NovelTags Chapter 409
Chapter 409
Time, a few more days.
The discussion of "Salalus syndrome" has become more and more controversial within Harmony Hospital.
Many doctors feel that they should save their patients for a few extra minutes.
But many doctors feel that in hundreds of thousands or millions of cases, there may not be once, there is no need, and it is a waste of time.
Of course
These discussions are internal discussions and do not reach the outside world, otherwise there would be a lot of ethical fishing vessel pressure.
However, the hospital also made several suggestions in the end:
1. Cardiac resuscitation should last at least 20 minutes.
2. Try to avoid high intrathoracic pressure and excessive inflation during ventilation.
3. Since transient cardiac arrest may occur after defibrillation, it should be carefully considered whether to give up resuscitation immediately after defibrillation failure.
4. During the treatment of refractory cardiac arrest, if there is a possibility of heart rhythm recovery, the compression should not be stopped.
5. It is recommended to extend the ECG monitoring time after the termination of resuscitation from 5 minutes to 10 minutes.
Recommendations issued,
The discussion suddenly became much less.
And so it went, but it also had a more or less impact on the operating room.
......
A new day,
Lin Feng worked the day shift and came to the hospital early.
First of all, ward rounds, "Salar syndrome" patients have recovered a lot after 5 days of treatment at this time, and can get out of bed and walk.
Then go to the clinic and open the consultation.
But at this moment...
Bell bell bell ~~~~
Lin Feng's mobile phone suddenly rang.
Stranger......
Lin Feng's mobile phone number has always been relatively private, and there are very few calls from insurance, banks, advertisements and the like.
Pick up.
"Hello..."
"Lin Feng!!"
An excited voice sounded from the other side.
A bit of a strange sense of familiarity...
"You are??"
"Lin Feng, it's me, junior high school classmate, Wang Bin..."
Lin Feng listened,
Remember, it's a classmate in junior high school, but I haven't been in touch for more than ten years...
"Oh, Ah Bin, what's wrong? I'm going to work, if it's not urgent..."
"No, no, no... Don't hang up first, I have something urgent... I ask you for help with something..."
At this moment, Lin Feng thought of 'Chicken Boy' (the patient who came in through the back door).
But after all, it is a classmate, and I can help as much as I can.
"What happened? You said..."
"Well, my child is hospitalized..."
"Well, you say, don't be in a hurry, take your time ..."
Then classmate Wang Bin cried while talking about his illness.
A big man crying like this, you can imagine how panicked he is.
"The thing is like this, the day before yesterday the child had a fever, thought it was a cold, didn't care, bought some cold medicine for him at the pharmacy, ate it and continued to school. Unexpectedly, the child vomited at school, and the teacher quickly asked the mother to come and pick up the child home. After taking the medicine, the child got better, but he was still not very energetic, so he went to a nearby clinic, prescribed some medicine, and continued to eat... Unexpectedly, the next day the speech began to be unfavorable..."
As soon as Lin Feng heard this,
A word flashed in my head.
Encephalitis!
"At that time, the child kept crying and vomiting, we were terrified, and we rushed to the hospital... Then the doctor said it was probably encephalitis, and now I am in the ICU..."
"And then?"
"It's like this, the doctor said to do a spinal puncture, listening to the doctor's meaning is to directly penetrate the spine, I want to ask your opinion, the risk is not great..."
Lin Feng listened,
Very angry!
"You're still asking my opinion? You should quickly agree with the doctor and do the puncture quickly! "
Although Lin Feng was not at the scene, he did not know the results of the examination.
But
Lin Feng combines several conditions:
Fever, cold...
Vomiting...
・ Bad spirits...
・ Speaking is not good for So...
The judgment is high probability encephalitis.
Why?
Colds, under normal circumstances, only nasal congestion, nasal discharge, sneezing, sore throat, fever and other typical manifestations will appear.
And if vomiting occurs, you should still be highly vigilant!
In addition, add to the problem of "bad spirits", and the problem is even greater!
Fever, if there is no problem with the spirit, it is generally no problem, just take antipyretic drugs on your own.
If you can't do it mentally, you must be sent to the hospital immediately!
But how do ordinary people know that a fever needs to be squeezed into the hospital to see?
Fever is a common symptom, children have fever several times a year, basically a common cold, who would have thought it was encephalitis?
The most important thing is that - "speaking unfavorably" ...
What does this say?
This means that something is wrong with the brain center!
Such a speculation, the probability is encephalitis!
pity
When the old classmate was in the first time of his illness, he went to a small clinic, and the doctor in the small clinic did not pay attention to it, and then wasted a day!
If it is really encephalitis, then the disease progression may not be good!
And now, the old classmate even asked Lin Feng whether to do a lumbar puncture?
It must be done!
This condition is already dangerous!
When Lin Feng heard this, he sighed and said his opinion.
"Don't hesitate, trust the doctor fully, and if the doctor recommends it, do it quickly." A lumbar puncture is a relatively minor procedure with risks, but generally not a big problem... By the way, what kind of hospital is your hospital? "
"Yuebei City, the top three..."
"That shouldn't be a big problem..."
"Lin Feng, can I send it to your hospital?"
Classmate Wang Bin's voice carried a crying pleading.
Lin Feng hurriedly stopped it: "Fool around!" I am the imperial capital here, and you don't have an airport there, so you can delay at least 10 hours or more when you come here... The progression of encephalitis is generally relatively fast, what should you do if you bring your child over and delay the disease! Your child now has to race against time to understand whether he understands, hurry up and do a lumbar puncture to test what exactly causes encephalitis! "
"Okay, okay!"
"Is the child awake now?"
"Still awake..."
"Well... Hurry up and do a lumbar puncture! "
Lin Feng said here,
Classmate Wang Bin has quickly agreed to the doctor to go for a lumbar puncture.
I wrote 'What is a lumbar puncture', but I didn't explain why 'cerebrospinal fluid' was extracted instead of 'spinal fluid'?
Cause:
Because the human body's brain fluid and spinal fluid are connected, they are collectively called cerebrospinal fluid.
If there is encephalitis or meningitis, the brain fluid will be abnormal, the abnormal brain fluid will flow into the subarachnoid space, at this time our lumbar puncture can extract this part of the cerebrospinal fluid, and the laboratory can provide a lot of information.
That's why there is a lumbar puncture - to obtain - cerebral pulp fluid!
。