Chapter 194 Luo Hao is really brave
The next morning, Luo Hao got up very early and came to Geng Qiang’s parents’ house to take Geng Qiang’s father to practice Tai Chi.
Luo Hao was not in a hurry. He taught a few starting positions and prepared to proceed step by step.
The old man was in poor health and underwent a series of rescue operations such as thoracotomy and heart opening.
Although there seems to be no problem now, in the words of ordinary people, it is a serious loss of vitality.
It's not okay to rush this kind of thing.
After more than ten minutes, the old man began to sweat slightly.
Luo Hao patiently took him to rest and exercise until it was almost time and sent the old man home before going to work.
Half a month later.
Southern Minimally Invasive's Phase 4 clinical trial was almost ready. Mr. Nie flew over to talk to Luo Hao again. He was sure that Luo Hao would wait for the selection of outstanding candidates and the time, so he stopped nagging.
Youqing, that’s Youqing!
Mr. Nie knows the importance. He is the youngest outstanding young man in the country. He really can't rush Luo Hao for this matter.
As long as Luo Hao no longer thinks about himself, Mr. Nie has no other ideas.
Seeing the time approaching day by day, Luo Hao arranged his itinerary and went to the imperial capital to review the outstanding young talents, and then flew directly to India.
Wang Jiani took the initiative to apply several times, but was rejected by Luo Hao.
Why take Wang Jiani to a place like India where car exhaust pipes are not safe?
Luo Hao asked Meng Liangren to stay and took Chen Yong and Technician No. 66 with him.
Asking for leave with Shen Zizai, Luo Hao made every effort to show off his appearance.
And this also represents Luo Hao's respect for Shen Zizai.
When he arrived at the First Hospital of the Medical University, Shen Zizai cared deeply about him, which Luo Hao knew very well.
"Director Shen, this is my recent arrangement."
"Hey, you can leave whenever you want. Why don't you fill out a leave form? Are you kidding me?" Shen Zizai waved his hand, "This is Youqing. There are phase 4 clinical projects.”
“You have to take leave.”
“Xiao Luo.” Shen Zizai sat at the desk and looked at Luo Hao, “Tell me. To be honest, should I apply for outstanding youth next year?”
Luo Hao pondered slightly.
A few seconds later, Luo Hao smiled and said, "Yes, according to my plan, I will apply for Distinguished Young Scholars next year, and then I don't know when I can try to be an academician."
"What about the Union College? "Shen Zizai's eyes were bright and sharp.
"Ah? I haven't thought about it yet. I'm thinking that it would be better to become an academician and then go back." Luo Hao smiled shyly, "Is this a homecoming in glory?"
Shen Zizai sighed in his heart. In terms of tone, Ronaldinho always regards Xiehe as his home.
Look at what people say, return home in glory!
"Okay, if you need to be busy, just do your thing. Don't worry about Corey's affairs." Shen Zizai said, "I've been lazy for a few days, so it's time for me to do some exercise."
[As the saying goes A man will remain a boy until he dies...]
Luo Hao's cell phone rang.
"Little Luo..."
Luo Hao answered the phone and it was Geng Qiang's father calling.
The old man's voice trembled, as if he had encountered great terror.
Luo Hao was startled, "Uncle, don't panic, what happened?"
"I am an old friend, I was playing in the park and suddenly fell."
< br>"Then, say it slowly, uncle, don't worry."
"When...then...there was a young man who gave me first aid, and the 120 truck came and took the old sun away. 120 First Aid...The emergency doctor said it was very difficult. ”
"Which hospital did you go to?" Luo Hao asked.
"The nearby district hospital."
Damn!
Luo Hao's brows frowned.
Although Luo Hao has never been to the district hospital, he knows what level it is at. Moreover, I am not familiar with the place and there are many troubles.
"Ronald, I'm familiar with the district hospital." Shen Zizai said in a low voice.
"Uncle, don't be anxious, go slowly, I'll rush over." Luo Hao finished speaking quickly and hung up the phone.
"That's the medical consortium for our first-year medical students. I have a student who is the director there. Their DSA machine broke down recently and is being repaired."
Shen Zizai simply explained himself He also explained why he never went to the district hospital.
“Trouble Director Shen.”
Shen Zizai didn't ask who Luo Hao was. Since the call came to Luo Hao's cell phone and he sounded familiar, he must be an acquaintance.
He strode out of the director's office without changing his clothes.
"Chen Yong, Lao Meng! Let's go!" Luo Hao shouted in the corridor.
Chen Yong and Meng Liangren ran out as fast as possible without asking why, but were ready to go.
As if Luo Hao asked them to jump into the fire pit, these two guys would jump in without hesitation.
Shen Zizai was slightly startled. Although Luo Hao's medical team was small in number, it was as powerful as a thousand troops.
They work under Shen Zizai's eyes every day. They are no different from ordinary doctors except that Chen Yong is willing to chat with the nurse.
But Luo Hao said hello, and they all ran out without asking what was going on.
Although there were only two of them, Shen Zizai was still shocked.
Getting in the car, Shen Zizai dialed his student's phone number and told him that he was going to their emergency room and asked him to check the situation and contact him at any time.
"Luo Hao, what's going on?" Chen Yong didn't take the time to ask until the car started driving and weaved through the river of traffic.
"An old man suddenly fell down. I thought it might be respiratory and cardiac arrest. I don't know the specific cause."
"Huh? Did you press it back?"
"I don't know."
Chen Yong shrugged.
Luo Hao scratched his head a little. There were no tasks on the system panel, and he couldn't even guess.
And the last time I got the skill [One Says One], the diagnostic auxiliary AI had its energy diverted and was unable to be used.
Everything can only be based on your own clinical experience.
Indeed, Luo Hao sighed. Knowing at a glance and needing to analyze, summarize, summarize, and identify are two different things.
[One thing to say] This skill actually consumes so much energy. If Luo Hao had a choice, he might not want this active skill.
Fortunately, it was not the evening rush hour and there were many cars on the road, but not enough to cause a traffic jam.
Arriving at the district hospital, as soon as he walked into the corridor of the emergency department, Luo Hao heard crying in the distance.
The heart stopped and the family members did not cry until they saw a ghost.
Striding into the emergency room, a doctor in his 30s greeted him from afar.
"Teacher Shen." The middle-aged doctor greeted Shen Zizai respectfully.
"Xiao Liu, how is the patient?"
"The condition is not good. Press it back 3 or 4 times. As long as it stops, ventricular fibrillation will occur in a short time. Pressing it again after defibrillation can restore sinus rhythm. , but I can’t move my hands away, and the interval is getting shorter and shorter.”
Shen Zizai was slightly dissatisfied with his answer.
In front of Luo Hao, Shen Zizai always thought that the doctors under his command could be more elite, but the treatment process described by Dr. Liu was a bit sloppy and could not be recorded in the medical records at all.
Unconsciously, Shen Zizai has used Luo Hao's daily life to make demands on others.
"Chen Yong, go ask about the medical history." Luo Hao said.
"Dr. Liu, where are the patient's family members?" Chen Yong took off his mask as he spoke.
"This...this side." Dr. Liu hesitated.
Especially when Chen Yong took off the mask, it seemed as if the seal was removed. Although Dr. Liu was straight, his heart was still hit hard.
"Xiao Liu, take Dr. Chen to ask for a medical history. Let's go in and take a look."
Luo Hao did not reach out to rescue him, but just stood aside and watched for a minute.
As Dr. Liu described, chest heart compression can restore sinus rhythm, but as long as the hand is removed, the patient will soon develop ventricular fibrillation.
The condition was very serious, and there was no diagnostic auxiliary AI to give a definite diagnosis immediately, so Luo Hao could only make identifications bit by bit.
This man is so troublesome that Luo Hao feels a little heavy.
“咣咣咣~~~”
The B-ultrasound doctor rushed over with the B-ultrasound machine next to the bed.
The machines in the district hospital are old and only ordinary B-ultrasounds, which are not very useful. The biggest role is to go through the process and give some psychological comfort to the patients' families, letting them know that the hospital is doing its best to rescue.
"Why did you call me here?" The B-ultrasound doctor was particularly unhappy. "I was going to do a CT scan. He suddenly fell down. There was no external injury. B-ultrasound could tell what kind of disease it was."
Luo Hao sweated profusely.
The doctors at the district hospital actually started to make trouble on this occasion.
Is it really unprofessional to this extent?
The patient’s family members are still crying outside. If these words are heard by the patient’s family members, although there is a high probability that everything will be fine, there is still a small chance that something will go wrong.
What are you doing!
The patient in front of me cannot do without chest cardiac compression and cannot undergo other examinations at all.
There are no conditions for other examinations. Doing some examinations can be regarded as a physical performance to let the patient's family know that the hospital is doing its best, nothing more.
However, the B-ultrasound doctor complained and looked impatient when they met.
Luo Hao sighed inwardly.
"Little Luo, Little Luo!" Geng Qiang's father hurried over.
"Uncle, don't be anxious. How many times have I told you, slow down and don't panic no matter what happens." Seeing him breathing heavily, Luo Hao scolded him with concern. .
"How is Old Sun?" Geng Qiang's father asked.
"It's probably quite overwhelming." Luo Hao said one thing, "What was the situation at that time?"
"Didn't you teach me how to do Tai Chi? After practicing for half a month, I feel that my body is much lighter, and I don't have to go upstairs. After taking a breather for a few minutes, I called some old guys to teach them. "In the afternoon, I was practicing in the park and fell down. No one touched him."
Geng Qiang’s father tried to describe the situation in the simplest terms.
Luo Hao nodded.
Geng Qiang's father had no history of trauma. He said a lot, but in fact, these five words were most useful.
"There is nothing wrong in the stomach." The B-ultrasound doctor applied the coupling agent to the patient's abdomen, briefly scanned it and said impatiently.
After saying that, he threw the toilet paper on the patient's stomach, packed up his things and left.
Damn it!
Luo Hao cursed in his heart.
Hundreds of differential diagnoses collided in his mind, and Luo Hao was very worried when he met such a blind guy.
"Luo Hao, the patient has a history of hypertension and hyperlipidemia for more than ten years. He suffered spontaneous cerebral hemorrhage a month ago and improved after conservative treatment." Chen Yong came over to "report" the situation.
"Cerebral hemorrhage?"
"I have been taking oral hemostatic drugs recently." Chen Yong added.
“!!!”
This medical history has screened out most of the hundreds of differential diagnoses.
Luo Hao strode over and said, "Wait a moment."
He didn't waste any words and squeezed the B-ultrasound doctor away with his shoulder.
"You..." The B-ultrasound doctor was about to say something, but then he saw the mark on Luo Hao's white clothes was the First Hospital of the Medical University, and he swallowed back the unpleasant words. The emergency doctor is performing chest cardiac compressions, and the patient's body is constantly moving under the compressions.
Luo Hao stared at the ECG monitor.
"Give me 30 seconds after the sinus rhythm is restored." Luo Hao said solemnly.
"Huh?" The emergency doctor was already sweating, "30 seconds? Last time I stopped, ventricular fibrillation occurred in less than 10 seconds."
"Cardiac arrest It’ll be fine for ten seconds. I’ll take a look to see if it’s pulmonary embolism.”
“Can this machine detect pulmonary embolism?” the B-ultrasound doctor said disdainfully, “You can’t even see it if you’re blind. Do you understand? Don’t think that you are awesome just by wearing the white uniform of a doctor from a medical university.”
Luo Hao ignored him.
This is an away game, so we should talk less.
"Just in time, you press it for me, and I'll go tell the patient's family that he's dead." The emergency doctor said hurriedly.
"Lao Meng, go and perform compressions."
Meng Liangren immediately took over from the emergency doctor to perform chest cardiac compressions.
When the door of the emergency room was closed, the crying and shouting became much quieter, as if they were separated into two worlds by this door.
Meng Liangren adheres to standards and works hard.
Soon, the patient returned to sinus rhythm.
“Stop!” Luo Hao found the right moment, and Meng Liangren immediately stopped pressing.
The moment it stopped, the B-ultrasound probe was attached.
Meng Liangren also couldn't understand what Luo Hao could see using the most common bedside B-ultrasound function, but since he came to the medical team, under Chen Yong's "example", he has developed a good habit - rescue The traditional Chinese medicine team can only have one voice.
9 seconds later, the patient's sinus rhythm disappeared and ventricular fibrillation occurred.
But the B-ultrasound probe in Luo Hao's hand was still scanning the patient's chest wall.
Meng Liangren bit his lip and frowned.
Another 8 seconds.
"Defibrillation!" Luo Hao hung up the B-ultrasound probe, took the defibrillator, took a look at the voltage, and started defibrillation.
The interval between sinus rhythm and ventricular fibrillation becomes shorter and shorter after each compression, and Luo Hao knows it.
This is an appearance of disease progression, but in fact it is another problem.
It is true that the bedside B-ultrasound cannot be clearly seen, but after scanning around, Luo Hao has already made a rough judgment. The patient's preliminary diagnosis is pulmonary embolism.
It is probably related to the fact that the patient took a large amount of hemostatic drugs by himself out of fear after cerebral hemorrhage.
It really lifts the gourd.
Pressing again, Luo Hao hesitated.
The probability of correct diagnosis of pulmonary embolism is only about 60%. After all, it is only the most primitive bedside B-ultrasound machine.
At this moment, Luo Hao missed the diagnostic auxiliary AI system that he had always criticized.
When Luo Hao walked out of the emergency room, he saw the emergency doctor talking to the patient's family at a glance.
The patient's family members looked blank, and it was obvious that the sudden accident had made their minds go blank.
"We will try our best to save people, it will take half an hour...but you must be mentally prepared. The possibility of being rescued is extremely low, almost zero."
"Prepare clothes Let’s call him if he knows me and ask them to come as soon as possible.”
“Who’s in charge at home?”
The emergency doctor kept saying.
Not only the patient's family members, but also Geng Qiang's father lost their energy.
For an old man of his age, witnessing the sudden death of an old friend around him was a huge psychological shock.
"Uncle." Luo Hao walked to Geng Qiang's father and whispered.
“Huh?”
Geng Qiang’s father had tears in his eyes, feeling a little confused, sad and at a loss.
"If we were in the First Hospital of the Medical University, there might be other solutions, but the conditions here are limited. I want to try."
"Isn't it said that the person is already dying? He is already dead." Geng Qiang's father said He asked blankly with tears streaming down his face.
Although what the emergency doctor at the district hospital just explained was a little tactful, he could still understand what the doctor meant - the person was gone. He should be rescued according to the procedure for half an hour, and then the corpse would be prepared. Wear a shroud and go to the funeral parlor with your husband.
"1% possibility!" Luo Hao said directly without nagging.
He estimated the time and found that the window period for emergency treatment for pulmonary embolism was still there, but it was almost over.
The system did not give any tasks, and the diagnostic assistant AI was not easy to use. Luo Hao could only rely on experience to judge.
"Who makes the decision in his family?" Luo Hao asked seriously.
"I'll take you there." Geng Qiang's father quickly led Luo Hao to an old lady.
The old lady’s eyes were empty and she sat slumped on the waiting chair not knowing what she was thinking.
Geng Qiang's father called twice, but the old lady didn't answer, as if her soul was not there, and she had already left with the old man in the emergency room.
"Liangzi!" Geng Qiang's father was anxious and grabbed the man next to him who was crying like a dog. "The doctor wants to talk to you!"
"I am a doctor in the First Hospital of Medical University, and there are still 1% of patients. It's possible that he can be rescued, but he needs to take medicine."
"It may be more expensive, and the National People's Congress may not be able to keep it. Do you want to give it a try?"
The man nodded repeatedly. Tears fly.
Luo Hao knew that what he was doing now... was simply too dangerous.
Not only are patients at risk, but so are themselves.
First of all, the diagnosis is unclear, and I am not sure whether it is pulmonary embolism.
Secondly, the patient had spontaneous cerebral hemorrhage a month ago. If thrombolysis is urgently needed, secondary cerebral hemorrhage is likely to occur.
Thirdly, I now work in the First Hospital of Medical University. Although the district hospital and the First Hospital of Medical University belong to a medical consortium, I am not as comfortable as the First Hospital of Medical University in doing anything here.
Furthermore, thrombolytic drugs are relatively expensive, only for the 1% possibility of whether the patient’s family can accept them.
Although the man kept nodding, Luo Hao still had concerns.
With a thought in his heart, Luo Hao turned on [One Says One].
The man seemed to feel something, his fingers trembled.
"There is a 1% possibility that the National People's Congress will not be able to save her, but it will cost a lot of money. Can you accept it?" Luo Hao asked again.
"Doctor." The man held Luo Hao's hand and said sincerely, "Save the person first. If he can't be saved, it's my father's fate. I don't blame you."
Xu~~~
Luo Hao breathed a sigh of relief.
He immediately stopped [one thing to say].
This thing consumes too much experience points, and Luo Hao feels a little distressed.
But it is really useful when used at this time. Luo Hao chose to believe in the system's "superpower".
Turning back to the emergency room, "What thrombolytic drugs do you have?" Luo Hao asked in a deep voice.
"Thrombolysis? Why dissolve the thrombus when the person is dead?" The emergency doctor did not take action. He hid aside and watched Meng Liangren perform chest cardiac compressions.
"Little doctor, you see that the patient has a heartbeat now. It is an illusion caused by pressing the button." The emergency doctor said, "If you let go, there will be no one. No matter how expensive the medicine is, there is no point. Just wait in the room. "Yes, there are still more than 20 minutes left. Go out and explain to the patient's family and let them take care of the funeral." "There is still a chance, I want to give it a try," Luo Hao said.
"Opportunity? Stop talking nonsense, have you ever rescued it?"
Shen Zizai kept watching with cold eyes.
To be honest, Shen Zizai didn't think there was any mistake in the handling of the incident by the emergency doctor at the district hospital.
My heart stopped and cardiopulmonary resuscitation was performed on the road. The patient could return to sinus rhythm after chest compressions, but soon became ventricular fibrillation again.
Defibrillation, compressions, recovery again, and the cycle begins again.
This proves that the patient's heart is no longer able to undertake its original task. In other words, to put it simply, resuscitation is meaningless.
If it weren't for the fact that the rescue had to last for half an hour, we could actually give up the rescue now.
After giving up, you will feel really cold within 2-3 minutes, and you don’t have to suffer anymore.
If you really don’t give up, once your sternum and ribs are fractured, you won’t look good in your clothes before leaving.
Even doctors will be complained about. This kind of thing has happened and it is not uncommon.
Ke Luohao still wants to try.
well.
When will Ronaldinho learn...wait!
Shen Zizai suddenly thought of something - every time he thought Ronaldinho was troublesome, he was proven wrong afterwards.
"Xiao Liu, go coordinate and fully cooperate with Professor Luo's rescue." Shen Zizai immediately greeted Dr. Liu.
"Ah? Teacher, aren't all the patients dead..."
"Go quickly!" Shen Zizai frowned.
The gap was so big, Shen Zi sighed inwardly.
No matter what Luo Hao said, his doctors would just carry it out without asking why.
You can look at your students again.
Comparing people with each other, the gap is really big. Shen Zizai doesn't know what kind of ecstasy drug Luo Hao poured into Chen Yong and Meng Liangren.
envious.
"Alteplase for injection, hurry!"
Shen Zizai was envious when he heard Luo Hao's voice.
This time even Shen Zizai shuddered.
Alteplase for injection costs more than 5,000!
Clinically, this drug is a high-end drug.
Without a CT scan and without more auxiliary examinations, Ronaldinho would have given the patient more than 5,000 tubes of injectable alteplase? !
Crazy!
If someone in his own hospital met a similar patient and said this, Shen Zizai would definitely not have any more contact with him in the future.
It’s not like Shen Zizai hasn’t seen all kinds of dirty things. He brings hopeless patients to the stage just to use some consumables.
People who only care about making money and don't care about others are not doctors at all, not even human beings.
Shen Zizai would not quarrel with them. He would draw a clear line in his heart and just don't hit himself on the head when lightning strikes.
But this is a district hospital, and alteplase for injection has nothing to do with Luo Hao.
Ronaldinho is really brave.
Courageous in every aspect.
Shen Zizai endured it and didn't try to persuade Luo Hao.
He wants to see the results.
Soon, two injections of alteplase were taken back by the nurse.
Luo Hao couldn't wait for them to prepare the medicine, so he directly prepared the medicine himself and administered 100 mg of alteplase for injection as an intravenous bolus. He then adjusted the drip rate and seemed to be preparing to infuse 50 mg in the next 30 minutes. .
"Lao Meng, take a breath, I'll press it."
"Professor Luo, I'm okay."
"You take a rest for five minutes, and then come back to me."
As the medicine was administered, Luo Hao began to press again.
His eyes were not looking at the patient, but at the alteplase infusion and ECG monitoring.
(End of this chapter)