One afternoon, we suddenly received a notice from the hospital that there was a landslide at a nearby construction site that required us to rush to the rescue. In addition, the hospital should be prepared to receive the injured and operate in an all-round way.
When I came to the scene, I found that an old warehouse had collapsed. It is said that there are workers buried inside.
At the scene, our medical staff could not participate in the cleanup of the rubble, and had to stand by. Bring out one, treat one.
Watching one injured person after another being taken to the hospital, we prayed silently in our hearts.
Since the ruins are difficult to clean and machines are almost impossible to use, the process is slow.
Two hours later, the last injured person was taken to hospital.
Back at the hospital, we were quickly involved in the rescue.
Bandaging, hemostasis, infusion of infusion..., the rescue room is busy.
Suddenly, the last and most seriously injured person to be taken to the hospital suffered a cardiac arrest.
In a short time, we concentrated our fire on this side again.
Involuntarily, we took large scissors and cut open the clothes of the injured. The colleague involved in the rescue, while cutting, while grunting: he has always been sober. Under the rubble, he showed a great desire to survive. Especially when it comes to the children at home, he says he must stick to it.
As he spoke, he involuntarily called out to the injured man a few times. Although he knew that such a call would no longer work, it was human instinct.
He then quickly began chest compressions on the injured person.
The compression continues, but the monitor is always straight.
The results of the blood gas analysis that quickly returned showed that the person's blood potassium was very high! This situation is by no means normal.
Combined with the person being pressed, everyone suddenly thought of a complication: squeeze syndrome.
Crush syndrome is a clinical syndrome characterized by swelling, necrosis, hyperkalemia, myoglobinuria, and acute kidney injury characterized by prolonged squeezing of the muscle-rich parts of the limbs or trunk.
With direction, everyone immediately set about rescuing. As a result, chest compressions continue to be performed, hyperkalemia is processed, and various organs are protected.
If the blood potassium does not drop, the patient's heart cannot re-beat. Therefore, the main problem is to bring down the potassium concentration in the blood.
There are two ways to deal with high potassium: one is to force potassium back into cells if there is acidosis. This is why high sugar plus insulin is used to rescue shock acidosis; another way is to quickly remove potassium from the blood. Since kidney function at this time is generally not very good, blood filtration is the best way.
In addition, in order to reduce the toxicity of blood potassium to the heart, calcium is necessary.
In this way, while pressing, blood filtration.
Half an hour later, a regular waveform appeared on the ECG.
However, the still towering T-waves are a reminder that blood potassium may still be high.
Blood tests were drawn again, and the results confirmed that they were indeed still very high. However, it is basically out of the danger line. Moreover, there are already problems with kidney function, which is also characteristic of squeeze syndrome.
Since I was still in a coma, I had to get my family to sign for amputation.
The next day, good news came from the intensive care unit: the patient was able to open his eyes.
In this regard, a relay rescue of life ended perfectly.
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