Press down 3-5 cm.Raise your hand, but not away from the patient's body.Maintain a frequency of 100 beats per minute.Li Min silently recited the key points of chest massage and performed the first physical cardiopulmonary resuscitation.She knew that her physical strength could not last for three cycles, but she had to insist that she could not break the chest compressions when Dr.
Liu did the tracheotomy.So she took over and got on the examination bed and rode on the patient's body, so that she could use the strength of her body to persist in completing the six minutes.This method is to teach the teacher to remind the girls who are physically insufficient."
If you don't have 200 joules, try it.Okay?
”Li Min asked Doctor Liu with a panting and a blushing face, but she didn't dare to be negligent in the movements of her hands, and pressed them all on the sternal stem of the silent woman.Although the clinical guidance of cardiopulmonary resuscitation suggests that the energy of defibrillation should be fixed, Li Min faintly feels that the energy chosen by the 130-pound woman and the 100-pound woman should be different.After Dr.
Liu finished the tracheotomy, connected the air bag, and handed the air bag to the male doctor, "You pinch it, count it, ten times per minute." ”Then he took the time to glance at the patient and said briefly and crisply: "Charge 200 joules."
Epinephrine, atropine, lidocaine preparation. ”The two nurses were busy, and they didn't forget to remind, "Doctor Liu, this is the third time I have given atropine." ”"Give it again."
Dr.
Liu replied categorically.After the defibrillator was ready, Li Min immediately stepped out of bed and gave up his position.Dr.
Liu performed the third defibrillation."
Jump", the patient jumped again.The ECG monitor screamed "dripping" and finally pulled out the sinus rhythm.Although the waveform is not ideal, it is also an autonomous heart rhythm."
Hurry up and administer the drug, add 15mg of dexamethasone.Call someone from the cardiology department to come and consult. ”Dr.
Liu looked at the monitor showing that the heart rate was 120 times, the blood pressure had risen to 90mmHg, and the low pressure had also reached 60mmHg, and he breathed a sigh of relief."
Damn, I'm tired of it."
Li Min leaned on the little nurse's shoulder and pushed her glasses, and the little nurse turned around to help her straighten her glasses.Everyone breathed a sigh of relief, oh my God!
Finally got people back.800CC of blood was also sent in, and the little nurse was holding a bag of it......
The blood bag hung up, and the whole blood, which was dark red, entered the patient's body dropwise along the infusion tube, and the blood pressure began to rise slowly.116/72mmHg。"
Change your gloves."
Doctor Liu relieved himself and shouted, and the little nurse immediately took gloves for the two.I changed my gloves, but I still had iodophor and alcohol in my hands.Dr.
Liu and Li Min sat down to continue suturing and repairing the tendon."
Small round needle, line 4."
Dr.
Liu's voice trying to calm down still carried the uneasiness after nervousness.The nurse picks out the soaked No. 4 line from the white box covered on one side and uses long tweezers.Li Min began to play the role of an instrument nurse and gave Dr.
Liu a needle.After the first aid just now, both of them had a little trembling hands."
Don't rush, take your time."
Li Min dipped the thread with gauze and shook the sewing in.Sewing needles, cutting threads, again and again, she felt that she had changed her career to be an instrument nurse, and it was estimated that she could also be qualified.The tendon was successfully anastomosed."
Small horn needle, line 0."
When it was time to sew the skin, Dr.
Liu still took into account that the patient was a woman, and used small needles and fine threads to make the wound more beautiful after trimming the skin wound.He even used mosquito pliers to tie knots, saving Li Min from sewing the thread again and again.Li Min estimated that one thread was not enough, so he asked for a small angle needle, clamped the angle needle thread with a small curved hemostat, and handed over the prepared angle needle 0 line before Dr.
Liu spoke.The doctor from the cardiology department came, he looked at the ECG monitor, and asked suspiciously, "What's wrong?"
Isn't that great?
”"My heart stopped beating for about ten minutes.You look at the nurse's medication record., this shift is on duty. ”Doctor Liu scolded in his mouth, but there was no slackness in the movements in his hands.Saying a few dirty words after being nervous or tired can help relax the nerves.If it weren't for the people around him, Li Min would have wanted to say the dirty words that he had been talking about in his heart.The doctor of internal medicine looked at the nurse's medication record and rescue record, turned around and put a heavy punch on the shoulder of Dr.
Liu, who took off his gloves."
Okay, Lao Liu, you've created another seventh-order floating slaughter."
The smile on Dr.
Liu's face was fake, "I'd rather not make it than do half surgery to do cardiopulmonary resuscitation."
Get the ventilator here. ”The man kept holding the ball.Dr.
Liu said apologetically, "I'm sorry, I forgot you." ”The doctor of internal medicine took over and connected to the ventilator, and the doctor in the outpatient clinic had trembling hands, but he still thanked Dr.
Liu: "I have learned a lot from doing a rescue with you." ”Dr.
Liu smiled, turned to the cardiology doctor and said, "Take her to your ICU."
There was no bed in the trauma surgery department, and even the director of our department could only sleep in the duty room. ”The cardiologist looked at the patient: "Your department director can go to the orthopedic or ophthalmology ward." ”"Forget it, a broken nasal bone is enough to be hospitalized?
Or was he punched in the corner of his eye and his vision blurred enough to be hospitalized?
”"But the ICU fee in our hospital is not low, do you think she can afford it like this?
It's better to leave her in the emergency observation room, and our department and your department will come and watch it diligently. ”"That's not going to happen.Another time the heart stopped, the emergency department immediately called, and when we ran from the inpatient department, the cucumbers and vegetables were cold.Today, this is a heartbeat that stops and it will be dealt with in time, otherwise......
I'm telling you, these people can't be counted on in the outpatient clinic.Dare to send a doctor to participate in the emergency rescue, and I will fuck his old X. ”"Ahem, don't get excited, don't get excited.In the emergency department of our hospital, how many times have we shouted to fill the force, and in the end, it was dry thunder and no rain, and no one was willing to send anyone to come.From the new building, the emergency room is the ears of the deaf, and it is placed for everyone to see. ”"Not really.If it goes on like this, it is estimated that it will not be long before it is time to make up a rotating duty schedule. ”Doctor Liu was silent for a moment, and then sighed: "If you really want to make another rotation watch, neither of us can escape."
But this," he gestured to the lying female patient, "it's better for her to be in the ICU."
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She was the woman who had her labor induced the other day.It's the incident of Director Liu of the Department of Obstetrics and Gynecology being beaten, have you heard about it?
”Dr.
Liu and the doctor from the cardiology department discussed the patient's whereabouts, and Li Min silently bandaged the wound on her wrist and added a needle to the place where the tracheal tube was intubated for fixation.Doctor Liu looked at Li Min silently and nodded in approval.I was in too much of a hurry just now, and if I slipped, I would be making a joke.After the cardiologist picked up the patient, Li Min dragged his tired steps to the nurse's office to make a call.The nurse on duty in the ENT ward was very talkative, and when she heard that she was looking for Liu Na, she immediately went to look for her."
Hello?""
I'm Li Min.Nana, Yan Hong is with you?
”"In.Your lunch is also here, so come over and eat. ”"Good.I'll go right over. ”Li Min didn't go back to the trauma surgery department to change clothes, and went directly to the ENT ward."
You're not taking a nap today?""
Don't sleep anymore.We're going shopping.Are you going or not?
”Li Min hesitated for a moment and didn't answer immediately, she wanted to go back to sleep.The after-effects of muscle tension made even the spoon in his hand tremble.Leng Xiaofeng smiled and asked, "Are you so tired and shivering?"
”"Yes."
Li Min sent food to his mouth."
What's the emergency room?""
Committed suicide by cutting his wrists.The radial artery was cut in half.It may be that you have been in trouble at home for a long time, lose too much blood, and have cardiac arrest as soon as the anastomosis is completed. ”"Did you save it?"
The servants immediately pushed hard to Li Min's side, and asked questions together in unison."
Saved.After the sewing, I was sent to the ICU. ”Li Min replied lightly, but her trembling hands indicated that the situation was not so smooth.Everyone listening relaxed and sat back in their places."
How old?
Male or female?
Why did you cut your wrists?
”Liu Na was curious."
Just the woman who had a full-term induction in the gynecology department a few days ago.I heard that his mother's family participated in the beating, and her subjects were arrested. ”"Huh?!"
Again, in unison."
I guess I can't stand the blow.Her mother-in-law also took her two children to the emergency room and was scolded by me. ”Leng Xiaofeng was close to Li Min, and she immediately hugged Li Min and said, "Minmin, you are too powerful." ”Yan Hong asked playfully: "You didn't kick her?"
”Li Min smiled: "Tell her to get out, and she will go out."
I didn't have time.Hey. ”The setting sun slanted into the hospital room.In the warm golden afterglow, a teardrop on Director Liu's sideburns shone with colorful brilliance.She sat on the side with a calm face, only staring at the drops of medicine that kept dripping down in the infusion set, deliberately avoiding Director Liu's pleading eyes."
Forget it."
Director Liu waited for a while without answering, and couldn't help but speak again."
Just let them go?
Hum. ”The man refused to agree."
You should be considered to be accumulating merit for me.You see, I'm a blessing in disguise.Otherwise, maybe when the aneurysm ruptures, it will be too late to rescue.Besides, the woman had cut her wrists, alas, what was wrong with her.Forget it, for the sake of the poor woman, let's spare those who did it. ”The man thought for a long time before nodding silently.He stood up and gently wiped the tears from the corners of his daughter-in-law's eyes, "You are soft-hearted."
Will you want to let those brutes go......"
Director Liu reached out and grabbed the man and patted the back of his hand, "You go and call, and I'll let them go tonight."
Good no good?
The mother also has two little girls.Alas, for the sake of the poor children, spare the adults. ”The man couldn't bear his daughter-in-law's gentle words and her repeated begging, and said helplessly: "Okay, good."
I'm going to call right now. ”The man left the hospital room, but was abducted to the doctor's duty room.He knocked lightly on the door, and Director Zhang's reply came from inside, "Please come in." ”Director Zhang and his family were talking with a teenage boy, and at first glance they were their biological sons.After a few words of greeting, Director Zhang asked the child to call him uncle.The little boy generously opened his mouth to say hello: "Hello uncle." ”"Good, good.Director Zhang, your son is quite sturdy. ”"yes."
Director Zhang's face was pale, "It's just naughty, and it's not good to study."
His grandmother and his grandmother couldn't control him, and we didn't have time to take care of him. ”"No, it won't.This looks pretty obedient. ”The little boy grinned and nodded frequently in agreement with the comment "very obedient and obedient"."
That is, you can pretend to be in front of people for a while.What's the matter with you?
”Director Zhang didn't look like Lai Xian chatting, so he asked."
Ha, I can't hide anything from your eyes as doctors.Our old Liu just heard that the woman cut her wrists, so he asked me to call, and I will release those people today.She's soft-hearted, what do you think?
”Director Zhang's eyes slipped to his daughter-in-law's side, and then sighed: "Don't hide it from the eldest brother, the two of us are also talking about this."
Your younger brother and sister and Director Liu also mean the same thing. ”"That's also for the sake of the mother and the two children in his family."
Zhang Zhengjie got his daughter-in-law to speak.Zhang Zhengjie nodded."
It's not me, it's up to the two of you.I don't have an opinion on how you decide.I'm a big man, what is this little injury, I'll be fine in a few days.I live here, waiting for the courtyard to make a statement. ”The man stood up and hugged his fist at Zhang Zhengjie, Zhang Zhengjie quickly stood up and saluted: "Big brother, don't be like this, this can break me." ”"I can't thank you enough.If you have anything to do in the future, but wherever you can use me, squeak, I will not be in vain when you call this big brother. ”Four big hands clasped together.() The distance is a bit far