I'm just a veterinarian! You've unlocked the Great Physician System!
Chapter 603 How could such a thing happen to a child's life? Zhang Lingchuan's fury!!
"You guys stitch me up, I'll do CPR!!"
Sun Mei checked the uterine contractions and found that the bleeding was still under control, which was a stroke of good luck amidst misfortune.
Without further hesitation, she handed over the remaining suturing to the first assistant and quickly turned and rushed to the busy neonatal resuscitation table.
"How is the child?!"
He then asked inquiries.
As soon as Sun Mei finished speaking, almost all eyes in the operating room focused on that small resuscitation table.
"No spontaneous breathing!"
"Heart rate below 60!"
"Blood oxygen saturation cannot be detected!!"
"His face is severely cyanotic!!"
As the series of data was reported, the air seemed to freeze for a moment.
Sun Mei's pupils contracted slightly; this was a typical case of severe neonatal asphyxia!
Moreover, it's that kind of extreme, edge-of-the-world situation!
too small.
Two jin!
Now that this has happened again, it's a bit difficult to handle!
"Continue positive pressure ventilation! Rate 40 to 60 breaths per minute! Keep the airway open! Perform suctioning correctly!!"
As she gave the orders, she quickly assessed the chest; the chest was rising and falling weakly, and there was almost no pulsation in the precordial region.
"I've started performing chest compressions on newborns too!!"
After giving her instructions, Sun Mei had already positioned her hands, pressing her thumbs against the lower part of her sternum.
"start!!"
Press, breathe, press, breathe; the rhythm is quickly established.
There are certain rules about rhythm when performing CPR.
Look at Dr. Ogawa performing CPR; he's so skilled at controlling the rhythm that it's said to beat like a heart.
Unfortunately, the child did not react at all.
"What's your heart rate? Still below 60?"
Sun Mei inquired.
"Continued to be below 60!!"
The nurse next to him was trembling.
"Oops!!"
Sun Mei's forehead instantly broke out in a sweat; this situation was extremely tricky!
Meanwhile, on the other side.
"Adrenaline! Defibrillation! Continue!!"
Zhang Lingchuan's voice was deep.
Defibrillation then began.
[57...58...]
After defibrillation, Zhang Lingchuan immediately performed high-quality CPR.
He seemed to be nailed to the gurney, his arms steady and his rhythm precise, as if he was determined to pull this life back from the brink of death!
Two more numbers!
I only need two numbers to get myself out of trouble and then rescue the child.
His goal is to complete both tasks!
On the other side, Zhao Li stared intently at the monitor.
"Still no spontaneous circulation! Continue with adrenaline! 1 mg, push again!!"
soon.
They performed their fifth defibrillation.
If defibrillation fails to save the person, then there is no point in trying to save them.
At this moment, the entire emergency room felt as if it had been compressed to its limit.
No one was talking nonsense, because every second was a battle with death.
Zhang Lingchuan's breathing was already heavy, and sweat dripped down his chin.
But his hands even started to tremble slightly.
[Ding! The current host is using a stamina potion.]
Yes.
He used a stamina potion.
Compared to human life, what are stamina potions?
Especially over there, the countdown above the child's head has only 30 seconds left.
Zhang Lingchuan is really...!
【59...】
One second left.
Defibrillation!
Zhang Lingchuan shouted!
Zhao Li's team members started clicking!
The next second—
【60!!】
"drop--"
A sound came from the electrocardiogram monitor, and the originally straight line trembled slightly!
"Got it!!!"
Zhao Li suddenly shouted!
"Cardiocardiographic activity restored! Faint pulse detected! A miracle!!"
She was deeply shocked.
It really is Dr. Ogawa, just like the legends say.
"Teacher Zhao, please keep pressing and maintaining the advanced support without stopping! I need to go check on the child!"
However, Zhang Lingchuan showed no sign of letting up at this moment.
Because the child only has twenty seconds left on the countdown.
Fortunately, the operating room wasn't large, and after a five or six-second handover, there should still be ten seconds left.
"Understood! Take over!!"
Zhao Li was startled and immediately stepped in.
"Keep pressing!! Don't stop!!"
"Prepare for intubation!!"
"Prepare the ventilator!!"
"Maintain blood pressure!!"
"Prepare norepinephrine!!"
The entire emergency team took over instantly and seamlessly!
Zhang Lingchuan had already left, arriving at the neonatal resuscitation table without even having time to catch his breath!
On the other side of the operating room, Sun Mei was also in a state of utter distress.
"My heart rate is still not going up! My ventilation is poor! My chest isn't moving properly! That's strange!!"
Her forehead was covered in sweat.
At that very moment, a figure appeared directly beside the resuscitation platform!
"Director Sun, let me give it a try!"
The voice wasn't loud, but it carried an absolute sense of oppression.
Sun Mei looked up.
"Dr. Ogawa! Okay! I'll leave him to you! This child is really a bit strange!!"
Without the slightest hesitation, she stepped aside, and Zhang Lingchuan took over with both hands, his position precise and his strength perfectly controlled.
Still a perfect CPR!
One, two, three, the rhythm is perfect!
Sun Mei stood to the side, her pupils slightly contracted; she had witnessed many resurrections.
But this kind of artistic revival was something she had never seen before!
Especially in a premature newborn weighing only two pounds.
This is completely different from adult CPR. Pediatricians and obstetricians have their own specialized CPR training.
"Teacher! Blood pressure is extremely low! Almost undetectable! Heart rate is still below 60! It's reached 52!!"
The air tightened again upon hearing this.
But Zhang Lingchuan didn't stop, and his expression didn't even change.
However, he also sensed that the child seemed a little different.
[Precise scanning is currently in use; system scan initiated.]
He chose to enable precise scanning.
Soon, while he was being treated, information emerged.
System scan complete.
[Patient's name: Son of Sun Linhong.]
[Patient's gender: Male.]
[Patient's age: 3 minutes after birth.]
[Patient's condition: Severe asphyxia, extremely low birth weight premature infant (approximately 28+6 weeks), no spontaneous breathing, heart rate consistently below 60 beats/min, extremely low blood pressure, severe hypoxia, significant cyanosis, and extremely unstable vital signs.]
[Patient Diagnosis: Severe neonatal asphyxia complicated by congenital heart defect (suspected ductus arteriosus-dependent congenital heart disease), systemic circulatory insufficiency, and persistent hypoxia.]
[System notification: The patient has a severe congenital heart defect, and the pulmonary-systemic circulation transition failed after birth, resulting in persistent hypoxia and hypoperfusion. Without immediate intervention, the patient will rapidly progress to irreversible brain damage and death.]
[Emergency treatment recommendations are as follows: Immediately maintain effective ventilation and circulatory support, and establish intravenous access as soon as possible, administering continuous infusion of prostaglandin E (PGE) to maintain patency of the ductus arteriosus, improve systemic blood perfusion, and buy time for subsequent surgery.] Zhang Lingchuan looked at it carefully.
Suddenly, in the next instant, his pupils contracted slightly.
This child has a congenital heart defect!
Moreover, it's ductus arteriosus dependent, no wonder it won't come up no matter how much pressure I apply!
The problem isn't just suffocation; it's a structural problem!
"Director Sun! Look, the blood oxygen level is consistently low. I suspect the child may have a congenital heart defect!! We need to administer PGE immediately!! To keep the ductus arteriosus open!!"
He pressed down while speaking.
"Prepare prostaglandin E! Quickly!!!"
Sun Mei gave instructions directly to her subordinates.
Without even the slightest hesitation!
"Prepare for intravenous injection!!"
"Preparing for bone marrow access!!!"
The nurses sprang into action instantly!
Zhang Lingchuan continued his chest compressions, but he discovered that his perfect CPR seemed to have lost its effectiveness here!
Previously it was [10...], but after he pressed it, [...9] actually dropped to nine.
That's unreasonable.
Isn't it normal and reasonable to avoid relegation?
At least the number [10] won't change. If it drops to nine, wouldn't that mean the child might not even be able to perform perfect CPR?
The medicine needs to arrive quickly!!
Zhang Lingchuan looked solemn.
We're racing against death right now!
"Prostaglandin E! Hurry!!!"
Sun Mei urged!
The entire neonatal resuscitation area instantly entered a state of extreme operation.
"Pharmacy first aid kit! PGE!! Quick!!"
A nurse practically rushed out, and in less than three seconds, the sound of her footsteps echoed on the floor of the emergency room.
"Got it!!"
A slightly overweight nurse, panting, handed the medicine box to the operating table.
"Dosage calculated based on newborn's weight!! Start with a small dose!! Prepare for continuous infusion!!"
As Sun Mei spoke, she quickly checked the drug label.
Time allows no hesitation.
"How's the intravenous access?!"
"The peripheral circulation is failing! Blood vessels have collapsed!!"
"The bone marrow access has been established!! It's usable!!"
"Okay! Go straight to the bone marrow! Inject!!"
At the same time, Zhang Lingchuan's hands continued to press down, his eyes fixed on the top of the child's head.
[9...8...]
The countdown is really fast.
In other words, his perfect CPR couldn't stop the child's death; it could only delay the countdown.
Fortunately, the medicine has arrived. Once the medication is administered, the child's countdown should be able to resume.
His mission was then complete.
Another day of perfect merit!
"Understood!! PGE is ready!!"
The nurse quickly drew up the medication, expelled the air, and connected the access tube.
"Betting begins!!"
With a sound, the medicine entered that tiny body.
At that moment, almost everyone held their breath.
In theory, as long as it is ductus arteriosus-dependent congenital heart disease, PGE should quickly improve blood flow after entering the body!
There will be at least some change, even if it's just a small one!
But why is my blood oxygen level still not rising?
Zhang Lingchuan's pupils also contracted sharply!
No! Absolutely not!!
[8...7...]
Why is the countdown still dropping after I applied the medicine? It hasn't slowed down or stopped; in fact, it's dropping even faster!
"What's your blood oxygen level?!"
Zhang Lingchuan looked at the machine.
"50!!"
The nurse's voice was strained.
"Heart rate is still below 60! The purple discoloration of the extremities is worsening!!"
The air seemed to freeze instantly, and Sun Mei's expression changed drastically. She wondered what was going on!
"Logically, there should be a response when PGE takes effect! Even a slight one should be present!!"
She suddenly looked at Zhang Lingchuan.
"Dr. Ogawa, could our diagnosis be wrong?!"
The doctors around were also completely dumbfounded.
Was the diagnosis wrong? Is it not ductus arteriosus dependent?
If it's a misdiagnosis, then this injection will not only fail to save the person, but may also waste their last precious time!
"No! This is impossible!!"
Zhang Lingchuan almost instinctively denied it!
It's impossible for the system to mess with him at this time!
Moreover, based on experience, the child definitely has a congenital heart defect.
The next second he looked down at the child again.
The small body remained cyanotic and showed no improvement.
【6...】
Even the countdown is continuing to drop!!
"Blood oxygen levels are dropping! It's already at 48! And it's still falling!!"
Sun Mei is completely baffled now.
She had never seen anything like this in all her years of medical practice!
The medication was correct, the route of administration was correct, and the procedure was performed without any problems. Dr. Xiaochuan's judgment should also be correct. She felt that it was quite reliable!
But it didn't work!
This is completely unscientific!!
"Is it a dosage problem? Should we give it another injection?!"
A doctor standing nearby couldn't help but speak up.
But as soon as she said it, Sun Mei shook her head!
You can't just add medicine randomly, or something bad will happen!
[System second scan complete.]
[Patient's name: Son of Sun Linhong.]
[Patient's gender: Male.]
[Patient's age: 0 minutes after birth.]
[Patient's condition: Severe asphyxia continues to worsen, severe hypoxia, circulatory perfusion failure, vital signs on the verge of collapse.]
[Current intervention: PGE3 injection has been administered.]
[Error Notice: The medication did not produce the expected therapeutic effect.]
[System notification: The currently used medication, prostaglandin E (PGE), has a serious problem. The medication has expired and the active ingredient is ineffective. Please use a medication that is still within its expiration date; otherwise, the patient may die within a short period of time.]
The results of the second scan are in.
But this line of text struck Zhang Lingchuan like a hammer blow to the head!
The medication has expired!
His pupils constricted to their absolute limit!
How could this happen?! Why did this happen?!
"Director Sun! Is there something wrong with this medicine? Is it expired? Please check it quickly! Expired medicine can affect the active ingredients!"
Zhang Lingchuan's voice was like a thunderclap!
The entire emergency room was stunned!
"What did you say? Expired?!"
"These can't be expired, right? How could the medicine in the first-aid kit be expired?!"
……
After realizing it, everyone thought it was impossible!
After all, how could hospital medicine possibly be expired?
"It's...it really expired!"
After hearing Zhang Lingchuan's words, Sun Mei practically rushed over, grabbed the medicine bottle, and stared intently at the label.
The next second, her hand trembled violently, because the date on the medication had clearly expired!
And it didn't just expire, it's been a while!
"How could this happen? How could emergency medication be expired?!"
"Isn't this harming people?!"
The voices of the doctors and nurses next to me changed!!
"Get more medicine quickly! Immediately! Right now! The child here is dying!"
But there's no time to hold anyone accountable now, because the child's life is still in danger!
[6...5...]
The last five numbers!
Normally it takes five seconds, but he can last longer with perfect CPR. We must save this child!
Hurry!!
Zhang Lingchuan's eyes were blazing with fury, and his voice was like a sharp blade!
...(End of this chapter)
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