Doctor Song, are you married?

Chapter 341 341. Open chest heart massage

"What are you going to do?" Dr. Lin and Huang Kai both saw the words "Thorax Opening Bag" conspicuously on the rescue bag!

"Inner chest heart massage!" Song Qi said quickly, then opened the chest bag!

"You're crazy! This requires opening the chest! Are you sure? Now? Here?" Huang Kai shouted.

"I'm not crazy! What can I do if I'm transported back to the hospital now? Isn't it also a thoracotomy? In that case, why not now? You guys in the golden 6 minutes should know better than me!" Song Qi's voice also rose a few degrees.

As he spoke, he quickly arranged the surgical instruments.Scalpel, surgical scissors, vascular forceps, sterile gloves, disposable surgical gown, iodophor, needle holder, etc.
Then go and prepare the medicine.Normal saline, epinephrine, lidocaine.
[System command task: Complete thoracotomy cardiac massage and successfully save a life. 】

[Task reward: Master-level cardiopulmonary resuscitation technology! 】

[Do you want to receive the task? 】

While Song Qi was preparing items, the system menu appeared in front of him.

Song Qi clicked the receive button without thinking.

Regardless of whether it is a mission or not, whether there is a reward or not, he will do this open heart massage!
"Song Qi, you are crazy!" Dr. Lin also stepped forward and grabbed Song Qi.

"I'm not crazy. Time is running out now. I don't want to explain anything to you. I just want to say, if you want to help me, stay. If you don't want to help me, you leave! I will do the work for myself!" Song Qi said and started to draw. Lidocaine.

The medicines in the ambulance were limited, and the only anesthetic was lidocaine.

However, Dr. Chang is in shock now, so he probably can’t feel the pain. It would be better if he only knew the pain.
Regardless of whether he could feel it or not, Song Qi had prepared it for him first. If he regained consciousness later, the anesthetic would also have a pain-relieving effect.

"Song Qi, we know you are great! You are awesome! You are a popular person in front of the department director, but you can't drag us down like this." Huang Kai stood in circles and circled, neither leaving nor staying.

"That's right, you made us both miserable. We might as well have just come here." Dr. Lin was also like an ant on a hot pot.

"If you don't want to leave, please help me continue to provide oxygen with the balloon!" Song Qi saw the two people spinning in place and knew that they would not leave, so he said.

They are all his brothers and comrades, no one will really leave him alone at this time.

Dr. Lin helplessly stepped forward to hold the breathing bag and pressed it one by one.

"Doctor Huang, please help me get a bottle of iodophor." Song Qi put on sterile gloves.

Although Huang Kai looked reluctant, he still helped Song Qi unscrew the bottle of iodine.

"Pour it on your chest and rinse it for me," Song Qi said again.

Huang Kai used iodophor to rinse Dr. Chang's chest, and then Song Qi used iodophor cotton balls to disinfect again before picking up the scalpel.

At this time, Dr. Chang was lying quietly on the ground, with his left arm abducted. Song Qi knelt on the ground on the left side of his body, and used a scalpel to incise the chest along the intercostal space under the left chest, starting from the left edge of the sternum. Ending at the left midaxillary line, the intercostal muscle pleura was incised in layers, and the chest cavity was entered through the intercostal space.

Since Dr. Chang's heart had stopped, there was basically no bleeding when the scalpel was applied, only some blood remaining in the blood vessels. Song Qi only needed to wipe it with gauze.

The whole incision process is not bloody, but very scary, like dissecting a corpse.
"Do I need to remove the ribs?" At this time, Huang Kai returned to normal and watched Song Qi's operation carefully.

It was at this time that he realized that this young graduate student seemed to be not just lucky, but maybe he really had some luck.

The way he held the scalpel, the calmness with which he cut the intercostal muscles and fascia in layers, and the skill with which he displayed during the entire operation all fully demonstrated that Song Qi was definitely not as skilled as he imagined. born.This Song Qi is much better than him in terms of operational proficiency alone!

Not to mention the mentality and courage!
"No need!" Song Qi said, pulling his ribs to the side, and then inserted his right hand deep into his chest.

Huang Kai looked a little stupid!

He actually put his hand in right now? !

After Song Qi put his hand in, he groped for a while in his chest and quickly found the point where he hit the apex of his heart!

At the same time, the pre-hospital first aid manual gifted by the system was quickly opened to the page about intrathoracic heart massage.

Characters rushed into Song Qi's brain like jumping elves.

The first step is to feel the apex of the heart to determine whether the heart is in a state of cardiac arrest or ventricular fibrillation!
Song Qi felt his fingertips at the apex of his heart. His heart was not completely stopped, but was trembling irregularly!
Ventricular fibrillation, referred to as ventricular fibrillation, refers to the disordered activation of the ventricles, resulting in the loss of the regular and orderly activation and contraction functions of the ventricles. Both are functional cardiac arrests and are fatal arrhythmias.

But from another perspective, this at least shows that Dr. Chang's heart has not completely stopped, or that the rescue just now is somewhat effective.

This made Song Qi feel a little relieved.

Then the next step is the second step.

Step [-]: Cut the left phrenic nerve parallel, put your hand deep into the pericardium, and perform intrathoracic cardiac massage!

There are three operating methods: one-hand squeezing method, two-hand squeezing method; and pushing method toward the sternum, pressing at least 80-100 times per minute.

In the current environment, Song Qi can only use the one-handed squeeze method.

When Song Qi's hand held the heart, the warm feeling made Song Qi excited!
Not every clinician can experience this kind of experience.

The Practical Manual of Prehospital First Aid not only imparts knowledge, but also explains the essentials of many operations in detail.

For example, the strength, touch, and frequency of heart massage in the chest are all clearly explained.

Song Qi followed the guidance of the pre-hospital first aid knowledge manual and began to perform cardiac massage in a rhythmic and regular manner.

"1.2.3, 4" Song Qi counted in a low voice, with gentle but powerful movements on his hands.

"Song Qi, you, you, really, really touched the heart?" Dr. Lin has been at the emergency center since graduation. In addition to entering the operating room and pulling hooks with the director during internship and training, Dr. Lin has also been with the surgery department. No more intersections.He never touched a scalpel again.

At this time, when he saw Song Qi's hand reaching into his chest and starting to count numbers regularly, he felt a sense of pride for no reason.

It turns out that 120 doctors can also perform surgeries!
And it’s such a difficult operation!
Song Qi didn't answer, he just focused on massaging his heart.

The heart in his hand was about the same size as his fist. At the moment, the heart was a little empty due to shock. However, as Song Qi massaged it again and again, he could clearly feel that the heart was slowly filling up.

"The incision is bleeding!" Huang Kai suddenly shouted.

(End of this chapter)