When the Doctor Uses A Hack
Chapter 1134 - 1137: This Guy is Becoming More and More Monstrous!

At this moment, the resuscitation room is crowded with people!

Aside from Yu Yonggang, there are several other team leaders as well as those young doctors, resident physicians, and students.

A critical case like this is also the best kind that can enhance the emergency response ability of the medical staff.

But the patient's current condition is very bad!

Everyone feels somewhat overwhelmed, even to the point of desperation.

However, Chen Cang seems to have never shown the slightest bit of nervousness or panic from start to finish.

He is incredibly calm and composed.

He methodically begins examining, prescribing, and resuscitating…

At such a critical juncture, it seems every sign from the patient is under his control.

This… is what capability is!

Precise diagnosis is the cornerstone of effective resuscitation.

At this time, seeing everyone around him filled with confusion, Chen Cang does not bother to explain, and Xu Ziming is also busy with the preparations for the resuscitation, unable to pay attention to the blank expressions on everyone else's faces.

After all, this is like going to war; would you take time to explain why you're using a pistol instead of a machine gun?

Meng Xi explained to the crowd at the back: "The reason for the presence of a false blood pressure is not because the blood pressure is truly 'false', but because the aortic dissection has involved or compressed the major branches of the aorta, resulting in arterial obstruction!

The main presentation is the disappearance or asymmetry of both carotid, brachial-radial, and femoral arteries, a significant difference in blood pressure between both upper extremities, or a decreased gap between upper and lower extremity blood pressures. And this kind of arterial pulse change is more common in Type I patients!"

"Such patients are prone to damage at the ascending aorta due to the whirlpool effect of the blood flow, leading to blood seeping into the pericardial cavity, causing cardiac tamponade!"

"Thus, at this moment, it is imperative to improve the systolic and diastolic conditions of the heart!

Abroad, it is commonly believed that the intermittent IV administration of propranolol combined with nitroprusside IV is a more ideal regimen; the former reduces dp/dt, the latter lowers blood pressure, and can effectively relieve these symptoms."

Without Meng Xi's explanation, everyone would be utterly lost!

Because it's too specialized!

But after Meng Xi's clear explanation, everybody's reaction becomes even more intense!

Because… isn't this too amazing?

As time slowly passed, the patient's symptoms gradually stabilized and began to ease.

Watching the life signs on the monitor, everybody couldn't help but become excited!

Because the patient's condition is improving!

At this moment, everyone looks at Chen Cang with eyes full of admiration and shock!

This is incredible!

Being able to make accurate judgments based on effective diagnostic methods, and then formulating effective resuscitation plans based on those judgments!

However, this doesn't mean that the patient's condition is now completely safe.

Also, news came from the operating room: "The OR is ready!"

And the young nurse Cheng Yi hurried over: "Director Yu, Dr. Chen, the patient's test results are out!"

Yu Yonggang nodded to take the lab report, didn't look at it, and directly handed it to Chen Cang!

Because he knows that Chen Cang's grasp of the current patient's resuscitation is greater than his own!

The leaders around him look thoughtful after seeing this scene!

But Chen Cang doesn't show the slightest hint of humility!

Inside the resuscitation room, which is like a battlefield, he naturally centers on the patient as the leading general.

Chen Cang scrutinizes the lab report seriously.

At this moment, suddenly the monitor shows the patient's heart rate starting to rise.

Xu Ziming, watching the cardiac monitor, quickly says, "Reflex tachycardia!"

Upon hearing this, Chen Cang's eyes narrow immediately!

"Discontinue nitroprusside!"

The nurse quickly nods and stops the infusion!

And at this time, after pondering for a few seconds, Chen Cang says, "Administer metoprolol!"

Those behind him are immediately stunned!

"Urapidil?"

They felt at this moment that Chen Cang was incredibly awesome!

There are many emergency resuscitation drugs, but they don't use many of them often.

Even with many drugs, they don't have enough understanding and dare not use them!

Yet Chen Cang seemed to be able to call them up with ease?

Upon hearing this, the nurse immediately opened the emergency kit and began searching for the medication.

After deliberating, Chen Cang precisely stated: "Urapidil is Ebrantil injection.

For the initial dosage... administer 15mg in 20ml of saline, to be intravenously infused over 5 minutes, then observe blood pressure changes!"

Yang Jie nodded hastily.

At this moment, everyone patiently waited.

If the patient's condition stabilized, they would be timely sent to the operating room, but if unstable, sending them would be fruitless.

Meng Xi looked around the tranquil room at the curious crowd and couldn't help but explain: "Urapidil is used to treat acute aortic dissection, it selectively blocks post-synaptic α1 receptors, mitigating sympathetic nerve excitation on blood vessels, and dilating them.

At the same time, it activates central 5-HT1A receptors, inhibiting sympathetic feedback regulation of the cardiovascular activity center.

But its characteristic is that it reduces blood pressure without causing reflex tachycardia."

"So, it's more appropriate to use than sodium nitroprusside!"

Seeing the patient gradually getting relief, with vital signs stabilizing, and heart rate returning to normal,

everyone marvelled in awe!

Emergency medicine really requires understanding of many diseases.

It's an incredible test of skills.

The young students behind were full of admiration as they watched Chen Cang.

Chen Cang quickly said, "Prepare for the operating room, get ready for surgery!"

Yang Jie nodded promptly, and along with two nurses and Xu Ziming, headed towards the operating room.

Chen Cang then glanced at Yu Yonggang: "Director Yu, are you going?"

Yu Yonggang shook his head: "I won't go, good luck!"

Chen Cang nodded, turned around, and said to the people around him: "Teacher Meng, Director Li, and Dr. Cheng, come along!"

Li Baoshan sighed, today was going to be a tough challenge!

Total arch replacement plus abdominal aorta replacement!

Even a repair to the ascending aorta might be necessary...

Could the patient hold on?

He glanced at Chen Cang moving determinedly forward, seemingly embodying a spirit of 'I shall proceed'.

He couldn't help but feel invigorated at heart!

Perhaps this was what a true emergency doctor was like?

Watching Chen Cang, and then thinking of himself, Li Baoshan couldn't help but smile self-deprecatingly.

Failure?

What's there to fear!

Giving it one's all is enough!

With that thought, Li Baoshan quickened his pace to catch up with Chen Cang.

Meanwhile, Meng Xi watched Chen Cang stride forward, remembering the small man who used to get nervous upon seeing him, having grown so much in just a few months to the impressive figure he was today!

That's a real man.

And the many doctors in emergency medicine, seeing Chen Cang's resolute departure, were truly shocked inside!

And extremely envious too!

Yu Yonggang, observing everyone, glanced back at Chen Cang's retreating figure and couldn't help but laugh.

Director Hou couldn't help but murmur to himself: "This kid, he's becoming more and more of a fiend!"

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ps: Asking for monthly tickets, being chased, can't relax... Hold onto the sixth place! Come on! Come on!