I Can See Health

In the elevator.

"It's true in the hospital's logistics department. This elevator is always broken. Why don't you find a time to check it out?"

He Sirong looked at the patient on the bed and couldn't help but say.

"The hospital has too many people, and it is overloaded almost every day." Jiang Qingyan said softly, "Not only our second hospital, but also the situation in several other affiliated hospitals is similar. The elevators often break down."

Lu Chen didn't talk to anyone. He stared closely at the patient on the bed.

Pay attention to the changes in various vital signs on the bedside ECG monitor, as well as the changes in the health value on his head.

Suddenly, the health number on the patient's head jumped.

Jumped from 51 to 49!

Lu Chen's heart sank to the extreme.

Just one minute has passed since the ten minutes the logistics staff just said!

"Well...well..."

Suddenly, on the hospital bed.

The patient's breathing became more rapid, from 30 times/min to 40 times/min!

The blood oxygen saturation suddenly dropped from 91% to 85%!

The heart rate increased from 110 beats/min to 125 beats/min!

"This... patient... he... he..."

He Sirong's face turned pale.

Lu Chen and Jiang Qingyan also noticed the patient's abnormality immediately.

"Don't panic! Take the patient's blood pressure!" Lu Chen said to Ke Yue.

Ke Yue was at the bedside of the hospital bed, closest to the electrocardiogram monitor.

She nodded immediately, then leaned down and pressed the button on the ECG monitor to measure blood pressure.

At the same time, Lu Chen tightened the patient's oxygen balloon to make the oxygen flow flow faster.

"Jiang Qingyan, call Senior Sister Guoguo again, tell us the situation inside, and ask her to help contact the logistics staff outside!" Lu Chen said to Jiang Qingyan.

"good!"

Jiang Qingyan immediately took out her mobile phone and called Sun Guoguo.

At this time, the blood pressure measurement of the ECG monitor ends.

Blood pressure 80/45mmHg!

Oops!

Shocked!

Seeing this blood pressure, everyone present felt that something was wrong!

Lu Chen immediately approached the elevator door, patted the elevator, and said loudly: "How long will you be outside? The patient's condition has worsened!"

"Ten minutes more!"

The sound coming from outside made everyone in the elevator feel particularly heavy.

According to the patient's current condition, whether he can survive five minutes, not to mention ten minutes, is a question.

Moreover, no matter what treatment method is used now, except for pericardiocentesis, any other treatment measures are only symptomatic treatment and cannot solve the root cause of cardiac tamponade.

"He Sirong, the patient has severe symptoms of cardiac tamponade and is in cardiogenic shock!"

He Sirong also saw something was wrong with the patient's condition.

"Speed ​​up the liquid."

"Lu Chen, what should I do if I can't get out now?"

He Sirong stared at Lu Chen closely.

Jiang Qingyan and Ke Yue also looked at Lu Chen.

Faintly, several people were led by Lu Chen.

Lu Chen did not answer He Sirong, but turned to look at Jiang Qingyan.

"Have you contacted Senior Sister Guoguo?"

"Contacted!" Jiang Qingyan took the phone, nodded, and then turned on the phone's speaker function.

…

At this time, Sun Guoguo had already arrived at the door of the elevator on the third floor.

Time has just passed, 2 minutes have passed.

"Junior sister Jiang, how is the situation inside?"

"Sister, the patient is unstable, and his blood pressure and blood oxygen saturation have dropped!"

Sun Guoguo raised his eyebrows.

Shocked!

"Hang up the phone, let's call on WeChat and let me see the patient!"

"good!"

Jiang Qingyan's hands and feet were very quick. She immediately hung up the phone and opened WeChat.

Dial Sun Guoguo’s WeChat number.

Jiang Qingyan pointed her mobile phone camera at the patient on the hospital bed.

Sun Guoguo saw the patient's condition clearly.

"Blood pressure and oxygen saturation are progressively decreasing!"

This can't go on like this!

No one can guarantee that the patient can survive 10 minutes?

She turned to look at the elevator support staff aside.

"Brother, can you force the door open now?"

The logistics staff immediately shook their heads: "It's not possible yet. We haven't completed the maintenance yet, and the elevator door can't be opened."

When Sun Guoguo heard this, he was extremely anxious!

"If this patient does not undergo pericardiocentesis immediately and relieve the compression, he will die at any time!"

…

In the elevator.

Everyone is also aware of the current situation.

There are still seven minutes until the logistics staff opens the door.

But given the patient's current condition, every minute he spends is lucky!

Waiting for another seven minutes is like putting one foot in the doorway of the morgue.

On the hospital bed, the patient's symptoms of dyspnea were getting worse and worse.

Blood oxygen is getting lower and lower!

The health value on his head suddenly dropped from 49 to 42!

However, Lu Chen and others could only watch the patient's condition worsen!

…

At this moment.

In the elevator area on the third floor of District 8, a group of people suddenly came quickly.

The leaders were Li Yao, director of the Department of Cardiology, and Lin Cui, deputy director, followed closely by Dr. Yin Xinhua.

After they learned about this, they rushed to the third floor as soon as possible.

"Guoguo, how's the situation?"

"not too good!"

At the elevator door, Sun Guoguo handed the phone to Li Yao.

Li Yao saw the patient's condition and understood the seriousness of the matter.

If pericardiocentesis is not performed immediately, the patient will probably go into shock and die!

"Can't open the door?"

"It will take another seven or eight minutes!"

There were about ten people present, but it was extremely quiet.

Faced with this situation, everyone had their hearts in their throats.

"Can you open the elevator door just a crack?"

At this time, Chief Physician Lin Cui suddenly spoke.

The logistics staff paused and discussed with each other.

"Yes, but it's only about 10cm."

"Okay, that's enough." Lin Cui nodded.

Li Yao frowned and looked at Lin Cui, "Are you thinking..."

Before she finished speaking, Lin Cui nodded.

"One of my graduate students, He Sirong, is in the elevator right now. She knows pericardiocentesis! She once served as an assistant and completed many punctures."

"I want to hand her the pericardiocentesis tool directly and let her operate it inside!"

"Blind penetration?" Li Yao frowned.

Lin Cui nodded, "The patient has a large amount of pericardial effusion, so blind puncture should not be difficult!"

Time was tight and there was no time for Li Yao to think about it.

"Okay! Let her do the puncture!"

"Don't worry, Director Li, if something happens, I will bear all the responsibilities!" Lin Cui said solemnly.

Li Yao glanced at Lin Cui, "I am the ward director. This is my decision and I will bear it!"

Lin Cui paused and said nothing.

By this time, a doctor had already gone to the CCU and brought back the pericardiocentesis kit.

…

In the elevator.

Lu Chen and others also learned the news.

Outside, Director Li Yao and Lin Cui decided to let He Sirong undergo a heart kit puncture!

The logistics staff opened a 10cm opening in the elevator door and handed the pericardiocentesis kit in!

He Sirong took the puncture bag, his hands shaking slightly.

This is blind penetration!

She had indeed undergone pericardiocentesis before, but it was all done under ultrasound guidance with the guidance and help of a superior doctor.

Under the guidance of ultrasound, the puncture point and location are extremely easy to select, and knowing the situation in the pericardium, the puncture direction can be changed at any time.

But now, it’s blind penetration!

It's like walking in the middle of the night when you can't see your fingers. You can only rely on your familiarity with the road and be tentative step by step!

He Sirong put on gloves and placed the puncture tools.

The patient's chest puncture was completely exposed and disinfected three times!

Take lidocaine anesthetic and go to the puncture site.

He Sirong took a few deep breaths, but his hands were still shaking a little.

…

Outside the elevator.

Everyone is watching the entire operation through video calls on their mobile phones.

"Xiao He, puncture under the xiphoid process! This position is safer!"

Lin Cui reminded.

Li Yao stared at the video and frowned.

This kid is so nervous!

My hands are shaking!

Although she was separated by the camera, she still noticed this keenly.

This is not okay!

What if the puncture needle enters the pericardium and accidentally punctures the heart during hand examination? What a disaster!

Lin Cui also noticed this.

"Xiao He, don't be nervous, just do what you usually do!"

But the more he was reminded like this, the more nervous He Sirong became in the elevator!

She found the puncture point under the xiphoid process, but the needle was not inserted!

On the hospital bed, the patient's symptoms are getting worse and worse!

The blood oxygen saturation even dropped to 80% at one point!

"He Sirong, calm down!" Lu Chen said solemnly from the side.

He Sirong's face turned pale.

Looking at the patient in front of me, I kept thinking, what if the heart was stabbed?

What if you poke your liver?

What if it fails and the patient dies?

He Sirong hesitated and did not take the injection!

But on the hospital bed.

The patient was breathing heavily, and his blood pressure and blood oxygen saturation were progressively declining!

"Let me do it!"

At some point, Lu Chen had already put on his gloves and stood beside He Sirong.