is unacceptably fast!

The surrounding area suddenly quieted down!

"Hurry up for cardiopulmonary resuscitation!" After being shocked for about three seconds, Yuan Ye was the first to wake up. Seeing the surrounding doctors and nurses turn into stone, he yelled loudly and immediately struck the patient's chest hard. !
After not seeing any results, he stepped up his efforts again, but there was still no result!

"Mask supplies! Inform the anesthesiology department to put on the ventilator!" Yuan Ye gave the order quickly and swiftly. While his brain was running at high speed, he stood by the side of the patient, and after getting ready for the work in a very short time, he started External cardiac compressions were started at the middle and lower end of the patient's sternum!

The breathing airbag was ready soon. Although Nurse Xiaofang was young, she had experienced rigorous emergency training, so she cooperated with Yuan Ye very well!
"1, 2, 3,..." When Yuan Ye counted to thirty in a low voice, Xiao Fang squeezed the breathing airbag in his hand twice.

However, the efforts of the two did not achieve the effect of bringing the dead back to life. After several rounds of cardiopulmonary resuscitation, there was still a straight line on the ECG monitor!

"Emergency electrical cardioversion!" Yuan Ye said without hesitation.

At this time, the anesthesiologist Miao Miao was also in place. Looking at the situation in front of her, she looked at Yuan Ye with some uncertainty, "Doctor Yuan, do you still need to be put on a ventilator?"

Yuan Ye nodded firmly, "Of course the ventilator is going to be on! The ventilator and the electric shock are going on at the same time!" Yuan Ye's voice was particularly loud in the silent ward.

In the face of life, even if there is only one percent hope, one must put in 100 percent effort. This is what the gray-haired old professor said in his first class after entering Ningcheng Medical University.From that moment on, this sentence was firmly engraved in Yuan Ye's mind.

Miao Miao is an anesthesiologist who returned from overseas training last year, and is also the best anesthesiologist in the Women's Hospital. She skillfully connected the patient to the ventilator, and the whole process took less than 5 minutes.

And the nurse has quickly taken the electric shock equipment!
"Charge! Discharge!" Yuan Ye gave the order in a low but firm voice.

After two electric shocks, the patient's ECG monitor finally showed regular fluctuations.

The parameters on the ventilator are fluctuating, but everyone knows that this is only a temporary palliative measure. With the ventilator on, the patient can breathe with the help of the machine. Without the ventilator, the patient will experience apnea again.

Yuan Ye's whole body was drenched, and several doctors and nurses also stopped panting. Cardiopulmonary resuscitation was physical work, but in the face of life, no one felt tired, and no one wanted to give up.The beating numbers on the ventilator gave several medical staff temporary relief.

For a while, the entire ward was immersed in depressing silence.

"Call the administrative duty, and notify the family members!" About a few minutes later, Yuan Ye raised his anger, and commanded the little nurse standing there like a puppet in an extremely low voice!

"Oh, okay..." After the little nurse called the administrative staff on duty and the director of the medical department, she suddenly looked at Yuan Ye helplessly, "She has no family members, never..."

no dependents...

This problem is difficult to solve. The reason why Yuan Ye decided to put on a ventilator to save his breath at the last moment is more because his family members were not at the scene. Although he has not been a doctor for a long time, he has firmly established the relationship between doctors and patients. It was firmly recorded in Yuan Ye's mind.

"What's the situation now?" Just when everyone was at a loss, Su Bing broke in. Seeing her panting, Yuan Ye could imagine how shocked she would be when she heard the news. It will be as simple as you can see.

"It was initially identified as septic shock. The patient suffered cardiac arrest. After the electric shock, she has now recovered her spontaneous heartbeat. To prevent any contingencies, I have put her on a ventilator, and a large dose of antibiotics is still being maintained. However, I'm afraid the situation is not optimistic!" Yuan Ye said in a low voice but quickly.

"What do you mean the situation is not optimistic? Where is Director Wu? Where are the other directors? Why are there only a few people? Where have they gone? At this time, shouldn't everyone go all out to treat patients?" Su Bing lost control of his emotions , probably because seeing the patient's condition is really not optimistic enough.After all, too many things have happened in the hospital recently.

"Dean Su, the patient's condition is a bit special, maybe it's not as simple as imagined, I have some ideas and want to talk to you, some things need you to make some decisions now..."

"What decision? As long as it is beneficial to the patient's rescue, just do it. I will bear all the responsibilities alone, but I must do my best to rescue the patient!" Su Bing was still very emotional.

"This one……"

The scene in the emergency room was a bit chaotic, and the personnel were mixed. Yuan Ye felt that many things were not suitable to be discussed here. The behavior he showed after arriving at the scene seemed to attract him specially.

"Call Director Wu, as the director of the medical department, he must be present at this time! If there is anything, please report at any time!" Su Bing took a deep breath, and finally regained her composure. She briefly checked the patient's condition, and then Tell the nurse Xiao Fang.

"Dean Su, Director Wu was here just now, but..." Nurse Xiaofang glanced at Yuan Ye, hesitant to speak.

In fact, not only Yuan Ye, but even Xiao Fang felt that something was wrong with this matter. In the past, Director Wu would definitely be there when there was a major emergency in the hospital, but this time, he seemed to deliberately not participate in this rescue. !
"What's going on here? Yuan Ye, why are you here?" Su Bing finally realized the strangeness of the matter. It seems that the limelight in the hospital is not quite right recently?Could it be?Are you really too self-willed?Su Bing was suspicious.

"Dean Su, I want to talk to you alone!" Yuan Ye lowered his voice and said next to Su Bing.

"En?" Su Bing raised his head and glanced at Yuan Ye suspiciously. At this time, shouldn't the priority be on rescuing patients?Can't we talk about it later?

Seeing the suspicion in Su Bing's eyes, Yuan Ye said quickly, "There are some guesses about this patient's condition. I'm afraid the problem has been diagnosed just like Bai Mei..."

"Okay!" Seeing the pleading in Yuan Ye's eyes, Su Bing nodded!

(End of this chapter)