Chapter 307 To Save or Not to Save

Grete's forehead buzzed.

Marfan syndrome - Grete has determined this through family history and repeated observations - after strenuous exercise, the patient covers his chest with his hands, looks in pain, and falls to the ground - there is a high probability that it is a cardiovascular disease attack!

You know, most patients with Marfan syndrome have congenital cardiovascular malformations!

He jumped up and ran towards the patient. While running, I was mentally making orders. Angina? Acute myocardial infarction? Cardiogenic shock? Or worse...

In any case, if it is just a severe arrhythmia or cardiac arrest, as long as cardiopulmonary resuscitation is performed immediately, many people can be saved!

His eyes were fixed on Knight Hopman without blinking. The knight fell to the ground and curled up into a ball, unable to see whether his chest was rising or falling. Are you breathing? Are your lips cyanotic? Have a cold sweat? It's too far. You can't see clearly at this distance. You need to get closer...

After running a few steps, his left and right arms were already tense at the same time. Linn is on the left and Aurora is on the right. One of them grabbed one of his hands and dragged him back hard:

"what are you doing!"

"Let me go! I want to save him! If he doesn't save him, he will die soon!"

"What does dying have to do with you!" Linn could not wait to cover Gretel's mouth. He simply stood in front of Grete, put his hands on his shoulders, and pushed him back forcefully. While pushing, he leaned forward, stared into Gretel's eyes and growled:

"You didn't kill him even if he died! He asked for the duel himself! You stopped as soon as he fell! The three of us, Bernard, and my two magic pets, no one hurt him! "

Just after shouting these few words, a person rushed past beside the duel field. The old man's beard was almost completely white. He ran very fast and reached Knight Hopman in the blink of an eye. He knelt down on his knees, closed his eyes and prayed for a moment, and then a white light fell on the knight.

It was the great-uncle of Knight Hopman. Although the old man is old, his priest level is still good. The three silver edges on the corners of his robe are shining brightly. He is clearly an eighth-level priest. As soon as Gretel's steps slowed down, the old man turned his head and yelled at him:

"What are you here for? Do you want to continue to harm him? Get out!"

Gretel paused. A level 8 priest is really strong, he should... be able to cure it, right?

But sudden cardiac death is still very dangerous... Without resuscitation, if the heart can't beat again, I don't know how long it can last with treatment alone... The old man only prayed, and I didn't see him doing any extracardiac compressions or anything like that. of……

I'll go take a look...take a look...

Gretel hesitantly tried to take a step. Lin En pulled him again:

"What else do you want to do? - Are you sure you can save him?"

In an instant, Grete's whole body strength was exhausted, and his shoulders slumped feebly.

Not sure.

Really not sure.

Without electrocardiogram, echocardiography, MRI, cardiac catheterization and aortography, he couldn't even determine what the patient's disease was. The cardiovascular malformations of Marfan syndrome are so bizarre that they can basically be regarded as a complete encyclopedia of cardiovascular diseases:

Progressive dilation of the aorta, aortic valve regurgitation, aortic sinus aneurysm, dissecting aneurysm and rupture, mitral valve prolapse, mitral valve insufficiency, tricuspid valve insufficiency, congenital atrial septal defect, ventricular septal defect, Tetralogy of Fallot, patent ductus arteriosus, coarctation of the aorta…

If you are really unlucky and encounter a burst aortic aneurysm or aortic dissection and tear, haha.

Even in a hospital emergency department with complete rescue equipment, if a person falls and is rushed to the operating room immediately, there is a high probability that the person will not be able to be saved. Aortic rupture is so dangerous.

——Not to mention that in this foreign world, there is physical monitoring but no physical monitoring, extracorporeal circulation but no extracorporeal circulation. Even if you want a blood transfusion, there is no place to give it to the patient!

"Without diamonds, there's no way you can get a porcelain job!"

"If you're not sure, transfer to another hospital! You don't even know how to transfer?!"

"Why did a good person die?!"

"You interfered, and the patient's family will sue you if he dies! If you don't touch him, if he dies, it has nothing to do with you! Are you stupid?"

The various scoldings and roars he had heard in his previous life for more than ten years echoed in Gretel's ears again. He dropped his arms, lowered his head, and let out a long, silent sigh.

——As a doctor, he also wants to save the patient's life whenever possible. But sometimes, due to various reasons, doctors can only choose to protect themselves...

And those patients are often not even part of the "various causes".

The treatment ahead continues. The old priest knelt on his knees, clasping his hands on his chest with a pious expression. White light fell on Knight Hopman again and again. Sometimes it was a straight beam, sometimes it was a soft rain of light, and sometimes it was a ball of light held in both hands, sinking into the knight's chest silently.

Every time he fell down, Knight Hopman seemed to get better. Once he even struggled to sit up, but he fell down again just halfway up...

A half circle of people gradually formed around him. The countess was headed on one side, and the Archmage Tolga was the leader on the other side. They all looked solemn. Archmage Tolga was still secretly waving to Gretel and winking, telling him not to come over: "Stand far away!" Don't cause trouble!

At the Archmage's signal, even the barbarian Bernard didn't dare to walk in a straight line. Together with the black cat and the golden skeleton, he stayed far away from the Hopman knight and made a big circle to join Gretel. The group of people watched from a distance, and Linn even gave extra instructions to the barbarian:

"Bernard, watch your boss! Don't let him pass! He still wants to kill that knight!"

Bernard responded gruffly, stood beside Grete, and put a big hand directly on Grete's shoulder. There was no need to exert any effort, just such a normal move, and Grete felt that his right shoulder collapsed completely. He raised his left hand with a wry smile:

"Okay, I promise I won't get there - can you let me go? I'm going to be crushed!"

"You'd better remember your promise." Lynn snorted and waved to Bernard. Only then did the barbarian let go, still staring at Gretel unblinkingly, as if the boss would pick him up and run away if there was any movement.

Grete could no longer care about him. Thirty or forty steps away, the treatment technique flashed faster and faster, but the patient showed no signs of improvement. When the manpower is exhausted, once the old priest's treatment skills are exhausted and the patient's condition still does not improve, I'm afraid...

"Do you think it can be cured?"

A somewhat distant voice asked. Grete raised his head slightly and saw Archmage Tolga holding his daughter and making a gesture to him. A long stream of wind, like a wisp, sent the sound directly to his ears, and several people around him were unaware of it.

Gretel shook his head slightly. Although the people next to the Archmage most likely couldn't hear it, he habitually lowered his voice:

"It's hard to say, it depends on the cause of the disease. If you're lucky, you can save it, but if you're not lucky..."

If you are unlucky, the aortic aneurysm ruptures, or the aorta is torn, and the bleeding stops, blood transfusion is not stopped, and a section of artificial blood vessel is not replaced. What is the use of just using a therapeutic technique to hang it?

As he talked, the old pastor was sweating profusely, shaking, and water was dripping from his hair and beard. Under the white light, Knight Hopman lay flat on the ground, his face was pale, and his lips had no color at all. It looked like he had lost too much blood...

Broken aorta? It can’t really be that big!

The Countess looked pale. She took the Earl of Inverness' wrist and pulled it twice. She took a small crystal bottle from the Earl's hand and quickly drank it for the old priest. With the help of the potion, the old priest tried his best to cast a few more healing spells, but finally the oil ran out and he closed his eyes to gasp.

"He's going to die."

Beside Gretel, Aurora and Lin said in unison. Aurora stood on tiptoe slightly and looked forward, but Lin's eyes were half-closed, as if feeling the death aura of the other knight. Gretel was silent, but the Countess had knelt down to test her nephew's breathing, and then lay on his chest to listen to his heartbeat——

She let out a very sharp high note. Lifting up the hem of her skirt, she rushed towards Grete:

"You killed him!—you killed him!"

"Madam, please pay attention to your manners!" Salina immediately stood up in front of her stepmother. She took off her long sword and held it in the middle with the scabbard. The countess immediately couldn't move forward even half a step. It was obvious that she had no strength value. She threw herself on the sword and tried to point it at Gretel. The sword was sharp and dripping with blood:

"You killed my nephew! Killed the heir of the Hopman family! The Hopman family will not let you go!"

Gretel was speechless. He really disliked the behavior of Knight Hopman. As much as he hated it, he didn't want anyone to die, nor did he want to provoke him into a duel with him, causing him to fall ill and die on the spot. If I don't kill Boren, Boren will die because of me...

He listened silently to the countess's accusations, not wanting to reply even a word. Archmage Tolga was already furious:

"Madam, please watch your words! Knight Hopman suddenly fell to the ground in the middle of a legal duel and died! So many pairs of eyes were watching. As soon as he fell to the ground, the Nordmark mage stopped. , no additional damage!

——Earl of Inverness, do you agree with the legality of the duel? ! "

The Earl of Inverness' face was as dark as water, and he dragged his wife behind him. As one of the witnesses of the duel, his existence is part of the legitimacy of the duel:

Of the three witnesses, Pastor Farren represented the knights' side, and Archmage Tolga represented Gretel's side. As the highest-ranking nobleman in the locality and the father of the host of the banquet, he undoubtedly represented the owner of this place. As a landowner, he was supposed to uphold justice, but it was his wife who made trouble!

Damn that little beast was still teasing his daughter during the battle! If it weren't for his daughter's strong temper and her refusal to violate the knight's code, he would have ended up himself!

"Shut up!"

He shouted at his wife and turned to the public:

"I witness that Knight Hopman suddenly fell to the ground and died on his own in the middle of a legal duel. Master Nordmark did not commit any wrongdoing. No one may use this as a reason to accuse Master Nordmark or launch a lawsuit. revenge!"

"That won't stop someone from not following the rules." Archmage Tolga snorted beside him. Without waiting for the count to react, he strode forward and pulled Grete:

"Let's go! Follow me back to the city immediately! It will be safe when we reach the Mage Tower!"

****

Emma, ​​while I was writing, I was checking books. Writing about cardiogenic diseases made my own blood pressure rise...

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