Chapter 339

"Ah Jun's spontaneous heartbeat stopped breathing for two hours and five minutes. He had electric defibrillation, had epinephrine, inserted a tube, and had been doing chest compressions."

Propeller boom, rescue helicopter rescue cabin, uncle egg to the rescue team colleagues quickly told the general situation, the team is also the space agency personnel.

Liu Mingfeng, an expert from the emergency department of the medical department of the headquarters and now a member of the incantation department, serves as the team leader. The middle-aged man in his forties knows Gu Jun and uncle Dan, but is responsible for the logistics and rescue work. Liu Mingfeng side listening, while fixed in the stretcher Gu Jun do vital signs examination.

After entering the foreign space, the contingent did not lose materials and equipment. The portable defibrillator and portable ventilator were still in use. Therefore, the CPR quality of on-site first aid was very high. Resuscitation drugs were given, electric defibrillation was performed, endotracheal intubation was ventilated by ventilator, and chest compression was continued Uncle egg, they've done everything they can.

It's just

Bilateral pupil dilation, light reflex disappeared, the whole body muscle all reflexes disappeared, now even the ECG also showed no spontaneous heartbeat.

It's been 125 minutes.

Uncle Dan said that the situation after the decisive battle was that they could resume their action after a delay for a while, so the rescue started within 6 minutes after Gu Jun's cardiac arrest. Thus, even if it was a high-quality CPR, the success rate was only about 10%.

The current international standard is to carry out CPR with bare hands for more than 30 minutes. If the patient has not recovered, he can be declared dead.

Moreover, if the heart rate stops for more than 5 minutes, the brain cells begin to have irreversible damage due to the long interruption of blood supply to the brain. Brain death is the reason why some patients come back from the rescue of heartbeat and respiration, but become the cause of vegetative people.

Gu Jun's right forehead also has obvious skin laceration, up to 5 cm, local skin swelling and blood stasis, right eye congestion, there may be brain injury.

Compared with the two injuries, his multiple fractures of the limbs did not seem to be a big problem.

The situation is not optimistic.

Liu Mingfeng and the body on the stretcher they are facing can basically be called a corpse.

"He's not dead yet." Standing on one side, Wu Shiyu said in a firm voice. She still held those anatomical instruments. "I can feel that he is not dead yet."

Uncle egg knows that this situation is especially difficult for Miss Wu. It is she who led the old seal and smashed the different banyan tree But her state of mind is fairly stable.

No matter who feels how, the rescue team did not want to give up, their job is to fight for life with the God of death.

Moreover, although it is rare, it is not very rare to rescue patients with cardiac arrest for two or three hours or even patients with cerebral hemorrhage in the emergency room of ordinary hospitals. Gu Jun is not ordinary people, but they have the best use of medical resources.

The other two injured, Deng Ximei's condition is lighter, Xue Ba is heavier and earlier, but the CPR quality on site is very high, and they can't give up.

At the same time, Zhang Huo Huo continued to do chest compressions for Gu Jun, some nurses immediately wrapped Gu Jun's head with ice caps to cool down, and another nurse inserted a catheter for him. Liu Mingfeng and uncle egg are all nervous about the transparent urine bag. If there is urine in the first aid, there will be a chance. If there is no urine, it will be impossible to save.

When the catheter is opened, you can see dark yellow brown urine leading out of the catheter and pouring into the urine bag.

"Opportunity, opportunity!" Egg uncle can't help but be excited. Everyone's spirit is excited, and Wu Shiyu's face is also improved.

"Yes, there's salvation. Take your urine." Liu Mingfeng decided to the nurse that the urine might have existed in the bladder before Gu Jun's coma, but it's always good to have urine. He added: "the ship is ready to do ECMO, so do it as soon as you get down."

ECMO is extracorporeal membrane oxygenation. The principle of ECMO is to connect the patient's vein with the relevant artificial heart and lung machine equipment with a tube, lead the venous blood to the oxygenator for artificial oxygenation, and then the power pump will return the oxygenated blood to the patient's body to maintain organ function and help cardiopulmonary resuscitation.

This cardiopulmonary bypass can completely replace the cardiopulmonary bypass in a short period of time, which can be said to be the last step of emergency treatment.

However, because the equipment is expensive and the operation technology is difficult, there is a need for ECMO team with special training. Therefore, not every hospital in China can do ECMO, and there are few mature teams. But these are not the problems of the standby rescue team on the destroyer.

Cardiovascular medicine, cardiac surgery, interventional department, emergency department, anesthesiology department, neurosurgery department, neurology department, orthopedics department, respiratory and critical medicine department

A team of hundreds of experts and professors from many disciplines, some of them are on the spot, others are on remote connection. This ECMO must be completed quickly.

If Gu Jun's life is still alive, I'm counting on it now.

As long as ECMO is connected, even if Gu Junzhen is already a corpse, he will not rot so quickly.

And Xue Ba will also do ECMO to save.

"Is there an abnormal force effect on the coma of the patient?" Liu Mingfeng then asked.

As soon as Uncle egg recalled the situation at that time, it was creepy, "it was Ajun who gathered the dark forces together, and he was basically swallowed up. Only then did we have the chance to fight back and win. That's what caused him to fall from a high altitude, and that's how these fractures and frontal injuries cameThe spirit of the old seal has also been played, the net fossil has also been used, all show that Gu Jun has not been eroded by the spirit.

Wu Shiyu said, "I don't feel like it. The dark forces almost swallowed him But at the end of the day, those forces have been destroyed. His taste is still salty, not so salty, but still salty. It's him

Liu Mingfeng and others nodded, I hope not, otherwise there will be too many unknowns.

Within five minutes of taking off from the island, the helicopter landed on the deck of the destroyer. They immediately carried the stretcher carrying Gu Jun out and put it on the emergency bed. The transport personnel who had been waiting on the deck pushed the emergency bed to the ECMO operating room on board, and the chest pressure could not be stopped.

One minute earlier or one minute later may determine whether the patient is dead or alive.

The battle in the front line of the mobile task force has been completed, and their logistics battle has just begun. We must strive to win the victory.

At the command center, Tong ye, Yao Shinian, and others all looked at the rescue scene through the large screen.

Soon, Gu Jun was pushed into the ECMO operating room. The nurse changed his uniform into a patient's uniform, and the already prepared operation team started immediately.

The first step is femoral arteriovenous cannulation, which is also the most important and difficult step in the operation.

At the same time of continuous chest compression, they need to open a small hole in Gu Jun's thigh to find his femoral artery and femoral vein to complete the intubation, and then connect the thick and long connecting tube to the ECMO machine. If this step is not good, it will lead to massive bleeding, which will not only delay the first aid time, but also make the situation worse.

At this time, the shadowless lamp lights up. Under the guidance of ultrasound, more than a dozen doctors and nurses in blue sterile surgical suits are around Gu Jun, who is lying on the operating table.

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