Top-tier doctoral supervisor, reborn as a first-year graduate student in standardized residency trai

The leads were quickly attached, and the waveforms on the monitor were already a jumbled mess.

Gu Lin leaned on the edge of the bed and looked down to check his carotid artery.

Empty, without a pulse.

"Sustained ventricular tachycardia, blood pressure undetectable!"

Zhou Wenyuan's voice was icy cold as he issued the order directly.

"Prepare for synchronized cardioversion!"

The nurse has already attached the coupling electrode.

The girl was beginning to lose consciousness; her chest was rising and falling weaker, and her face was frighteningly pale.

The only sounds in the emergency room were the alarms from the machines and hurried footsteps.

"200 joules, fully charged!"

Zhou Wenyuan looked at the monitor, his voice calm.

"Everyone get out of bed!"

Snapped--

The girl's body jolted up the instant the electric shock struck.

The monitor waveform jumped erratically for two seconds, and then plunged back into the terrifying ventricular tachycardia.

"Oh shit."

A young doctor nearby muttered a curse under his breath, and Zhou Wenyuan's face darkened completely.

"Keep charging!"

Gu Lin stood by the bed, his back already covered in a thin layer of sweat.

He stared at the screen, and suddenly, the waveform paused for a moment, and then the previously chaotic ventricular velocities finally began to narrow.

The nurse's eyes lit up immediately.

"They're back! Sinus rhythm is back!"

The people next to them almost simultaneously breathed a sigh of relief, but before they could even fully relax...

The monitor suddenly beeped again, and the heart rate began to spike wildly.

150, 158, 163...

"I'm getting more and more premature ventricular contractions, and my circulation is still unstable."

"Etopilate 0.2mg, administered slowly."

Zhou Wenyuan stared at the monitor, speaking very quickly.

One minute later, the medication was injected into the vein, and the girl's body, which had been struggling violently, finally relaxed little by little.

"laryngoscope."

Zhou Wenyuan had already bent down and started inserting the tube.

Gu Lin stepped forward and pressed down on her shoulders to help Zhou Wenyuan maintain his position.

When he got closer, he could see that the girl's eyelashes were trembling, as if she was scared, or as if she had no idea what was happening.

I don't know why it suddenly turned into this, even though it was just a cold.

Gu Lin's Adam's apple bobbed slightly, and he spoke in a low voice.

"Don't move."

The sound wasn't loud, but it was inexplicably reassuring. Zhou Wenyuan moved extremely quickly, inserting the laryngoscope, exposing the glottis, and pushing in the tube. The whole process was clean and efficient.

"Airbag".

The nurse immediately handed it over, and Zhou Wenyuan looked at the patient to confirm the insertion position.

"Intubation successful."

Everyone's tense nerves finally relaxed a little.

The ventilator was quickly connected, and oxygen saturation began to slowly recover.

However, the monitor was still not stable, with an alarmingly high heart rate and blood pressure still on the verge of danger.

No one spoke in the emergency room, only the rhythmic sound of the machines running. Gu Lin's back was completely soaked, sweat streaming down his forehead, but he seemed oblivious, still staring at the monitor.

The nurse next to me called out.

"The troponin results are in!"

Zhou Wenyuan took it and glanced at it; his face darkened completely.

"Fulminant myocarditis"

The air fell silent for a moment. Although everyone had suspected it, the oppressive feeling still subsided when it was finally confirmed.

too young.

Twenty-four years old.

Yesterday they might have been working, chatting, and eating normally, but today they are being intubated and resuscitated.

Chen Mu stood to the side, his palms sweating nervously.

He suddenly realized that the scariest thing about the emergency room was never the busyness.

But you never know if what's pushed in the next second is a life that's rapidly falling.

"How is the situation?"

A deep voice came in, slightly out of breath, indicating he had run all the way there.

Gu Lin subconsciously turned around and saw a man around fifty years old standing in the doorway. His white coat was not buttoned up properly, and a thin layer of sweat covered his forehead.

The original owner had met him; he was Liang Zhenguo, the head of the cardiology department.

He had just finished surgery and hadn't even taken off his hat yet.

As soon as he finished speaking, the nurse next to him immediately spoke up.

"Director Liang, it's fulminant myocarditis. He just had persistent ventricular tachycardia and we've already defibrillated him once."

Liang Zhenguo walked a few steps to the bedside, glanced down at the monitor and electrocardiogram, and his expression changed.

"So young?"

Zhou Wenyuan also said with some regret.

"The illness progressed too quickly; yesterday it was just cold symptoms."

"Damn it."

Liang Zhenguo muttered a curse under his breath.

"These viruses are getting more and more bizarre among young people these days."

The heart rate on the monitor was still pounding wildly, but at least the waveform was no longer completely out of control like before.

Liang Zhenguo stared at the screen, then turned to look at the patient.

"Amiodarone continues to be infused, and norepinephrine is maintained."

The nurse responded immediately.

"it is good."

The pace in the emergency room was still frighteningly fast, but compared to the near-out-of-control chaos just now, it had clearly stabilized a bit.

Gu Lin stood by the bed, looking down at the monitor.

My heart rate is still over 130.

My blood pressure is also low.

But at least, sinus rhythm was maintained and did not drop back to ventricular tachycardia.

This means that she has temporarily retreated from the brink of the greatest danger.

Chen Mu, standing beside him, finally dared to breathe again, wiping the sweat from his forehead, his voice still a little strained.

"Damn it... I really thought he was going to die just now."

No one responded, because in those few minutes, everyone was truly racing against death.

Liang Zhenguo looked at the blood gas and test results, but his expression still wasn't good.

"The lactic acid levels are still acceptable; the cycle has stabilized for now."

The nurse asked hesitantly.

"Director, should we contact ECMO?"

Liang Zhenguo paused for two seconds and looked at the monitor.

Although the waveform is unstable, it is no longer as likely to collapse as before, and the blood pressure has gradually stabilized above 90.

He spoke.

"No need for now, continue to observe."

The people around clearly breathed a sigh of relief; ECMO wasn't out of the question.

But as long as there is still a chance to stabilize circulation with medication and mechanical ventilation, no one wants to let a 24-year-old girl go directly to that stage, as this is not an expense that an ordinary family can afford.

The atmosphere in the emergency room was finally less suffocating than before, but no one dared to truly relax.

Because everyone knows that the most dangerous thing about fulminant myocarditis is "false stability".

The heart rate may drop one minute and then worsen the next.

Liang Zhenguo stared at the monitor for a few seconds, then suddenly reached out.

"Show me the bedside ultrasound again."

The resident physician next to him immediately handed over the probe.

On the screen, the heart contractions were noticeably weaker.

The more Liang Zhenguo looked, the deeper his brows furrowed.

"The heart muscle is too weak..."

Zhou Wenyuan stood to the side, his voice low.

"At least for now, the cycle can be maintained."

Liang Zhenguo hummed in agreement, but his gaze remained fixed on the screen.

Just then, the girl on the hospital bed suddenly moved slightly, as if she couldn't suppress her composure.

Her brows were furrowed, and she let out a suppressed cough, causing her heart rate on the monitor to spike.

145, 148...

"Doctor, your heart rate is getting fast again."

Gu Lin looked up, his tone reassuring.

"Both hypoxia and stress can stimulate heart rate, and the depth of sedation may not be sufficient."

Liang Zhenguo glanced at him sideways. This young man had been unusually quiet for a resident trainee since the beginning. He didn't interrupt or interfere, but every time he spoke, he got straight to the point.

Liang Zhenguo looked away.

"Propofol 30 mg, administered via infusion pump."

"Remember not to press too hard, her blood pressure is already low."

Gu Lin stood to the side, his gaze never leaving the monitor.

Suddenly, hurried footsteps came from outside the emergency room, and the door was pushed open the next second.