Chapter 393: 【393】Professional Answer Chapter 393: 【393】Professional Answer “She collapsed, and by the ti I went to check her carotid artery and breath, it had been over five minutes, which can hardly be considered within the golden period for cardiac resuscitation. Reflecting back, when I arrived to examine her, I found excess foreign material in her mouth—it seed like an obstruction in her throat had caused a sudden weakness in breathing, coupled with an external stimulus, leading to a cardiac arrest due to her underlying illness. So I hurriedly cleared the foreign material from her throat. The patient was elderly, and it cannot be ruled out that she had underlying cardiovascular diseases, such as a coronary event.”
All the dical staff on the scene listened to her clear and logical analysis. Lau Jingyun was surprised: her little junior sister rembered every detail so clearly.
“So what you’re saying is—” Doctor Wei’s hand was on his chin, pondering her words.
Xie Wanying concluded, “It’s possible that the real ti between her heart stopping and when I started the first cardiac compression was less than a minute, which is why the cardiac compression was very effective.”
A patient falling to the ground doesn’t necessarily an imdiate cardiac arrest. For instance, the current patient’s situation was not like that according to Xie Wanying’s analysis. The emphasis on the ti difference between cardiac arrest and starting compressions is critical for doctors to predict the patient’s subsequent condition. While so patients’ heartbeats may return, if too much ti has lapsed and they’ve missed the golden hour, it’s uncertain whether there will be secondary problems in the brain.
The reason Doctor Wei had to ask her was because the patient’s symptoms and what the patient’s family had described didn’t match.
The patient’s family said the patient collapsed and did not respond to calls, and that too much ti had passed before a doctor began cardiac compressions. Under these circumstances, the quick recovery of the patient’s heartbeat and consciousness was sowhat unbelievable. Doctor Wei had many questions after hearing the family’s account.
Having spoken with Xie Wanying, Doctor Wei understood: The reason the patient’s family couldn’t get a response was because sothing was stuck in the patient’s throat, and the patient hadn’t completely stopped breathing or suffered cardiac arrest at that ti—it happened later.
“Is she a cardiologist or an ergency physician from so hospital?” a nurse asked Doctor Wei.
Any professional could tell that Xie Wanying’s orderly account of the patient’s condition was due to well-trained expertise, perhaps from a specialist who had received specific training.
Doctor Wei blinked and then took another look at Xie Wanying’s face: anyhow, this person claid to be a dical student.
Under the lights, her face appeared young, like that of a student. Doctor Wei asked, “You said you’re studying. Are you graduating this year?”
“No, senior. I’ve just recently started my clinical internship, I still have over two or three years until graduation,” Xie Wanying answered.
A greenhorn just starting their clinical stint?
Not only Doctor Wei, but everyone else on the scene turned their heads to look at her.
“An intern? From which dical college?”
A group of people whispered among themselves.
“Doctor Wei,” a nurse ran in from outside to report, “should I notify the neurosurgery team to co down for that head injury case?”
“Yes,” Doctor Wei turned back and asked, “What, haven’t they co down yet?”
“They called to ask if a head CT had been done?”
“Tell them to co down. We’re sending for a CT now, and they need to suture him imdiately. He’s conscious and his pupils are responsive to light for now, but there’s a lot of bleeding from the scalp, and pressure can’t quite stop it.” Doctor Wei was clearly upset towards the end.
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