I Have Unlimited Magic Skills

Chapter five hundred and eighty seventh The senior of medical ethics, ventricular assist

"The answers of the three contestants are all correct. This patient was rushed to the intensive care unit No. 9 fifteen minutes ago. He is currently in a state of malignant arrhythmia and shock. He has been diagnosed with fulminant myocarditis caused by a cold. He is in critical condition. Please three The players immediately led their respective teams to the intensive care unit No. 9 to rescue patients."

As soon as the host finished speaking, the doctors present were all terrified.

Because the prognosis of fulminant myocarditis is extremely poor, it is easy to cause death of the patient.

Many doctors call fulminant myocarditis, aortic dissection, and amniotic fluid embolism the three emergencies with the highest mortality rates.

They are even more dangerous than cerebral hemorrhage.

Because of the cerebral hemorrhage, the doctor will be given some time to rescue them. As long as these three diseases are diagnosed, the family members will be notified of critical illness immediately.

When Jin Leiming rushed to answer, he was extremely fast.

At this moment, when he heard the host tell them to rush into the No. 9 intensive care unit to rescue the patients, he showed embarrassment instead.

Fulminant myocarditis is generally based on supportive treatment. Correction of heart failure, anti-arrhythmia, etc.

As the chief physician of general surgery, he is not particularly good at treating this disease.

On the contrary, doctors in the emergency department and doctors in the intensive care department are more experienced in treating this malignant disease.

"Director Zhang, before you were transferred to the emergency department as the department director, you had been working in the intensive care department. You are more experienced in treating fulminant myocarditis. Can you please go in with me to rescue patients?"

Jin Leiming pleaded.

At this time, Jin Leiming didn't care about face either.

Because he knows very well that the other two opponents are very powerful.

The doctor who answered the question at Yuanyang Hospital just now is John, the chief physician of the Department of Critical Care Medicine. This is an American, a heavyweight doctor hired by the Ocean Hospital who paid a lot of money.

John already has a great reputation in the United States.

There are many medical centers competing to hire him.

I heard that he will give up his excellent job in the United States and go to work in an ocean hospital in Huaguo,

It was also thanks to the coquettish and charming Minister Gu Qian.

She invited John over with her beauty.

Then, after John worked for a while, it was fate. He and Minister Gu Qian did not get together, but fell in love with an ordinary nurse in Yuanyang Hospital without hesitation.

Later, under John's crazy pursuit, the nurse accepted his marriage proposal.

There is only one condition.

Ask John to settle here in China.

Because the nurse is the only daughter in the family, if she follows John to the United States to develop, the family will definitely be worried.

There are many girls from the country of China who, after marrying into the country of America, lead extremely miserable lives. Even worse than a dog, there is no place to complain about being abused and bullied by her husband.

Fortunately, I was able to get divorced and escape back to China.

Unfortunately, no one cares about dying in a foreign country.

After John married the nurse, he really settled down in the magic capital of China. Then he has been working in Ocean Hospital.

There is no doubt about his ability.

Under his leadership, the ICU Department of Yuanyang Hospital is currently the strongest ICU department in Shanghai.

The success rate of rescuing critically ill and extremely critically ill patients is much higher than other tertiary hospitals such as Huier Hospital and Provincial People's Hospital.

Even in the whole country, there are only a handful of critical care medicine departments in Sino-Ocean Hospital.

Not to mention Director Ding Zhengchao of the Department of Critical Care Medicine at Beijing First Hospital. He is an authoritative figure in the Department of Critical Care Medicine in Huaguo.

With two such formidable opponents, how dare Jin Leiming, an amateur in intensive care medicine, compare himself to others?

He had no choice but to ask Director Zhang for help.

"It is my honor to work together with Director Jin to rescue patients." Director Zhang smiled and nodded in agreement.

"Director Xiong, can you come with me?" Jin Leiming only invited Director Zhang from the emergency department, and he was a little worried.

He turned around and invited Director Xiong Shan from the Department of Critical Care Medicine of Wheel Hospital.

Director Xiong Shan is usually rigorous and serious in his words and smiles.

However, his performance has been excellent in the years of working in the intensive care medicine department. Haven't gone wrong yet.

"no problem."

Director Xiong Shan readily agreed.

Since Li Quan became the dean, he has consciously resolved the conflicts in various departments. In particular, the proposal to expand the hospital's territory this time has brought the hospital's cohesion to an unprecedented level.

In the past, various departments fought openly and secretly for nothing more than two points.

One is to snatch wards and various medical resources, and the other is to compete for patients.

In the final analysis, it is to have a higher income and let yourself and your family live a better life.

Li Quan proposed to expand the hospital this time, and advanced the matter at an extremely fast speed, which made every department director of the hospital full of expectations. I see hope.

At that time, after the new medical complex is completed, there will be endless wards.

Do you still need to blush over one or two beds in the hallway?

As for competing for patients, it was necessary in the past.

Especially during the two months when Hezhen became the dean, he tossed and fumbled, which caused the hospital's business volume to shrink sharply.

Departments that were originally full of business volume have tightened their belts one by one. The department, whose business was not very good, fell into despair, waiting to starve to death.

But Li Quan returned to Huier Hospital and reached the sky in one step. After he became the dean, which department of the hospital had the coldest business, as soon as Li Quan made a move, that department quickly came back to life.

For example, the Department of Orthopedics has now become the most popular department in Wheel Hospital.

Therefore, everyone is willing to follow Li Quanqian.

Because I can see good hope and can foresee a better life in the future.

"Anyway, the host didn't strictly stipulate how many people to bring into the arena. It's better to let Dean Li go in with us. Many traditional Chinese medicine methods of Dean Li can be used to rescue patients with fulminant myocarditis.

The effect might be even better than those high-tech instruments. "

Director Zhang suggested.

I don't know if Director Zhang wants to flatter Li Quan, or if he really thinks that Li Quan will be of great help if he follows him.

"I have no opinion!"

Li Quan can also be regarded as able to do more work.

He would follow into the operating room almost every time he answered successfully in Wheel Hospital.

...

A group of people entered the No. 9 intensive care room, and saw that not only all the instruments needed in the ICU ward were arranged here, but also various instruments needed for surgery and inspection, operating tables, shadowless lamps, etc.

It is a combination of intensive care unit and operating room.

The capital is the capital, and the hardware conditions are really enviable.

How much would it cost to buy a combined intensive care unit like this?

You know, the intensive care unit is to give priority to all the resources of the entire hospital, and the top resources, to the patients inside.

Even if there are 30 beds in an ordinary ICU, the hospital still loses money.

Some people even calculated an account, the hospital's intensive care department is a loss-making department.

Even for some patients, the cost of living in it is as high as 20,000 to 30,000 a day, but the Department of Critical Care Medicine still loses money.

The significance of establishing the Department of Critical Care Medicine is really not to make money, but to improve the overall rescue level of the hospital.

Because the intensive care unit is called the last line of defense for patients.

With the existence of this department, the mortality rate in the hospital can be greatly reduced.

When Li Quan and others entered ICU No. 9, John from Yuanyang Hospital and Director Ding Chaozheng from Beijing No. 1 Hospital were already there.

Jin Leiming of Huier Hospital was originally a general surgery doctor, so he acted a bit like a Buddha.

To put it bluntly, it was slow.

John gave Li Quan a cold look, with a hint of hostility in his eyes.

It's exactly the kind of eyes that enemies look at each other.

Li Quan was a little puzzled, he didn't seem to have any contact with this John, did he?

Nor did he rob John's wife.

Where does the Yankee's hostility come from? Do I have a special constitution that pulls hatred?

"For such a serious patient, you are still slowing down. It's completely like a lord. I think your Huier Hospital will be eliminated directly."

John said angrily.

"Hey, let me say Mr. John, haven't you heard that sharpening a knife does not cut firewood by mistake? You came in early, but I didn't see you rescue the patient immediately!"

Director Zhang's words were very sharp.

In a word, John almost choked to death.

"You, you are unreasonable, barbarian!" Even though John has lived in China for many years, the Chinese he speaks is still a bit blunt and obscure.

"The patient is currently suffering from acute heart failure, cardiogenic shock, ventricular tachycardia, and ventricular fibrillation. The situation is very dangerous. We must find a way to defibrillate immediately." Director Ding Chaozheng has checked the patient's condition for the first time and started rescue Work.

However, such an authoritative doctor with a high reputation generally has extremely high medical ethics.

Things in the world are so miraculous.

A person's state of mind can't reach that height, but he has a huge amount of wealth. Not surprisingly, the wealth will soon be wiped out.

The same goes for doctors.

No matter how talented a doctor is and how solid his medical knowledge is, if his medical ethics is poor, his medical skills will never be able to reach the top level.

Because part of his mind will be scattered on other things.

Always put interests first, not medical skills.

For example, rescuing a patient is risky, even if the rescue is successful, there is no great benefit. After weighing the pros and cons, he would automatically choose to give up rescuing that patient.

And the real top medical skills are obtained when rescuing such risky patients.

Therefore, a doctor with bad medical ethics can never become an authority in a certain medical field.

John hates Li Quan, but it cannot be said that his medical ethics is not good.

This is a personal grievance and has nothing to do with medical ethics.

Ventricular fibrillation can cause the heart to stop beating if not treated immediately.

Ventricular fibrillation is also one of the root causes of arrhythmia.

When the science was underdeveloped, there was no effective way to solve the problem of ventricular fibrillation. It's different now, go straight to the defibrillator.

First, clean the skin of the defibrillation site quickly, then return the electrodes to zero and align them with the patient's defibrillation site.

Press the switch.

boom!

After receiving a strong electric shock, the patient jumped up.

Everyone looked at the data on the ECG monitor.

Initial defibrillation did not appear to be particularly effective.

Director Ding Chaozheng touched the patient's carotid artery with his hand and held it still.

It should be checking the patient's pulse.

If the defibrillation is successful, the patient's aortic pulse can be felt.

"Prepare for a second shock defibrillation."

Director Ding Chaozheng looked at the female patient on the hospital bed, his white eyebrows curled into a ball because of the tight frown.

It would be a pity if such a young female patient could not be rescued.

"Director Ding, can you take advantage of this gap and let me feel the patient's pulse?" Li Quan's Chinese medical skills have a way to prolong life.

If it really doesn't work, when the time comes, a dead horse will be treated as a living horse doctor and try traditional Chinese medicine.

Now that he is taking the patient's pulse, he also intends to find out the patient's condition and find out the focus of the disease.

Especially hidden lesions.

In addition, his pulse diagnosis technique and inspection technique, after reaching the level of a master, can be combined to diagnose the patient's impending illness in advance.

In other words, he can accurately predict the direction of the patient's condition.

This ability is only available to those chief physicians with extremely rich experience in diagnosis and treatment.

Li Quan is better than those chief physicians.

Because those chief physicians are completely predicting based on experience. Li Quan, on the other hand, made judgments based on the patient's pulse condition, complexion and other aspects as references.

"Dean Li, don't be restrained. I have seen your excellent performance in the operating room, and I know that you have unique abilities. Now what we have to do is to find ways to save this young female patient. The second competition is life first. .”

Ding Chaozheng's words were not hypocritical or polite.

It's a statement from the heart.

This made Li Quan respectful of Director Ding, who was nearly sixty years old.

"Director Ding is a man of integrity and integrity, and he is a good example for our young doctors to learn from." Li Quan was not completely flattering the other party, but was speaking the truth.

He squatted down and checked the female patient's pulse.

In order to avoid suspicion, he even deliberately pulled up the cloth on the patient's body to cover the patient's upper chest.

Although in the eyes of doctors, men and women are the same, both are patients, there is not much difference.

But in practice, sometimes some male doctors with high morals will consciously act as gentlemen.

Give female patients the utmost respect.

Li Quan carefully diagnosed the patient's pulse condition.

Because the patient's ventricular tachycardia and ventricular fibrillation were very serious, this caused great trouble to his pulse diagnosis.

Ventricular fibrillation is actually a precursor to cardiac arrest.

Director Ding is already installing the machine urgently.

In this case, if the second defibrillation is still unsuccessful, it will become the only magic weapon for the patient to survive.

It can replace the human heart and realize the function of artificial heart outside the body.

It is also one of the advanced instruments often used in intensive care units.

"The patient's pulse condition is extremely poor, and the survival rate is very low." After Li Quan's pulse diagnosis, he lamented in his heart.

Doctors are actually a group of mortals. Sometimes, to save patients, they can only do their best and obey the destiny.

The possibility of this female patient being rescued is very low.

"Director Ding, if possible, I suggest preparing another one immediately"

Li Quan said in a serious tone.

It is a ventricular assist device.

When there is a problem with the ventricle, especially the left ventricle, and the blood inside cannot get out, you can use this instrument to send the blood out.

Because the blood in the left ventricle is not allowed to circulate in time, it is very easy to form a thrombus.

At that time, it will only be more troublesome.

Even if the gods came, they would not be able to save him.

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