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Chapter 467: A First Aid Story That Will Go Down in History - The Live Broadcast Was a Hit, and the

Chapter 467: A First Aid Story That Will Go Down in History - The Live Broadcast Was a Hit, and the Entire Internet Couldn't Sleep Tonight!

They originally thought there was no one there.

At the time, there were doubts about whether Dr. Ogawa was a bit too confident.

How can you claim a piece of motorcycle debris based on such a tiny, barely distinguishable fragment in the middle of the night?

It's important to know that the two cars collided head-on.

Although each of them turned the steering wheel slightly, resulting in a slight deviation, their respective parts were scattered all over the ground.

There's really no way to tell which part is from the motorcycle.

But since Dr. Xiaochuan said so, and Dr. Xu also told them to go and take a look, they went over with a try-it-out attitude.

When they got there, they were completely stunned; there really was a person lying on the ground.

Moreover, no matter how much they called, the person didn't move and looked very seriously injured, especially their hands and feet, which were a shocking sight, with large patches of skin scraped off.

Fortunately, my heart is still beating.

When providing emergency care, the most important thing is to check the heartbeat.

As long as there is still a heartbeat, there is still hope for this person to be saved.

So they immediately brought the person over.

Unexpectedly, halfway through the lifting process, the patient experienced limb twitching, loss of consciousness, disappearance of heart sounds and pulse, cyanosis, and dilated pupils!
This is a very typical case of ventricular fibrillation.

So it's a distance of over a hundred meters.

They carried the person and charged over at breakneck speed!

They have no tools whatsoever to deal with ventricular fibrillation. Dr. Ogawa is an expert in treating ventricular fibrillation; leave it to him!

"Dr. Ogawa, this little girl is not breathing, her carotid artery is pulsating slightly, but her blood pressure is extremely low."

Yin Xiaoxiao examines the injured little girl.

Then she read out a string of data that she least wanted to read.

"Considering internal bleeding and abdominal distension, this is tension pneumothorax!"

Xu Mengli's pupils constricted!
If tension pneumothorax is not treated promptly, the patient will suffocate and die within a short period of time due to severe hypoxia, making it a critical emergency with a high mortality rate.

Judging from the symptoms this little girl is currently exhibiting, she is already on the verge of death.

The little boy had no breath or pulse, his airway was blocked, and he was on the verge of death.

As a result, we've only just begun to see some signs of progress here.

And now, something even more dangerous has arrived!!
However, to their utter surprise, a cry of ventricular fibrillation rang out!

The teacher carrying the stretcher actually brought over a person.

The key issue is that this person is experiencing ventricular fibrillation.

God!

House seemingly endless rain.

What are we going to do now?!

"?"

"Good heavens, this is terrible! One person with pneumothorax is suffocating, and the other with ventricular fibrillation needs immediate defibrillation!"

"It's all over, it's all over. No one could have predicted this. Otherwise, we should have listened to what Dr. Ogawa just said and sent more ambulances. We simply don't have enough manpower right now!"

"This is the most dangerous emergency rescue scene I've ever seen!"

"That's right. In many other car accidents, some people are already dead by the time they get there, so you can just give up on resuscitation and try to save those who can still be saved. But what about now? There's nothing you can do! They're still barely clinging to life!"

[Number of viewers watching the provincial TV station's "Medical Path to Success" live stream: 529.]

It's strange to say.

The number of viewers in the live stream exceeded 500 in a short period of time.

And it's soaring at an incredibly rapid pace.

[National Emergency Room Group]

"My God! Everyone should go see this if they have time. Dr. Ogawa is doing extreme resuscitation outside the hospital! This car accident scene is absolutely terrifying!"

"Dr. Xiao Chuan? Is that Zhang Lingchuan? Why is he handling out-of-hospital emergency care?"

"Holy crap! My whole body is numb! I just saved someone who had internal bleeding and respiratory distress with no breathing or heartbeat, and now another one has ventricular fibrillation and pneumothorax, on the verge of death! Why didn't they come?!"

"I'll go take a look!"

[Ultra-University Medical School Freshman Group]

[xxx Hospital Group]

[XXX Medical School Group Chat]

……

It turns out that besides the emergency room group chat...

Zhang Lingchuan's live stream was shared in many medical staff-related group chats.

This scene, which doctors would consider hellish, drew many people to click on it.

And then quickly shared it with his friends.

"Our senior Zhang started a live stream, holy crap."

"Zhang Xuechang! Holy crap!!"

"We're doomed, someone's going to die in this wave."

"I'm already watching it! It's really thrilling!!"

……

【Goddess in White】

Zhao Lingyun: Oh my god! Junior Brother Zhang is live streaming! My goodness! He's going all out!!

"Zhao Lingyun: (Live broadcast room of the provincial TV station's "Medical Path to Success" program) Click to open the web link or long press to copy this message, open Douyin, and watch her live broadcast."

Even Zhang Lingchuan was extremely prominent in the small group chat of Director Li Tinglan's academic circle.

Zhao Lingyun received the message.

And it was posted directly.

Lin Duanduan: ??? What are you doing at 11 pm, junior sister! Why are you dreaming!

As the original group admin, Lin Duanduan, a senior who graduated from the fifth year of her doctoral program, was immediately met with a question mark from the other party!
Live stream at 11 PM? You must still be sleepy!

"You Nannan: I specifically checked the time, it's 11 PM. It's reasonable for Junior Brother Zhang to go to the countryside to do a live stream at 11 AM, but where is he going to do a live stream at 11 PM? This is ridiculous!"

Another PhD student, You Nannan, also said in an annoyed tone.

"Sozi: Senior sisters, click in and see, it's really live streaming!"

Lin Duanduan: Holy crap? They're really live-streaming!!

"You Nannan: Oh my god! This looks like the West Suburbs Park! A car accident!!"

Xu Duo: Junior Brother Zhang is terrifyingly powerful! He truly lives up to his reputation as a future gynecological mastermind and emergency rescue maniac!

"Wang Feng: Senior Brother Zhang! My mom asked me why I kept kneeling on the ground, so I could only tag you! @Zhang Lingchuan."

……

Zhang Lingchuan didn't know.

My own huge OB-GYN group chat exploded right now.

[Number of viewers watching the provincial TV station's "Medical Path to Success" live stream: 2912.]

The number of viewers in the live stream surged to nearly three thousand in just one minute!
The data has increased more than tenfold!

"sky!"

"My God!!"

"No way, what kind of technology is this?!"

"How can this puncture be so accurate! It's like he's practiced it hundreds of times? And is Dr. Ogawa really an intern!?"

Studio.

The young girl needed acupuncture to relieve stress on the spot.

Otherwise, they would definitely not be able to save their lives.

Just as this doctor named Xu Mengli was preparing herself mentally for the acupuncture,

"Professor Xu! You go and take charge of ventricular fibrillation defibrillation! I'll do this!!"

Zhang Lingchuan's voice rang out.

[Ding! The host has discovered a patient with tension pneumothorax who is in a near-death state with respiratory arrest. Considering all factors, please provide immediate first aid! Upon completion of the mission, you will receive 1 Ordinary Treasure Chest and +1000 Professional Reputation.]

At this moment, Zhang Lingchuan received a notification.

System scan complete.

[Patient's Name: Feng Xinxin]

[Patient's gender: Female.]

[Patient's age: 12 years old.]

[Patient's condition: Coma, cold extremities, respiratory and cardiac arrest...]

[Patient Diagnosis: Lung rupture, tension pneumothorax.]

[System notification: Children's chests are soft, and unlike adults, they do not suffer fractures upon impact; instead, internal organs rupture. The current patient has a ruptured lung with tension pneumothorax and has entered the clinical death stage. Without timely treatment, the patient will enter the biological death stage within 40 seconds and die completely. Considering all factors, the current host has a relatively high probability of survival if acupuncture decompression is performed!]

At the same time, he instantly activated a system scan.

Is the survival rate higher for self-administered acupuncture decompression?

Zhang Lingchuan was stunned.

Is Teacher Xu not suitable?
[Name: Xu Mengli]

[Category: Doctor]

【Skill:
Surgical skills:
Subcutaneous tissue foreign body incision and removal: "Expert level: 7122/10000".

Ultrasound-guided bladder puncture: "Expert level: 7119/10000".

Abdominal hematoma evacuation: "Expert level: 5926/10000".

……

Cranial puncture: "Basic: 210/1000".

Intracranial decompression surgery: "Primary: 120/1000".

Pericardiocentesis: "Basic: 102/1000".

Hidden Skill:
Cardiopulmonary resuscitation: "Expert level: 9120/10000".

External wound debridement: "Expert level: 6010/10000".

Debridement and suturing: "Professional grade: 4991/5000".

Heimlich maneuver: "Professional level: 4090/5000".

……

Tracheotomy: "Intermediate: 1621/2000".

Acupuncture decompression: "Beginner: 131/1000".

[System notification: Currently scanning outpatient and emergency medical personnel outside the hospital. Although the host's skills are superior to theirs in all aspects, there are still aspects worth learning.]

Fortunately, after his eyes were upgraded, he could see the skills of each doctor.

Once each time.

I didn't use today's attempts.

He then scanned Dr. Xu Mengli.

The next second he looked haggard.

Acupuncture decompression: "Intermediate: 1191/2000".

I'm a beginner myself.

It was trained many times in the system space.

I almost reached the intermediate level.

I originally thought Teacher Xu would be a bit better, but I didn't expect that all of his skill points were in CPR and wound cleaning.

Acupuncture decompression technique is only 131, the beginner level.

No wonder the system recommended that I come myself.

Ultimately, Zhang Lingchuan chose to do it himself.

The main people are the same.

Normally, only professional-grade acupuncture decompression techniques would be needed.

But because he often used this little girl as practice.

Therefore, her structure and position are immediately clear.

Of course, I've died in the system space before, but I gradually got used to it, so now I can be considered comparable to a professional.

"Dr. Ogawa..."

Yin Xiaoxiao was also incredulous.

Because Dr. Ogawa just inserted the needle once, and then completed the subsequent procedures with very fast hand speed.

"???"

Xu Mengli, who was just completing her first defibrillation, was stunned.

So fast! So skilled!!
"I'll continue CPR!!"

The defibrillator was brought by the stretcher bearer.

After all, I went on ambulance missions, so I learned some defibrillation skills.

Xu Mengli was the one who performed CPR.

After all, she had practiced CPR for a long time.

Although it seems like everyone knows how to do this, there's a big difference between doing it well and just randomly pressing buttons, and the results are also different.

Dr. Ogawa is a prime example.

Why can Dr. Ogawa save most patients with CPR, but not others?

Besides Dr. Ogawa, she had also observed Dean Huang Xiangning's cardiopulmonary resuscitation and found that her skills were also of very high quality.

She also learned from these two.

Of course, I'd rather be like Dr. Ogawa!

"Teacher Xu! You take care of the elderly person now, and Xiaoxiao, you take care of these two children. I'll take over the resuscitation!"

It's too late.

But there was one thing he was right about.

That is, thanks to Teacher Xu's intervention, several tens of seconds were gained.

[Ding! The host has discovered a third patient in the red clinical death stage. Successfully treating this patient will reward you with 1 Common Treasure Chest and +1000 Professional Reputation. Countdown: 15 seconds.]

Yes.

Feng Chenchen, the little boy who was rescued for more than three minutes.

Feng Xinxin, a little girl, lasted for a little over a minute.

It has been five minutes now, in principle.

If the ventricular fibrillation stops in the system's assessment space, the motorcyclist will die.

However, thanks to the defibrillation and resuscitation efforts of Ms. Xu Mengli and her colleagues, the time was extended.

Although it only lasted fifteen seconds.

But those fifteen seconds were enough to save a life!
"Alright! From now on, we will be under the complete command of Teacher Xiaochuan at the entire emergency scene!"

Both of them were rescued.

Xu Mengli directly handed over the on-site command to Teacher Xiaochuan.

Because she had a gut feeling that Professor Xiaochuan might be able to turn the tide and save people to the greatest extent possible!

If she had only brought her team to the scene and seen such a situation, neither of the two children nor even the motorcyclist could have been saved.

Motorcycle drivers simply have no way of noticing.

Too far.

More than 100 meters away.

And who would be so observant as to notice some debris on the ground?

As for the two children.

And don't say their emergency department is cruel.

The real principle of emergency department treatment is to first triage patients, and then save their lives.

Upon arriving at the scene, the first thing to do is not to immediately rescue a particular person, but to conduct trauma assessment and, within a limited time, determine who is most likely to be saved and who should be treated immediately.

The boy's condition is too serious; he's already in a near-death state.

This is completely beyond saving.

They will definitely try to help the little girl with tension pneumothorax.

Although as an emergency room doctor, she should certainly know acupuncture decompression, unfortunately, her skill level is only average.

Therefore, it's impossible to be certain whether the person can be successfully rescued.

But one thing is certain: none of them are as adept as Dr. Ogawa.

"Xiaoxiao, you are now in charge of these two children who were just rescued. Master Shi, you and the stretcher bearer go to Tesla right now to get the children out of there and check for any internal injuries!"

Zhang Lingchuan immediately made the arrangements.

The situation was truly dire.

Meanwhile, there is an even more urgent matter: pericardiocentesis.

I'm not familiar with this teacher, Mr. Xu; he's only at a beginner level.

However, it's understandable that they can't be blamed. After all, it's quite remarkable that someone as young as thirty has already trained so many professional skills to an expert or professional level.

Some of his abilities have even surpassed those of Wei Zixi, an attending physician in the emergency department of West China Hospital in Chengdu.

In reality, doctors don't have that much time either.

Therefore, in many cases, people will train the skills they are good at.

This is the only way to achieve the best cost-performance ratio.

Take the Tang suture method, for example. Why doesn't anyone learn such a useful suture method? The main reason is that it's like learning a new technique all over again.

The time required to progress from beginner to intermediate, then to professional, and even expert levels is too long.

It was even longer than his entire previous academic career.

That's why many people are unwilling to learn.

In the system space, it was thus known that Dr. Zhao was an expert in pericardiocentesis.

So he always brought Dr. Zhao along when he needed emergency care outside the hospital.

Ask him if he has ever tried pericardiocentesis before.

He tried, but the mission failed.

Generally speaking, pericardiocentesis can be either a level II or level III procedure.

The difficulty level is determined by the level of difficulty.

Just like a cesarean section.

A normal cesarean section is a level two surgery.

However, complex cesarean sections are level three or even higher level four surgeries, which require a professional chief physician to perform.

This elderly woman's case was quite complex, falling under the category of level three surgery.

Therefore, compared to acupuncture decompression, this pericardiocentesis is the most crucial procedure. Without it, the old lady would have certainly died!

"clear!!"

Soon everyone had a clear division of labor!
Defibrillation!

Zhang Lingchuan performed CPR and quickly defibrillated the patient. Since there weren't enough people, Yin Xiaoxiao also came over and administered adrenaline.

"Dr. Ogawa's coordination skills are quite good!"

"Indeed, the key now is to maximize the use of personnel. Sometimes, life is saved by these details."

[Number of viewers watching the provincial TV station's "Medical Path to Success" live stream: 5137.]

And in those few short minutes.

The number has reached five thousand!
Many netizens praised it.

hospital.

Has our ambulance arrived yet?

Huang Xiangning asked with a serious expression.

She no longer cares about the data at all, and even turned off the live chat.

Her entire focus is now on the emergency scene.

"Our ambulance is on its way, but it will take at least ten minutes to arrive, as it takes at least sixteen minutes to get there from our hospital!"

"I'm anxious," said Fan Wang, the head of the publicity department.

He knew that Vice President Huang was in a hurry.

But it does take some time for the cars to get there. "Ten minutes! Ten minutes! We're simply not manpower enough. Both cars have drivers and passengers, and we don't even know how badly they're injured! Sigh! If we could have sent two cars directly, Xiao Chuan and the others wouldn't be in such a chaotic situation!"

Huang Xiangning sighed.

A little annoyed.

“Vice President Huang, although Dr. Xiaochuan’s words made sense at the time, we didn’t know the situation on the ground. It would have been very risky to send so many ambulances there rashly. Besides, you weren’t here at the time. If it was really urgent, these are 5G monitoring ambulances. You could have directed them remotely!”

Fan said.

When Dr. Xiaochuan said those words, Vice President Huang Xiangning happened to be outside.

Normally, hospitals are not allowed to send out additional ambulances arbitrarily.

If you really want to increase the efficiency of the rescue, you can completely control this new type of ambulance remotely.

With a top-notch emergency medical expert like Vice President Huang in charge, we should be able to achieve twice the result with half the effort.

"this is not OK."

However, Fan Wang never expected that Vice Dean Huang would say such a thing.

"Why? Vice Dean Huang... Isn't Dr. Xiaochuan your favorite student?"

Fan asked, puzzled.

Dr. Xiaochuan is both a student of Vice President Huang's husband and her student.

It has been confirmed that Vice Dean Huang is supervising the doctoral students.

Why not offer remote guidance in this situation?

"Even if I went to the scene, I could probably only save two of these three people at most, and at the very least, only one. But now Xiaochuan has a chance to save all three, so I can't compare to him, let alone command him. In this situation, any video call would disrupt his rhythm of saving people!"

Huang Xiangning was very frank.

If she were in that position right now, she felt she simply couldn't do it.

She can guarantee the little girl's survival, and she can give the little boy a try.

As for the motorcyclist, she couldn't find him.

Since she was new to the scene, her attention was naturally drawn to the two cars.

People might only pay attention to other things after the first aid is completed, or they might only realize there are people in the distance when the traffic police arrive.

It is possible to save three people in a row in such a situation.

Although none of them are out of danger, at least the electrocardiogram monitor can now display data, which is already a remarkable achievement.

"This……"

Fan Wang hadn't expected Vice Dean Huang to be so sincere.

Some leaders, even though they are clearly inferior to others, still stubbornly refuse to admit it, and even feel that you are belittling them if you say too much.

“Sometimes, we have to admit that others are geniuses. In the field of ventricular fibrillation, as long as Xiaochuan gets involved, I have never seen the King of Hell be able to take him away.”

Huang Xiangning looked at the big screen.

Having practiced medicine for so many years, she considers herself a senior expert.

But I still felt extremely dangerous when faced with ventricular fibrillation.

Maintaining high-quality CPR is not easy.

And it's also very tiring.

Of course, there is also a medical device called a cardiopulmonary resuscitation machine now.

Simply put, it's a machine that can replace manual cardiopulmonary resuscitation.

It allows for independent chest compressions, especially in the field and on transport vehicles, when manual CPR is ineffective. In such cases, a CPR machine can be used to perform CPR, reducing the need for manual intervention and making CPR more effective.

However, in medical settings, such as hospitals, cardiopulmonary resuscitation is still generally performed manually.

You can say it's good or bad because of this machine.

You might say it's bad, but it does have some flaws.

Overall, the other person's performance was that of a professional CPR doctor.

However, in the human cardiopulmonary resuscitation (CPR) process, there are higher levels besides professional level, such as expert level.

There are even some top CPR experts.

Their CPR is far superior to that of these pile-driving machines.

You see, Xiaochuan is the best example.

The hospital used this machine before when ventricular fibrillation occurred, but in the end, manual intervention was still the most effective, and even manual intervention could not necessarily save the patient.

But when Xiao Chuan performed CPR on someone who was defibrillated, even the King of Hell couldn't pull them up.

Therefore, Huang Xiangning felt a strange sense of emotion.

With Ogawa around, the ventricular fibrillation is probably under control!
on site.

"Come again!!"

The fourth defibrillation!

Zhang Lingchuan's brows furrowed into the shape of the Chinese character "川" (Chuan).

Because it took too long!!

The system was defibrillated in the simulation space almost immediately, taking a little over a minute in total.

But it's been more than two minutes now!

The ventricular fibrillation hasn't subsided yet!!
"Zi-"

The electric shock came suddenly.

"Mr. Ogawa, I'm done!!"

"The stretcher bearer called out."

"it is good!"

Zhang Lingchuan continued pressing.

【50......50......51......】

The numbers are rising very slowly.

Zhang Lingchuan was covered in sweat.

It's been less than ten minutes, but Zhang Lingchuan feels like he's about to be completely drained!
Because it was urgent.

It's really urgent!!

Although it's less than ten minutes, it's already been six or seven minutes.

According to the order of death in the system space.

The order of death was: motorcyclist (five minutes), little boy and girl (five minutes), elderly person (seven minutes), woman in the Tesla passenger seat (ten minutes), and Honda driver (around thirteen or fourteen minutes).

But there are still 9 points left in the countdown.

This motorcyclist was just moved from clinical death to a red label.

"Oops!!"

Just as Zhang Lingchuan was pressing the button frantically, the old woman's red label started flashing.

In other words, the old lady who had just been carried out had sixty seconds left on her life countdown.

This means he has to choose between the driver and the old lady.

"I'm so moved I could cry!!"

"You still won't give up after four defibrillation attempts?"

"Honestly, as a patient, I hope that if anything happens to me in the future, I'll meet a doctor who won't give up on me!"

"Sigh... I don't know why, but this Mr. Ogawa inexplicably feels like a brave general, fighting off demons and monsters that haunt the world and the fearsome King Yama."

Just as he was being treated.

The live stream chat was already overflowing with comments.

Everyone was moved by his unwavering determination.

In principle, if so many defibrillation attempts fail to save the person, there's nothing more that can be done.

But he still didn't give up.

Who wouldn't want to encounter a doctor like that?

"No pickled vegetables: I've been watching since 3 PM. I was quite energetic during the day, but now I'm getting sleepy. And this stimulating plot is making it impossible for me to sleep at night!"

"May all your wishes come true: I really envy those who were in car accidents. They were lucky to encounter such good doctors. I've been watching doctors for a long time and I really can't help but praise them!"

"A Good Man from the Middle Ages: Hasn't the hospital ambulance arrived yet?! This is urgent! If we don't save the person, the young doctor will die of a sudden shock first!"

Some familiar faces also spoke up.

Some people were even asking when reinforcements would arrive.

If he doesn't come soon, they're all worried that this young doctor will work himself to death.

Zhang Lingchuan was unaware of what netizens were saying.

The number of viewers in the live stream even exceeded 10,000.

He had absolutely no idea either.

He is now desperately trying to recover.

"Fifth defibrillation!!"

Zhang Lingchuan roared!

The motorcycle driver is already 54.

The old lady's countdown is 55!

As a doctor, he didn't want to choose any of them; he wanted them all!

"Okay! Mr. Ogawa, move aside!!"

The stretcher bearer also felt that he had truly fought an unprecedentedly urgent battle today!
He only regretted that this was all he knew.

While the camera was defibrillating, it also shone on the elderly woman that Xu Mengli was in charge of.

Honestly, the cameraman also wished he could be in two places at once.

I really wanted to go up and help later.

I also want to record the rescue process on both Dr. Xiaochuan's and Dr. Xu's sides.

But right now he only has one camera!
Can't do it at all.

"Quick! Xiaoxiao, help me measure the data too!"

Xu Mengli shouted.

She can't handle this by herself!
"Oh my god! His heart has stopped! We can't detect his blood pressure or pulse!!"

Yin Xiaoxiao took a test.

The next second, they froze on the spot.

She enjoys saving people.

But tonight's scene really kept her incredibly busy!
They didn't even have time to make a phone call.

Fortunately, the entire event is being broadcast live tonight, so the hospital will definitely send an ambulance as soon as possible.

"?"

"??"

"No? Another cardiac arrest, the blood pressure is undetectable!!"

"Quickly perform CPR! My God! Is there no one left alive tonight?!"

The viewers in the live stream chat went wild!

This is absolutely outrageous!!

"Then quickly perform CPR, Dr. Xu!!"

At this moment, Master Shi spoke.

"Teacher Xu, Xiaoxiao, this old lady is pale and quite old. Since it was a car accident, she may have blunt or penetrating chest injuries. We must consider cardiac tamponade!"

Zhang Lingchuan shouted.

He's 58 now.

Two more points and I'll be able to reply.

That means the sixth defibrillation!
Honestly, three defibrillations are already the limit.

Everyone wants to meet a doctor who can perform six defibrillation attempts without giving up.

The countdown above the old lady's head had already reached 50.

In other words, under normal circumstances, the other party only has fifty seconds.

Performing CPR at this point would essentially be tantamount to hastening death.

Cardiac tamponade refers to the accumulation of excessive fluid in the pericardial cavity, leading to increased pressure within the pericardial cavity and thus affecting the normal function of the heart.

Simply put, it means that the heart is beating normally.

But at this moment, it's like being trapped in a bottle, surrounded by liquid, and unable to move normally.

In this situation, the best approach is to perform a pericardiocentesis.

If it's CPR, it will only make someone die faster!

"Holy crap?"

"Good heavens! Cardiac tamponade!"

"My goodness! If it really is cardiac tamponade, this person is definitely going to die even with CPR!"

"I must say, Professor Ogawa's considerations are truly thorough!"

……

Netizens commented.

Especially some doctors who are online.

That was a frantic nod.

hospital.

"Ogawa's suspicion is not without merit!"

Normal people only know that cardiopulmonary resuscitation (CPR) should be performed when the heart stops, but there are also contraindications for CPR.

For example, cardiopulmonary resuscitation (CPR) should never be used in cases of cardiac tamponade.

However, determining whether cardiac tamponade is the most challenging and riskiest decision-making process in the emergency room when a person is in a near-death state with no heartbeat, no pulse, no breathing, and unconsciousness is in danger of death.

Because once a pulseless state (PEA or cardiac arrest) is entered, all surface signs are not obvious, and the external signs of tamponade (Beck's triad) often disappear or are masked. However, if cardiac tamponade can be identified at this time, timely puncture and drainage can pull the patient back from the brink of death.

If it cannot be recognized.

This person is destined to die.

only……

"Cardiac tamponade!!"

Xu Mengli was suddenly startled!
Immediately find the characteristics of Beck's triad!
Although it's not easy to find after cardiac arrest, there are still traces.

For example, jugular vein distension, even without a pulse, indicates that venous return is obstructed, but cardiac output has stopped.

There are also cases where the heart sounds are extremely low or inaudible, but there is still a dull feeling in the chest.

And the rebound sensation during chest compressions is abnormally hard.

Xu Mengli got the hang of it.

As soon as she pressed down, her heart skipped a beat. The old woman's chest had very poor elasticity, and it was highly likely that her pericardial cavity was filled with fluid and could not effectively compress her heart.

In addition to this, she also observed whether the old lady was bleeding.

In the emergency room, if there is no external bleeding in a severe traumatic injury, but there is shock and jugular vein distension, it strongly suggests intracardiac hemorrhage.

"A fluid-filled dark area is visible in the pericardial cavity!"

Yin Xiaoxiao quickly grabbed the portable ultrasound machine, and immediately felt a chill run down her spine, because it was indeed as Dr. Xiaochuan had said—a blockage.

If they had rushed into performing CPR, they would have essentially killed the old woman with their own hands.

"Oh no! It really is cardiac tamponade!!"

Xu Mengli felt a suffocating sensation wash over her.

"Teacher Xu, what should we do! Should we perform a puncture?!"

Yin Xiaoxiao asked.

Puncture is currently the most effective way to save lives.

The effect was immediate.

"First, maintain the airway and oxygen supply, establish intravenous access, and elevate the lower limbs! Keep the chest free and prepare for exposure first aid!"

Xu Mengli took a deep breath and spoke.

It's not that she didn't want to have the puncture.

In fact, not all emergency room doctors can perform pericardiocentesis.

Pericardial effusion puncture is almost always performed by cardiologists. If an emergency room doctor is not a cardiologist, this procedure is generally not performed.

Xu Mengli had studied it.

But her pericardiocentesis technique was really, really amateurish.

I simply don't have the courage to perform this surgery on the patient right now!

During the puncture, if the needle deviates to the right, entering the right atrium or right ventricle too far to the right or too deeply, it can directly puncture the myocardium and cause cardiac perforation! High risk!!

Leftward deviation, spurting hemorrhage, worsening cardiac tamponade, and instantaneous death! Extremely high risk!
If the aspiration is too shallow and does not reach the pericardial cavity, no fluid can be drawn, which is ineffective and a waste of time!

If the needle penetrates too deeply into the pericardium or myocardium, or continues to penetrate the myocardium beyond a depth of 1-1.5 cm, it can cause rebleeding within the pericardium.

In short, it is extremely dangerous!
One wrong step and you're plunged into an abyss!

"Ugh……"

Huang Xiangning sighed.

Actually, there are relatively few emergency outpatient teams that can perform pericardiocentesis.

Because many people who can perform this technique have a background in cardiac surgery.

But how to say it.

Tonight's emergency rescue is already worthy of being recorded in the history of their provincial hospital!
"It's hopeless, we probably won't be able to get this old lady out!"

"The main issue is that emergency room doctors rarely perform pericardiocentesis, and this procedure requires a high level of expertise!"

"I did my best. To be honest, in this kind of situation, death has already been decided."

[Number of viewers watching the provincial TV station's "Medical Path to Success" live stream: 27939.]

The number of viewers in the live stream reached 27,000.

Perhaps it's because of the large influx of people.

Then Douyin's algorithm also provided traffic.

After the stream came in, everyone saw such a frantic emergency rescue scene and stopped in their tracks, which is why the number of viewers skyrocketed.

"Xiaoxiao! Prepare for puncture!!"

Xu Mengli is preparing herself mentally.

Ultimately, she decided to have the puncture done.

Because if a puncture is not performed, this person will definitely die.

Try it yourself no matter what!
"it is good!"

Yin Xiaoxiao nodded.

"Little!"

Right now.

A shout rang out.

The camera pans again.

The motorcycle driver's heart rate has actually recovered!

"Awesome!!"