When the Doctor Uses A Hack

“`

The patient still had a heartbeat, and their breathing was very weak, but because of the fainting, they had lost consciousness.

Chen Cang called out to the nurse, “Cardiac monitor!”

“Contact the ICU and cardiology department for an emergency consultation!”

All the nurses, like soldiers, instantly threw themselves into their work.

Chen Cang turned to look at Chang Lina, his expression dark, “Go call Yan Ming.”

Chang Lina nodded and turned to go.

Yan Ming, this guy, really is too irresponsible.

Thinking about this, Chen Cang couldn’t help but want to punch him, really a fucking idiot!

He told him to go on rounds, to have a sense of what was happening with the patients, to instruct them carefully, but he just wouldn’t check.

Now look what’s happened!

…

But now was not the time to get emotional.

All resuscitation efforts had already begun.

“Tracheal intubation established and connected to the ventilator.”

At this point, the results from the cardiac monitor appeared.

Just seeing the screen, Chen Cang suddenly freaked out.

There was a heartbeat just a moment ago, wasn’t there?

How is it gone?

Chen Cang was terrified all at once.

How could the heart just suddenly stop?

Could it be cardiogenic shock?

Thinking this, Chen Cang’s scalp began to tingle for no apparent reason.

The mortality rate for cardiogenic shock was too high.

At this moment, they knew nothing about the patient’s condition, but what needed to be done now was not to find out more, it was to resuscitate!

Chen Cang broke out in a cold sweat and hastily turned to the nurses and said,

“Adrenaline!”

“Suction secretions!”

After speaking, Chen Cang immediately started CPR.

After a few cycles, the patient’s heartbeat still hadn’t recovered.

At that moment, Doctor Zhao Jianhai from the ICU ran over.

Seeing the situation, his face turned pale, “Get the defibrillator ready!”

When Chen Cang saw Zhao Jianhai, he nodded at once, “Teacher Zhao, you’re here!”

Zhao Jianhai nodded, “Hmm!”

The two of them hurried to organize the rescue.

Defibrillation!

CPR!

Bag valve mask oxygenation!

After two cycles, Yan Ming finally arrived, yawning and standing on one side, staring dumbfounded at everything.

The patient lay motionless on the resuscitation bed.

Chen Cang was performing external chest compressions by himself.

The tracheal tube was in place, and the ventilator was already connected.

One nurse took care of administering drugs, another was responsible for suctioning secretions.

Yan Ming realized what had happened and his face turned ashen.

Chen Cang was already drenched in sweat by then, fortunately having eaten something; he had the strength to continue the chest compressions for so long, otherwise, he really didn’t know if he could keep up.

Chen Cang turned around, saw Yan Ming, and without time to blame him, said, “Hurry up and contact the family!”

Chang Lina nodded and rushed to the nurses’ station to make the call.

Another young nurse had already called the cardiologist over.

Seeing Chen Cang exhausted, Yan Ming couldn’t help but say, “Let me do it; you take a break.”

Chen Cang’s eyes were bloodshot; they had been resuscitating for over ten minutes, but the patient had shown no response, and Chen Cang felt unresolved.

Upon hearing Yan Ming speak, Chen Cang didn’t even look up, just continued the compressions.

He shouted out angrily with just a single word!

“GET OUT!”

That single word contained all of Chen Cang’s resentment, all of his frustration.

You fucking call yourself a doctor, an emergency doctor?

Do you have any shame?

Can’t you have a little sense of responsibility?

At this moment, Chang Lina brought the patient’s medical records over.

“62-year-old male, chest pain for one hour upon arrival at the hospital, an ECG was done showing significant ST-T segment changes, blood tests for troponin were still normal; patient has a history of hypertension, chest pain this time considering the possibility of acute coronary syndrome.”

Chen Cang and Zhao Jianhai couldn’t help but glance at each other.

An elderly male with chest pain, heart attack must be the first consideration.

This was a very simple emergency medicine thought process.

“`

The reason the patient was kept for hospitalization was definitely out of concern for an acute myocardial infarction. Although troponin levels were normal, the possibility couldn’t be ruled out.

Now, cardiogenic shock had set in…

The consequences were, by now, unspeakably clear.

If the patient was confirmed to have a myocardial infarction, severe infarction could instantaneously cause cardiac function to fail. When the heart can’t pump blood, cardiogenic shock occurs, characterized by low blood pressure, difficulty breathing, and feelings of impending death among other symptoms.

And just the same!

Once cardiogenic shock happens, it’s a nine out of ten chance of death!

At this time, the patient had already gone into cardiac arrest.

Everything had happened too suddenly; no one had time to prepare.

Chen Cang was still tirelessly performing chest compressions on the patient.

The nurse administered adrenaline every few minutes, but the heart monitor still showed no improvement.

The cardiologist arrived, but by then, it was too late.

All we could do was watch as Zhao Jianhai, Chen Cang, and the nurses went all out in resuscitation!

At this time, the family had also arrived, one son, and three daughters. They gathered outside the emergency room door, where Chang Lina had already briefed them on the condition.

All four were fraught with anxiety; even the youngest of the three daughters was already in her forties, while the son was the youngest, just over thirty.

The boy stood there, his eyes filled with hope.

The three daughters, on the other hand, had already started to cry.

…

…

At this time, inside the room, Zhao Jianhai looked up at the clock on the wall. They had been resuscitating for 40 minutes, and it was likely hopeless.

He couldn’t help but sigh and tugged at Chen Cang, “It’s over.”

Upon hearing these words, Chen Cang didn’t stop; instead, he continued a few more compressions.

But he’s only human!

After performing compressions for over forty minutes, his arms had lost all sensation.

When he heard Zhao Jianhai say “It’s over,” his expression changed instantly.

He knew what it meant.

It meant a living, breathing life had slipped away.

They say in emergency medicine, you see life and death all the time.

But when the moment comes, who can truly be heartless?

Chen Cang had seen many resuscitation failures.

But even so, when life slipped through his fingers, the helplessness was indescribable!

A mere “It’s over,” might seem ordinary.

But the words were rife with helplessness.

…

Chen Cang leaned in close to the patient, whose face had turned cyanotic, entire body skin purplish, limbs cold, pupils dilated, with the loss of light reflex…

Almost all signs were pointing to one outcome…

This was now a corpse.

Chen Cang suddenly lost all strength and collapsed to the floor.

Zhao Jianhai had already stood up and was walking outside to communicate with the family, probably to give them the worst piece of news.

This was bound to be a very difficult night.

After all, when the patient was brought in, he was fine, and then, suddenly, he was gone. The family would surely struggle to accept this.

But such incidents are not infrequent.

Who could have expected the patient to faint in the bathroom?

Who could have thought the emergency patient had no one accompanying them?

Who would have guessed…

Nobody would have guessed!

Life is so fragile, yet as health care providers, all we can do is give our best to say one more word to the patients, to consider just one more thing for them.

Patients with myocardial infarction are already in danger and must be constantly reminded.

Chen Cang stood up, his hands on the bed, but his arms were unstable, and he fell to the ground again.

Yan Ming didn’t leave; he didn’t even dare to leave. Seeing Chen Cang fall, he moved to help him up.

Chen Cang suddenly threw a furious punch!

Right at Yan Ming’s face!

“You’re not fit to be a doctor!”

Chen Cang, with tears in his eyes and fists clenched, glared at Yan Ming, “Dressed in this white lab coat, do you think you’re worthy of it?”

Yan Ming sat in silence, on the ground, letting the blood from his nose pour out freely.

What could he say?

He didn’t attempt to defend himself.

Would defense make any difference?

Perhaps this incident really had nothing to do with Yan Ming.

But, had he truly fulfilled the responsibilities expected of a medical worker?

ps: Ah… after writing this chapter, I suddenly don’t know what to say. I hope that all medical workers can be worthy of the white coats they wear.

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