This Doctor is Great

Zhou Mo and Huang Yiming began to perform CPR on the fainted young man according to the CPR procedure.

Zhou Mo pressed,

Huang Yiming opened the airway and gave artificial respiration.

At this time, the waiter also ran over.

Zhou Mo pressed down heavily, causing the patient's chest to shrunk down several centimeters, and said to the waiter:

"Do you have a simple defibrillator here?"

Defibrillators are currently equipped in all subways in Guangzhou.

but,

A lot of people watch TV on TV and someone suddenly recovers from a cardiac arrest with a defibrillator. They think that after cardiac arrest, defibrillation can be used to recover the patient?

Actually it is wrong.

Defibrillators are only suitable for patients with ventricular fibrillation and cardiac arrest.

For the young patient in front of him, Zhou Mo still couldn't tell whether it was a sudden ventricular fibrillation arrest or no ventricular fibrillation, but a defibrillator could determine whether there was ventricular fibrillation.

The waiter shook his head quickly: "There is no defibrillator..."

Zhou Mo stopped asking and continued CPR.

at this time,

Two minutes have passed, and the patient has not shown signs of resuscitation.

5 minutes……

7 minutes...

Zhou Mo was sweating as he pressed his forehead.

But you can't let go. Once you let go, the patient's blood will not be able to circulate, and it will not be able to enter the brain. At that time, the brain will die due to lack of oxygen.

Not long after,

Beep beep beep ~~~~

The hospital ambulance came.

The doctors and nurses in the emergency department rushed in with medicine boxes and other items.

"Where is the patient?"

"There!!"

Zhou Mo saw the emergency doctor and shouted, "Did you have epinephrine?"

Emergency doctor: "Bring it!"

Zhou Mo: "Get ready, it's been 7 minutes..."

The nurse quickly put down the medicine box and took out epinephrine and a syringe.

Boom!

Break it off!

Then pump up the fluid!

Quiet Note!

time is life!

How fast, how come!

Intravenous injection!

On the doctor's side, he quickly intubated the patient's trachea, and then put on a balloon.

Compress ventilation.

By this time, the patient's heart had stopped for almost 9 minutes.

Now the golden rescue time has passed.

However, Zhou Mo is still insisting on the rescue!

Persevere, don't give up!

3 minutes later, another dose of adrenaline!

At the 12th minute...

"I have a heartbeat!"

Huang Yiming shouted in surprise.

Then, the blood pressure monitor also showed the blood pressure.

"Blood pressure 70/45!"

Phew!

Zhou Mo, Huang Yiming, the emergency doctor and others also breathed a sigh of relief.

Zhou Mo said solemnly: "Quick, send to the emergency department... there must be something wrong... causing the sudden stop..."

……

8 minutes later,

Emergency Department.

The young patient was lying in the hospital bed, and now he has woken up.

However, his body is still extremely weak.

Zhou Mo and Huang Yiming didn't even bother to eat, so they just followed.

Zhou Mo and Huang Yiming would not miss this opportunity to gain experience.

But soon,

The results of the two simplest checks came out.

ECG: Incomplete right bundle branch block...

X-ray examination: right atrium, right ventricle enlargement...

It's not a heart attack.

But for a deeper reason, emergency doctors couldn't find it.

At this moment,

Zhou Mo suddenly had an idea.

"Is there a bedside ultrasound in the emergency room?"

Emergency doctor: "Yes... but it's night time, and there is no doctor who can be on duty..."

Zhou Mo: "I can use it!"

"I'll go, Brother Mo, when did you learn to do bedside color Doppler ultrasound?" Huang Yiming was stunned.

"Can you use it?" The emergency doctor was stunned for a moment.

"By the way, which hospital are you two from?" At this time, the emergency doctor looked at Zhou Mo and Huang Yiming.

Huang Yiming: "We belong to this hospital..."

pfft~~~

The emergency doctor was stunned.

The place of this hospital?

Zhou Mo: "Yes, we belong to this hospital, the Cardiology Department!"

The emergency doctor was stunned: "cardiologist? What a coincidence?"

If a cardiologist can do a color Doppler ultrasound, it's not impossible. of

The emergency doctor looked at Zai Zhou Mo: "You know bedside ultrasound, right?"

Zhou Mo nodded: "Yes."

The emergency doctor was overjoyed: "Okay!"

soon,

The bedside ultrasound was pushed to the emergency room.

Zhou Mo skillfully turned the machine on, adjusted the parameters, and then the couplant...

Start probing the patient.

The first is of course the heart problem.

The right atrium and right ventricle are enlarged, which has been confirmed by X-ray examination.

However, why the right atrium and right ventricle are enlarged?

The general reason is that there is too much blood, which enlarges the right atrium and right ventricle.

Then, why is there too much blood?

Either the output is not enough, the input is too much, or...

In response to these three problems, Zhou Mo used a B-ultrasound probe to continuously search for the right atrium and right ventricle of the patient.

Continuous operation...

Constantly pressing the buttons on the ultrasound machine...

Very skilled.

Next to him, Huang Yiming looked bewildered.

I go, Mexico actually knows how to use it

B...B...B...B...Super machine!

He and his friends were stunned!

Huang Yiming knew that Zhou Mo had been reading B-ultrasound related papers, operation manuals, and following the B-ultrasound teacher to see a doctor.

He felt that Zhou Mo was useless.

result……

Did you learn it like this?

impossible! This is absolutely impossible!

Doubt life!

"found it!"

At this moment, Zhou Mo's voice suddenly became louder.

Emergency doctor: "What's wrong?"

Zhou Mo pointed at the screen: "Look here... This should logically be the location where the left atrium and the left ventricle are separated from the right atrium and the right ventricle, but now there is a gap..."

Emergency doctor: "…………"

Huang Yiming: "......"

Excuse me,

I can't see it!

On the screen, there is a black and white + color strange thing.

I have absolutely no idea what the **** it is!

Zhou Mo pointed to one of them: "Look here, isn't there a vacancy here?"

Emergency doctor: "…………"

Huang Yiming: "......"

Forgive my clumsiness! !

No~www.readwn.com~ Forgive me, I can't see it!

Interlaced like mountains, if you don't know, you really can't see it.

Zhou Mo: "…………"

Oh, mortal!

The fingers pressed two buttons on the console,

Measurement……

5mm...

"The vacant place is as long as 13mm... It's confirmed, it's a vacancy!"

Emergency doctor: "Atrial septal defect??"

Huang Yiming: "House shortage?"

stunned.

Zhou Mo frowned.

13mm, this length is a bit long!

"Atrial septal defect": referred to as "atrial defect", is a common clinical congenital heart malformation. It is the abnormality of the original atrial septum during embryonic development, resulting in the left and right atrium.

This disease is more common in young children, and adults have occasional secondary atrial septal defects.

What will be the consequences of housing shortage?

Naturally, when the left heart is pumping blood to the aorta, the blood will flow back to the right heart due to high pressure.

This results in a greatly reduced efficiency of the heart pumping blood to the body.

The consequences are: low blood pressure, hypoxia, heart failure, pulmonary edema...etc...

And cardiac arrest is one of the serious consequences.

……

"Then, what should we do next?"

The emergency doctor looked at Zhou Mo.

Now that he knew it was a room shortage, although he knew about it, the professional doctor of the Cardiology Department was here (mainly, he knew the bedside color Doppler ultrasound, which made the emergency doctor misunderstand that Zhou Mo was a master).

So, he still wanted to hear Zhou Mo's opinion.

.