I Can See Health

"Ventricular fibrillation is happening again!"

Just as Lu Chen ran to the bedside, the ECG monitor at the patient's bedside showed ventricular fibrillation again!

Lu Chen roared, alerting the surrounding medical staff to pay attention, and then started chest compressions.

"The patient is 70 years old. He has had coronary heart disease, hypertension, and diabetes in the past. When this incident happened, he was still far away from the scene of the incident. He started to get sick after being frightened!"

Gong Nannan explained the patient's condition and brought a defibrillator.

"Charging completed!" Gong Nannan adjusted the defibrillation energy.

"Junior brother, I'm ready for defibrillation!" Wang Xiaodong took the defibrillator and spread the conductive paste evenly.

"good!"

Lu Chen nodded and stepped away from the hospital bed.

Wang Xiaodong immediately took his place and placed the two electrode pads of the defibrillator on the patient.

"boom!"

After the discharge was completed, the ECG monitor still showed ventricular fibrillation!

Wang Xiaodong put down the defibrillator, and Lu Chen immediately started cardiopulmonary resuscitation again!

It failed. Could it be an acute psychogenic reaction?

No, if it was just a stress reaction, then it wouldn't be ventricular fibrillation all the time?

But now is not the time to think about it. The most important thing is to convert the patient's ventricular fibrillation first!

"Junior brother, come and defibrillate, do it again!"

"good!"

Keep charging, 360j energy.

Lu Chen took the defibrillator and discharged it!

"boom!"

The second defibrillation is over.

On the ECG monitor, the heart rhythm of ventricular fibrillation finally converted to sinus rhythm.

Wang Xiaodong breathed a sigh of relief.

Lu Chen put the defibrillator aside and frowned: "Sister Nannan, check the patient's cardiac enzymes. I think it's definitely not as simple as a stress reaction!"

"Okay." Gong Nannan nodded and immediately started preparing test tubes for blood collection.

Lu Chen brought over an electrocardiogram machine and gave the patient an electrocardiogram. The ST in the chest leads was depressed and there was extensive T wave inversion!

"Junior brother, do you think ventricular fibrillation is caused by acute coronary syndrome?" Wang Xiaodong said from the sidelines.

"It's possible." Lu Chen said, "The patient has a medical history, and on this basis, it is easy for various malignant arrhythmias to occur."

"Yeah, that makes sense." Wang Xiaodong nodded.

…

The emergency room in the emergency ward has long been overcrowded.

Lu Chen is currently taking care of two seriously ill patients, one with head trauma and cerebral hemorrhage, and the other with ventricular fibrillation just now.

Wang Xiaodong went to deal with the new critically ill patients.

"Are there any nurses available? There is a patient here who needs a catheterization!"

Next to Lu Chen's rescue bed, a young doctor shouted to the surroundings.

But in the ward, all the nurses were busy and the environment was so noisy that no one heard his voice at all.

"Is there a nurse? This patient can't hold it in anymore!" He shouted four or five times, but still no one responded.

"Brother, please take care of these two patients for me, and I'll check the urinary catheter."

Lu Chen walked to the young doctor and pointed to the two beds beside him.

"You? You know how to insert a urinary catheter?" Ning Siyang frowned and looked at the strange classmate in front of him.

He is currently rotating in the emergency room and seems to have never seen this person before.

"I know how to do it. I've penetrated him many times in the ward." Lu Chen nodded.

He has trained countless times in the virtual space, and has many practical experiences in the eight zones in his heart.

Ning Siyang still hesitated.

It would be even more troublesome if a newbie damaged the patient's urethra.

"Ning Siyang, Lu Chen can do it, just let him do it." Gong Nannan, who was collecting blood from the patient, raised his head and said.

After hearing what Gong Nannan said, Ning Siyang believed it, "Okay, then you will insert the urinary catheter and I will take care of the patient."

Lu Chen nodded and immediately found a catheter bag.

Disinfect, drape, lubricate the urinary catheter, find the urethral opening, and insert the urinary catheter. .

In less than thirty seconds, Lu Chen's operation was completed.

"Ah? You, you..." Before Ning Siyang had time to react, he felt that this junior brother was finished.

too fast!

Faster than the nurses he saw inserting urinary catheters before!

"Brother, don't put too much in the first time. Four hundred is enough. Put it in slowly, otherwise the bladder will bleed easily."

"Oh." Ning Siyang looked at Lu Chen blankly, feeling that this junior brother was a little unusual!

At this moment, the old man with ventricular fibrillation had his bedside ECG monitor suddenly alarmed.

Lu Chen looked back.

My heart trembled.

Damn it, why is he having ventricular fibrillation again?

What’s even more terrifying is that the old man’s blood oxygen also dropped!

Lu Chen immediately rushed to the bed and began to perform chest compressions.

Ning Siyang also picked up the breathing bag on the bedside, buckled the mask on the patient's face, and performed bag-assisted ventilation.

"Sister Nan Nan, go and call Senior Brother Wang over!" Lu Chen yelled at Gong Nannan.

"Okay!" Gong Nannan ran out immediately upon seeing this.

Lu Chen pressed about thirty times and found that the patient's ventricular fibrillation had actually recovered!

Although the heart rate is still very fast, the heart rhythm waveform is normal!

He stopped chest compressions.

However, the old man's blood oxygen continued to drop!

"It won't work! I need tracheal intubation!" Lu Chen said loudly.

Ning Siyang was getting some balloons, pressing them continuously to deliver oxygen, "Intubation? Then we have to wait for Senior Brother Wang to come."

As soon as he finished speaking, he saw Lu Chen taking out the equipment for tracheal intubation from the first aid cabinet, including laryngoscope and dental pads.

"Junior brother, you, you..." Countless question marks appeared on Ning Siyang's head.

This guy actually wants to intubate his own trachea?

They did learn about endotracheal intubation and took the test.

But it has never been used clinically!

"Brother, this patient can't wait any longer!" Lu Chen frowned.

Balloon-assisted ventilation alone cannot maintain blood oxygenation.

The continuous decrease in blood oxygen will cause hypoxia to major organs, especially the brain, and the consequences are almost irreversible damage.

Lu Chen, on his side, had prepared all the supplies for tracheal intubation and stood beside Ning Siyang.

"Senior brother, give up your position."

"But, this..." Ning Siyang looked out of the ward and saw no trace of Wang Xiaodong at all. After a moment of hesitation, he took the ball bag and mask away and made way for Lu Chen.

Lu Chen put on gloves and a laryngoscope, squatted half-squat on the bedside, and began to intubate.

Tilt the patient's head back and lift the mandible forward and upward with both hands to open the mouth.

Lu Chen held the handle of the laryngoscope with his left hand, put the laryngoscope into the patient's mouth from the right corner of his mouth, pushed the tongue to the left and slowly advanced.

After seeing the uvula, lift the lens vertically and advance it until the epiglottis is exposed. After lifting the epiglottis, the glottis is exposed.

Lu Chen pulled out the stylet and inserted the tube into the trachea.

"It's inserted!"

Ning Siyang saw the whole process very clearly from the sidelines.

Fast, accurate and stable!

Lu Chen's method was not sloppy at all. From preparation to completion, it took less than a minute.

Such a person actually calls himself senior brother?

Ning Siyang's face turned red.

"Brother, bring me some tape and I'll fix the catheter." Lu Chen said to Ning Siyang.

"No, no, no, don't call me senior brother. I want to call you senior brother." Ning Siyang waved his hand quickly, took out the tape from the treatment tray on the side, and handed it to Lu Chen.

He doesn’t have such a powerful junior brother!

Lu Chen fixed the endotracheal tube, connected the ventilator, and set all ventilator parameters. The patient's blood oxygen finally began to rise!

Ning Siyang on the side was even more surprised.

"You can even adjust the ventilator!"

But thinking about how quickly he had inserted urinary tubes and tracheal intubations before, I felt that this was nothing.

At this moment, Wang Xiaodong finally rushed over. Before he entered the ward, he shouted to Gong Nannan.

"Hurry and get the laryngoscope and prepare for intubation!"

However, when he just walked into the ward, he saw Lu Chen setting the parameters of the ventilator.

"Junior brother, this, was this done by you?" Wang Xiaodong asked in disbelief.

Lu Chen nodded and said sternly: "The patient's blood oxygen drops very quickly, I can't do it without insertion!"

Wang Xiaodong showed a hint of surprise in his eyes and patted Lu Chen on the shoulder: "Well done, junior brother."

But now is not the time to be shocked.

He picked up the stethoscope and auscultated the patient's lungs. The position of the endotracheal tube should be correct!

The blood oxygen on the bedside ECG monitor is also 97%!

The patient's vital signs have been temporarily stable, and now it is time to consider why the condition suddenly changed.

"Why did the patient's blood oxygen suddenly drop?" Wang Xiaodong asked doubtfully.

It starts with ventricular fibrillation, and after ventricular fibrillation, blood oxygen levels drop.

At this time, Lu Chen handed the results of the rapid troponin test to Wang Xiaodong.

"Brother, the patient's rapid troponin test results have come out. The troponin level has increased more than 50 times! It should be severe heart failure after acute myocardial infarction and respiratory failure caused by pulmonary edema!"

"Then you have to seek emergency consultation from the cardiology department!" Wang Xiaodong glanced at Lu Chen.

Lu Chen nodded and said, "I have already called the chief resident of the cardiology department."

…

While the two were discussing, Xia Yingzheng's shouts suddenly came from the emergency hospital bed next to them.

"Where is the head nurse?! My patient here can't get the injection!"

Wang Xiaodong put down the test sheet in his hand and frowned slightly: "It's the patient with severe burns. He doesn't have a good patch of skin on his whole body, so he has no way of getting an injection. After finally getting an injection, the fluid can't be injected at all!"

When Lu Chen came to the emergency department, he also saw this patient. His whole body was completely wrapped in gauze.

"I went to find the head nurse. She was just giving an injection to another patient with low blood pressure."

When Gong Nannan heard this, he ran away immediately.

At this time, new prompts kept popping up in Lu Chen's system panel.

"Congratulations, UU Kanshu www.uukanshu.net has improved your catheterization proficiency by 3%!"

"Congratulations, your tracheal intubation proficiency has increased by 5%!"

"Congratulations, your proficiency in using the defibrillator has increased by 6%!"

"..."

However, Lu Chen just glanced at the system prompts and didn't pay attention.

If this was normal and his skill proficiency increased, he would be very happy.

But at this time, he was not in any happy mood at all.

In addition to the urgency of rescuing him, his heart was also filled with a touch of sadness.

In his emergency room, the patient's condition is relatively stable.

The emergency room next door to Teacher Xia was full of patients with severe burns, severe shock, and even patients who could only rely on oxygen and ventilators to maintain their lives. \u003c/div\u003e