Chapter 780 Don’t Perform Cardiac Compressions if the Aorta Is Ruptured!

Chapter 780 Aortic rupture—Don’t perform cardiac compressions!

wipe!

Grete cursed loudly and fell to his knees. There was a sharp voice in the ear, the electrocardiogram cloud screen, and the blood pressure magic, both of which called the police together. The sharp beeping sound was so loud that it almost formed a straight line——

Arrhythmia!

Arrhythmia!

Blood pressure 70/50!

60/30!

High pressure is 35, low pressure is undetectable!

I go!

I go!

I go! ! !

Suspected aortic dissection, aortic aneurysm, body position change, sudden collapse, arrhythmia, sudden drop in blood pressure——

So why did the patient collapse? Postural changes cause blood pressure to rise, receptors to overoperate, and blood pressure to drop sharply?

Heart stuffing?

Or the most terrifying thing, aortic rupture and massive bleeding?

Gretel stared at the electrocardiogram, thinking quickly. One by one, one by one, one on the left and one on the right, two knights had already rushed forward to catch their father. Panicking and shaking vigorously:

"Father! Father, what's wrong with you?"

"Wake up!"

"How to rescue?"

"By the way, how to rescue? External cardiac compression? - I'll do it!"

While speaking, he had already laid the old knight down, unbuttoned his chest clothes, and turned his head to one side. Testing his breathing and feeling his carotid arteries, Grete was so skillful that he was certain of one thing:

After the Temple of the God of War took his first aid manual, it did provide sufficient training to the warriors, at least to the knights. People who have never practiced would never think of opening the airway...

The two knights looked at each other, one folded his hands, stretched his arms, and was ready to attack. The other palm rested on the ground, and he rose from his kneeling position, passed over the old knight, and turned his knees to the opposite side of him. It looked like he was ready to take over at any moment.

If it were other circumstances, Gretel would be very happy to have two trained tool men willing to take over. He doesn’t have to press it himself!

He doesn't even need to use magic to press it himself!

CPR, before magic, would kill half of his life every time!

But not this time. Gretel roared angrily, waved his arm, and threw it directly at the middle-aged knight:

"Don't touch him! He will die if you press him like this!"

Aortic dissection!

Dissection occurs, which means that the aorta, which has a three-layer structure, is repeatedly stretched under excessive pressure, and the three-layer connective tissue structure tears. The inner layer of the aortic blood vessel is damaged, and the blood flows into the wrong place and enters between the inner layer and the middle layer of the blood vessel wall.

In Grete's previous life, he had heard of the largest aortic dissection, which tore from the thoracic aorta to the abdominal aorta, almost to the iliac artery.

External cardiac compressions will put an extra huge amount of pressure on the heart. It is already very fragile. Only one or two layers of the aorta are exposed to the outside world. If they receive this pressure, if they are unlucky, even the outermost layer will rupture——

Once it ruptures, there will be massive bleeding. The blood pumped from the heart passes through the aorta and flows directly into the chest or abdominal cavity. Within a minute or two, all the blood was gone, and there was no way to save him.

Of course, there are also family members who strongly request chest compressions. Grete himself had also answered questions from junior doctors. I have an aortic dissection and my heartbeat is gone. Do I need to press the button?

According to the disease itself, compression is of no benefit, but according to the rescue of cardiac arrest, it is absolutely wrong not to perform compression, and the family members will think that you have not fulfilled your rescue responsibility.

Fortunately, it is not the case at the moment. The two knights were quite obedient and stopped immediately after being yelled at. Only the younger knight asked softly:

"Then what should we do..."

Gretel first fired a shot of [Treat Serious Injury] - a healing technique, an emergency first aid method, which has miraculous effects in increasing blood pressure, stabilizing heart rate, and stabilizing vital signs. Then he stretched out his hand to wave the oak staff and moved forward:

Under the green leaves at the head of the staff, the little snake turned into a stream of light and pounced directly into the old knight's body. Gretel closed his eyes slightly, connected to the perspective of the little snake, and guided it forward quickly:

Chest wall!

rib cage!

Pericardium!

At this time, the direct detection of Contract Spirit is more effective than CT, enhanced CT, and bedside cardiac color ultrasound. The important thing is that it can be seen directly!

In the illusory eyes of the contract spirit, he saw that his pericardium was abnormally enlarged. Going further in, is there pericardial tamponade?

No, thank God!

Although there is effusion in the pericardium, it is not to the extent of tamponade. This means that the dissection did not break into the pericardium, causing pericardial tamponade, which compressed the heart and prevented it from beating.

——If it really gets to this point, like the orc did last time, he will open his chest, cut his pericardium to decompress, and perform heart compressions under direct vision. Grete had no idea whether a patient with aortic dissection could be saved by doing this.

He directed the little snake to make a circle around the two atria and ventricles. Except for the fact that the ventricles were thick as expected, everything else was fine. Then go up along the ascending aorta, let me go! ! !

What a big breach! ! !

With every beat of the heart, bright red blood shoots out and goes straight into the chest. In these two sentences, the patient lost so much blood that he was already in critical condition!

Gretel took a deep breath and forced himself to calm down. Don't worry, don't worry, this is not the past life. By the time the stent is removed or the thoracotomy is sutured, the patient will be dead. With treatment, there is hope to plug this breach...

He stretched out his palm again and pressed down gently. In the palm of his hand, a dense white light fell into the old man's chest and continued to sink:

【Treat serious injuries】!

rely on you!

Gretel concentrated her mental power and tried her best to ensure that the healing technique would not be scattered. It's to the heart, don't run around! Don't get distracted!

There is no point in keeping the heart beating now. It is true that we should close the breach quickly...

The incorporeal spirit of the contract swam silently in the old man's chest, leading the healing technique forward. It's arrived, it's reached the rupture of the ascending aorta, the two sides are covered, let it grow toward the middle! hurry up!

In his illusive eyes, the tear in the ascending aorta quickly climbed from both sides to the center. Two centimeters, one centimeter, five millimeters, combined! But it's not enough. Only the last layer of the tough three-layer aortic intima is left. It cannot withstand the huge pressure of the heart...

Gretel glanced at the electrocardiogram and blood pressure monitor, calmed down, and directed the snake to turn around and descend. Is it possible for the torn aortic intima to grow back into place?

Use healing techniques to call it, cultivate it, and let it continue to climb up and return to the aorta!

Gretel never knew that such meticulous use of healing techniques would be such a huge test for his mental strength. The mental power leaked out like a gate was opened, directing the blood vessels to grow little by little, and guiding the cells to arrange themselves in the way they needed——

Fortunately, when he was building the meditation core before, he had recalled the construction of the aorta over and over again. Inside the humanoid figure of light, a dense and elastic powerful blood vessel was built layer by layer covered by three layers of connective tissue. Now, it's just a matter of doing it all over again.

alright!

Got a ride!

Long time together!

The little snake continued to go down and found the end point of the aortic tear - cut it open, release the blood in the false cavity, and increase the blood volume!

****

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