Every holiday, there is always such a group of people, giving up rest, giving up spending leisure time with their families, sticking to their posts, silently dedicated. Emergency department care is one of them. On May 2, the medical staff of the emergency department of Ershadao Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine raced against time to save two patients with acute myocardial infarction and save two lives.
Passers-by fell, and nurses knelt on the transport bed to continue rescuing
"The bell... At about 4:10 p.m. on May 2, the urgent telephone ringing broke the silence of midnight, and Dr. Liu Zhuangzhu, the second duty of the emergency department of Ershadao Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, picked up the phone.
"Dr. Liu, before the hospital out of the car to pick up middle-aged men, consider cardiac arrest, currently continuing CPR, please prepare rescue beds and rescue preparations." The caller was Huang Zexin, a pre-hospital emergency doctor. Just 10 minutes ago, he received the task of the 120 command center - "there are passers-by fell on the road, head and face bleeding, no family and identity information, the specific situation is unknown", the pre-hospital emergency team rushed to the scene, the scene found that the patient was unconscious, no aortic pulse, immediately began to rescue, because the time left for "cardiac arrest" patients is not much, every 1 minute delay, the survival rate of patients will drop by 10%.
In order to race against the clock to save lives, Chen Baoxin, the nurse out of the car, immediately knelt on the transfer bed and began chest compressions, regardless of the bumps in the transfer process and several almost falls, the thin body burst out of great energy.
Minutes later, ambulances roared into the hospital. Nursing team leader He Huiqun cooperated with Dr. Liu Zhuangzhu to do a good job in tracheal management, a value of Dr. Chen Yun, Nurse Chen Baoxin is responsible for cardiopulmonary resuscitation, Yi Wanxian and Li Hang nurses are responsible for opening vascular passage and administration, Dr. Cheng Ye is responsible for contacting family members and informing the condition, the medical team in the rescue room cooperates with tacit understanding, continuous chest compression, tracheal intubation, as usual as the usual drill, "ventricular fibrillation - defibrillation - re-defibrillation", has experienced three times of electrical defibrillation and repeated compression, drugs and other rescue, About 20 minutes, the patient regains spontaneous heart rate and breathing, and the ECG shows the elevation of the stectar segment of the lower wall and the anterior wall - this is a manifestation of acute myocardial infarction.
"Time is the heart muscle, do not wait for nucleic acid, first take a nasal swab, do a good job of protection, as long as the family agrees, immediately sent to the intervention room." Li Xiaoqing, director of the Cardiovascular Department, made a decision. After communicating with the family members on contact by telephone and obtaining consent, the green channel of life was opened, and the emergency team escorted into the intervention room, cardiac imaging indicated that the patient had serious three lesions (the 3 main blood vessels supplying the heart were severely narrowed, D tO W time 72 minutes), and the cardiac stent was implanted, and then sent to the ICU for further monitoring and treatment. The relay of life, which raced against death, achieved initial success under the multidisciplinary linkage of emergency department, cardiology, imaging department, and laboratory department.
At this moment, the tight strings of all those involved in the rescue relaxed slightly, as if forgetting the fatigue and sweat of the CPR just now, and there was nothing more gratifying than pulling the patient back from the brink of death.
Fainted in the early morning and admitted to the hospital The medical staff braved the rain to rush back to emergency surgery
Just a dozen hours before the above rescue, in the early morning of the same day, Mr. Guo, 58, was sent to the emergency department of The Provincial Hospital of Traditional Chinese Medicine by a friend due to sudden chest tightness, dizziness, cold sweat, and then quickly fell unconscious due to sudden chest tightness and dizziness 20 minutes ago.
Years of emergency experience so that the on-duty Dr. Huang Taoliang immediately alert, while asking immediately improve the ECG examination, unsurprisingly, the ECG suggests acute ST segment elevation myocardial infarction, immediately started the myocardial infarction green channel, give anti-polymerization spots, and immediately notify the cardiovascular doctor on duty Dr. Cao Haiming emergency consultation, combined with the relevant conditions, the patient's surgical indications are clear, and vascular intervention examination is required immediately.
Dr. Li Xiaoqing and Nurse Cao Juan of the Cardiovascular Department rushed to the hospital in the rain immediately after receiving the notice and quickly activated the catheterization room. Coronary angiography suggests that the patient has two vascular occlusions of three coronary arteries. Considering that the patient's condition is abnormally critical and the immediate family members are in different places, they actively communicate with the patient and his family while taking measures to open the occlusive blood vessels.
Department director Lu Weihui rushed back to the hospital early in the morning after receiving the report, carefully examined the patient, and followed up the bedside color ultrasound examination, and then judged that the patient's heart pump function was seriously failed, and the current support was not enough to help the patient out of danger. After detailed communication with the family, ECMO treatment is initiated immediately.
After receiving the notification, the "ECMO team" of the department rushed to the hospital from all directions. The team leader, Dr. Xu Wenjing, rushed to the hospital from his home in Huangpu, and Dr. Zhang Yao, Zeng Yingjuan, and Nurse Zhao Yani also rushed back to the hospital. ECMO was successfully placed and the patient's vital signs became stable.
Although it is a holiday and it is raining heavily, in the hearts of all the doctors, the patient's life is more important than anything else.
Trivia:
Acute myocardial infarction is a common clinical acute and critical illness, a common cause of sudden cardiac death, which requires treatment and treatment as soon as possible, so there is often a saying that "time is myocardium" and "time is life". Both of the above patients are middle-aged men in their 50s and both have severe cardiovascular disease. The doctor reminds the public that if there is a cardiovascular disease in the past, they should have a regular physical examination, and if they are uncomfortable, they should see the doctor at any time, especially in the event of chest tightness, chest pain, palpitations, etc., and give priority to going to the emergency /chest pain center for treatment or dial 120 in time for treatment.
Text/Guangzhou Daily, New Flower City Reporter: Zhou Jieying Correspondent: Song Liping
Photo/ Guangzhou Daily, New Flower City Reporter: Zhou Jieying Correspondent: Song Liping
Guangzhou Daily New Flower City Editor: Zhang Yu