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Chapter 221: Preparing for Intubation

Faced with their praise, Wu Xiangdong had no time to care at this time, because after summarizing the information just now, it was found that the eight patients in front of him had various degrees of physical damage.

Especially when the ECG monitor was delivered and the electrodes attached to the patient's body transmitted various vital signs to the screen through the lead wires, everyone could see each patient's physical condition more intuitively.

"Doctor Wu, if this continues, the patient's body will simply not be able to bear the side effects of the sedative."

What everyone was most worried about happened. They looked at the red light that kept flashing on the screen. Some were arrhythmias, some were abnormal breathing, but most of them were blood pressure that kept flashing.

Sweat broke out on Luo Yong's forehead at this time. As the chief of the medical department, he naturally knew that he was in a dilemma.

The patient continued to convulse, and in order to prevent brain hypoxia, a sedative was necessary to stop the convulsions.

But the result is what we see now, the monitor is flashing with low blood pressure alarms all over the screen.

"Why don't we ask the anesthesia department to come and place the deep vein?" Luo Yong discussed.

"I have already called the anesthesiology department, and the puncture kit will be sent over in a moment." Wu Xiangdong knew that if this delay continued, the patient would only get worse, so he said to Luo Yong: "I will prepare the equipment for deep vein puncture first.

Please help me take a look at the materials. If there is anything, tell me in time, I will be in the emergency room."

At this time, Wu Xiangdong also made up his mind to perform deep vein catheterization on the patient. Although puncture and indwelling catheter would increase the patient's chance of infection, this is the only way to solve the problem at present.

As Wu Xiangdong said before, by indwelling deep veins, diluted vasoactive drugs are continuously pumped into the patient's body to increase blood pressure, and at the same time, sedatives can be used to prevent the patient from convulsing, achieving the effect of killing two birds with one stone.

"Okay, I understand."

Luo Yong watched Wu Xiangdong go to the rescue room to prepare materials, but there was worry in his eyes.

"I don't know who the anesthesiologist is working today. It's also a question of whether a deep venous catheter can be placed when the patient's blood pressure is so low."

Just when Luo Yong looked worried, he heard a rough voice not far away.

"I said Wu Xiangdong, you guys are so pissed (sui) at home, why do you encounter such big things every time you go to work?"

"It's a good thing I'm at work today. Otherwise, if you wanted to borrow so many puncture kits from the anesthesiology department, you could kill them."

Wan Zhihua's unique loud voice was like a reinforced trumpet, with extremely strong penetrating power. His voice had already spread throughout the emergency room before he could be seen.

At this time, everyone present had strange expressions after hearing Wan Zhihua's ridicule, and even the emergency room became quiet.

At this time, Wan Zhihua strode to the emergency room carrying a bunch of puncture kits, but when he saw so many people gathered here, his expression didn't look right.

"You are all here, I'm here to deliver the puncture kit." Wan Zhihua grinned and scratched his head in embarrassment.

Although he is very familiar with Wu Xiangdong and speaks very casually, he can still be considered a senior in the hospital based on his qualifications. At this time, in front of so many young nurses, he can't say anything big or small.

It is indeed a bit self-destructive.

Luo Yong on the side saw this and walked up in time. Only then did Wan Zhihua realize that Chief Luo and Director Lin were actually at the scene.

"Why are you all here?" Wan Zhihua looked puzzled. He was about the same age as these two, so he spoke very directly.

"Lao Wan, you came just in time." When Luo Yong saw that it was Wan Zhihua, his eyes lit up. He took the puncture bag from Lao Wan's hand and did not answer his words. Instead,

He urged: "Quick, the patient needs you to put in the tube now. Wu Xiangdong has already gone to prepare. Wash your hands and get on stage."

"Huh??" Wan Zhihua looked stunned. He just came here to deliver something, why was he caught on stage?

At this time, he took the opportunity to take a look at the environment at the scene, and his expression suddenly changed, and even the little gloating he had just now disappeared.

"This situation is very serious." Wan Zhihua's expression immediately became serious, especially when he saw the series of alarms on the monitor, his whole demeanor changed.

"That's why I have to ask you to help." Luo Yong said.

In fact, when Luo Yong saw that it was Wan Zhihua who had arrived here, he secretly breathed a sigh of relief. After all, compared to others, Wan Zhihua was one of the best in the anesthesiology department in terms of skills and experience.

Luo Yong felt reassured that he would perform deep venous puncture on the patient, so he kept urging Wan Zhihua to hurry up and prepare.

But because of this, when Wan Zhihua saw the patient he was about to face, the expression on his face became more and more solemn.

"The blood pressure is too low to control." Wan Zhihua's heart skipped a beat when he saw the data on the monitor.

While he hesitated, the patient's condition became worse and worse.

The piercing alarms kept ringing in the hall. The patient lying on the bed now had a gloomy face and stiff hands and feet. One of the nurses who was guarding the bed and was responsible for monitoring quickly took the patient's blood pressure, only to find that

Not even the numerical value is displayed.

"Report, the patient's blood pressure cannot be measured."

The sound of panic echoed in the hall, and then an irresistible fear enveloped their hearts.

"Is the blood pressure gone?" Wan Zhihua heard this and walked to the nurse's side, then pressed his finger on the patient's groin.

There is the largest artery in the human body, the femoral artery.

Once a person loses blood pressure, his or her heartbeat will stop, then the arterial fluctuations will disappear, and the person will be on the verge of death.

"The arterial fluctuations are still there, but they are very weak." Wan Zhihua pressed the blood vessels hard. At this time, subtle fluctuations were transmitted from the patient's skin to his fingertips, which made him sigh in relief.

No wonder the nurse can't measure it. With such fluctuations, the patient's blood pressure is estimated to be between 40-50mmhg.

"Can it be treated?" Luo Yong asked.

Wan Zhihua shook his head: "With such fluctuations, let alone intubation, even if the heart is beating, it won't be able to last for a long time."

"Then just use epinephrine. Don't worry about breaking the blood vessels or not. Let's raise the patient's blood pressure first!"

Luo Yong was already anxious at this time. In his opinion, even if there is no deep venous catheter, even if vasoactive drugs will damage superficial blood vessels and cause local skin necrosis, they must be used, otherwise someone is destined to die in the hospital today.

Just when they were as anxious as ants on a hot pot, a deep sound suddenly came from the emergency room.

"The effect of epinephrine is too strong. First, give them a dose of dopamine intravenously to raise their blood pressure. I have prepared the items for deep vein catheterization and can start the operation immediately."

I saw Wu Xiangdong running quickly from the emergency room pushing a treatment cart. He picked up the carton labeled dopamine injection from the cart and unpacked it directly.

Obviously Wu Xiangdong had heard everything that happened here from the emergency room.

Facing the ten crystal clear glass ampoules in the box, Zheng Hong, the head nurse, reacted instantly. She picked up the ampoules and broke them directly.

At the same time, she said to the nurses present: "Each person comes here, takes one and puts it into a syringe. If the patient in his charge has the same situation, report it immediately and be prepared for intravenous infusion."
Chapter completed!
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