Chapter 39: The beeping sound of the monitor is the last sound that doctors and nurses want to hear, because it is the alarm sound of the machine. As long as this sound appears, it means that something is wrong with the patient. Some indicators are no longer within the normal range, and have even entered crisis levels.
As for the indicators of the patient in front of me, almost all are crisis levels, and the charge has already been sounded.
The rescue is still going on, and the results of the emergency blood test have come out.
Urea 13, creatinine is over 90, both are obviously high, pre-renal oliguria, which is very dangerous, liquid infusion is continuous, at this time, the only option is to take supplements.
At this moment, another voice came.
"The pH value is 7.0, the potassium level is 5.0, and the lactic acid level is 13." It was too late to get the results. The examining doctor simply read out the indicators.
The normal pH value is 7.35-7.45, but now the pH value is only 7.0, which is already severe acidosis.
The most important thing is lactic acid 13.
There is a saying in the hospital that if the lactate exceeds 10, even gods can’t save it. The normal range of lactate is 0.5-1.7mmol/L. Now it is not even a little bit high. Lactic acid is metabolized anaerobically. Such a high level of lactic acid generated under such conditions indicates that the patient's brain and myocardium are already under hypoxic conditions, and this is severe hypoxia, which is basically irreversible.
The doctors in the emergency room all looked at each other. When the value came out, they looked at the monitor. Even their eyes were full of helplessness.
Feeling of powerlessness, at this moment, the doctor also felt completely powerless.
Some patients can be saved from death even if they don't think so.
“The brain is not working anymore.”
At this time, the patient is already in a coma, the brain is basically not working, and the blood pressure is basically impossible to measure. The doctors and nurses in the emergency room even After repeated chest compressions, there was no effect at this time. The cardiopulmonary resuscitation machine was in place. Chang Banmeng looked at the doctor on duty.
"Go and sign for his family members. Rescue the critically ill patient. By the way, has the patient agreed to deep vein piercing or something?"
"I agree, everyone agrees. I'll see if this can still stabilize him."
“Stop and check to see if it’s there, but it still doesn’t work.”
Many people are frightened by the CPR machine, calling it a pile driver and saying that it is basically hopeless as soon as it is used. But this statement is inaccurate. It was invented not to save the physical strength of doctors and nurses, but because it can surpass manual cardiopulmonary resuscitation, provide higher hemodynamic indicators and myocardial perfusion, and improve the success rate of resuscitation.
However, the effect at this time is also very weak.
From the time of admission to the present, the heartbeat, blood pressure, etc. have stopped for ten minutes, and the rescue has been for forty minutes. During the active treatment, the heartbeat has recovered twice, but recovery alone is not enough. Maintaining If you don't stop, it's just a waste of effort. The patient is too old, 80 years old, and his heart vitality is far behind that of young people.
The neurosurgery doctors also seemed very helpless at this time. The patient did not even give them a chance to operate.
After the car accident, the patient suffered multiple injuries, the most serious one being the brain, which could only be solved by surgery. But now even the conditions for surgery cannot be met, the circulation cannot be restored, and there is no chance at all. After the craniotomy, if you look carefully, you will see that the pupils are dilated and fixed. They say that a person only lives with his brain and heart. Now the brain and heart have basically stopped working, and the power of life seems to have stopped at this moment.
The patient’s family members have already arrived. The doctor on duty explained to the patient that the cries of the family members were very distressing. They looked at the doctor with hopeful eyes, hoping that the doctor would give him some more hope, but the doctor Even if they couldn't bear it, they could only put the cruel reality in front of them. They looked at the doctor and shook his head. The patient's daughter had already fainted.
"Doctor, thank you."
At this moment, the patient's eldest son suddenly said, staggering to the old father, looking at the old father's face, the eldest son's eyes were already blurry with tears.
However, at this time, there are other brothers and sisters and other juniors behind him, and he must carry everything on his shoulders. "Go back."
Wu Xiaofu could think of how much pain his eldest son had endured when he said these words. As these words fell, he almost exhausted all his strength. After exhausting himself, his body staggered even more.
“Some things, you can only do your best. If you still can’t succeed when you try your best, then you will be unable to do anything.”
Zhu Yun patted Wu Xiaofu and Qu Ying on the shoulders and said.
In this car accident, a total of nine people were brought in. The old man was hit by a large truck. Although the large truck tried its best to avoid the accident, it still could not avoid the accident. Instead, it made the accident continue. The large truck The cars behind them had no time to evade, and they all hit the large trucks instantly. One of them was even thrown off the bridge in an instant.
Two of them were pronounced dead on the spot.
Nine people were sent, four of them were being rescued, and the old man was the most seriously ill. During this process, the other three had already been rescued and entered the operating room for the next step of surgical treatment.
The other five are in better condition and are being checked at this time.
Having the experience in the dream, Wu Xiaofu accepted it very quickly, but he still felt a little uncomfortable. He looked at Qu Ying beside him and said, "Let's go, stay indoors, there is still our work."
Qu Ying was already choking with sobs. , maybe it was the first time she truly faced the death of a patient.
“These doctors are too calm!”
……
At the door of the emergency room, not only their doctors are busy, but there are also many patients and their families watching. , and some brave ones even watched their entire rescue process.
When it was all over, some people couldn't help but sigh.
There were many comments, either praising or sarcastic. Wu Xiaofu didn't say anything. He just followed Zhu Yun back to the observation room.
When facing patients, anyone can be chaotic, but doctors must remain calm at all times.
The remaining five patients all had injuries of varying degrees, but they were all skin injuries. After Wu Xiaofu and Qu Ying inquired about their medical records, they were arranged to be admitted to the hospital and observed in the observation room.
In terms of debridement and suturing, even Qu Ying has started her career at this time. In the past two days, she has followed Wu Xiaofu and sutured a lot. With Wu Xiaofu on top, she has made rapid progress, but her speed is still a bit slow. It was just done, but it was already very good. The two of them cooperated and the five patients were quickly dealt with.
Snap!
At this moment, a man who had been taking care of his wife in the observation room suddenly fell to the ground.
Wu Xiaofu was shocked when he saw this situation.
I quickly recalled the situation of this man and his wife. When the incident occurred, the husband was driving. Even if the husband applied the emergency brake, he could not avoid the fate of hitting the car in front. The wife did not wear a seat belt. He hit the car platform directly and suffered a head injury. The wound was sutured by Wu Xiaofu. He used cosmetic sutures. After the patient heard that it was cured, he used some scar remover, which was almost invisible, and he couldn't help but thank Wu Xiaofu.
My husband is also very polite. After the accident, he has been busy, but a little impatient.
After taking a few steps to reach the man, Wu Xiaofudang felt a slight thump in his heart when he saw the man's bloodless expression.
(End of this chapter)