This Doctor is Great

Looking at it again, the patient's blood oxygen continued to drop.

84%...

The emergency doctor was in a hurry: "Where's the ventilator? Why hasn't it come yet? There's an anesthesiologist, please?"

"I'm coming……"

At this time, a nurse pushed a ventilator in from the outside.

The ventilator finally arrived.

The anesthesiologist also followed.

Anesthesiologist, first give me a sedative and push midazolam intravenously.

Tracheal intubation is a more painful thing for patients, so sedation is needed, but sedatives should be careful. Excessive sedation will inhibit breathing, and the patient may die due to hypoxia due to stopped breathing. Can cause low blood pressure.

Fortunately, there is an anesthesiologist in the emergency department, so you can measure its dose.

soon,

After the sedative was pushed in, and the effect of the drug appeared, the anesthesiologist started to hold the trachea, and then began to hold the trachea for intubation.

The tracheal intubation can be inserted through the mouth or through the nose. The intubation through the nose is relatively comfortable, because after it is inserted through the nose, it does not stimulate the throat and is relatively more comfortable.

In addition, entering through the mouth may be bitten by the patient, so it is safer to intubate through the nostrils.

The anesthesiologist didn't know what to think, so he chose oral intubation.

Let the pipe go,

"what!"

"Not right!"

The anesthesiologist screamed suddenly.

"Why so much blood?!"

"Blood?!"

"My God, there's a lot of blood in the throat!"

Huang Li, Zhou Mo, Huang Yiming, other doctors and nurses were all shocked at this moment!

Zhou Mo's face changed!

"Why so much blood?"

"and many more!"

"Isn't there a lot of fluid in the lungs just now, could it be—blood?"

Teacher Zhou Mo and Huang Li said loudly.

At this moment, the anesthesiologist shouted, "Quick, sputum suction!"

Fortunately, all of these are available in the emergency department, and the emergency room is even more readily available.

Soon the sputum suction device was delivered and turned on.

"Gulululu~~~"

Blood is constantly being sucked out of the suction tube! !

At this time, the emergency doctor hurriedly cursed: "What's wrong with the respiratory department? Why hasn't it come yet? I'll complain later!!"

This is definitely a problem with the lungs.

At this time, it is natural that a doctor from the Department of Respiratory Medicine should be present to help with the consultation.

This side is sucking the blood, and over there Mr. Huang Li, Zhou Mo, and Huang Yiming are already thinking.

With so much blood, the biggest possibility is pulmonary edema.

Pulmonary edema does not mean that it is really 'water', but liquid. This liquid may come from outside the body, possibly from the heart and kidneys.

By the way, this is a symptom, not a disease. Just like a high fever, it is a symptom, not a disease. )

With so much blood from the patient in front of me, it should come from the heart.

So—cardiogenic pulmonary edema? !

Specific process: heart failure - blood cannot be pumped out - excess blood accumulates in the heart - cannot hold - pulmonary vein reflux - enters the alveoli - spews along the trachea - spews out in the form of sputum...

"But it's not right..."

Zhou Mo looked at the blood drawn from the patient, which was bright red.

And cardiogenic pulmonary edema is pink with foam.

So, rule out cardiogenic pulmonary edema!

Huang Yiming said loudly at this time, "Cardiogenic pulmonary edema!"

Bright eyes!

loudly,

Hahaha~~~ It's finally time for me, Huang Yiming, to pretend to amaze everyone!

Mouth corner √

Teacher Huang Li interrupted directly: "It's not cardiogenic pulmonary edema!"

Huang Yiming: "......"

oo~~~

Isn't it?

Shit, shame on you!

Zhou Mo shook his head. At this time, there was nothing he could do. He was from the Department of Cardiology, and he was really unfamiliar with such things as the Department of Respiratory Medicine.

At this time, Mr. Huang Li also frowned, thinking about the disease, but after all, he did not dare to draw conclusions easily.

"I'm sorry, but cardiogenic pulmonary edema has been ruled out now. It may be necessary to come over from the respiratory department..." Teacher Huang Li said.

However, they can't go to the Cardiology Department yet.

Because the patient is in this situation, problems will arise at any time, and the experience of cardiology will still be needed to save lives.

The emergency doctor began to yell in exasperation: "What's going on in the respiratory department? Why haven't you come? If you don't come, the patient will be finished!"

Emergency consultations are sometimes so urgent, so the hospital stipulates that doctors on duty in specialist departments must arrive at the emergency department within 10 minutes for emergency consultations.

At this time, the patient's blood oxygen dropped to 80% all the way.

"All right!"

The anesthesiologist breathed a sigh of relief and finally successfully intubated.

The ventilator starts to ventilate,

After a while, the patient's blood oxygen finally stabilized at 79%.

"Phew~~~"

Everyone breathed a sigh of relief.

However, it's too early to be happy! !

Zhou Mo kept staring at the ECG monitor, and suddenly realized that something was wrong.

"No, the patient's heart rate is slow!"

Originally, the patient's heart rate was very high, reaching 103, which was because the body was working hard to deliver enough oxygen to the whole body.

but!

If the heart beats too fast, it will overload the heart too much, it will be too tight, and then it will be easy to loose all of a sudden.

The heart rate will start to drop.

At this time, Zhou Mo looked at the heart rate on the ECG monitor~www.readwn.com~ which had rapidly dropped from 103 to 97, and then continued to fall...

If it goes on like this, it is estimated that it will collapse immediately!

Teacher Huang Li's expression changed greatly!

"Quick, adrenaline!!"

While the nurse was still pumping epinephrine with a needle...

Beep beep~~~~~~

The familiar siren, the siren that made people rush adrenaline all of a sudden, appeared.

Cardiac arrest! !

A straight line '————' appeared directly.

The emergency doctor had the quickest response. He ran over immediately, pressed quickly, and performed cardiopulmonary resuscitation.

The thin woman's chest suddenly collapsed.

once...twice...three times...

Adrenaline infusion!

The patient's ECG monitor displays the ecg compression waveform, which is very similar to the normal qrs waveform.

The more like, the higher the quality of pressing!

It shows that the doctor's CPR skills are higher!

After 3 minutes,

"One more!"

Just as the nurse was about to pump epinephrine again, the patient's ECG monitor started to move.

No longer an ecg press waveform.

Normal sinus rhythm was restored.

The ECG monitor began to output various data continuously.

Everyone breathed a sigh of relief, but at the same time they held their hearts tightly.

The patient's condition is not optimistic, because she is still bleeding. If the cause is not found, the bleeding does not stop, and there is nothing the emergency department can do.

.