I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 482 Eyes Blazing with Fire, Highest Risk Level, A Terrifying Moment in the Delivery Room!

"Drip-drip-"

That was the sound coming from the electrocardiogram monitor.

It sounded like a tiny life struggling to roar.

It's more like the sound of victory horns after a fierce battle.

"Slap, slap slap slap—"

One slap, two slaps, three slaps...

My face really hurts.

Luo Feng never dreamed that things would develop in this way.

The problem is, this doesn't make any sense!!

Why was he saved after such a long period of intensive care when he had already lost all chance of being saved?
This unscientific!

After all, in a rescue, the longer the rescue time, the greater the probability of survival.

Rescue is like food having a shelf life.

If the person is successfully rescued within the shelf life, they can be brought back to life; otherwise, they are considered expired.

It's practically impossible for expired items to come back to life.

"MaiMai!!"

Chang Qiyuan's family was very excited to see the doctors.

They themselves were so excited that their souls seemed to ascend to heaven.

"May the Bodhisattva protect us! May our ancestors protect us!!!"

My aunt, on the other hand, was like a spring, frantically kowtowing in place!
"?"

"???"

Veterinarian Zhang: ??

"No, this was saved by Veterinarian Zhang after a lot of trouble. What does it have to do with Buddha or your ancestors!"

"Well... sometimes we doctors are quite speechless. We come out of the operating room exhausted, and when we tell the family that the surgery was successful, the first thing they do is put their hands together in prayer and say 'Thank you for your blessings.'"

The grandmother's actions drew criticism from many viewers.

"Mom! Don't thank any Bodhisattvas or ancestors. It's because Dr. Zhang risked his life that Mai Mai is only now showing signs of life. We should be thanking Dr. Zhang!"

Chang Qiyuan said.

"I have to say, this aunt's son is relatively normal."

"Indeed, it's clearly Dr. Ogawa's achievement, so it's inappropriate to bring up gods, ghosts, or bodhisattvas."

……

Viewers in the live stream praised it highly.

And the moment the child was rescued, the number of people watching the live stream exploded!
[Number of viewers for the provincial TV station's "Medical Journey Blossoms" live stream: 981229.]

It actually reached a peak of 980,000 viewers.

Approaching one million.

hospital.

"Vice Dean Huang...is this...is he considered to have been saved?"

Confused and shocked, Dong Fang looked at Huang Xiangning in surprise.

"This...this is impossible! He actually managed to save him!"

Huang Xiangning herself found it even more unbelievable.

Because in her view, this was completely impossible.

This child is definitely beyond saving.

To everyone's surprise, the child is now showing signs of life.

"So Dr. Zhang wasn't showing humanitarian concern at all; the other party knew exactly what was going on!"

Dong Fang said with emotion.

At the same time, looking at the data, I realized that this was not exploiting human suffering; it was recording a miracle through the lens.

"But what's the underlying principle?"

Wu Qi was completely bewildered.

"Yes, what is the principle behind this? How could a child who has been suffocating and whose heart has stopped beating for so long possibly have their heart start beating again?"

Huang Xiangning didn't believe what Luo Feng had said at first.

Xiao Chuan is definitely not the kind of person who puts on a show for the sake of traffic.

To be honest, if the other party really wanted to put on a show, why use this account? Wouldn't their own account be better?

Clearly, the other party did not mean that.

But humanitarian care does take a long time.

This is not normal care behavior at all. Normally, out-of-hospital emergency teams will not provide care for more than 30 minutes, but Xiao Chuan has been performing CPR for 40 minutes.

Even when people called out to him and tried to persuade him to stop, he showed no sign of stopping.

The most typical example is the child's father's persuasion just now.

It's impossible that he knew from the beginning that the child had a chance of survival, right?

Can you really see the health bar?
This is too incredible.

But if he hadn't known from the beginning that the child had a chance of survival, how could he have performed CPR to this extent!
That's clearly unreasonable.

No!

Let's ask him when he gets back!

"Oh no! Ventricular fibrillation!!"

Wu Qi's pupils suddenly narrowed.

Ventricular fibrillation!

Huang Xiangning immediately turned her attention to the big screen.

The treatment methods for ventricular fibrillation in adults are completely different from those for ventricular fibrillation in infants and young children.

I recall that Ogawa seemed to have absolutely no experience in dealing with ventricular fibrillation in young children.

Listen to the orchid!

Thinking of this, Huang Xiangning looked at Li Tinglan.

My best friend is an obstetrics and gynecology expert.

Although there are some differences between obstetrics and gynecology and pediatrics, they are the first place for new life, so naturally they will also handle some emergency treatments for infants and young children who encounter ventricular fibrillation.

The First Affiliated Hospital of Jilin University, second floor, pediatrics department.

"Ventricular fibrillation!"

A faint heartbeat appeared, followed by ventricular fibrillation the next second.

"Xiao Chuan, let me help you defibrillate!"

Li Tinglan took Yin Xiaoxiao's two defibrillators directly.

As an obstetrics and gynecology expert, Li Tinglan has a natural understanding of children.

Of course, the one who knows best is Deputy Director Luo Feng.

He was a little confused, his mind hadn't quite processed what was happening yet.

Therefore, Li Tinglan replaced Deputy Director Luo Feng.

"Okay! Sister Lan! Defibrillation!"

Zhang Lingchuan immediately replied.

"Zi-"

The next instant, everyone moved aside.

Defibrillator charging shock.

As for your question about why Zhang Lingchuan didn't use the precordial pounding technique at this time, he could only say that the child's ribs had already been broken, so this method was definitely not suitable.

"It's back! Sinus rhythm!"

Right after defibrillation.

My heart rate immediately returned to normal.

"6~"

"Awesome!"

"That's incredible! Absolutely incredible!!"

"With Dr. Ogawa around, I don't panic at all about something as dangerous as ventricular fibrillation!"

Zhang Lingchuan's rapid taming of ventricular fibrillation, restoring sinus rhythm to three-month-old Mai Mai, was something no one expected, yet it seemed perfectly reasonable.

Half an hour passed in the blink of an eye.

"Director Luo, now that the patient has been treated to this extent, I think the chances of survival are quite high. Next, you must do everything you can to save this child. Of course, I also hope that you will apologize for your malicious speculation about Dr. Xiao Chuan!"

Li Tinglan said to Luo Feng.

His expression was very serious.

"Indeed! You are short-sighted, yet you maliciously speculate that Junior Brother Zhang is profiting from human suffering. Director Luo, you have truly brought shame to the Department of Pediatrics!"

Zhao Lingyun immediately echoed her words.

She couldn't tolerate what Zhang Shidi had said before.

Now that Junior Brother Zhang has proven everything with his abilities, it's impossible for Deputy Director Luo to just let things go like this.

"This……"

Luo Feng looked somewhat embarrassed.

"It's alright, Director Luo, I understand you. Anyway, the characteristics of those of you who studied abroad in island countries are all pretty much the same."

Zhang Lingchuan smiled slightly and patted Deputy Director Luo on the shoulder.

Thankfully, he returned in about forty minutes; otherwise, he really wouldn't know what to do. He remembers the last time he was continuously battling for over an hour, he ended up in the hospital lying down.

He then remained in a coma until the next day before waking up.

I was utterly exhausted at the time.

I went to work after waking up today. I also took a bottle of stamina potion while performing the massage. My body is currently within a manageable range.

If the timeframe had been doubled, he might not have been saved.

After all, no matter how powerful a person is, their body has its limits.

Zhang Lingchuan had naturally heard what Director Luo said.

If they couldn't save him, that one sentence from the other party was tantamount to successfully sowing discord.

Therefore, it would be impossible for Zhang Lingchuan not to make a few sarcastic remarks to him.

"Hahaha~"

"Dr. Ogawa is so mean~"

"You're just like Director He, aren't you? But at least Director He paid the price for his mistakes and worked hard for more than ten hours."

"I heard that Director He is now starting his second surgery, the one where he was supposed to pick up an old man from the park but ended up picking up a child instead, due to cerebral edema."

"Oh wow, so the pressure is now on Director Luo!"

There are many netizens watching the drama unfold.

Everyone was chatting in the live stream.

"Um???"

Luo Feng's eyes widened.

"What, Deputy Director Luo, do you think Dr. Xiao Chuan's words are unreasonable? Actually, I think they make a lot of sense. Wasn't He Qifeng the same the other day? It's just that he did his best to keep people firmly under control. Now, it's up to you, Deputy Director Luo, to handle things."

Nan Wenzhong is in a very good mood now.

Because from the very beginning, he was on Ogawa's side.

At first, he also thought that Ogawa was acting out of humanitarian concern.

That's it, it's here, let's give it a try.

Who would have thought that the other party would actually bring someone back to life?

It's absolutely amazing!!
“Dr. Zhang… what I just said was indeed a bit inappropriate. I thought you were just putting on a show, but it’s really unbelievable. How could the child be saved after so long? It’s impossible for such a miracle to happen!”

Luo Feng sincerely apologized.

But as a pediatrician, he was truly filled with doubts.

Why is this happening!

After Luo Feng uttered those words, everyone's curiosity was piqued.

Everyone looked at Zhang Lingchuan.

Including family members.

Yes, how come this child, who had been given a death sentence by the hospital, was able to be saved?

Could it be that Veterinarian Zhang really has some special abilities?
“Deputy Director Luo, you are a pediatric expert, and you even studied in Japan. You ask me why? Why were they able to be saved? Don’t you know?”

Zhang Lingchuan countered with a question.

As a pediatric expert, Luo Feng should have known this.

"I really don't know! Dr. Zhang, could you please give me a slight hint?"

Luo Feng shook his head.

It seems that this is not a trap set for Zhang Lingchuan at all.

Rather, they genuinely didn't know.

"First of all, an infant's brain is more resistant to hypoxia than an adult's brain, and it also has more room for recovery. I think Deputy Director Luo would agree with this, right?"

Zhang Lingchuan asked.

"Hmm! Generally speaking, an infant's brain consumes less oxygen than an adult's, making them more tolerant of irreversible damage caused by oxygen deprivation. But the main thing is the heartbeat!"

Luo Feng nodded.

The brain is one part.

The heart is also a very important organ.

"So, is it true that hypoxic cardiac arrest is easier to save than cardiac arrest?"

In adults, most cardiac arrests are caused by the heart stopping naturally, which is cardiac in origin. In infants, the vast majority of cardiac arrests are secondary arrests caused by breathing problems.

As long as oxygen supply can be restored quickly, circulation can often be restarted.

Therefore, if you can improve your breathing and perform CPR, your heart may have a chance to start beating again.

This is an important reason why babies can create miracles at this time.

"And there's also a drop in body temperature and a slowdown in metabolism, right?!"

Luo Feng finally understood.

When an infant suffocates, their body temperature drops, their metabolism slows down, and their oxygen consumption decreases significantly. This is similar to therapeutic hypothermia (TTM) used in medicine, which can protect the brain and heart.

"good."

Zhang Lingchuan nodded.

"What a sharp angle, what a profound understanding. Dr. Zhang, I was indeed being petty before."

He understood. Luo Feng understood completely.

Many pediatric experts were also watching the live broadcast.

After Zhang Lingchuan's advice, they found some reasons from various aspects.

For example, the heart itself.

The electrical activity characteristics of infant heart muscle cells are that they are more likely to spontaneously beat again when oxygen is restored, are sensitive to adrenaline, and respond quickly to external stimuli (pressing, ventilation).

If you press and breathe for a sufficient amount of time, it may suddenly resume spontaneous pulsation.

Others believe that timely, correct, and continuous cardiopulmonary resuscitation (CPR) can 'sustain life'.

Even if all children stop breathing and their hearts stop beating, as long as chest compressions maintain brain perfusion, ventilation ensures oxygen supply, and medication (adrenaline) maintains cardiac electrical activity, the brain will not completely go down the path of irreversible necrosis.

Continuous pressure is essentially keeping him "artificially alive" until his body restarts.

"So Dr. Ogawa doesn't have any special abilities. If we have to say, we can only say that he has a thorough understanding of the situation and firmly believes that the person is still alive."

"In fact, there is a golden rule for infant CPR internationally: do not stop unless there are clear signs of death, because you never know when a miracle will happen."

"Yes, according to some international journals, the recovery of circulation in infants usually occurs within 20-60 minutes. The younger the infant, the more likely they are to have late ROSC. Clinically, there are many cases of heartbeat being restored after 40-70 minutes. The only problem is that in real clinical practice, some doctors simply give up on resuscitation."

……

Viewers in the live stream offered their theoretical support.

This clarifies that this is not a miracle, but the result of the combined effects of physiology and medicine.

Meanwhile, in the neonatal ward of the obstetrics and gynecology department, inside a high-end delivery room for mothers to accompany their babies.

"What's going on! Why can't we get the needle in after all this time?! What are you nurses doing?! Is there no one in the whole hospital who can do this kind of puncture properly?!"

A woman with short hair and a strong, career-woman appearance is a bureau chief in the city. Her daughter was born prematurely due to some special reasons.

The nurse in charge gave it a try.

Because the child is too young.

Moreover, the blood vessels are very thin, making puncture extremely difficult.

After all, the total weight of a premature baby is only 400 grams, which means less than a pound.

However, if the other party cannot successfully puncture the wound, the probability of survival is extremely slim.

The nurses were very anxious, the doctors were extremely anxious, and the family members were practically spitting fire with worry!
Second floor, pediatrics.

"Sister Nalan, Director Nan, Senior Sister Zhao, the mission is complete, so we'll head back now."

At that moment, Zhang Lingchuan addressed the group.

"Xiao Chuan, thank you so much for coming to help us today. How about this, I'll give you a ride..."

"Beep beep..."

Before Li Tinglan could finish speaking, her phone rang.
"Excuse me, I have to take a call."

Li Tinglan saw that it was a call from her deputy in the department and immediately answered it.

"Director, something terrible has happened! Director Qian's daughter just gave birth, weighing 400 grams. They were trying to insert an umbilical vein catheter, but they found the umbilical cord blood volume was too low, causing it to collapse and making puncture impossible. They could only try peripheral vein puncture, but the veins are only as thin as a hair. The best puncture expert, Sister Hua, is away training, and there's no one else who can do it. Several top puncture experts have tried, but they all failed. Director Qian, who was with her during the delivery, is furious!"

He spoke excitedly on the other end of the phone.

Premature infants born weighing 400 grams are among the highest-risk groups of all newborns.

It can be said that the patient was in critical condition the moment of birth, so a puncture and intravenous access must be established immediately after birth.

Because a child's circulating volume is only 20-25 ml, the loss of just a few ml can lead to shock. After quickly establishing intravenous infusion, administer glucose to maintain blood sugar, give volume expanders, and if necessary, administer vasopressors.

Without an intravenous line, the child would not survive the first 10–20 minutes.

In the normal treatment logic for premature infants, the first choice for extremely low birth weight infants (400g) is umbilical vein catheterization, as it is the safest and most stable access route.

The result was completely unexpected.

The premature baby's umbilical cord blood volume was too low, causing it to collapse and making puncture impossible.

Only peripheral vein puncture is possible.

But the blood vessels here are as thin as hair.

All of them failed.

"Okay! I understand!!"

Li Tinglan frowned.

His expression was also very solemn.

"what?"

Suddenly, Zhang Lingchuan noticed that after his teacher, Sister Lan, answered the phone, a new label appeared above her head.

...(End of chapter)

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