421, heart shock
Chapter 403 Heart Shock
Human heartbeat is rhythmic, which is reflected on the electrocardiogram as a repeating QRS-T waveform.
But if you connect an electrocardiogram to the current old man, there is a high probability that you will get a series of irregular wave curves.
For malignant arrhythmias, the resuscitation success rate drops by 7% every minute, and after ten minutes the resuscitation success rate is almost zero.
At this time, Su Jie roughly understood the cause of the old man's sudden arrhythmia, but knowing the cause did not substantially help solve the problem.
The best way to solve malignant arrhythmias is electric defibrillation, which is like restarting a computer after it crashes. Electrical signals are re-sent from the sinoatrial node and everything starts again.
Du Annan's original online name was Sinoatrial Node, which means the beginning of heartbeat.
But there was no such professional rescue equipment at an altitude of 10,000 meters. Su Jie had to find a way to restore his rhythm with his bare hands!
"James, give the old man CPR!"
The thinking time seemed long, but in fact only three or four seconds had passed. When his thoughts were clear, Su Jie immediately directed James to start the rescue.
The two most important rescue measures for arrhythmias are electrical cardioversion and cardiopulmonary resuscitation. When electrical cardioversion is temporarily unavailable, cardiopulmonary resuscitation with high quality and quantity is the most critical rescue link.
James immediately threw off his coat, rolled up his sleeves, straightened his hands, positioned the middle and lower third of the sternum, and pressed to a depth of more than 5 centimeters each time.
Fast and powerful, James' burly body, coupled with his thick and hairy arms, acted on the old man's old and frail body, making onlookers start to worry about whether the old man could bear it.
But this is a truly high-quality cardiopulmonary resuscitation, even if it means pressing the ribs!
It has to be said that James is indeed an expert in cardiac surgery. Whether it is in terms of physical strength or skills, his cardiopulmonary resuscitation is so good that no one can find fault with it.
Su Jie was doing another thing at this time.
I saw James groaning and pressing hard on the old man's heart, while Su Jie squatted next to the old man's head, sometimes pressing the eyeballs, sometimes massaging the carotid sinus, and even pinched the old man's nose like a prank to stop him.
Breathe normally.
"what are you doing?!"
The onlookers nearby couldn't stand it anymore and began to accuse Su Jie.
"Is this guy really a doctor? I had my doubts just now. How could such an old lady make the old man faint with just two taps? His diagnosis is not reliable at all!"
"Yeah, if he was really knocked unconscious, then he just got punched a few times, so why is he still acting like a fine person now?"
"And what is he doing now? That foreign doctor is working so hard to perform cardiopulmonary resuscitation, but he still has free time to touch here and there, and even pinch the old man's nose? My child is even skinnier than him when he is three years old!"
More and more voices of incomprehension came from the crowd of onlookers. However, due to the announcement on the plane just now, several doctors also came to the cabin at this time. After seeing Su Jie's actions, they looked thoughtfully.
said:
“Is this vagus nerve stimulation?”
"Arrhythmia does not require electric defibrillation. It is a good idea to stimulate the vagus nerve to restart the heartbeat rhythm."
"Which hospital does this doctor belong to? Why does it look familiar to me?"
Several grumpy men were originally ready to stand up and teach this naughty young man a lesson, but after hearing the discussion of several doctors nearby, they suddenly sat back down in shame.
It can only be said that there are specialties in the field, especially in high-tech and complex fields such as medicine. It is best for the masses who do not understand to just watch, otherwise they will only do bad things with good intentions.
The rescue operation lasted about five minutes.
Even James, who was as strong as an ox, was sweating profusely and his arms were shaking after five minutes of high-intensity cardiopulmonary resuscitation. Fortunately, a doctor immediately took over his work, allowing him to lean aside and breathe a little.
tone.
Su Jie also made breakthrough progress in stimulating the vagus nerve. The pale old man, who had been keeping his eyes closed, gradually regained consciousness. He opened his eyelids and his eyes gradually became focused. This was an important sign that the arrhythmia was resolved.
"It's working!"
Several onlookers keenly noticed signs of improvement in the patient, and smiles of surprise suddenly appeared on their faces.
"Old Wu? Old Wu?"
The old lady has been kneeling beside the old man. Although she has no medical knowledge, she can feel every subtle change in her husband who gets along day and night.
"Old Wu, are you awake?!"
The old lady held the old man's hand tightly and called out in surprise and joy.
The old man's right eye opened a crack, glanced at the old lady, and then slowly closed it again. It seemed that he heard his wife's call?
At this time, Su Jie stood up and said to the flight attendants: "You have a rest room, please carry the old man over there to rest. How long is it until landing?"
A flight attendant quickly replied: "There are still about twenty minutes left. The ambulance personnel have been contacted. The plane can be transferred to the nearest hospital as soon as it lands."
"Um."
Su Jie nodded, leaned over and listened carefully to the old man's heartbeat, and then asked several flight attendants to carry the old man to the lounge. He and James followed behind to prevent any accidents during the transfer.
The old man has no organic heart disease. The sudden arrhythmia this time was completely due to bad luck. Now that the arrhythmia problem has been resolved, there should be no more secondary arrhythmias in a short time.
Go rest, rest, wait for the plane to land and go to the hospital to recuperate for a while, you should be able to recover.
‘Papa pa pa’
Just as everyone was carrying the old man to the lounge, someone in the cabin took the lead in applauding. Then the light raindrops caused heavy rainfall, and the applause fell like a downpour.
"Amazing!"
"Rescue at a distance of 10,000 meters is like a plot in a medical drama!"
"This young doctor is so handsome. I wonder if he has a girlfriend..."
The applause accompanied Su Jie and his party, and it gradually subsided until they walked through the long cabin aisle.
After arriving in the lounge and settling the old man down, Su Jie and James observed the old man's condition for a while. After confirming that the arrhythmia had completely improved, they were ready to leave.
At this moment, the old lady suddenly grabbed Su Jie's arm and asked nervously: "Su, Doctor Su, you just said that Lao Wu suddenly fainted because I hit him a few times. Is that true?"
Su Jie looked at the old man with red eyes and panicked eyes like a kid who made a mistake. He paused for a moment, then shook his head decisively: "No, you heard wrong. How could you possibly hit someone with such light punches?"
What about being knocked unconscious?”
"Then, why did Old Wu faint suddenly?" The old lady breathed a sigh of relief after hearing this, but then asked with some doubts.
"There are many causes of sudden illness. The old man is already so old this year, and there will always be problems with the aging machines. I will go to the hospital for a comprehensive examination after getting off the plane to see if anything can be found.
Let the problem go away." Su Jie comforted softly.
"Okay, okay, thank you Dr. Su. I am really grateful to you today." The old lady expressed her gratitude again and again.
Su Jie and James turned around and left, walking in the deserted aisle. James finally found an opportunity to ask the doubts in his heart: "What's going on? You didn't tell the truth just now, maybe to comfort the old man."
"Can a few light punches knock someone out of arrhythmia?"
The old lady is easy to fool, but as a cardiac surgeon, James is not so easily fooled by Su Jie's lies.
Judging from Su Jie's on-the-spot diagnosis, the cause of the old man's sudden arrhythmia was obviously inextricably related to the old woman's punches.
But Su Jie was obviously punched several times, but nothing happened. Even if the old man was not as strong as the young man, he wouldn't be directly beaten into arrhythmia.
Su Jie shrugged his shoulders and replied: "If the timing and strength are not so coincidental, there is indeed a chance."
"?" James looked at Su Jie in surprise.
"Heart shock, when the shock stimulus happens to fall within a certain "sensitive" period of the heart cycle, it may induce abnormal heart rhythms and even lead to sudden cardiac death."
Chapter completed!