<b>An emergency consultation call came</b>
At 9:00 a.m. on November 3, the ICU of Yantai Affiliated Hospital of Binhai Medical College received an emergency consultation call from the second ward of urology, saying that an inpatient patient suddenly lost consciousness and the medical staff was rescuing. The doctor Cheng Jiajia quickly arrived at the patient's bedside, at this time the ECG monitoring was ventricular fibrillation, no spontaneous breathing, the doctor immediately gave continuous compression, the drug was pushed statically, the balloon assisted ventilation, and the electroversion was prepared. During the rescue, it was learned that the patient had previous chest tightness, holding his breath, and then convulsions, unconsciousness, ventricular fibrillation, and highly suspected acute myocardial infarction. After two times of electrical defibrillation, the patient's autonomic rhythm is restored and consciousness improves, but the blood oxygen saturation is about 80%, the systolic blood pressure is about 85 mmHg, and the diffuse wet sound can be heard in both lungs.
<b>Diagnosis is acute myocardial infarction</b>
The patient is accompanied only by his wife, and he is urgently transferred to the ICU after briefly explaining the situation. ICU Director Jiang Haiming and Deputy Chief Physician Yang Lihua provided bedside guidance to quickly establish important life channels such as endotracheal intubation and deep vein catheterization. Improve the ECG examination, elevate the AVRST segment, the remaining lead ST segment depression, diagnosed as acute myocardial infarction, immediately administer medication, and urgently contact the deputy chief physician of the Department of Cardiology Qu Fuzheng to prepare for emergency interventional treatment.
<b>Interventional surgery is performed in the catheterization room</b>
The catheter room works closely together to prepare for surgery. Due to the timely intervention of the patient, the rapid opening of the blood vessels, intraoperative indication of three lesions (left anterior descending branch near-mid-segment diffuse stenosis, TIMI blood flow 3, cyclomatic branch diffuse stenosis, the heaviest 80%, TIMI blood flow 3, right coronary artery distal stenosis 90%, TIMI blood flow 3), the aortic balloon counterpulsation, anterior descending branch implanted with three stents after the patient returned to the ICU ward. After active treatment, it has been successfully extubated and now successfully offline, and the vital signs are stable.
<b>Multidisciplinary relays successfully save lives</b>
After the patient lost consciousness, Wang Yinglei, director of the second ward of urology, Li Shuhang, chief nurse Qu Li and other medical staff carried out effective rescue such as cardiopulmonary resuscitation for the first time, and at the same time called the ICU consultation, so that the patient could quickly restore the autonomous heart rhythm, which won valuable time for saving the heart muscle and saving lives. ICU accurately judged, gave antiplatelet drugs and other treatments, and contacted interventional treatment to fully protect the safety of patients' lives. The cardiology interventional team and the catheterization chamber worked closely together to successfully open the vascular pathway, and the patient was finally saved.
According to the latest statistics of China's Ministry of Health, the number of sudden deaths in China has reached 1 million people per year, sudden cardiac death accounts for more than 80% of the total population of sudden deaths, some patients have hidden onset and rapid development, if the rescue is not timely, life will be fleeting. The successful rescue once again reflects the emergency response ability and superb treatment level of Binhai Medical Yantai Affiliated Hospital for critically ill patients. Adhere to the patient-centered, with high-quality medical services for life and health escort, Binyi Yantai Affiliated Hospital people have a rock-like belief and firm steps!
Source: Yantai Affiliated Hospital of Binzhou Medical College
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