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

You know, it's the last two minutes now.

Once the two-minute countdown ended, the pregnant woman, Li Xiaoxiao, died instantly. This was a biological death, and there was no way to save her.

But the blood clotting problem can't be corrected. If this continues, even if I break my heart from pressing on it, there's nothing I can do.

Of course, before the heart is destroyed, the person will be destroyed first.

Because right now, I can only last for about ten minutes at most before my energy is exhausted.

In reality, my body had already reached its limit, so the system locking out stamina potions was actually a good thing.

If another stamina potion is used, the body will definitely suffer irreparable damage.

This stuff is like adrenaline, or to put it simply, a stimulant that keeps you in a state of excitement and makes you feel like you have unlimited energy.

In reality, the body is constantly being depleted.

Of course, it doesn't have as many side effects as adrenaline or stimulants; it's just simple physical fatigue.

"Xiao Chuan, your surgery is nearing its end. Just hang in there a little longer. In about twenty minutes, the ECMO can be connected."

Now that the surgery has reached the stage of fixing the catheter, the next step is to connect it to the pre-filled tubing, then connect the tubing and start the centrifugal pump.

The surgery takes about five minutes to finish, and the perfusion phase takes about fifteen minutes, for a total of about twenty minutes.

Because ECMO doesn't work immediately upon startup. After it's started, the flow rate is gradually increased, and the oxygen concentration and rotation speed need to be adjusted. Only when the patient's blood pressure and blood oxygen levels rise, and the electrocardiogram changes, can it be considered truly activated.

Then manual CPR can truly stop the bleeding, and then ECMO can be used.

This is assuming no unexpected events occur; if an unexpected event does occur, it will take some time.

"Teacher's wife, how is the blood clotting process going?"

There are no problems with breathing and circulation.

It's about blood clotting.

Connected to ECMO for twenty minutes.

If we connect now, there might still be a sliver of hope, but in twenty minutes, the person will be gone.

Even if you say you can hold on for a while, patient Li Xiaoxiao couldn't last that long.

After all, this thing is still in the process of bleeding heavily.

Even if the rate of bleeding is the same as the rate of blood transfusion, the human body cannot simply maintain a balance if the rate of bleeding is the same as the rate of blood transfusion.

Are many women who experience amniotic fluid embolism because they don't have enough blood?
Blood supply is actually sufficient to a certain extent now, especially for pregnant women who don't need to submit a report and can request blood directly.

If that's not enough, then contact the blood bank.

In reality, the mother couldn't possibly endure that much blood transfusion.

The reason they can continue to receive blood transfusions here is because all the doctors are desperately maintaining vital signs, trying to outrun death, and they themselves are creating miracles with perfect cardiopulmonary resuscitation.

If any doctor were to try to save her, even if it were her, she probably could only hold on until 8,000 milliliters of blood were transfused, which would be her limit.

Especially since these blood vessels are so thin, ECMO insertion requires surgery.

Almost any one of them is a death sentence.

It's extremely difficult to last for more than an hour.

"We're working on correcting it, but it will take a little more time..."

Huang Xiangning replied with a somewhat dim look in her eyes.

They tried many medications, but they just couldn't control the blood clotting.

For now, all we can do is wait until ECMO is connected and then try to control it.

"This is getting complicated..."

Zhang Lingchuan continued pressing.

But inside, it was already stagnant.

Because he felt he couldn't keep them anymore, and now he was afraid he really couldn't keep them.

Judging from the system's long-term use, the other party would never fake a countdown, especially considering that Li Xiaoxiao's current condition is indeed not very good.

That means there are no more precise scans or regular scans.

Otherwise, he would have to undergo another scan.

That’s all.

Press it first!

Zhang Lingchuan continued to focus on his work.

outside.

Zhong Lin went out again to communicate with the patient's family.

"Family, the patient's condition is currently very critical. We have already transfused more than 20,000 milliliters of blood, which is equivalent to replacing your wife's blood five times over, but we still cannot correct the coagulation. ECMO can only be inserted surgically because we cannot puncture it. This is the second critical condition notice. Next, we will continue to transfuse blood, control coagulation, start the ECMO machine, and do everything we can to save your wife."

And a second critical condition notice was issued.

most of the time.

A critical condition notice will be issued as the patient's condition worsens.

It's not just one copy.

"This... Doctor, please, you must save my daughter!"

Zhou Liqiong's eyes were red.

The man beside her was also in tears; this was Li Xiaoxiao's father.

After all, my daughter is only twenty-three years old, a beautiful age.

She just had her wedding, is pregnant, and has a baby.

This is something to be very happy about; how did things turn out like this?

"Doctor, isn't Veterinarian Zhang inside? Even Veterinarian Zhang couldn't control that blood clotting! He's such a skilled doctor!"

Ding Zhenyu had no idea how he felt.

It was as if the sky had fallen and the earth had split open.

He knew about Veterinarian Zhang.

"Sigh... To be honest, family member, if it weren't for Dr. Ogawa, your wife might have suddenly passed away after childbirth without any chance of resuscitation. Moreover, controlling blood clotting is not Dr. Ogawa's specialty; he is skilled in cardiopulmonary resuscitation and has been performing CPR on your wife for an hour."

Zhong Lin looked at the family members' earnest eyes.

He said something with a hint of helplessness.

This is practically the most dangerous amniotic fluid embolism described in textbooks.

If Li Xiaoxiao hadn't fallen into a coma, she would most likely have been the type who cried out once and then simply died.

ECMO? That's completely unsustainable.

It was only because Dr. Ogawa was there that we were able to hold on for an hour.

Even after a failed puncture, she has managed to persevere until now, continuing to receive blood transfusions.

As for DIC, Dr. Ogawa is only good at the technical aspects; he's not actually very skilled at this kind of thing.

Not to mention him, Vice Dean Huang Xiangning, Director Li Tinglan, and Director Xia Xuelan were all on stage together, and despite using many medications, the condition did not stop.

This is something that requires experience.

Of course, luck also plays a part sometimes.

"Indeed... Dr. Ogawa has done a remarkable job of performing CPR inside until now. DIC is something that can't be controlled just by wanting to."

"This time, the King of Hell will probably take one of them as part of his performance record."

"No, what is this devil trying to do? Why is he so fixated on this girl? First, there was placental abruption, which is extremely difficult to detect. If it weren't for Dr. Xiaochuan's timely discovery and immediate surgery, she would definitely be dead. Both mother and fetus were in danger, and it's estimated that neither could be saved. Fortunately, the uterus was saved, the baby came back, and the mother's vital signs were temporarily stable. But then, a real amniotic fluid embolism occurred, an emergency with an almost 100% mortality rate!"

"Absolutely! This girl has broken some cardinal rule! Anyone else would be dead! And she's bombarding us with attacks!"

"Brothers, I have a terrifying thought. Could this be a real-life version of Final Destination? Zhang the Veterinarian can't save the person Death is going to take! Even if he did, there would be a second layer of danger! After all, she's already on the death list!"

"I also think that the King of Hell is determined to take someone to meet his quota! Leaving the child is already merciful enough! The adults definitely can't be saved!"

"That bullshit King of Hell and Grim Reaper! I think Veterinarian Zhang could just slap them both! He'd definitely save them!!"

"That's right, so many people could be saved before, so we definitely can be!"

"Even Professor Qiu Yinghe is here. I feel that even if death were to strike, the doctors might not necessarily lose!"

……

[Number of viewers watching the provincial TV station's "Medical Path to Success" live stream: 19121610.]

[Top 50 Most Popular Videos on Douyin]

[10. Provincial TV Station - Medical Journey Blossoms: Peak daily viewership reached 1912.16 million.]

The highest number of viewers was close to 20 million.

It jumped directly to tenth place on the day's overall live stream popularity list.

Everyone felt that with Dr. Xiao Chuan and so many medical staff, including Professor Qiu Yinghe, coming, they were bound to create a miracle.

Death God and Yama, get out of here!

"And the person who just went in is Professor Qiu Yinghe, who is the top gynecology expert in our affiliated hospital and even in the entire Northeast region. She rushed over immediately after receiving the dean's notice late at night, so we will definitely do our best to deal with it! Don't worry! We will not give up as long as there is even the slightest bit of hope!"

Zhong Lin spoke earnestly again.

"Okay, okay... Doctors, you must do your best! Money is not an issue, as long as the person can be saved!"

The family members heard this.

Although my whole heart was still tense.

But the hospital did indeed make its best efforts.

The hospital director immediately directed and coordinated the efforts, and veterinarian Zhang, the director of the obstetrics and gynecology department and the emergency department of the provincial hospital, the director of the obstetrics and gynecology department and the emergency department of this hospital, as well as top obstetrics and gynecology experts like Professor Qiu Yinghe all came over.

And then there's Dr. Zhang.

If they still can't save the person by then.

The probability of surviving in any hospital across the country is probably zero.

"How is the patient now?"

Professor Qiu Yinghe entered the operating room wearing sterile surgical scrubs.

She hadn't worn this outfit in a long time.

"Teacher! What brings you here! The situation is dire. Xiaochuan has suffered cardiac arrest and we've been performing CPR, but the blood clotting can't be controlled! The ECMO team should be able to take over in about twenty minutes!"

Li Tinglan saw Professor Qiu Yinghe coming over.

His face immediately filled with surprise.

After all, he's her teacher.

Why did they come over here?

Because we were focused on resuscitation, we didn't pay attention.

Of course, no relevant notification was received. However, the teacher had previously treated a patient with amniotic fluid embolism.

"In this situation, by the time the ECMO team arrives, she'll probably be dead on the operating table! We need to find a way to control the blood clotting! Xiao Chuan, your CPR really impressed me! It's like you have some kind of magic power, managing to sustain her for so long!"

After Qiu Yinghe arrived, she observed all the data and the mother's condition.

His brows furrowed immediately.

There are some things that data cannot tell us.

That is, the patient's complexion, condition, degree of bleeding, and other physical conditions can only be seen by being present at the scene.

Qiu Yinghe discovered that the patient was now in the near-death stage.

Death is just around the corner.

Based on her years of experience, it's also possible that she was by her husband's side, combined with some explanations about her complexion.

Let alone twenty minutes, it's probably not even ten minutes.

Ogawa is really amazing.

Despite performing CPR for so long, they were still able to keep the person alive.

Although it is still slowly dying.

But this was the strongest CPR she had ever seen.

I'd only ever seen them in videos before.

This is the first time I've seen it in real life.

"Grandma Qiu...you're right, I think I might not be able to hold on much longer."

The old lady is really amazing.

The most critical problem was immediately apparent.

That means people might not be able to hold on.

"The main problem is controlling the blood clotting, right? Otherwise, I think with your CPR skills, there's still a good chance!"

Qiu Yinghe said earnestly.

Blood is being transfused here, while the heart is beating normally over the other side.

Xiaochuan has at least a 50% chance of saving the person.

"How about this, let me try and see if we can manage to pull them out of the clutches of the King of Hell!"

Qiu Yinghe's eyes revealed a resolute determination.

"Tinglan, Xuelan, Xiangning, sometimes when we face such complex cases, we need to learn to go for it. It doesn't matter if the medication is strong, after all, the priority is to bring the person back to life! Because only when a person is alive can they judge how strong the medication is!"

At this moment, Qiu Yinghe looked like a veteran who had been through many battles. Her eyes were full of fighting spirit, but she looked calm and composed, as if she had everything under control.

"Forehead……"

Zhang Lingchuan stared at the number that had turned into "1..." and was speechless.

Ladies, can we take some medicine before we start showing off?

The countdown has only 1 minute left.

In other words, after one minute, there is absolutely no hope of saving him. Even if a god came, it would be useless. It is a physiological death!
You're actually teaching students here?

If that person dies, you'll really have a lot of fun!
Especially with such a calm and composed demeanor.

"Teacher, we understand."

The battlefield is now in Professor Qiu Yinghe's hands.

Everyone followed Professor Qiu's instructions.

"Atropine 1 mg, intravenous injection."

At the same time, Qiu Yinghe explained her treatment plan.

"One milligram of atropine, intravenously! Quickly!"

Li Tinglan herself recounted the events.

This is also a necessary procedure during surgery.

The doctor gives the order, repeats it, the nurse in charge takes out the medication, checks it, and begins the injection.

This thing works by increasing heart rate, reducing glandular secretion, and relieving smooth muscle spasms.

"Quick! Write down Professor Qiu's treatment process."

In the teaching and research office.

Jiao Bo said to his assistant beside him.

"250mg of aminophylline, plus 20ml of 25% glucose, administered intravenously by push."

Qiu Yinghe gave another medical prescription.

The doctors and nurses at the scene were busy.

Aminophylline is usually in powder or high-concentration injection form and cannot be injected directly into the bloodstream. It must first be dissolved in a liquid. 25% glucose solution provides a liquid environment to dissolve aminophylline into a homogeneous solution, so that it can be injected into the vein through a needle.

This is also safer and better protects blood vessels.

"Flumethasone 20 mg intravenously!"

The doctor's orders will continue.

The doctor repeated the instructions, the nurse checked them, and then the injection was administered intravenously.

Of course, Huang Xiangning was also analyzing her mother-in-law's medication.

Intravenous injection of aminophylline 250mg + 25% glucose 20mL + dexamethasone 20mg is a classic combination for rapid relief of moderate to severe asthma or acute exacerbations of COPD in the emergency department. It has a comprehensive effect of strong antispasmodic, anti-inflammatory, reducing airway edema and improving respiratory muscle fatigue.

Is it really effective for treating amniotic fluid embolism by using anticoagulation?
Is my mother-in-law being too presumptuous?

【0...】

And the other side.

Zhang Lingchuan felt that the old lady was definitely overconfident; after all, the countdown had already reached zero, so how could she possibly put out any drugs?

His illustrious reputation may be ruined by this unexpected turn of events.

Sometimes being too relaxed isn't a good thing.

"Huh? What's going on!"

Suddenly, Zhang Lingchuan realized that although the countdown had reached zero.

But the label above the patient's head was still flashing.

There is no sign of it stopping.

It shouldn't be.

Normally, once it reaches 0, shouldn't it be gone? It should turn gray, right?

Why am I still able to continue?

Could it be that the old lady's calm three-part response really worked?

"5% sodium bicarbonate 200 mg intravenously!"

Qiu Yinghe had no idea what Zhang Lingchuan was thinking. Her attention was focused on the patient and the feedback from the instruments. She then calmly continued to give her medical orders.

In an instant, Huang Xiangning frowned upon hearing her mother-in-law's words.

If the previous medication regimen was a triple therapy for bronchitis, then adding 5% sodium bicarbonate changes the nature of this regimen.

It is no longer a regular asthma relief program; it has become a rescue program for severe asthma complicated by respiratory acidosis and shock.

This plan is extremely risky.

Current guidelines do not recommend using it.

Often, it's only after being put on a ventilator and assessed by a senior doctor that it's used.

Moreover, these medications can inhibit myocardial contraction to a certain extent, improve the heart's pumping function, and help maintain blood pressure.

The first signs are emerging.

"???"

In fact, at this very moment.

Zhang Lingchuan also began to see the signs.

[0...1...]

Because of his bizarre discovery, the number had miraculously returned to 1 from 0.

In other words, the coagulation disorder is being gradually improved!

Awesome.

So there's hope for this wave?

Is that old lady awesome?
"Hydrocortisone 200 mg IV injection!"

Qiu Yinghe continued.

Huang Xiangning, Li Tinglan, Xia Xuelan, and others had their pupils constricted.

Adding 200 mg of hydrocortisone (intravenous injection) to the existing quadruple therapy (aminophylline + glucose + dexamethasone + sodium bicarbonate) may have been seen in older literature or in grassroots hospitals decades ago, but in modern standardized emergency medicine, this is an extremely high-risk and potentially counterproductive approach!
It's even possible that all our efforts will be in vain!

"Dopamine 20 mg".

Just at this time.

Qiu Yinghe was like a ruthless broadcasting machine.

After reviewing the relevant data, he immediately started talking again.

"Wow—"

When the 20 milligrams of dopamine came out, not only were the doctors in the operating room stunned.

"This...this is insane!!"

In the teaching and research office, the dean and a group of doctors were also so shocked that they were speechless.

Jiao Bo, who had manually recorded the information, dared not write it down.

Theophylline + glucose + dexamethasone + sodium bicarbonate + dopamine is no longer a treatment option; it's an extremely dangerous, extremely complex, and rarely used "hodgepodge" rescue combination in modern medicine, harboring enormous risks!

It can be said.

This method of medication administration.

Calling him a suicide maniac wouldn't be an exaggeration!!

"This is insane... This is fucking insane..."

Zhang Lingchuan, who was undergoing CPR, also had his lips twitching!
Because he witnessed an unbelievable scene.

...(End of chapter)