Chapter 22 This is a bit complicated
Zhao Yilin never expected that Liu Muchiao's casual words would be right. Now, the intensive care unit is in a state of chaos.
Here, five more beds have been added!
We received calls for help one after another one night, and the emergency center was wondering what happened today. There were so many stroke patients, and they were sent to Antai Hospital for the tenth time.
It is now two o'clock in the morning. Tonight, a total of five cerebral hemorrhage patients were admitted, including six during the day. Liu Miqiao performed ten hematoma punctures.
Now it’s the eleventh.
This patient is a bit complicated. After he had a cerebral hemorrhage, he fell again and had a trauma on his head.
Liu Muqiao rolled his eyes at this. He had debrided and sutured. Liu Muqiao had only watched the video. Now facing the steady flow of blood, he was at a loss and had to touch the back of his head.
It would be nice if the system opened a debridement and suturing guide.
However, the system seems to be asleep and there is no movement at all.
Dr. Zou had to do it himself.
However, he felt very unhappy because he felt that this was Liu Miqiao's intention. How could he not know how to debridement and suturing? This is something even an intern can do.
Originally, it was normal to ask Dr. Zou to do something, and he was very happy to do it. Even if it was hematoma puncture, he was willing to do it.
But, Liu Muqiao, you can’t say you don’t know how!
What don’t you know?
Yesterday, I laughed at you for not knowing sterility, but you suddenly showed us a flawless sterile operation, which was more standard than the textbook.
Laughing at you for not knowing how to do a physical examination, you suddenly gave us a big slap in the face. Your physical examination can be used as a demonstration and a teaching material.
Is it interesting that you keep doing it again and again? Do I still believe you when you say you don’t know how to do debridement and suturing?
If you don't do it, you are tired. You can say that I, Zou, know how to be considerate of others. What's more, today, I almost stood by and watched, and the 500 yuan platform fee was obtained for nothing. If you ask me to do it, will I object?
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But, you can’t say you don’t know how!
However, he was still angry. Under Zhao Yilin's urging, he still performed debridement and suturing seriously.
Dr. Zou had no choice but to stop the patient's bleeding first. If he had cerebral hemorrhage and hemorrhagic shock, he would have to invite gods to come.
"Hurry up."
Liu Muqiao would urge him from time to time.
Dr. Zou is not a surgeon, and debridement and suturing are not his specialty. If he asks for a surgical consultation, firstly, there is not enough time, secondly, it is not good to disturb others late at night, and thirdly, the most important thing is that a physician should also be able to do this debridement and suture.
.
Is it okay if you don't urge me? I'm slow, I admit, a physician can do it with this speed.
The patient is very critical, showing signs of cerebral herniation, and is still sluggish. You are doing embroidery!
Liu Muqiao's heart was bleeding, didn't he just have a scalp laceration?
"Forget it, apply pressure to stop the bleeding first!"
Liu Muqiao couldn't bear it anymore.
"Just wait three minutes and it will be fine." Dr. Zou didn't want to fail.
It’s hard to wait for three minutes.
"Heartbeat, breathing stopped!"
There is no monitor anymore, Zhao Yilin and the nurse have been taking on the responsibility of the ECG monitor.
"Rectify the kidney, lidocaine, dexamethasone!" Zhao Yilin turned his head and shouted to Dr. Zou, "Prepare the defibrillator!"
Dr. Zou took the last stitch, and under the pressure of Zhao Yilin's anger, he tied the last knot. Finally, he completed an arduous task.
nmmp, you have been frustrated sooner or later, but now you are frustrated!
He cursed without stopping, and within ten seconds, the defibrillator was ready.
"Except! You're still waiting for time!" Zhao Yilin was a little angry.
Dr. Zou placed the defibrillator on the patient's chest and pressed the switch, "Bang!"
"How was it?"
"The heartbeat is there!"
"Mannitol 100!"
"Mannitol 100." The nurse repeated. She had already put the prepared mannitol in her hand and opened the regulating valve to the maximum.
Zhao Yilin likes to rescue patients in the intensive care unit. The nurses here are experienced in many battles and cooperate with each other very well.
The patient recovered.
"Liu Muqiao, get ready and use your fastest speed to reduce intracranial pressure!" Zhao Yilin dictated.
Liu Muqiao said yes and started to do it. He even skipped the preparation of the skin and directly disinfected, drilled and inserted the needle.
It only took thirty-three seconds.
This is already the limit. Disinfection in place, drilling holes, and inserting needles are all real operations.
When I pulled out the needle core, blood came out all of a sudden.
"Oops, it stopped again!" Zhao Yilin continued chest compressions, but did not dare to use too much force, "Defibrillation!"
"Bang!"
"Bang!"
"Bang!"
Dr. Zou is very competent. It took three times in a row for the patient to recover his heartbeat, but he still couldn't breathe and could only rely on a ventilator to maintain it.
Liu Miqiao didn't stop. He drew blood syringe after syringe, until he drew hundreds of milliliters before injecting normal saline into it.
The first round of work was just over. Zhao Yilin, who had been feeling the patient's pulse, cursed again, "Fuck! Here we go again! Defibrillation!"
Three more times.
"Bang!"
"Bang!"
"Bang!"
Fortunately, the family members were not around, otherwise Dr. Zou would not dare to do it. This is the seventh time he has defibrillated.
7 times. This is the first time Dr. Zou has eliminated 7 times since he became a doctor.
Liu Muqiao didn't care much about his heartbeat and breathing. With Zhao Yilin watching over there, it was not his turn to worry. His current task was to slowly return the brain tissue to its proper position.
It won't work if you rush it, and it won't work if you slow it down. Therefore, he grasped the pressure in the puncture needle and did not completely let go.
At times like this, I forget the time. It’s already 3 o’clock in the morning.
When Liu Muqiao rinsed for the seventh time, the blood finally stopped and the red color became lighter and lighter. At the same time, he also felt that the pressure in the needle was slowly decreasing.
This feeling of touching intracranial pressure has been accumulated step by step. Now, Liu Miqiao can feel the pressure in the patient's brain.
"How are your vital signs?" Liu Maqiao asked.
Zhao Yilin hurriedly checked, and upon inspection he discovered that his hands were no longer in control and he had been pressing his pulse for more than an hour without realizing it.
"The pulse is 125 times, and there are relatively frequent premature beats. Breathing, eh? Are you breathing spontaneously?" Zhao Yilin asked urgently.
"Yes, it's just irregular." The nurse reported.
"Help me look at my pupils." Zhao Yilin said.
"The pupils have shrunk and become symmetrical. Ha, there is also light reflex!" Dr. Zou said excitedly.
"Don't be too happy too early. This old man has a bit of a stubborn temper. He insists on running to where the King of Hell and I can't catch him." Zhao Yilin looked solemn.
He turned his head again and said to the nurse: "Look, which patient's monitor can be removed."
Another nurse looked at each bed, and after a while, she brought the monitor over.
With the monitor, it’s clear at a glance.
The blood pressure is still relatively high at 160/100, the breathing is relatively irregular at 28/min, the heart rate is 110 beats/min, and the blood oxygen is 92..
After reading the ECG monitoring values, Liu Muqiao smiled: "Surviving a catastrophe will bring you blessings. I don't think this is correct. This old man spent almost his last days in bed. How can he be blessed?"
Chapter completed!