Plague Doctor

"Ajun's spontaneous heartbeat and breathing stopped for two hours and five minutes. He underwent defibrillation, epinephrine injection, intubation, and continued chest compressions."

The propellers rumbled, and in the ambulance cabin of the rescue helicopter, Uncle Dan quickly gave an overview of the situation to his colleagues in the rescue team, which was also dominated by members of the Tianji Bureau.

Liu Mingfeng, an expert from the emergency department of the headquarters medical department and now a member of the spell department, serves as the captain. This middle-aged man in his forties knows Gu Jun and Uncle Dan, but he is responsible for logistical rescue work. Liu Mingfeng listened while checking the vital signs of Gu Jun who was fixed on the stretcher.

This time the task force did not lose any supplies and equipment after entering the alien space. The portable defibrillator and portable ventilator were still there, so the quality of the on-site first aid CPR was very high. Resuscitation drugs were given, electric defibrillation was performed, and endotracheal intubation was performed. He was ventilated by a ventilator and continued chest compressions...Uncle Dan and the others had done everything they could.

only……

The pupils on both sides were dilated, the light reflex disappeared, and all muscle reflexes in the body disappeared. The electrocardiogram now showed no spontaneous heartbeat.

It's been 125 minutes.

Uncle Dan said that the situation after the decisive battle was that they took a while to resume action, so they started rescue operations within about 6 minutes after Gu Jun's cardiac arrest. In this way, even with high-quality CPR, the success rate was only about 10.

The current international standard is that if the patient has not recovered after performing CPR for more than 30 minutes with bare hands, the patient can be declared dead.

If the heart stops for more than 5 minutes, the brain cells will begin to suffer irreversible damage due to the prolonged interruption of blood supply to the brain. Brain death is the reason why some patients become vegetative after being rescued with heartbeat and breathing.

Gu Jun also had an obvious skin laceration up to 5 centimeters on the right side of his forehead. The local skin was swollen and bruised, and the right eyeball was congested. There was a possibility of craniocerebral injury.

Compared with these two injuries, the multiple fractures in his limbs were not serious.

The situation is very pessimistic.

The body on the stretcher that Liu Mingfeng and the others faced could basically be called a corpse.

"He's not dead yet." Wu Shiyu, who was standing aside, said firmly. She was still holding the dissection instruments. "I can feel that he is not dead yet."

Uncle Dan knew that this situation was particularly difficult for Miss Wu. She was the one who led the old seal and destroyed the exotic banyan tree...but her mental state was still stable.

No matter how anyone feels, the rescue team never thinks of giving up. Their job is to fight for life with death.

Moreover, although it is rare, it is not uncommon for patients whose heartbeat has stopped for two or three hours to be revived in ordinary hospital emergency rooms, or even patients with cerebral hemorrhage. Gu Jun is not an ordinary person, and they have the best medical resources to use.

The other two injured, Deng Ximei's condition was milder, and Xue Ba's condition was more serious and earlier, but the quality of the on-site CPR was very high, so they could not give up.

At the same time, Zhang Huohuo continued to perform chest compressions on Gu Jun. A nurse immediately wrapped an ice cap on Gu Jun's head to cool him down, and another nurse inserted a urinary catheter into him. Liu Mingfeng and Uncle Egg all looked at the transparent urine bag nervously. If there was urine in the first aid, there would be a chance. If there was no urine diversion, it would basically be impossible to save.

When the urinary catheter is opened, you will see dark yellow-brown urine flowing out of the urinary catheter and pouring into the urine bag.

"There's a chance, there's a chance!" Uncle Dan couldn't help but exclaimed with excitement. Everyone's spirits were lifted, and Wu Shiyu's complexion also improved.

"Yes, we can still be saved. Record the urine volume." Liu Mingfeng said decisively to the nurse. The urine may have existed in Gu Jun's bladder before he became unconscious, but it is always a good thing to have urine. He added: "The ship has prepared It’s time to get ecmo, just do it as soon as you get there.”

ECMO is extracorporeal membrane oxygenation. The principle is to use tubes to connect the patient's veins to related artificial heart and lung equipment, lead the venous blood to the oxygenator for artificial oxygenation, and then the power pump returns the oxygenated blood to the patient's body. Maintain organ function and aid cardiopulmonary resuscitation.

This kind of extracorporeal circulation can completely replace the heart and lungs in a short period of time, and can be said to be the last resort in critical emergency.

However, because the equipment is expensive and the operation technology is difficult, it requires a specially trained ecmo team to have the equipment. Therefore, not every tertiary hospital in China can do ecmo, and there are very few mature teams. But these are not problems for the rescue team on standby on the destroyer.

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

With a team of hundreds of experts and professors from many disciplines, some on site and others connected remotely, this ecmo must be completed quickly.

Whether Gu Jun still lives or not, he depends on this now.

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

Xue Ba will also perform ecmo to save her.

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

When Uncle Dan recalled the situation at that time, he felt a little horrified, "It was Arjun who gathered the dark forces together, and he was basically swallowed up. Only then did we have a chance to fight back and win. This was also the reason why he fell from a high altitude, and these fractures and forehead This is how the damage to the body came about.”

The old spiritual seal was also applied and the purification stone was used, which showed that Gu Jun had not been eroded by the spirit.

It’s up to Wu Shiyu to talk about the feeling, “I don’t feel it. The dark power almost swallowed him up for a time... But in the end, those powers were dispelled. His taste is still salty, not that salty, but

Still salty, that's him. "

Liu Mingfeng and others nodded, hoping not, otherwise there would be too many unknowns in the situation.

Less than five minutes after taking off from the island, the helicopter landed on the deck of the destroyer. They immediately carried the stretcher carrying Gu Jun out and put it on the first aid bed. The pick-up personnel who had been waiting on the deck pushed the first aid bed to the ship. I rushed away from the ECMO operating room, and the chest compressions continued without stopping.

One minute earlier or one minute later may determine whether the patient lives or dies.

The mobile task force's frontline battle is complete, and their logistics battle has just begun. They must go all out to win.

At the command center, Tong Ye, Yao Shinian and others all looked at the rescue scene through the big screen with their expressions on their faces.

Soon, Gu Jun was pushed into the ecmo operating room. The nurse changed his uniform into a hospital gown, and the already prepared surgical team started immediately.

The first step is to perform femoral artery and vein cannulation, which is also the most important and difficult step in the operation.

While continuing chest compressions, they had to make a small hole in Gu Jun's thigh, find his femoral artery and vein, complete the cannulation, and then use thick and long connecting tubes to connect to the ECMO machine. If this step is not done correctly, it will cause the patient to haemorrhage, which will not only delay the first aid time, but also make the situation worse.

At this time, the shadowless lamp illuminated, and under the guidance of ultrasound, more than a dozen doctors and nurses in blue sterile surgical gowns worked around Gu Jun, who was lying flat on the operating table.

Love the Plague Doctor.