Plague Doctor

Chapter 337: ECMO

"A Jun stopped breathing spontaneously for two hours and 5 minutes, had defibrillation, beat epinephrine, inserted the tube, and kept doing chest compressions."

The propellers thundered, and in the rescue helicopter's ambulance cabin, Uncle Egg quickly told the colleagues of the rescue team about the general situation, and the team was also mainly staffed by the Tianji Bureau.

Liu Mingfeng, an expert from the Department of Emergency Medicine of the Headquarters Medical Department and now a member of the Curse Department, served as the captain. The middle-aged 40-year-old man knew Gu Jun and Uncle Egg, but he was only responsible for logistics. While listening, Liu Mingfeng was doing vital signs examination for Gu Jun fixed on a stretcher.

The contingent did not lose supplies and equipment after entering the different space. The portable defibrillator and portable ventilator are still there. Therefore, the CPR of the first-aid site is of high quality, the resuscitation medicine is given, the shock is defibrillated, and the tracheal intubation After being ventilated by the ventilator, keep pressing the chest ... Uncle Egg they have done everything they can.

just……

The pupils of both sides are dilated, the reflection of light disappears, and all reflections of the muscles of the whole body disappear. Now the connected electrocardiogram also shows involuntary heartbeat.

It has been 125 minutes.

Uncle Egg said that the situation after the decisive battle at that time was that they delayed for a while to resume the operation, so it was about 6 minutes after Gu Jun's cardiac arrest began to rescue, so that even high-quality CPR, the success rate is only about 10%.

The current international standard is to perform cardiopulmonary resuscitation with bare hands for more than 30 minutes. If the patient has not recovered, he can be declared dead.

And the heartbeat stops for more than 5 minutes. Due to the long interruption of blood supply to the brain, brain cells begin to have irreversible damage. Brain death is the reason why some patients rescued and returned to heartbeat and breathed, but became vegetative.

Gu Jun also had obvious skin lacerations up to 5 cm on the right forehead, local skin swelling and bruising, and congestion on the right eye, possibly with craniocerebral injury.

Compared to these two injuries, the multiple fractures of his limbs did not seem to matter.

The situation is very optimistic.

Liu Mingfeng The body on the stretcher they faced can basically be called a corpse.

"He's not dead yet." Wu Shiyu standing on the side said firmly, she was still holding those anatomical instruments, "I can feel that he is not dead yet."

Uncle Egg knows that this situation is particularly difficult for Miss Wu. It is she who led the old seal to break down the banyan tree ... but her mental state is fairly stable.

Regardless of who feels, the rescue team never thought of giving up, their job was to compete for life with the **** of death.

Moreover, although it is rare, it is not uncommon to rescue patients who stopped their heartbeat for two or three hours in the emergency room of a general hospital, or even patients with cerebral hemorrhage. Gu Jun is not an ordinary person, and they have the best use of medical resources.

The other two wounded, Deng Ximei, was in a lighter situation, Xue Ba was heavier and earlier, but the quality of the on-site CPR was very high and could not be given up.

At the same time, Zhang Huohuo continued to do chest compressions to Gu Jun. A nurse immediately wrapped Gu Jun's head with an ice cap to cool down. Another nurse inserted a catheter into him. Both Liu Mingfeng and Uncle Egg looked nervously at the transparent urine bag. There was a chance for urine in first aid, and basically nothing could be done without urine.

As soon as the urinary catheter passed, a dark yellowish-brown urine was seen leading out of the urinary catheter and pouring into the urine bag.

"There is a chance, there is a chance!" Uncle Egg suddenly felt excited and excited, everyone's spirits were excited, Wu Shiyu's complexion also improved.

"Yes, there is also salvation, remember the amount of urine." Liu Mingfeng decided to the nurse, the urine may also exist in the bladder before Gu Jun coma, but urine is always a good thing, and said: "The ship is prepared over there It ’s good to do ECMO, just do it in one go. "

ECMO is extracorporeal membrane oxygenation. The principle is to use a tube to connect the patient's vein to the relevant artificial heart and lung machine equipment, lead the venous blood to the oxygenator for artificial oxygenation, and then the power pump will return the oxygenated blood to the patient. Maintain organ function and help cardiopulmonary resuscitation.

This cardiopulmonary bypass can completely replace the cardiopulmonary in a short period of time, and it can be said to be the last hand of critical emergency.

However, because the equipment is expensive and the operation technique is difficult, the ECMO team with specialized training is required for the equipment. Therefore, not every domestic top three hospital can do ECMO, and there are few mature teams. But these are not the problems of the rescue team on standby on the destroyer.

Cardiology, cardiac surgery, interventional department, emergency department, anesthesiology, neurosurgery, neurology, orthopedics, respiratory and critical medicine ...

A team of hundreds of experts and professors in many disciplines, some are on site, some are connected remotely, this ECMO must be completed quickly.

Gu Jun still has this life, now count on this.

As long as ECMO is connected, even if Gu Jun is really a corpse, he will not be allowed to rot so quickly.

Xue Ba will also do ECMO to save.

"Is the patient's coma affected by abnormal power?" Liu Mingfeng asked again.

When Uncle Egg recalled the situation at that time, he was a bit creepy, "It was Ah Jun who gathered the dark forces together, he was basically devoured, and we had the chance to fight back. It was also the same that caused him to fall from high altitude. That's how the damage came to ~ lightnovelpub.net ~ The old spiritual seal has also been printed, and the purification stone has also been used, which shows that Gu Jun has not been eroded by the spirit.

This is what Wu Shiyu said, "I don't feel it. The dark power almost swallowed him ... But in the end, those forces have been dispelled. His taste is still salty, not so salty, but still It's salty, it's him. "

Liu Mingfeng and others nodded, hopefully not, otherwise there will be too many unknowns.

It took less than five minutes to take off from the island. The helicopter landed on the deck of the destroyer. They immediately took the stretcher carrying Gu Jun out and put it on the emergency bed. The pick-up staff waiting on the deck pushed the emergency bed to the ship. The ECMO operating room flew away, and chest compressions could not stop.

One minute early or one minute late may decide whether the patient is dead or alive.

The battle on the front line of the Mobile Task Force is complete, and their logistical battle has just begun, and they must win with all their strength.

At the command center, Tong Ye, Yao Shinian and others all stared at each other and looked at the rescue scene through the big screen.

Soon, Gu Jun was pushed into the ECMO operating room, the nurse changed his uniform to a sick one, and the already prepared surgical team immediately started.

The first step is to do femoral arteriovenous catheterization and catheterization, which is also the most important and difficult step for surgery.

While continuing chest compressions, they had to make a small hole in Gu Jun's thigh, find that his femoral artery and femoral vein were all intubated, and then connect the ECMO machine with a thick and long connecting tube. If this step is not good, it will lead to heavy bleeding, which not only delays the time of first aid, but also makes the situation worse.

At this time, the shadowless lamp was illuminated. Under the guidance of ultrasound, a dozen doctors and nurses wearing blue sterile surgical gowns were busy with Gu Jun lying on the operating table.