Chapter 38 Countdown to Death
“Hoo Erlian!” Wang Guohua roared.
His voice boomed out of the emergency room like thunder, as if the patient's electrocardiogram had been shaken to some extent.
The falling blood rain fell on Wang Guohua and Luo Hao, as if they had just returned from the sea of blood in hell.
Wang Guohua was full of "killing" energy. He pressed his hands on the patient's chest. After confirming that the patient had cardiac arrest, he immediately began to perform chest heart compressions.
"Epinephrine, 1 mg, intravenous push."
"Nikosamide and Lobelin will be given again."
"Defibrillator, energy for..."
< br>Luo Hao was on the side directing the emergency department medical staff, and the two of them cooperated seamlessly.
One minute later.
Wang Guohua's hand left the patient's chest.
The electrocardiogram still fluctuated when he pressed, but as the pressing hand left, the electrocardiogram became a straight line again.
Try again, still the same after a minute.
Wang Guohua sighed and looked back at the village chief.
It probably won’t work anymore, and I need to explain it to the “patient’s family”. All the medical staff present knew that fortunately Wang Guohua was there, otherwise it would have been somewhat troublesome.
Wang Guohua believed that the patient was no longer alive, so he did everything possible and pressed for a few more minutes to declare the patient clinically dead.
Other doctors and nurses think so too.
Only Luo Hao doesn't think so.
The system has just issued a task, and Luo Hao is sure that the patient in front of him is not dead yet, at least not completely dead.
"I'll do it." Luo Hao frowned. His former sunny temperament was gone. Countless blood dripped on his face, and a burst of iron-blooded energy spurted out.
He bumped his shoulder and knocked Wang Guohua away.
Wang Guohua was startled.
Luo Hao straightened his arms and folded his palms. He did not make the most standard posture for external chest heart compression.
But when Luo Hao exerted force, Wang Guohua suddenly heard a "crunching" sound from the patient's chest.
Broken ribs!
A diagnosis appeared in Wang Guohua's mind.
Violence!
It’s so violent!
However! !
The next second, the patient's electrocardiogram began to have a waveform on the electrocardiogram, and the heart resumed beating. (Note)
Gan!
Wang Guohua was stunned.
Is this okay? !
Emergency first aid, Wang Guohua has experienced countless times in his medical career;
Chest cardiac compression, Wang Guohua has also experienced countless times.
In Wang Guohua's judgment, the patient in front of him was already on the verge of death, and cardiac compression and emergency rescue were only a sparse effort.
To put it simply, what can be done now and in the next ten minutes is to make the patient's family feel more comfortable and show that the doctor has tried his best.
Doctors are not gods and cannot cure all patients.
But!
Luo Hao only pressed it once, and the patient's heartbeat resumed. It seemed that there would be no more heartbeats in a short time.
It's impossible. I just used the defibrillator and performed heart compressions myself, but the patient's heart didn't respond at all.
Why Luo Hao...
Just when he thought of this, Wang Guohua suddenly heard a roar ringing in his ears.
"What are you doing standing still! Wang Guohua, you are in charge of commanding and sending the patient to the gastrointestinal endoscopy room!"
The voice is cold and stern, with a strong smell of blood, even if it is a veteran of many battles Wang Guohua also subconsciously responded, "Gastroenteroscopy room?"
"Run, hurry up!"
After Luo Hao finished speaking, he rushed out of the emergency room.
Chen Yong has been standing in the corner, his hands and feet trembling due to excessive secretion of adrenaline.
Until the scene where Luo Hao "snarled" Wang Guohua appeared, Chen Yong calmed down completely.
It seemed that what I saw in the crystal was this scene, although the words were a little different.
Chen Yong always thought that what he studied was just for fun. Although he often comforted himself that the end of science was metaphysics, he never believed it.
However, this scene made Chen Yong calm down. He came to Wang Guohua, put on gloves and began to assist Wang Guohua in rescuing and transporting the patient.
The village chief who came in with Wang Guohua was shocked and dumbfounded.
He never thought that Wang Guohua would be yelled at and would be yelled at one day.
The doctors and nurses in the emergency room also had their tails tucked between their legs, and they were busy with the wind at their feet.
Even Wang Guohua was yelled at, saying that if he failed to do something well, he would have to be hung up and whipped by Luo Hao from the medical department.
The medical department is very cruel,
Luo Hao is very cruel.
Everyone was in awe.
……
Luo Hao ran out of the emergency room and took his mobile phone to make a call.
"Mr. Nie, I need to do an emergency ligation. Do you have any consumables?" Luo Hao called Nie Changchun while running.
"Doctor Luo, we have the consumables. I have arranged for an assistant to be at the hospital. The rented house is a 2-minute walk away. If you need it, be there immediately." Nie Changchun said simply and cleanly.
"Gastroenteroscopy room, immediately, immediately!"
After Luo Hao finished speaking, he hung up the phone.
There was a "ding dong" sound of the system task being announced before, but Luo Hao just glanced at it to confirm that the system had issued the task, and never looked at the system panel in the upper right corner of his field of vision.
No time!
Although the patient's heartbeat has recovered, it can be maintained for the time being, but Luo Hao knows that it will never last long.
The last time I vomited blood and the blood rushed to the roof, it was because the blood pressure recovered a little after rehydration, and the varices veins in the gastric fundus continued to bleed. The bleeding accumulated in the stomach, and when it reached a certain amount, it would be vomited out.
No matter how much fluid is given, as long as the bleeding point does not block the patient's gastric vein, he will continue to bleed, and there may even be another cardiac arrest at any time.
This time he was pushed over by himself, next time... Luo Hao was not confident.
The only way to solve the problem is to take advantage of the time you have just returned to have surgery.
Hang up the phone, Luo Hao immediately called Lin Yuming.
"Director Lin, the patient needs an emergency gastroscopy to stop the bleeding."
"I asked them to open the door." Lin Yuming replied calmly.
"No time!" Luo Hao ran quickly, the biting cold wind slashing across his face like a knife.
"???" Lin Yuming was stunned.
Gastroscopy is not an emergency procedure, so why don’t we have time?
"Let them hurry up. The patient's heartbeat has just stopped once. I guess..."
Just after saying this, a red light began to flash in front of Luo Hao's eyes.
00:18:23
00:18:22
00:18:21
18 minutes? !
Luo Hao realized that this was the system giving the time that the patient's circulatory system could last, which was the countdown to life.
What a joke! !
The gastrointestinal endoscopy room does not have emergency services, and the door is locked at night. Even with a phone call from the director of the medical department, it would take more than ten or dozens of minutes for the head nurse to arrive.
"Uncle, we don't have time. I'll break down the door and go in for surgery."
After saying that, Luo Hao hung up the phone.
While running and talking on the phone, coupled with the rescue work that had just filled his body with hormones, Luo Hao felt a little tired.
At this moment, Luo Hao missed his attribute points extremely.
It would be great if my physical strength could also be higher.
[It is said that a man is a boy until he dies, but how can there be a boy...]
The phone rang, and Luo Hao went straight to the gastrointestinal endoscopy room as if he hadn't heard it.
The iron door is locked.
Luo Hao stood up, without any hesitation, sprinted quickly, and hit the iron door with his right shoulder like a galloping ancient beast.
【A man will be a boy until he dies...】
Dong~
【A man will be a boy until he dies...】
Dong dong~~
[A man is a boy until he dies...]
Dong dong dong~~~
Boom~
The iron door was pushed open by Luo Hao like an animal.
Breaking through the door, Luo Hao turned on the lights and prepared the equipment familiarly.
00:13:45
00:13:44
Luo Hao hung up the call from Lin Yuming and dialed Wang Guohua.
"Why hasn't the patient arrived yet! What are you doing for food!!"
Before Wang Guohua could speak, Luo Hao roared.
"We're almost there. Is there anyone in the gastrointestinal endoscopy room tonight?"
"I need to take care of you! I'll give you two minutes, and if the patient doesn't get sent home, he can go home and pick up his grandson."
Luo Hao Hanging up the phone with a cold scolding.
On the other side of the phone, Wang Guohua held the phone in his hands, making it creak.
He is old and deaf, and the sound on his mobile phone is so loud that others can hear it clearly.
For decades, in the memory of all the medical staff at the scene, not even the chief dean would speak to Wang Guohua so harshly.
And Luo Hao...
No one even dared to breathe, for fear of being angered by Wang Guohua.
Someone had already asked for the elevator. The whole journey was smooth, and the flat car was pushed to the door of the gastrointestinal endoscopy room.
As long as the patient can survive, what does it matter if he is scolded a few times? But if Luo Hao can't save the patient... Wang Guohua thought coldly in his heart.
He suspected that Luo Hao was busy, especially when he saw the rain of blood falling and his whole body was in a state of stress. Luo Hao didn't know what he was doing.
The door to the gastrointestinal endoscopy room is locked at night. What are you doing there? Can it save people?
After sending the patient, Wang Guohua still maintained a little respect for Luo Hao. This respect came from the system and from the surgery Luo Hao completed.
Wang Guohua rushed to the gastrointestinal endoscopy room first, and saw the door being knocked open as if a thief had broken open.
Fuck!
Awesome! !
Although Wang Guohua was scolded, he still gave a thumbs up when he saw this scene.
Luo Hao is quick to make decisions, and Wang Guohua admires this neatness very much.
Seeing the broken door, everyone felt like they couldn't even breathe.
They are all doctors and nurses in the emergency department. They have experienced anywhere from 1,000 to 800 rescue operations, but no one has ever seen such a tragic scene.
After sending the patient in, a girl with pretty features appeared timidly at the door, pulling a trolley suitcase.
"Excuse me, Doctor Luo..."
"Mr. Nie asked you to come. I want to do gastric vein ligation. Give me the consumables." "Okay, Doctor Luo, I It's the south..."
"Don't talk nonsense, I want the consumables for ligation!" Luo Hao shouted in a deep voice while he and others carried the patient to the operating table.
At this moment, Luo Hao was like a violent beast, biting and tearing anyone to pieces no matter who he didn't like.
The girl was stunned, with tears in her aggrieved eyes. But she did not forget her work. She immediately squatted down, opened the trolley case and took out the consumables.
After cleaning his mouth, Luo Hao spent all the remaining surgical training time, performed basic anesthesia on the patient himself, and put the gastroscope into the esophagus.
The screen is filled with red.
While looking into the mirror, I used an aspirator to suck blood. From the entrance of the esophagus, I could see the varicose veins spreading like reptiles, all the way to the cardia.
Varicose veins are nodular, and red thrombus heads can be seen on the varicose veins in the lower esophagus. The varicose veins are dark red. There are no signs of bleeding in the varicose veins in the esophagus.
00:08:54
00:08:53
00:08:52
Although a death countdown appeared in front of him, Luo Haoneng could definitely feel the cold light of the death sickle falling on the patient, but he still remained calm and cold, focusing on rescuing him.
When the gastroscope is operated to enter the stomach, the whole screen is red and there is no surgical field at all.
The suction device "hissed" desperately sucked out the remaining blood in the stomach, exposing the surgical area.
But the exposure was limited. At least Wang Guohua and Chen Yong did not see any veins in their eyes that needed surgery.
Luo Hao took advantage of the short interval between the venous blood being sucked out and the next wave of venous blood blocking his vision to see that the patient's gastric fundus veins were bead-like, with at least three places still bleeding.
Holding his breath and concentrating, Luo Hao glanced at the death countdown.
00:07:26
Time passes minute by minute, and there is not much time left for yourself.
Although the surgical field is limited, Luo Hao has performed it dozens of times in the system operating room. He calmly used a 7-ring set device to directly capture a bleeding point and perform ligation.
Generally speaking, no one is willing to perform a ligation when bleeding unless absolutely necessary.
How can we perform surgery when there is no surgical field and we can’t see anything?
At least that's what Wang Guohua thinks now.
But in front of Wang Guohua, Luo Hao used the No. 7 ring set device to directly wrap a bleeding point for ligation.
One blood vessel, two blood vessels, three blood vessels.
00:03:56
In less than 5 minutes, Luo Hao performed 12 ligations.
finally!
After the last ligation, a firework appeared in the field of vision.
The pleasant sound of task completion also sounded in my ears.
The operation was successful!
Luo Hao's body softened for a moment, but he straightened his back immediately and began to concentrate on sucking out all the blood in the patient's stomach.
"Ronald, can you see the bleeding spots?" Wang Guohua asked in a low voice.
Even Wang Guohua, who has always been domineering and domineering, did not dare to speak loudly.
Although he couldn't understand it, as the blood in his stomach became less and less, Wang Guohua could still tell that the operation was almost successful.
"Yes." Luo Hao said calmly, "The operation is done, Director Guohua."
Wang Guohua was stunned for a moment, with tears streaming down his face.
Now that Mb's surgery is done, do you know how to call yourself Director Guohua?
Who is the one who yelled at me to go home and pick up my grandson? !
"Twelve bleeding points. Fortunately, you sent the patient in time. If it had been five minutes late, the patient would have had his body prepared by now." Luo Hao squinted his eyes and smiled slightly.
Wang Guohua was silent and blocked the subsequent words that praised him, leaving only the key points of the 12 bleeding points. He felt that Luo Hao was bragging.
He has performed dozens of portal azygos vein devascularizations and is intimately familiar with the anatomy of local tissues.
12 bleeding places, Wang Guohua can imagine.
But under the influence of red all over his field of vision, he couldn't see the bleeding point anyway, so Luo Hao actually performed 12 bandages in a few minutes.
This is simply impossible!
Although he was suspicious, Wang Guohua was not stupid enough to say it.
The less and less red color in the gastroscopy screen seemed to silently tell everyone that the operation was successful.
As the blood accumulation blocking the field of vision becomes less and less, the surgical area appears in everyone's eyes.
There are a series of "beads" on the varicose veins, and there are traces of ligation among them.
The originally silent medical staff became even more silent after seeing clearly the conditions in the surgical area.
After an operation, no one saw clearly what the surgeon did. It was incredible and completely unimaginable.
Luo Hao did not taste the joy of victory immediately. He checked from various angles to see if there was active bleeding.
Although the system and microscopic observation told him that the operation was quite successful, Luo Hao still checked for 20 minutes as if he had obsessive-compulsive disorder.
It took several times longer than the operation time to find out whether there was any missed active bleeding.
But no one questioned it. The operating room was eerily quiet.
Finally, Luo Haocha found no active bleeding and ended the treatment after inhaling all the gas.
It was only then that Luo Hao let out a sigh of relief. Just as he was about to take a closer look at the rewards for the tasks given by the system, Luo Hao heard a loud roar.
"Luo Hao, you little brat! What the hell have you done!!"
It's Lin Yuming...
"Send the patient to the ICU, just say...Lin Chu It was given by Chang Rang. By the way, Director Guohua, thank you for your hard work."
After the successful operation, Luo Hao completely lost his iron-blooded aura and became gentle and approachable, with a sunny smile. Resurfaced.
Then Luo Hao took off his gloves and mask, and trotted to the door with a smile on his face.
"Director Lin, you are here." Luo Hao bowed slightly, "It's just an emergency rescue. The operation has been completed. There is no need for you to go through it in the middle of the night."
Wang Guohua looked at him with a change of expression. Luo Hao felt an inexplicable emotion in his heart.
Is this the same person who just called himself a dog?
If you can scold yourself, why can't you scold Lin Yuming?
If you can scold yourself, why can't you scold Lin Yuming?
"Luo Hao, what the hell have you done! You actually destroyed public finances. I think you've been distracted recently." Lin Yuming scolded sternly.
Lin Yuming was obviously anxious, so much so that his voice was slightly sharp.
"Director Lin..."
"Director Lin is a patient with gastric varices who vomited a lot of blood." Wang Guohua explained in a deep voice.
Lin Yuming originally had a serious face and was ready to teach Luo Hao a lesson, but when he heard Wang Guohua's voice, he paused slightly and a smile appeared on his face.
Exactly the same as Luo Hao.
In other words, Luo Hao and Lin Yuming are exactly the same.
"Director Guohua is here too."
"The patient's heart stopped once in the middle. I didn't press it back. It was Luo Hao who rescued him." Wang Guohua added.
"!!!" Lin Yuming was speechless.
There are too many profound meanings in Wang Guohua’s words worth thinking about.
"As for the surgical operation, the patient has just finished anesthesia. But the matter was urgent at that time, and the patient may vomit blood again at any time, so he came here. Luo Hao performed the ligation and the operation was successful. There was no active bleeding during exploration. Wang Guohua looked directly at Lin Yuming, "Do you have any opinions?"
"No, no." Lin Yuming smiled, as if he was not the one who just scolded Luo Hao.
"Human life is at stake, so what if the door is broken? Just report for maintenance during the day. You, Director Lin, are too embarrassed to report, so I will report. Is Xiao Geng still the leader of the maintenance class?"
"Damn it, Director Guohua, look at what you said. Xiao Geng is already the section chief, there is no need to trouble you with such a small matter." Lin Yuming said with a smile, "The main thing is to save people, the main thing is to save people."
< br>
"You also know that life is at stake." After Wang Guohua said this, he personally led people to carry the patient onto a flat car and sent him to the ICU.
On his way out, Wang Guohua passed by the damaged door and went up to repair it with a bang.
Lin Yuming’s eyes jumped.
When everyone left, Lin Yuming asked, "Why don't you leave?"
"Uncle, I was really anxious just now. The patient had a cardiac arrest and almost didn't survive." Director Hua is going to perform portal azygos vein devascularization, and I feel that he may not be able to survive even anesthesia, and he will be thrown off the stage, so.”
"So what, that's why you kicked in the door?" Lin Yuming said sadly, "When you work for the public, you must first shirk the blame and protect yourself. There is no need to gain any limelight."
Luo Hao responded repeatedly. , but what he was thinking about was Lin Yuming, who was in a hurry with the CEO of the pharmaceutical company just to "grab eggs".
You say one thing, but it turns out to be another, believe it or not.
"Director Guohua said he didn't perform compressions, but you rescued him. What happened?" Lin Yuming asked.
“It’s like this. People who have never done thoracic surgery don’t dare to press hard. The strength is not enough. The electrophysiological stimulation of the heart... Simply put, the heart cannot beat again. I am strong enough...”
"Strength?"
"To put it simply, I broke the patient's ribs."
"!!!"
"It's okay, I have encountered it before. For a patient with cardiac tamponade, the patient is out of breath. It’s not a big deal to just open the chest and pinch the heart with your hands under direct vision, then break two ribs.”
Lin Yuming looked speechless. With Luo Hao.
In such a dangerous medical environment, Luo Hao dared to do this.
A few years ago, there was an incident where a patient’s ribs were broken during cardiopulmonary resuscitation and the patient’s family came to ask for compensation.
"Do you know the consequences?" Lin Yuming asked seriously.
"I know, but I still have you, uncle." Luo Hao said with a smile.
“……”
"The medical department will definitely be able to solve it. The worst thing is to pay some compensation. We are owned by the whole people, so we can give it to anyone. It is better than building and tearing down the garden in the back."
"￥#@ &*" Lin Yuming cursed directly.
After scolding for two full minutes, Lin Yuming still felt tightness in his chest.
Looking at the kicked-in door, he suddenly realized that the door was made of stainless steel, and it was almost impossible to break it open.
Reaching out his hand and making a fist, Lin Yuming hit Luo Hao on the chest hard.
There was a dull thud.
"Yes, he is a man now." Lin Yuming said with a smile.
"Uncle, give me an access card. If there is an emergency surgery at night, I won't have to kick the door open."
"What the hell are you @#￥*&!" Lin Yuming's emotions repeatedly switched between the mountain top and the abyss.
"Why did Wang Guohua speak for you?" Lin Yuming suddenly calmed down and asked a fatal question.
"Old Director Guohua protects the calf."
"You are my calf, do you need his Guohua to protect you?!" Lin Yuming was completely angry, "Wu Guohua is an onion and a garlic. You are my baby, my baby!”
…
Note: There is a question on Zhihu, which is probably the highlight of the doctor. I didn't answer. I thought about it after seeing it. I didn't have many highlight moments. One of them was when a man had an argument with his wife at home and broke the TV screen with his fist. His radial artery ruptured and he didn't go to the hospital.
I fell into hemorrhagic shock about half an hour later. The 120 emergency doctor performed heart compressions all the way. When I arrived at the hospital, I still had no spontaneous heart rate.
I was in the emergency department, and when the patient was brought in, he thought he was gone, but he still gave it a try.
After pressing it, the sound of fractures was heard, and the heart resumed beating.
After a while, he said, "Send the watch and notify the ICU for watch consultation."
I was very proud at the time.
After asking the patient the next day, the operation was successful and the patient is alive.
(End of this chapter)