The Enhanced Doctor
Chapter 1487: There’s Always a Bit of Helplessness
Chapter 1487: Chapter 1487: There’s Always a Bit of Helplessness
"Bang"
"Charge 200 joules."
"Speed up blood transfusion, I’ll keep compressing."
Seeing that the patient’s heart didn’t restart after defibrillation, Liu Banxia shouted.
The patient’s blood flowed along the slanted blade onto the examination bed, and it also spread onto the rescue room floor. With such severe bleeding, everyone in the rescue room was tense.
"Charging complete."
Su Wenhao said.
"Clear."
Liu Banxia quickly moved aside.
"Bang"
"Good, successful restart, connect ECG. Notify the operating room, Xuehai, let’s discuss this."
Liu Banxia said.
Chen Xuehai nodded gravely.
Outside, Liu Banxia tore off the disposable surgical gown soaked in blood. "Old Chen, what’s your idea? I feel that conventional rescue has no chance."
"Are you really thinking of taking the risk to try it? This technique is far from mature. And we have no relevant experience, we’ve only seen it in movies." Chen Xuehai said.
"But you saw his condition just now, the final outcome will definitely be us wasting a lot of blood and failing to save him." Liu Banxia said.
"I didn’t expect his condition to be this severe. Anyway, what we can do now is establish extracorporeal circulation, and we need to be fast, otherwise, time may run out."
This is a desperate move and currently the only slight possibility of success. It can’t be called success, only a possibility.
This is an unconventional treatment method, mostly still theoretical.
Just like Chen Xuehai said, it can be performed in movies, but in reality, the technology is not mature yet.
Because theoretically, data shows that racing against death using EPR suspended animation is possible.
The method is simple, just replace the body’s blood with low-temperature oxygen-containing fluid, like cold saline. When the body’s temperature drops, the metabolic rate slows significantly.
It’s like the breathing technique in martial arts movies when you were a kid, but that was fictional, this is real.
Theoretically feasible, but there are many uncertainties.
The possibility of hypothermia needs to be considered, and whether the patient’s brain will suffer damage under these conditions?
Theoretically, it can buy the patient two hours. Is there individual variation? If so, how much? Can reperfusion injury be controlled, etc.
This is only a feasibility assessment, and many uncertainties remain post-operation. Hence, Liu Banxia needs to discuss with Chen Xuehai whether this procedure can be done.
"Anyway, I think even if you want to arrange this, you’ll need the patient’s family consent." Chen Xuehai said.
"This is really too risky. I almost see no success rate. I can predict that the patient’s family will definitely agree, but if there’s any loss afterward, they will complain about you."
"I don’t even think this is a gamble, but you are stubbornly jumping into a pit. Anyway, consider carefully, I’ll give you unconditional support."
Liu Banxia nodded, his mind also a mess now.
He’s actually uncertain now whether he wants to save the patient’s life or seize the opportunity to try the new suspended animation therapy.
This is unlike surgical procedures, which allow him to simulate operations in a dream space.
"Beep..."
Long beeping sounds came from the rescue room, suggesting that the patient’s heartbeat might have stopped again.
"1 unit of adrenaline, charge 200 joules, I’ll compress."
Su Wenhao’s voice emerged.
"Charging complete"
"Clear"
"Bang"
"What’s the situation?"
Liu Banxia asked as he entered the rescue room.
"No restart. Charge 200 joules, try again." Su Wenhao continued compressing after speaking.
"Another unit of adrenaline." Liu Banxia added.
The nurse rushed to administer another unit of adrenaline to the patient.
"Charging complete"
"Clear"
"Pa"
After completing a set of procedures, the patient’s heart still didn’t resume beating. Su Wenhao continued performing CPR, but his eyes were fixed on Liu Banxia.
Liu Banxia sighed inwardly and waved his hand in resignation. The blood loss was too much, too fast, even the blood transfusion just now couldn’t keep up. As for the EPR therapy, it was out of the question.
"Ah... life always has a lot of helplessness," Liu Banxia said as he walked out.
"No need to be helpless. The EPR therapy also involves a lot of medication, right? We might not even have all of them prepared. Besides, the patient didn’t leave us much time, so let’s not overthink it," Chen Xuehai said.
Just then, a group of people stormed into the emergency center’s front door, and Liu Banxia gave Xu Yino a look, signaling for her to handle it.
It wasn’t a good task; it was a genuine tough job.
"What’s wrong? Why are you so moved?" Shi Lei asked.
"I was just thinking, if we had done more research on ERP therapy in the past, maybe we could have given this patient a sliver of a chance," Liu Banxia said.
"You know, you can think about this, but to actually practice it, you must be cautious," Shi Lei shook his head.
"I don’t know if you’ve taken too many risks, often successfully, which has greatly boosted your confidence. You really need to think carefully about this."
"I’d say don’t take any more patients today; go home and think it over. Even if you do see patients, you might not be able to focus."
"Boss, I’m seriously considering this. It’s not that I want to take risks and then be praised by others," Liu Banxia said with a bitter smile.
"I know. Old Chen knows, and the people at our emergency center know. But what about the patient’s family? Can they understand, especially when faced with a huge rescue bill?" Shi Lei said.
"I’m not criticizing you, it’s just that you’ve succeeded too many times. It’s not that you’re arrogant, but many of your decisions now tend to go for the high reward."
"But high rewards naturally come with high risks, and you really need to adjust your mindset. Even if you want to push this project, I would oppose it with the director."
"Yeah, me too. Three against two, stop overthinking. Go back, have some tea, and study pediatric surgery," chimed in Chen Xuehai from the side.
Liu Banxia nodded and slumped toward the elevator.
"Do you think he’ll be upset by what we said?" Chen Xuehai asked with some concern.
Shi Lei shook his head, "No, it’s because he couldn’t save the patient. His thoughts now are definitely because he didn’t grasp the key points of ERP therapy, making the patient lose the chance to be saved."
"After all, there are reports abroad. Even though the follow-up reports are lacking, no one knows what the patient would be like after resuscitation. He would still choose to risk everything to save the patient."
"If I hadn’t said that, he probably would have been stubborn about it. We’re doctors, not gods. Sometimes we really need to know when to give up."
"It’s easier said than done, we can say this about others, but when it comes to saving our own patients, we always forget this line," Chen Xuehai said.
Shi Lei paused for a moment, then nodded with a bitter smile.
That’s exactly it.
Even Liu Banxia had told this to the younger ones, but when it came to himself, he became conflicted.
When rescuing patients, as the chief attending physician, sometimes you’ll go all out. The only thought in your mind is to save the patient’s life.
For doctors working in an emergency center, losing an emergency patient is also a common occurrence.
This patient’s situation was extremely dire; if he had been just a little better, with Liu Banxia’s hemostasis ability, there might have been a glimmer of hope.
Back in the office, Liu Banxia felt much like Shi Lei thought, now filled with regret.
Even though he had a system, he wasn’t omnipotent. When facing a patient like this, his abilities were significantly limited.
He then thought of ERP therapy again, and finally shook his head helplessly.
For this patient today, even if more rescue time could have been provided, there would have been no chance to implement ERP therapy.
There are too many technical indicators to master, which the current emergency center isn’t equipped with. This project’s execution also requires an entire research team.
Moreover, because each patient’s physical condition is different, there would be adjustments to the relevant indicators. Currently, he was destitute, lacking any technical data.
Rushing into it? It would not only be irresponsible to the patient but to himself too.
He figured out some minor issues, calming his heart slightly.
He hadn’t lost a patient in a long time, also because he hadn’t personally admitted emergency patients recently.
Such situations always come suddenly, but each time he can only console himself to accept it.
"Teacher Liu, I’ve explained everything to the patient’s family,"
At this moment, Xu Yino walked in.
"Don’t worry about me, I’m fine. I just feel like my skills aren’t enough, and I need to keep learning," Liu Banxia said.
"You all should cherish this chief resident opportunity. Although it’s short, it can still enable you to learn a lot," he continued.
"Yes, don’t worry, we certainly know the importance of this position," Xu Yino hurriedly said.
Seeing that Liu Banxia was doing okay, she quickly slipped out again.
She had to inform the other little buddies that Teacher Liu was really okay. Although his expression wasn’t too bright yet, he was already able to digest the situation.
Quickly adjusting emotions is also a passive skill for doctors. Whether you like it or not, you have to master it.
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