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

Anyone who has participated in emergency care knows that once the ventricular fibrillation resuscitation line becomes flat, it means that there is no visible electrical activity in the heart, which means that it has entered another more dangerous stage.

It's a state where there's no heartbeat, no circulation, no spontaneous circulation, and it's even impossible to administer electric shocks.

Some studies have described this state as one of the most dangerous stages of cardiac arrest in clinical practice.

In most TV dramas, a straight line usually represents a person's death.

That makes some sense.

Under normal circumstances, a straight line like this is basically hopeless, which is why everyone has Geddon in mind.

Even someone as capable as Dr. Ogawa couldn't save her.

The main reason is that the mother's condition was too complicated, so it's normal that she couldn't be saved.

High blood pressure, coronary heart disease, advanced age, eclampsia, cardiac arrest, ventricular fibrillation... and now, cardiac level, all of this happens in just two or three minutes.

"This……"

"How...how could it be so fast!"

Li Tinglan and Zhao Wan's expressions were somewhat stiff.

Ogawa is an authority on controlling ventricular fibrillation.

Some doctors even declared that as long as he is there, ventricular fibrillation will not take a person's life!

A real reassurance!

But now, after less than a minute of CPR, Xiaochuan's electrocardiogram went from irregular ventricular fibrillation to a straight line.

"That shouldn't be the case!"

Provincial People's Hospital.

Huang Xiangning was also a hundred times unwilling to believe it!
"Impossible! In our Great Sakura Empire, Lingchuan-kun is known as the God of the Heart! Why would his heart malfunction!"

Inside the dormitory room of an international student!

The man, speaking with a heavy Japanese accent, said excitedly.

Those who study medicine know that there is a "God of Heart" in China who saved their emergency medical expert, Professor Tanaka Nagayama, with his extraordinary abilities!

But now it's malfunctioning.

The computer screen of an international student.

"Heartbeat Line!"

"Oh God, is God really going to be this cruel? She's carrying a child!"

"God has never been kind, but I never expected that with Dr. Ogawa here, things would turn out so smoothly. You know, he has a glorious track record in the medical field, and he's known as the God of Heart Disease! Back then, that emergency specialist of theirs could save someone with 11 episodes of refractory ventricular fibrillation!"

"Everyone is different, and Dr. Ogawa is dealing with a pregnant woman this time, a high-risk one who has experienced eclampsia and ruptured amniotic fluid. The structure of a pregnant woman is really different from that of an ordinary person, otherwise obstetrics and gynecology would not be a specialized department."

"Is there any point in trying to save him?"

The number of viewers in the live stream has now exceeded five million, reaching six million.

That is, the highest number of people last time.

The number of people shows no signs of stopping and continues to rise rapidly.

Is there a video of the rescue that I can watch?
No!

This video involves privacy issues, so they can't see it.

The only thing you can hear is the sound and the image of the equipment; everything else is blurred out!

The electrocardiogram monitor showed that Guo Fei's heart rate had become a straight line.

In an instant, everyone felt a pang of regret.

Some viewers even asked if there was any hope of saving the patient in this situation. It felt like in TV dramas, the patient would already be dead.

"It depends on Dr. Ogawa. If he thinks it's possible to save the patient, the team will definitely do so!"

"Yes, if even Veterinarian Zhang says there's no hope, then there's a high probability that he can't be saved."

"They managed to save that premature baby last time, so there should be hope, right? Dr. Ogawa, you must do your best!"

And everyone's answers were very consistent.

That means waiting for Dr. Ogawa.

Let's see what decision he makes.

The senior doctors, resident physicians, and interns present were all completely focused.

"Don't panic, keep going in a cycle. A straight line doesn't mean we can't create miracles!"

However, at that moment, a loud voice rang out.

It's Zhang Lingchuan.

He had just been defibrillated normally when suddenly his heart went completely flat, with no detectable electrical activity, leaving him completely bewildered.

It shouldn't be.

My countdown still has more than fifty seconds left, which means I've just entered the clinical death phase.

Normally, even when counting down to one, you can still perform extreme maneuvers.

There are still 53 seconds left, so why is there no cardiac activity?

It must be said that when cardiac activity is undetectable, the risk of death is extremely high.

But this doesn't mean it's absolutely impossible to save them.

Based on current research data and real-world cases, the overall survival rate for cardiac arrest patients with non-shockable rhythms, including asystole/pulseless electrical activity, is very low, often around 1%, but not exactly zero.

If cardiac arrest is witnessed and CPR is initiated immediately, patients with cardiac arrest still have a 7% or even higher chance of survival.

What does that mean.

If the heart rate is at a baseline, there is about a 1% chance of resuscitation.

If cardiopulmonary resuscitation (CPR) is initiated immediately after cardiac arrest, but the resuscitation ultimately results in a cardiac arrest with no change in heart rate, then a small percentage of patients have a chance of recovery if resuscitation efforts are continued, with a rate of approximately 7%.

One of the four top medical journals, The New England Journal of Medicine, published a case study of a patient who successfully underwent resuscitation despite an extremely long resuscitation period.

A 32-year-old female patient suffered sudden cardiac arrest. After chest compressions and medication, she developed ventricular fibrillation. Electrical defibrillation proved ineffective, and she entered the cardiac-level stage.

After more than an hour of persistent treatment by the medical team, the patient experienced several brief periods of spontaneous circulation recovery, and eventually recovered and was discharged from the hospital after a long-term survival.

So what we should do now is continue high-quality CPR, establish intravenous access, administer adrenaline, and then wait for a miracle to happen.

Given the current situation, failing to provide immediate medical attention would result in the deaths of both mother and child.

"Everyone, follow Xiaochuan's instructions!"

Li Tinglan said directly that Xiao Chuan had been by Xiang Ning's side the whole time and was the most experienced in emergency care.

Moreover, she believed that since Xiaochuan's previous cesarean section was so skilled, he must have studied a lot of obstetrics and gynecology knowledge, and might even have been personally taught by Teacher Qiu Yinghe!
"understand!"

"it is good!"

"Let's create miracles together!"

On the electrocardiogram, the previously oscillating ventricular fibrillation waveform suddenly became a single-color flat line.

Under normal circumstances, they should have given up on this scenario, since they had tried to salvage it for a while, but things were only getting worse.

Doctors are not gods. In more than 90% of hospitals across the country, 99% of doctors would give up on resuscitation.

But at this time, the rescue doctors, led by Zhang Lingchuan, Li Tinglan, and Zhao Wan, did not give up. Zhang Lingchuan continued chest compressions, while his assistants administered medications, and electrolyte and oxygenation corrections were carried out alternately.

Meanwhile, the entire hospital's relevant team arrived, continuously checking for reversible factors... On this brink of utter despair, they stared intently at the monitoring screen, hoping to find a glimmer of hope.

Operating Room No. 3.

It took less than four minutes from the onset of the illness to the time the patient was transferred here.

Keep in mind that everyone brought him here while they were trying to save him.

That's incredibly fast.

Outside the operating room, a man dressed in brown clothes waited anxiously.

"Honey! You have to hold on! Really! You have to hold on!"

He clasped his hands together, prayed frantically towards the operating room, and even knelt down.

You can tell that his inner thoughts are extremely complicated!
"Ugh……"

Whether you're a man or a woman, seeing this scene will make you feel heartbroken.

The pregnant woman in operating room number 3 is forty years old, which is indeed considered advanced maternal age.

She finally conceived and held on until 40 weeks to prepare for delivery, but while waiting to give birth in the hospital, she suddenly developed an extremely rare form of eclampsia—a deadly disease for pregnant women.

If they were outside, there would be absolutely no hope of saving them by the time they were taken to the hospital.

However, the family was very self-aware and waited at the hospital, so the doctors immediately participated in the rescue.

Logically speaking, even if the King of Hell were standing right next to him, he would be scared away by the imposing presence of so many doctors.

However, this time the King of Hell won, and the hospital's 999 emergency services were also defeated!
Even more fortunately, Dr. Ogawa was also there.

But life is like a roller coaster.

Even the ever-victorious Dr. Ogawa suffered a defeat when he joined the battle!
The ECG returned to a straight line shortly after the button was pressed.

"The ECG monitor has turned into a straight line. I think this is really difficult to deal with."

"Hopefully Director Li can save the child; that would give this man some support and hope."

"It's so hard being a woman... Giving birth is like risking your life!"

Operating room waiting area.

Everyone has, of course, heard about what just happened.

He spoke with a tone of helplessness and regret.

Everyone comes here to give birth.

Either family members or relatives are inside, or one's wife is inside, so everyone hopes for the best.

But things are just too cruel now.

All I can say is that I hope to leave this man with something to remember him by.

In operating room number 3.

They've been pushing in for three minutes now.

"Xiao Chuan, we need to remove the fetus now. Can you continue to maintain a high level of CPR?"

If the amniotic sac ruptures, the baby must be removed.

However, given the current situation, a natural birth is impossible. If it were a cesarean section, it would be difficult to perform CPR, as Xiaochuan is currently undergoing the procedure.

Even if it's difficult to do, the child must be taken out.

Because the uterus shrinks after the fetus is removed, venous return improves, which may help the mother restore her circulation.

But CPR cannot be stopped.

Normally, regardless of whether the fetus still has a heartbeat, the rule is to save the mother first.

Therefore, it is essential to continuously perform high-quality cardiopulmonary resuscitation to maintain perfusion and ensure that the mother receives minimum blood circulation support.

"I can have a near-death cesarean section! I'm fine!!"

How strange! It's really strange! Why is this happening?
It's impossible that this person is the one being assessed in my own system space!

Damn it!

Why did I miss it again?!
If we had assessed the situation in the system space earlier, we might have been able to find a solution for this pregnant woman.

The countdown is now at 53.

There was neither a decrease nor an increase.

Zhang Lingchuan was a little confused.

This is really too tricky!

But whether it's a cesarean section or anything else, you'll never be afraid to do your own perfect CPR.

Furthermore, he also hoped that removing the fetus would reduce pressure on the uterus and increase the success rate of the mother's resuscitation.

And we can't wait any longer!
A low heart rate indicates extremely poor placental blood supply. If the amniotic fluid ruptures, the fetal protective barrier disappears, and the longer you wait, the less chance there is!
"Obstetrics, anesthesiology, and neonatology teams, prepare for immediate laparotomy!"

Li Tinglan was the chief surgeon.

She was still quite tired from hunger.

But I don't feel tired at all now.

All that remains is the belief in keeping the child, and even the mother!
In near-death situations like this, initiating a cesarean section within 4 minutes and completing it within 5 minutes is the golden window; beyond 10 minutes, the probability of survival decreases significantly.

All efforts may be in vain.

[Activating secondary precision detection, please wait...]

[Second-stage precise system scan complete.]

[Patient's name: Guo Fei.]

[Patient's gender: Female.]

[Patient's age: 40 years old.]

[Patient Status: A 40-year-old pregnant woman at 40 weeks gestation suffered sudden eclampsia, cardiac arrest, ventricular fibrillation, and a flat cardiac output; she is currently in the clinical death phase.]

[Patient diagnosis: Hypertension, coronary heart disease, obstetric critical condition, cardiac arrest, coma; the patient will die within 53 seconds in principle.]

[System notification: The patient is in critical condition. Please continue high-quality CPR. Results should be visible in approximately 30 minutes. Keep it up, Dr. Zhang Lingchuan!!]

[Mission Reward: Upon completion of the mission, you will receive a First Aid Gift Pack! As an obstetrician, ensuring the survival of both mother and child will activate a special reward!]

Upon seeing this, Zhang Lingchuan opted for a second scan.

Because there are often guidelines for secondary scans, and sure enough, he saw the guidelines again this time.

Thirty minutes of high-quality CPR is required.

What else can we do right now but keep working hard!
Ideally, both mother and child should survive to receive a special reward.

"It's out!"

At the same time, Sister Lan is still very helpful.

Lead the team to perform cesarean sections quickly.

The baby was delivered shortly afterward.

Zhang Lingchuan was also surprised to find that Sister Lan was much faster than him. She really was the top doctor in the obstetrics and gynecology department of the First Affiliated Hospital of Peking University. She was amazing.

"Huh? No?!"

Zhang Lingchuan's pupils constricted immediately after the child was born.

Because Zhang Lingchuan could see two labels while the baby was in his belly.

One label is red, and the other is a flashing red-gray label.

The child is, of course, the one labeled red.

Now that it's been removed, the tag on the child's head is flashing.

What does this mean?

The child only has sixty seconds left on the countdown!
"Director! Director! The child isn't breathing!"

Under normal circumstances.

After the baby is born, the doctor will happily share the news with the mother.

She's a little princess and a little handsome boy.

But at this moment, the mother is silent, and the child is silent too.

Her whole body was deathly pale, her eyes were tightly closed, and her lips were a deep purple. No matter how much she was patted, she didn't react at all.

If it were a normal baby, it would have already been unable to withstand the obstetrician's touch and would have started crying loudly.

The scene was very quiet.

Not a single cry could be heard.

For a department that frequently deals with newborns, this is tantamount to the King of Hell coming to take the child away!
"Quickly clear her airway, put her through the mask, and I'll perform CPR on her!"

Li Tinglan came over and started working on it herself.

Because the mother's heart stopped beating and the placenta's oxygen supply was interrupted, the baby was deprived of oxygen for too long.

We must act quickly now.

Any delay.

All of these could lead to irreversible consequences!
...(End of chapter)