I Can See Health

Chapter 498: This night shift is so evil!

Remember [new] in one second! Before Lu Chen had time to react, he saw the patient suddenly became unsteady on his feet, stared upwards, and spit out a trace of foam from the corner of his mouth.

I go!

Lu Chen was shocked, he was really trying to poop and something happened!

Huang Hanlin also felt something abnormal about the patient, and he quickly said: "Lu Chen, help the patient to the bed quickly!"

Lu Chen understood, and the two of them cooperated and quickly moved the old man to the bed.

"The patient has ventricular tachycardia!"

The nurse connected the patient's electrodes, and the "ventricular tachycardia waveform" was immediately displayed on the bedside ECG monitor.

"Conversion immediately!"

"Use lidocaine!"

Lu Chen had already run to the central nurse station and pushed the defibrillator over.

Liu Han and Gao Rui also noticed the situation here and quickly ran over to help.

…

Lu Chen was very quick. He pushed the defibrillator next to the hospital bed, picked up two electrodes and handed them to Huang Hanlin.

"Everyone, stay away from the hospital bed!"

"Charge, discharge!"

Real electric defibrillation is not like in the TV series. The patient's body will jerk violently, and there will only be a slight shaking at most.

One defibrillation is over.

Lu Chen quickly looked at the ECG monitor, and there was still a series of ventricular tachycardia!

"Compress first, then defibrillate later!"

"Nurse puts on the urinary catheter, ice pack protects the brain!"

"Bring over a set of intubation tools and push over the invasive ventilator!"

As a senior cardiology doctor, Huang Hanlin was very calm when faced with this kind of rescue, and issued various medical orders in an orderly manner.

On the side, Liu Han and Gao Rui watched the rescue nervously.

For ordinary graduate students, rescuing them is out of the question.

However, Lu Chen is an exception!

At this time, Lu Chen was cooperating with Huang Hanlin in various operations.

"Lu Chen, prepare for the second conversion!"

"receive!"

Lu Chen looked solemn, always paying attention to the changes in the electrocardiogram monitoring beside the bed.

"Charge, discharge!"

"Dududu..."

After the second defibrillation, the monitor still showed ventricular tachycardia and even a slight trend towards ventricular fibrillation.

"The blood oxygen can't be maintained anymore!" Huang Hanlin's face turned a little ugly, and he turned to look at Liu Han, "Go and call the hospital manager over for help!"

There are only two doctors in the CCU ward at night.

Cheng Liangli was dealing with other critically ill patients, and now he could only call the chief resident of the cardiology department to come over for help.

"Okay!" Liu Han nodded and immediately ran out of the ward.

There is always a lounge next to the CCU for cardiology residents, just separated by a wall.

…

Lu Chen was performing chest compressions on the patient, while Huang Hanlin was providing oxygen to the patient through a mask.

Before intubation, artificial oxygenation could only be used.

"Teacher Huang, I know how to intubate, why don't you let me try?" Lu Chen volunteered.

Although the hospital is only separated from the CCU ward by a wall, it still takes a few minutes to get there.

Huang Hanlin was stunned at first, thinking of Lu Chen's series of performances in the CCU ward, and then nodded in agreement: "Okay, you will intubate."

If it were another student...

No other students would have such a request for active intubation!

In fact, except for intensive care units, emergency wards, and anesthesia operating rooms, in other general departments, medical staff have very few opportunities to intubate.

Even if you know the theoretical basics of intubation, you cannot guarantee that your intubation will be successful if you neglect training.

…

Lu Chen was seen raising the patient's neck and tilting his head back.

Then, the left-hand laryngoscope is inserted along the curvature of the tongue dorsum to the base of the tongue, and the epiglottis cartilage is gently lifted to open the glottis.

Lu Chen's face hardened, he held the endotracheal tube in his right hand and quickly inserted it into the trachea, pulled out the tube core, placed a dental pad, and withdrew the laryngoscope.

On the side, Huang Hanlin was shocked.

Let me go, this hand speed!

So fast!

Did Lu Chen often intubate before?

That’s not right, he is still just a student, he has no venue, let alone such an opportunity!

At this time, Lu Chen began to check whether there was any air expelled from the outer port of the endotracheal tube with breathing, and then auscultated whether the breath sounds at the apex of both lungs were consistent. After confirming that the intubation was correct, he fixed the dental pad and the tube together.

The nurse had already pushed the ventilator over.

Connect the catheter to the ventilator, adjust all parameters, and the ventilator starts running.

At this time, Sun Guoguo, the chief resident of the Department of Cardiology, rushed over.

"Senior Brother Huang, what's going on here?"

Sun Guoguo walked into the ward and saw everyone who was rescuing people.

"The patient suffered from ventricular tachycardia and was unconscious. Lao Cheng was handling the patient in another ward, so I asked the student to call you over," Huang Hanlin said.

Sun Guoguo looked around and saw Lu Chen who was adjusting the ventilator.

"Junior brother, you are working the night shift tonight!"

Lu Chen heard a familiar voice, turned around and saw that it was Sun Guoguo, and then smiled, "Senior sister, you are here."

"With you here, I may not be needed for things like intubation and rescue." Sun Guoguo laughed softly.

As Lu Chen's senior sister, she was very happy to see her junior brother being so good!

But Huang Hanlin stood aside and was surprised when he heard Sun Guoguo's words.

As an attending doctor, Sun Guoguo actually thought so highly of Lu Chen!

Is there anything else that Lu Chen hasn't shown yet?

Sun Guoguo seemed to notice Huang Hanlin's doubts and said, "Junior brother Lu Chen, he is the champion of the national clinical skills competition. He is very familiar with this kind of intubation work!"

Huang Hanlin felt a little relieved when he heard this.

Although the champions of the National Clinical Skills Competition are all medical students, their clinical skills can definitely reach a very high level after standardized training.

…

After the intubation is completed, it is the third cardioversion.

Everyone was relieved. If the cardioversion was not successful this time, it would be difficult next time!

"Charge, discharge!"

When the defibrillation ended, everyone's eyes were fixed on the ECG monitor.

The waveform of ventricular tachycardia suddenly changes to sinus rhythm at the moment of electrode discharge!

"It's done!"

Lu Chen's face showed joy.

It’s so difficult!

He looked at the old man with a tube inserted in the hospital bed and couldn't help but sigh.

"I wonder if the old man will be so stubborn this time after he wakes up!"

…