The female family member held up her phone to record the incident while pointing at Shi Wan with the other, yelling, "Excuses! All excuses! What kind of doctor are you?! This is just your excuse for not wanting to lend the defibrillator!"
Seeing the unreasonable female family member, Ruan Lingyue said, "Dr. Shi, I think my mother's condition has stabilized now. Why don't you go with her to see her elderly relative? She seems quite anxious."
With permission from the family members in the ambulance, Shi Wan nodded. Just as she was about to speak, Lin Yuanyuan stopped her in time. Lin Yuanyuan leaned close to Shi Wan's ear and whispered, "Dr. Shi, that woman outside the ambulance doesn't look like a good person. Putting aside the fact that you're practicing medicine without a mission, which is illegal, you're just trying to help the patient. If the old man survives, that's fine, but if he doesn't, she'll definitely try to extort you with moral pressure."
Lin Yuanyuan said that Shi Wan had considered it, but in the current situation, Shi Wan had no choice. Borrowing the defibrillator would be wrong, and not borrowing it would also be wrong.
Shi Wan patted Lin Yuanyuan's hand to comfort her, then turned to the female family member outside the car and said, "My family member in the car agreed to let me go see your elderly relative. How about I go with you to see the elderly relative first?"
Upon hearing this, the female relative's expression changed, and she became even more agitated: "I just wanted to borrow the defibrillator from you, but you're making excuses and obstructing me. Without the defibrillator, can you guarantee that you can save my elderly relative?"
"I cannot guarantee that I can save the elderly person, but I will do my best to treat them with my expertise."
"The old man has stopped breathing and his heart has stopped beating, okay? What else can you do to save him? Can you lend us a defibrillator? Will it kill you to lend it to us? You clearly have a defibrillator, why won't you lend it to us? Can't you hurry up? Will it kill you to be a little more flexible?" The female family member was aggressive and her words were far from pleasant.
More and more people gathered around the car door, discussing the matter animatedly. Shi Wan looked at the female family member with a heavy heart.
Shi Wan had already hinted at it, but the female family member just wouldn't get in the car to grab the defibrillator. Shi Wan also said she would go and take a look at the elderly man with asthma, but the female family member just brushed it off with a few words.
Shi Wan knew that if she didn't hand the defibrillator to the woman's family today, she would probably never be able to shake off the stigma of being a heartless person who refused to help.
It was too noisy outside the ambulance, and it caused some delay. As Ruan's mother listened to the noise, she suddenly felt a pain in her chest again. Seeing that her mother's condition was not right, Ruan Lingyue hurriedly called out to Shi Wan: "Dr. Shi, please take a look at my mother. Her complexion is not right."
Shi Wan immediately checked on Ruan's mother and found that she was pale, covered in cold sweat, and had difficulty breathing.
Ruan's mother couldn't catch her breath, and suddenly her eyes closed, and she stopped responding.
"Dr. Shi, the ECG monitor waveform is flat, and the heart rate can't be detected!" Lin Yuanyuan shouted.
Shi Wan reacted quickly, calling out to Ruan's mother, "Auntie, Auntie, what's wrong?"
Ruan's mother called out to her, but she did not respond.
Shi Wan leaned down close to Ruan's mother, pressed her fingers against her neck, and silently counted to seven. The carotid pulse disappeared, and there was no rise and fall of her chest.
"Yuanyuan, prepare 1 mg of 0.1% epinephrine hydrochloride for intravenous bolus injection."
Lin Yuanyuan repeated: "1 mg of 0.1% epinephrine hydrochloride was administered intravenously."
Shi Wan glanced at the watch, assessed the surrounding environment, and quickly pulled out a folding stretcher with the driver to place Ruan's mother on a safe ground. He then positioned Ruan's mother's limbs and torso horizontally and began chest compressions.
"0.1% epinephrine hydrochloride 1mg is ready."
"Recommendation."
After administering the medication, Lin Yuanyuan quickly opened the resuscitation bag, connected the oxygen, cleared secretions from Ruan's mother's mouth and nose, opened the airway, and squeezed the bag twice after 30 chest compressions.
After three rounds of cardiopulmonary resuscitation, electrocardiogram waveforms gradually appeared on the monitor, and chest compressions were continued in the evening.
"Yuanyuan, prepare another 1mg of 0.1% epinephrine hydrochloride."
When the fourth set of chest compressions was halfway through, the waveform on the monitor turned into a wave-like shape. Lin Yuanyuan pointed at the ECG monitor screen and shouted, "Dr. Shi, something's wrong! The patient has ventricular fibrillation!"
Ruan Lingyue burst into tears, completely distraught, and cried out, "Dr. Shi! Please save my mother! Please save my mother!"
Shi Wan kept her eyes on Ruan's mother's face and continued performing chest compressions, while instructing Lin Yuanyuan, "Yuanyuan, prepare the defibrillator."
"receive."
The defibrillator was quickly connected to the power supply, and the driver, Uncle Zhang, pulled out the screen in the car to protect Ruan's mother's privacy as much as possible.
Once the equipment is prepared, lift the defibrillator electrode plates, apply conductive paste evenly, and place them at the junction of the second intercostal space on the right side of the sternum and the fifth intercostal space on the left side of the midclavicular line, and charge them.
Soon, the defibrillator indicated that it was fully charged. Shi Wan glanced at the monitor waveform again and confirmed that it was ventricular fibrillation. She shouted, "Everyone get off the stretcher and prepare to discharge the defibrillator."
Under the electric shock, Ruan's mother's body jerked slightly. When Ruan Lingyue saw this scene, she was already crying her eyes out. She regretted it; if she had insisted, maybe her mother would have gone back to working the night shift.
In TV dramas, such situations usually indicate that there is no hope.
"Mom...Mom..." Ruan Lingyue cried out in anguish as she knelt on the ground, her voice filled with heart-wrenching pain.
Shi Wan put down the electrode pads and knelt on the ground to continue the next round of CPR.
"Yuanyuan, administer 1 mg of 0.1% epinephrine hydrochloride via intravenous bolus."
Lin Yuanyuan repeated it once more and then pushed in the second round of medicine.
Shi Wan continued chest compressions and CPR. Watching this, Ruan Lingyue, not wanting her mother to suffer further before she passed, cried out, "Dr. Shi, I know you've done your best, but... please give up. I don't want my mother to suffer any more..."
Because of her crying, Ruan Lingyue spoke haltingly.
Evening remained focused on treating the patient. As she pressed on the chest, her voice was slightly breathless: "Auntie still has signs of life, don't give up!"
"But... can she be saved?" Ruan Lingyue asked, sobbing.
I couldn't answer that late at night.
But Shi Wan hoped to save her. Shi Wan nodded: "We will, believe in us, and believe in Auntie!"
Just then, Lin Yuanyuan's joyful voice suddenly came: "Dr. Shi, the patient's waveform has returned to normal, the defibrillation was successful!"
Ruan's mother's eyelids began to twitch slightly, showing signs of waking up, and her chest began to rise and fall.
On the monitoring, the vital signs gradually returned to normal values, Ruan's mother's dilated pupils gradually returned to normal, and her lips and nail beds gradually regained their rosy color.
"Systolic blood pressure 89 mmHg, diastolic blood pressure 53 mmHg, heart rate 71 beats per minute," Lin Yuanyuan reported the latest vital signs.
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