Great Doctor Ling Ran Chapter 406
407 Try Your Bes
Perhaps she cried too loudly, but Old Hu's wife quickly grew weary.
She stood outside the glass door so long that she felt exhausted. She could only lean against the door and look into the room helplessly.
For her, the accident today too heavy of a burden.
Perhaps for anyone, accidents related to life and death always weighed heavily.
Ling Ran continued performing chest compressions. Every five minutes, he requested an injection of epinephrine, atropine, and lidocaine.
5 ounces of sodium bicarbonate was also injected into the vein, but still to no avail.
It was still very noisy in the area. The medical staff, police officers, and patients coming and going made the environment of the resuscitation room heat up like a stove in the desert.
Even Ling Ran felt the heat.
He had to perform one hundred chest compressions every minute, all of them must be performed accurately and released on point. His hands could not leave the patient's chest either. People who had not been trained before would find it hard to control their strength, especially those who never had any hands-on experience in performing chest compressions on real people. When they truly needed to perform CPR, they would find it hard to perform chest compressions accurately.
However, even if they received training, the huge demand in stamina was still a big challenge for the rescuer.
"Doctor Ling, do you need someone to take your position?" Nurse Niu jogged over and asked softly.
"I'm still alright," Ling Ran answered briefly. He had to conserve his energy. He tried his best to adjust his breathing in order to guarantee his consistency in performing the chest compressions.
Chest compressions was the most crucial step in the process of CPR.
Compared to that, any medicine, instruments, or surgical skill would not come close to producing a similar effect.
Meanwhile, high-quality chest compressions was also the best support for a high-quality CPR.
Ling Ran hoped that he could persist longer.
In fact, if it not for the fact that everyone else was occupied, Ling Ran could take the position of the commander of this CPR.
However, if he gave away his position and performed CPR together with the other doctors, having one or two doctors working with him might not be enough.
Ling Ran definitely could not ask such a high number of doctors to use so much of their stamina and mental strength at such a tense moment.
Besides, Ling Ran believed that he could last.
When any doctor or anyone performed CPR on another human, he or she could always persist for a very, very long time
"Doctor Ling, it has been twenty-five minutes." Nurse Niu reminded him in a low voice.
"Okay," Ling Ran answered softly.
Nurse Niu thought for a while before she suggested and said, "Should we use a mechanical ventilator?"
At this time, the ventilator used by the young nurse who had been performing artificial respiration for twenty-five minutes was a simple ventilator, which was a manual ventilator with a big ball-valve attached to it.
The effect of artificial respiration by a mechanical ventilator was much better. However, it was not usually used for CPR.
Meanwhile, Ling Ran nodded in praise. "Using a mechanical ventilator is a good idea, take note of the changing time."
Nurse Niu nodded. Then, she immediately got someone to pull a mechanical ventilator over.
The artificial airway had been opened since the beginning. Nurse Niu skillfully adjusted the mechanical ventilator and connected the tracheal tube. She did not waste any second in doing so.
After doing this series of actions, Nurse Niu reported to Ling Ran. "It has been thirty minutes."
Ling Ran still replied with just an okay.
He knew what Nurse Liu meant. If any CPR went over twenty minutes or thirty minutes, they could already lay their hands off.
If this was ten years ago, most countries and local hospitals would think continuing with CPR after it had been performed for twenty minutes was not necessary. for visiting.
In fact, Americans rarely conducted prolonged CPR .
But this was associated to their medical and healthcare system.
In American hospitals, the family could just leave the vegetative patient alone in the hospital without taking care of him. The hospitals would have to bear tens of thousands of USD as a medical cost to take care of the patient each year. This had resulted in hospitals sending the vegetative patient to other hospitals. The big hospitals who had to bear with high costs in treating these patients would use an air ambulance to transfer the patient to hospitals who bore a lower operating cost, and these hospitals who transferred the patients would pay tens of thousands of USD as a medical cost to the other hospital to treat the patient.
In this kind of environment, if the hospitals of America supported performing prolonged CPR, it meant the hospital would have to admit many vegetative patients every year.
Therefore, in order to let the patients pass away with dignity, hospitals in America did not encourage prolonged CPR. The doctors were taught in this manner as well, therefore, prolonged CPR cases were rarely seen.
Meanwhile, in China, the cases where medical staff carrying out prolonged CPR increased.
Although the success rate was usually as low as 0.01%, this was the only way that could bring back the patient's life.
Ling Ran knew that at this moment, he was the only hope for Old Hu.
If Ling Ran gave up, no other doctor would come up and continue with the CPR.
By that time, he could only announce the death of the patient.
But if he continued to do it, there would still be a 0.01% chance at saving the patient.
A person must have fought countless times in his life for something which had a lower than 0.01% chance in achieving success.
With that thought in mind, right now, it would be easier for others to understand why a person would work so hard to save another life even though the success rate was lower than 0.01%.
A nine-year-old boy in adult clothes stood outside the glass door. He wept while shouting loudly.
"Dad is inside, we'll wait outside." A chubby woman held her son, and she looked like she wanted to cry, but she dared not cry.
"What's wrong with dad?" The nine-year-old boy was very obedient and mature. But right now, he hoped the adults could deny his assumptions.
The chubby woman patted his shoulder gently and said, "Dad fell down from the tower crane"
"Don't say these to your son!" The one who stood at the right was the patient's mother. Her old face turned red in anger, and she took this opportunity to vent her anger. "He is your husband, and you want to curse him to death? You shouldn't have let me bring him over. Why did you bring him here?"
His daughter-in-law did not confront her like she always did. She only said, "I wanted Chuan'er to take a look at his dad."
"It would be the same when he looks at him at home." The patient's mother suddenly did not sound that angry anymore. She spoke as if she was begging. "It's the same for him when he visits his dad in the ward later."
The chubby women continuously patted her son lightly, as if he was lying in a cradle. She said, "Chuan'er, your dad takes the night shift in the construction site to earn money for our rent and your school fees. In the future, you must study well so that you can work in the office, not under the hot sun and heavy rain. You also wouldn't fall down from the tower crane"
"You" Old lady was angry and anxious. She looked at her daughter-in-law as if she had hysteria. She immediately pulled her grandson to her side and said, "Stop spewing nonsense, my son my son"
The old lady wanted to say something auspicious. However, the scenario that she saw through the glass door made her unable to say those words.
Ling Ran still maintained his frequency of performing one hundred to one hundred and twenty chest compressions per minute on the patient's chest.
Even if he had the Perfect Level CPR, he could not guarantee that he could keep it up after so long.
What Ling Ran could guarantee was that the depth of every chest compression was the same and the chest wall returned to the same position every time.
Time passed slowly.
When he requested for an intravenous injection again, Huo Congjun came before Ling Ran.
"It's going to be one hour soon," Huo Congjun said.
When he heard Huo Congjun's voice, Ling Ran answered without raising his head, "The patient is only thirty-two years old. He has no prior illnesses, and he's healthy. I think continuing CPR will allow the patient to benefit the most."
Huo Congjun was speechless.
Continuing CPR will naturally enable the patient to benefit the most, and giving up on CPR will led to an announcement of death.
Huo Congjun glanced around. As the doctors from every department arrived, the flurry of activity in the emergency room eased down slightly. Although there were still patients being sent over from the construction site, the total number of patients had been reduced.
Huo Congjun sighed in relief and said, "You make the judgment."
"Alright," Ling Ran answered, but his actions did not change at all.
At this moment, Lu Wenbin finished his work and walked over quickly. He said in a low voice, "Doctor Ling, I'm here to help you."
"Get ready to give him more shocks." Ling Ran gave a direct order.
"Oh Okay." Lu Wenbin took a few seconds to respond. Then, he picked up the electrode.
"200 Joules." Ling Ran instructed.
Lu Wenbin repeated. "200 Joules, clear."
The defibrillator released the electric current gently.
Ling Ran did not even look. He just continued with his CPR.
The shorter the interruption during the CPR, the better it would be. CPR was a logistic support provided to the body using external strength. The more and longer interruptions the logistic support suffered, the easier it would be for the body to suffer multiple problems.
The ECG monitor suddenly released some sounds, and it attracted everyone's attention.