Chapter 1677 A Thousand Miles Riding Alone (1) (Leader Feng Swift Solo Flying Plus 1)

"Today, we are doing an emergency live broadcast. The patient is a doctor who has suffered a myocardial infarction. At the strong request of the patient, we will conduct a live demonstration of emergency first aid for myocardial infarction." Zheng Ren wore live broadcast glasses and sat calmly in the study. At the table, start explaining.

Because it was an emergency, there were no advertisements or publicity in Xinglinyuan, and there were only a few people who happened to come in in the live broadcast room.

There were few barrages, and Zheng Ren was not interested in watching it.

In the picture, Liu Xuzhi has entered the interventional operating room with the help of the nurse.

"Old Liu, get an ECG first." Zheng Ren said.

Liu Xuzhi lay down on the operating table, feeling a little weird.

The nurse was hurriedly preparing things. He held the phone with one hand and unbuttoned his coat with the other.

"Find a mobile phone holder and ask the nurse for it." Su Yun said.

"Pull the electrocardiogram first."

"Hold up your phone and increase the load on your heart."

"Emergency Thrombolysis!"

Before it even started, Zheng Ren and Su Yun quarreled.

In the live broadcast room of the surgery, it was boiling all of a sudden.

Is this a god-like magician starting to quarrel with that flawless assistant? Was this pre-designed, or was it an accident?

The barrage started to pop up.

After Xinglinyuan heard the news, she hesitated for less than a minute before agreeing to the request of the live broadcast.

Now Peng Jia only has the right to execute, because he is no longer the major shareholder of Xinglinyuan.

Offend the boss behind the scenes? Peng Jia is not that stupid.

Besides, the diagnosis and treatment of patients with chest pain are broadcast live, which belongs to the category of emergency care, and there is usually no chance to live broadcast.

Boss Zheng is really a genius, Peng Jia thinks so.

When TIPS surgery, Gaucher's disease surgery, and liver cancer surgery live broadcasts have reached their peaks and then slowly declined, they came up with such a genius idea!

Boss Zheng is awesome!

Boss Zheng is mighty!

Boss Zheng is domineering!

Peng Jia was in the office, watching the live broadcast while applauding Boss Zheng's genius marketing ideas.

But is it really okay to live broadcast emergency first aid? What if the patient dies?

This idea flashed in Peng Jia's mind.

Leave him alone!

It needs traffic first.

...

Liu Xuzhi held the phone, he worked hard.

In fact, what is a patient with chest pain and how is it is a trivial matter. The strongest belief that supports him is that even if he dies, he must leave some money for his wife and children.

And he used his life to add firewood to Boss Zheng's career. Should this be considered friendship? The son may have some protection in the future.

The idea of ​​middle-aged men is very simple.

Even if a girl in a short skirt with hips usually drools, between life and death, all she thinks of is her wife and children.

The ECG leads were turned on. Taking advantage of this time, the nurse took out the mobile phone holder and fixed Liu Xuzhi's mobile phone on the operating table.

An electrocardiogram appeared in Zheng Ren's field of vision.

Complete right bundle branch block, third-degree atrioventricular block, high-pointed T waves in the inferior leads, and ST-segment depression in the lateral leads.

"According to the new version of the diagnostic criteria for myocardial infarction using the "1+1" principle, positive myocardial injury markers are accompanied by typical ischemic chest pain symptoms or electrocardiogram changes. Although the electrocardiogram has changed now, we still cannot determine that it is acute myocardial infarction. Terrible." Zheng Ren said in the video.

"..." Liu Xuzhi was stunned.

"But because the area where the patient is located is extremely remote, if you collect creatine kinase isoenzyme and troponin and wait for the test results, the myocardial infarction may be irreversible." Zheng Ren continued to explain.

"So, at this time, to seek the opinions of patients, we can adopt some more radical methods - such as imaging diagnosis." Zheng Ren said, "Lao Liu, do you agree?"

"I agree." Liu Xuzhi said.

"Radial artery puncture, you can definitely do it, but you have to stabilize your emotions, because every time you move your body, you will feel a sense of impending death." Zheng Ren said in a deep voice.

Liu Xuzhi lay on the operating table and nodded.

The nurse thought it was strange, but the electrocardiogram was there. It was also a fact that no one except Liu Xu could perform cardiac intervention in Xilin Town People's Hospital.

Are you sure this isn't bullshit? The nurse was also a little skeptical.

"Now, get ready for surgery. Take off your clothes and let the paramedics prepare the medicine."

"Prepare first, take off your shirt, and connect to the ECG monitor."

"Okay, that's it, ECG... The field of view of the mobile phone is on the side of the ECG monitor, or it's a little further away, and I want to see the ECG monitor." Zheng Ren's voice became more and more certain, beyond doubt.

Starting the operation, even if he is thousands of miles away, he is still the king, ruling all the operating rooms.

"Okay! Now prepare the medicine. Oral loading dose of aspirin + clopidogrel as preoperative preparation."

"Sublingual nitroglycerin relieves chest pain symptoms, and opioid analgesics are used if necessary."

"Rescue medication ready! Epinephrine, atropine, painkillers, defibrillator."

"Okay, that's it, perfect."

"Lao Liu, do you feel better now?"

"Let the nurses inject 5 mg of morphine intravenously." Zheng Ren said, "Old Liu, after the morphine injection, you have to be careful not to fall asleep. You are now a patient and a surgeon, with a special status."

"What thrombolytic drugs do you have in your hospital? Urokinase or streptokinase? Or second-generation tissue plasmin activator? If there is a third-generation thrombolytic drug, including a variant of tissue plasminogen activator Retepro Enzymes, even better."

"Oh, only urokinase. It's okay, the benefits of the first-generation urokinase are hard to fail, and that's the only way." Zheng Ren kept saying, he tried to comfort Liu Xuzhi with his own words.

"Micropump, get ready. First, inject 60,000 U of urokinase intravenously, and then pump 50ml of saline + 60,000 U of urokinase into the micropump. This amount is a bit large and may cause complications such as cerebral hemorrhage. We can’t be safe when it comes to time,” Zheng Ren continued.

With the bolus injection of urokinase and the continuous infusion of the micropump, Liu Xuzhi felt better.

Maybe it's the relationship of drugs, maybe it's the relationship between Zheng Ren's unhurried instructions and explanations.

Always, Liu Xuzhi felt that as long as Boss Zheng was there, he would not die.

The doctors watching the live broadcast, including Peng Jia and other Xinglinyuan staff were dumbfounded.

The electrocardiogram was then sent to the background by Hu Yanhui, which can be viewed at any time.

What a heart attack! Although the electrocardiogram is somewhat messy, it cannot be 100% determined to be a myocardial infarction, and there is no test support such as D2-mer, but the probability of myocardial infarction is very high.

Anyone dare to live stream this?

The patient is also required to act as the surgeon and perform thrombolytic therapy for himself.

Boss Zheng is playing with fire!

As time went on, there were more and more bullet screens, and Zheng Ren had no choice but to close the bullet screens.

"Have you booked a flight with Xiao Feng?" Zheng Ren asked.