264 Can match everything
Zhou Congwen's right hand landed on the outside of the patient's pectoralis major muscle, shouting loudly to wake up, while exerting force on his right hand.
This is a pain point, and it is hard to bear if people pretend to be dizzy. However, Zhou Congwen pressed hard, and the patient did not react at all.
Then Zhou Congwen pressed the patient's eye socket again, but there was still no response.
The patient is already in shock, and it took 8 seconds to determine this point.
The chest was slightly undulating and breathing slightly, and Zhou Congwen put his hand on the patient's carotid artery position.
The carotid artery pulsates weakly...
The man who was still yelling to beat the doctor just now, why did he get shocked in a few minutes? Zhou Congwen sighed, it was really troublesome.
When I turned around, no one handed the stethoscope.
Zhou Congwen was slightly stunned, but did not delay the time, but instead possessed himself and pressed his ears against the patient's chest and listened directly to the heartbeat.
In the American Cardiac Association's Guide to CPR and Cardiovascular First Aid, there are several common causes of cardiac arrest.
The first point is hypoxia, and Zhou Congwen first ruled out this possibility.
He did not meditate. All his actions and behaviors were muscle memories, and there was no need to recall everything written in the guide, and he quickly investigated them one by one.
Then there are hypokalemia, hyperkalemia and other electrolyte abnormalities.
Judging from the patient's performance just now, Zhou Congwen also ruled out this possibility.
The third is low temperature or excessive body temperature. Touch the patient's carotid artery with his hand and press his ears on the patient's chest. Zhou Congwen immediately felt that the patient's body temperature was normal, which was not the case.
Fourth, hypovolemia.
The patient is not a trauma, if it happens to have an aortic dissection... the probability is too low and will not be considered for the time being.
The guide summarizes ten points. Zhou Congwen used 13 seconds to judge that the patient is likely to be bleeding. He was nervous after seeing the surgery and bleeding, which caused his heart infarction.
The remaining point to be checked is hypoglycemia.
The patient's breathing was intermittent, as if he was sighing constantly. Zhou Congwen made an accurate judgment in more than ten seconds. The patient suddenly twitched all over, his eyes suddenly opened, and his eyes were tilted to the left.
It's over, the heart is about to stop!
Zhou Congwen immediately touched the patient's carotid artery with his index finger and middle finger to feel whether there was a pulsation. The pulsation contact was in the sternocleidomastoid sulcus parathyroid cartilage, and the movement was standard like a textbook.
But he did not wait for 10 seconds as written in the textbook. After about 4-5 seconds, Zhou Congwen shouted loudly, "Defibrillator!"
Unlike Zhou Congwen's habit of rescue, no defibrillator appeared in front of him the next second.
Rescue requires a team, and it will not be delayed for a second like a precision machine.
But in a strange place, in 2002, all Zhou Congwen's thoughts were vague.
There was no choice but to put the patient flat, place the root of one hand at the junction of the middle and lower 1/3 of the patient's sternum, and place the root of the other hand on the first hand, with the fingers slightly upturned and not touching the chest wall.
He straightened his elbows and then pressed him down vertically at a frequency of 100 times per minute.
Zhou Congwen's downward pressure depth is 5.2m each time, and the chest should be completely restored after each press. The pressing time and relaxing time each account for about 50%. When relaxing, the root of the palm does not leave the chest wall to prevent the compression point from shifting.
He was not panicked. When Deng Ming came in, he saw that Zhou Congwen had already started to undergo external heart compression, and was slightly surprised.
In the eyes of experts, Zhou Congwen's actions only have one standard for describing, textbook-like standards.
However, Deng Ming did not waste time. The CPR of both was better than that of singles. He walked over and squeezed Zhou Congwen away with his shoulders.
Zhou Congwen almost cried, and the eldest brother was indeed the same temper as before.
As the name suggests, cardiopulmonary resuscitation includes the heart and lungs.
The eldest brother never wanted to do artificial respiration. It is said that his father once blocked his respiratory tract by phlegm and did not have a sputum suction device. He sucked or sucked out the phlegm one by one and felt a psychological shadow.
There was no way, Zhou Congwen could only move to the patient's head.
First, he pinched the patient's jaw joint with his hands and opened his mouth and took a look. Seeing that there were no abnormal secretions, Zhou Congwen prepared to start mouth-to-mouth artificial respiration.
Zhou Congwen was not in a hurry and did the preparations first. He looked up at the doctor holding the knife in his hand, "What are you doing while standing there? Go and call the circulatory department!"
"Ah? Myocardial infarction?" The thoracic doctor was stunned for a moment and asked in a daze.
"It's myocardial infarction and cardiac arrest. Hurry up! The defibrillator is ready, who, you put the knife down." Zhou Congwen reminded the doctor who was about to run outside to call with the knife in his hand while paying attention to Deng Ming's movements.
As soon as Deng Ming stopped, Zhou Congwen placed one hand on the patient's forehead, then pressed it down with his palm and pushed it backwards, so that the patient's head was tilted back; placed the finger of the other hand below the jaw near the chin bone, lifted the jaw, lifted the chin bone, and began to perform artificial respiration.
Zhu Jun also heard the messy sounds outside, but at first he didn't care, but explained a few words to the patient's family, explaining the significance of Mr. Huang's personal visit to Jianghai City this time.
When he arrived at the disposal room, he heard Zhou Congwen scolding his doctor like a director.
The psychological attack of instinctive protection of calf, but before he could speak, the cardiopulmonary resuscitation of Deng Ming and Zhou Congwen attracted his attention.
The two cooperated extremely accurately. As soon as Deng Ming's movements stopped, Zhou Congwen started to do artificial respiration without any interval.
as if……
like……
seem……
The two have cooperated countless times before.
Director Zhu Jun suddenly remembered a recent legend. Zhang You, director of the thoracic department of the Second Hospital of the Provincial Medical University, drove to Jianghai City in the middle of the night to pick up Zhou Congwen, just to let him go to the station for surgery.
Can he really be worthy of everything?!
Zhu Jun was a little confused.
In the past, he did not believe that anyone could be worthy of everything, and even Zhu Jun did not believe that Director Zhang You and Director Zhang drove to pick up Zhou Congwen in the middle of the night.
But when he saw Zhou Congwen and Deng Ming who could perfectly cooperate with the two-person cardiopulmonary resuscitation for the first time, they couldn't help but feel confused.
CPR is not a difficult task, but no matter what operation it involves, it is difficult to reach the sky.
Director Deng Ming and Director Deng are easy to understand, but how did Zhou Congwen do it?
Seven or eight minutes later, the patient's heartbeat recovered, and an electrocardiogram was pulled and it showed ventricular fibrillation.
Deng Ming picked up the defibrillator and thumped it twice to restore normal heart rate. The patient was carried onto the flat car and followed the circulatory doctor to their surveillance room.
The disposal room was full of messes, and there were also a group of families of patients who still didn't know what was going on.
They stared at each other with no idea that the patient had lined up on the Naihe Bridge just now. The bowl of Mengpo soup had already reached its mouth, but it was knocked over by Zhou Congwen and Deng Ming and "snatched" the person back.
Chapter completed!