Chapter 620 Rescue (Last Part)

Looking at the surging waveform on the electrocardiogram in his hand, it seemed to be a reminder.

The incident happened suddenly, and no one thought of why this happened.

The patients were all ready to be discharged from the hospital, and the discharge certificates were issued in advance, and they recovered quickly.

Who would have thought that such an important thing happened at such an insignificant time.

Ventricular fibrillation!

Now, the cause of the coma has been found, which is ventricular fibrillation.

Ventricular fibrillation, or ventricular fibrillation for short, is one of the common causes of sudden cardiac arrest and death.

In fact, the heart is a muscle that constantly contracts and pumps blood...

However, the power is limited. If your frequency is fast, the power will definitely be insufficient, and you will naturally not be able to pump much blood.

When the ventricle emits excitation more than 240 times per minute continuously, rapidly and evenly, it is called ventricular flutter. If the excitation of the ventricle is very rapid and irregular, this is called ventricular fibrillation.

The frequency of ventricular fibrillation can be between 250-600 beats per minute.

What a horrible statistic this is?

rescue!

At this time, ventricular defibrillation is the only option, and the defibrillator is not!

Chen Cang said quickly:

"Prepare amiodarone!"

The nurse nodded quickly.

At this time, Meng Xi suddenly remembered that there was a mature emergency doctor standing here.

Experienced and skilled!

Not long after, the defibrillator arrived.

Chen Cang hurriedly started, preparing to defibrillate.

After Wu Peng saw Chen Cang, he was also relieved.

After all... this is Chen Cang!

First defibrillation!

unsuccessful!

Chen Cang glanced at Wu Peng: "Don't stop chest compressions!"

Then he turned to look at the nurse: "Adrenaline push!"

The patient's family was crying.

Where have young mothers and children ever seen such a battle, and the patients in the next bed were stunned.

Who would have thought that the young man who was still alive and laughing and chatting just now could suddenly become like this.

It's all about to leave the hospital...

Chen Cang immediately started the second defibrillation!

This time it worked!

In less than two minutes, the waveform on the ECG monitor gradually became normal.

At this time, the patient finally regained his own heartbeat.

The thrilling rescue has finally come to an end!

However, everyone did not dare to relax, and stared at the ECG monitor one by one, for fear that the beautiful waveform and perfect heart rhythm would suddenly disappear...

Perhaps the most perfect picture for doctors: sinus rhythm!

Another few minutes passed!

The patient finally calmed down, and at this time, everyone breathed a sigh of relief.

But suddenly he found that his back was covered in cold sweat.

I don't know if it's because the heating in the room is too high, or because I was too nervous just now.

Blood pressure is also stable, heart rate is maintained at 120 beats per minute, blood oxygen protection is 98%.

Chen Cang turned around and said to the nurse, "Do a blood gas analysis."

Now is the time to analyze the reasons.

Why do patients suddenly experience arrhythmia.

Rescue is like that.

First save lives, then heal.

Now that the patient's life is stable, it is necessary to find out what is causing the arrhythmia.

It didn't take long for the blood gas analysis to come out. The pH value was basically normal, 7.31, and the normal value was between 7.35-7.45, but...it didn't matter.

This rescue is basically stable.

Next, the reason needs to be investigated.

Because the cause cannot be found, the patient cannot be said to be absolutely safe.

At this time, Chen Cang said to the nurse, "Draw a blood, test it, blood routine, electrolytes... Liver and kidney function, let the laboratory check it urgently."

At this time, he turned around, took off Teacher Meng's stethoscope, and brought it directly to his ear.

Um!

There is a scent...

Chen Cang kept trying to figure out the sound of his heart, trying to find the slightest abnormality.

But after hearing it, everything is normal.

Why does the patient have an arrhythmia?

Why ventricular fibrillation?

Chen Cang turned to look at Ge Huai: "Show me the medicine the patient has taken recently."

Ge Huai nodded and immediately issued a doctor's order.

Chen Cang saw that they were all commonly used drugs in cardiac surgery. These drugs... not to mention causing arrhythmia, they also have the effect of treating arrhythmia!

Chen Cang continued to ask, "Has the patient had any abnormal reactions in the past two days?"

"For example, chest tightness, palpitation... These abnormalities?" Chen Cang asked the patient's wife.

The woman shook her head: "No, he has been saying recently that the operation was a success, and he feels very good..."

At this moment, something suddenly occurred to me: "Oh! He had a cold yesterday, and I didn't take it seriously. I even told Dr. Ge."

Ge Huai nodded: "Well, I don't think he's in serious condition, so I didn't let him take care of him. After all, there's an infusion, a bunch of drugs, so there shouldn't be any adverse reactions."

At this time, Chen Cang seemed to be the director.

A person stood there, surrounded by little nurses and doctors, although the patient was surprised why he had never seen this doctor.

but……

It was this doctor who saved her husband, no matter who he is, he is a good doctor if he has the ability!

Indeed, Bo Er and Bo San were also present at this time, and everyone was listening to the patient's condition.

Constantly help thinking!

But sometimes, ER doctors really don't have the same head as other doctors.

There are all kinds of situations in emergency patients. In contrast, specialist doctors are more professional.

Chen Cang's expression suddenly changed: "Could it be myocarditis?"

In a word, everyone was stunned.

Don't underestimate the flu!

If it is severe myocarditis, it can be dangerous.

However, the heart sounds are basically normal, and I have just caught a cold for a day, so it is not myocarditis, right?

Meng Xi said, "Would you like to let the ultrasound room come up?"

After Chen Cang pondered for a moment, he nodded: "Well, let's make an exclusion."

Due to the special circumstances of the patient, the operation tonight may be postponed until tomorrow.

Or transfer the patient to the ICU for observation.

At this time, Chen Cang suddenly lowered his head and saw the medicine on the table.

Suddenly his face changed!

"Has he taken cold medicine?"

The wife nodded: "Well, he said that the doctor would not prescribe it for him, so he asked me to go outside and buy some cold medicine."

"I thought the cold medicine was okay, so I bought some."

Chen Cang's expression changed suddenly, he opened the drawer and took out the medicine.

Feel healthy!

White with black!

paracetamol!

Chen Cang was stunned when he saw it.

Maybe the reason is found.

Chen Cang sighed: "Did he take a lot of cold medicine?"

The wife nodded: "Well, when he was in his hometown, he would eat all of these when he caught a cold. If he eats less, it won't work at all."

Chen Cang turned to the nurse and said, "Urgently check the blood level of acetaminophen."

The nurse nodded and left in a hurry to draw blood.

While waiting, the patient suddenly woke up.

Staring at such a large circle of people, I suddenly froze for a moment: "I fell asleep?"

"Doctor, I'm really sorry, I fell asleep after taking the cold medicine... eh? No, what's wrong with me?"

The man was stunned when he saw a lot of lines on his body.

Chen Cang stared at the man and asked, "How much cold medicine have you taken?"

The man coughed: "I ate two white and black, and two paracetamol, and one felt healthy..."

Chen Cang was speechless: "Where are you eating?"

The man shook his head: "I eat it often, and all the food I eat has become resistant."

Chen Cang couldn't help shaking his head: "You fainted from ventricular fibrillation just now, and you almost died!"

The man was dumbfounded: "I... I'm fine now? I'm just a little dizzy and flustered..."

The people around also looked at Chen Cang, a little puzzled.

Ge Huai said, "Doctor Chen, whether or not I can do a color ultrasound, the doctor from the Cardiology Department is here too."

Chen Cang shook his head: "No, wait for the blood drug level."

The blood concentration was very fast, and it didn't take long for a phone call to confirm the diagnosis, it was paracetamol poisoning!

All of a sudden, everyone was stunned.

He stared at Chen Cang in shock.

Can he do it?

Can this be diagnosed?

The patient was sent to the dialysis room for dialysis, and the basic problem was not serious.

However, whether it was the doctor from the Cardiology Department, or Wu Peng from the emergency department, or even everyone around them, their eyes widened.

Even the doctor in the dialysis room said, "This can be detected, which is amazing!"

That's right, everyone stared at Chen Cang with adoring eyes, making him a little shy...

After returning, Sanbo stared at Chen Cang:

"Doctor Chen, how does your head grow?"

"Yes! You all know about the adverse drug reactions of acetaminophen!"

"Have you memorized all your medication guides?"

Chen Cang smiled.

And Meng Xi also looked at Chen Cang happily: "It's amazing! It's all right!"

Chen Cang couldn't help but said, "The teacher taught me well!"

Meng Xi didn't hold back, while Sanbo raised his middle fingers in unison.

"Doctor Chen, this flattery is too much!"

"That's right, I didn't get the butt, but..."

Meng Xi glared at everyone: "What's wrong, he's not my student anymore?"

Everyone couldn't help but smile awkwardly: "Yes, yes... it's all Director Meng's greatness!"

【Ding! Meng Xi's favorability rating +10! 】

Chen Cang smiled.

...

...

ps: Let me tell you one thing, during this time, there are quite a lot of patients with colds in the outpatient clinic. Don't be nervous, let alone take a lot of cold medicines.

Because now cold medicine is not a prescription drug, everyone can buy it at will, but it is best not to overdose, let alone eat a lot of them at once.

Because of overdose of the drug, not only the efficacy of the drug does not increase, but the toxic and side effects of the drug will increase proportionally.

Although paracetamol is safe enough, for some sensitive patients, it can cause serious adverse reactions such as liver damage and arrhythmia. After all, who can say the probability?

If the body is sensitive, it is 100%, and if it is not sensitive, it is 0%. Don't use your body to test medicines, you are not Shennong, and besides... the guinea pigs have tried it for you, so don't worry about it.

ps: I habitually thank the local tyrants, and thank the leader of "Qingyan Xiaoguan 168" for the 100,000 reward!

Thanks for the 10,000 reward from the master "Zhi Li Yu Lan"!

Continue to add more tomorrow...