Li Zheng looked up and saw that it was Sun Peng, the attending physician of the emergency department's internal medicine department, who was two years older than him.
"Keep intubating!"
Li Zheng ignored Sun Peng and picked up the tracheal tube himself. Holding the tube with his right hand, he inserted it from the right corner of the boy's mouth, aimed at the glottis, and inserted it.
After the tip of the catheter passes through the glottis, continue to advance until the catheter scale mark reaches the incisors, about 20 cm...
"Who are you and how can you use the equipment in the emergency room at will!" Sun Peng came in and asked, wearing a pair of high-power myopia glasses.
Chen Dayong turned around and looked at him, saying coldly, "Sun Peng, we haven't seen each other for just a few days, and you don't recognize your brother Dayong?"
Sun Peng pushed his glasses up and said in surprise, "It's you! Didn't I tell you we don't have any king cobra venom serum? Why did you bring a patient in here?"
Chen Dayong sneered and said, "You won't save people without the serum? Do you really have to use the serum made from king cobra venom to save people? Do you still have any professional ethics? It's not shameful for you to be incompetent, but it's shameful for you to not let others save you when you don't have the ability!"
"you!"
Sun Peng was speechless for a moment and stammered. His eyes wandered between Chen Dayong and Li Zheng, and then he recognized Li Zheng.
"Li Zheng, you are still so restless after going to the county hospital! Do you want to continue to cause trouble for us?" Sun Peng shouted.
Li Zheng had already helped Zhang Lei insert the tube and connected him to the ventilator immediately.
Li Zheng stood up, looked at Sun Peng, and said in a deep voice: "Please go and get the cobra antivenom serum for the patient immediately, otherwise you will bear all the responsibility!"
Sun Peng sneered and said, "Who do you think you are? What qualifications do you have to order me around? You guys forcibly brought this patient in. What responsibility do I have?"
Li Zheng nodded and said, "I'm not that senior, but the patient is the most important. There's a treatment plan that could save his life, but you refuse to take it. If the patient's family comes after you and sues your hospital, I will fully cooperate!"
Sun Peng's heart tightened, but he still insisted, "Is your treatment plan guaranteed to be effective? You have to know that antivenom is very expensive. If it's ineffective, it would be a serious waste of medical resources. Can you afford the consequences?"
Li Zheng's face turned cold and he said, "You'll know whether it works or not. Don't kill people because of your ignorance!"
Sun Peng's face turned red and white, his inner desire to win was also aroused. He said coldly: "Okay, I want to see if you can save this boy!"
After saying that, Sun Peng turned around and went to the pharmacy to get the serum.
The doctors and nurses on duty at the front line were dumbfounded. It turned out that these doctors were all from our hospital, but why did they go to the county hospital? How could they have the nerve to send patients back and even teach the doctors of our hospital a lesson?
Judging from Dr. Sun’s attitude, he seems a little afraid of these two doctors. I really don’t understand.
Li Zheng and several others actively carried out rescue measures, including fluid replacement, volume expansion, and blood pressure increase, to maintain the boy's vital signs as much as possible.
After mechanical ventilation, the boy's blood oxygen saturation increased and stabilized at more than 95%, and his heart rate also recovered slightly, but he developed severe arrhythmia.
As soon as Sun Peng came out of the emergency room, he immediately called the chief on duty and asked him to mobilize the ICU, anesthesiology, cardiology, respiratory medicine, nephrology, pediatrics and other departments for an emergency general consultation in the hospital. Since he couldn't get rid of the patient, he had to pretend to have a general consultation. If the patient really couldn't be saved, he would not be responsible.
The wait was agonizing. Ten minutes had already passed, and Sun Peng seemed to be stalling for time and was reluctant to come back.
"When did the efficiency of the First Municipal Hospital become so low?" Chen Dayong said coldly and was about to go out to find it himself.
"Here it comes! Anti-snake venom serum needs to be reported and approved. Do you think I can get it easily?" Sun Peng took the medicine and handed it to the nurse.
"Take 100 ml of normal saline and mix it with 10,000 units, and draw 1 ml for a skin test!" Li Zheng gave an oral medical order.
"We know this. It's not like we haven't used it before!" Sun Peng said dissatisfiedly.
"How many units were brought?" Li Zheng asked.
"10,000!" said Sun Peng.
"It's too little, at least 10,000 units are needed!" Li Zheng said in a deep voice.
Sun Peng sneered, "Ten thousand units is not enough? Our hospital only has 40,000 units in stock, and one person is going to use half of it?"
Li Zheng nodded and said, "If it were a cobra, 10,000 units would be enough, but this is a king cobra, the dosage must be doubled!"
Sun Peng wanted to refuse, but Li Zheng and Chen Dayong were both tough guys. Li Zheng, in particular, was once known as a "genius doctor" within the hospital. His abilities were exceptional, but his personality was acrimonious. He liked to argue with people, and had driven many directors to doubt their lives. He also frequently dealt with the emergency department, and even the director had been chastised by him, but he never lost his temper.
With a cold snort, Sun Peng ran out to get the medicine unwillingly.
Soon, doctors on duty from various departments rushed to the emergency room one after another.
The first person to arrive was Zhu Fangfang, a resident doctor in the Department of Cardiology. When she entered the emergency room and saw Li Zheng and Chen Dayong, she was instantly dazed.
"Li Zheng, you...why are you guys here?"
Zhu Fangfang is about the same age as Li Zheng and is also an attending physician. She is petite and after she confirmed that it was Li Zheng, she spoke a little unsteadily.
Li Zheng knew that Sun Peng must have asked for a general consultation. This guy was still quite cautious. He nodded and said, "Doctor Zhu, this boy was bitten by a king cobra. Come and take a look first!"
Facing the former celebrity of the hospital, this handsome doctor whom she once admired and even liked, Zhu Fangfang suppressed her inner excitement and began to examine the patient.
"It's a king cobra bite. It may be difficult to treat in our hospital because we don't have serum!" Zhu Fangfang said while listening to the heart sounds with a stethoscope.
Li Zheng didn't answer her directly, intending to wait for a few more people to come and report the boy's condition. Now that the anti-cobra venom serum had been used, the boy's condition should be under control.
Zhu Fangfang listened for a moment and then asked nervously, "The heart rate is 95 beats per minute, but the pulse is only 41. The heart rhythm is definitely irregular, and heart function must be severely impaired. Have you checked myocardial enzymes, calcitonin, and brain natriuretic peptide?"
These are all indicators for judging heart function.
Li Zheng shook his head and said, "I haven't had time to check yet!"
Zhu Fangfang was delighted. She was most afraid that Li Zheng had already arranged all the treatments and she would just go through the motions.
"Then check it out urgently!" Zhu Fangfang gave the doctor's order and wanted to continue discussing the condition with Li Zheng. The ICU resident doctor also came over.
In less than a minute, doctors on duty from several departments arrived one after another.
Everyone was surprised to see Li Zheng and Chen Dayong.
Chen Dayong gave them a brief account of the boy's condition.
Everyone gasped.
King cobra, the name alone is enough to make one's scalp tingle, and this boy actually tried to catch it with his hands. He must be so brave.
"Everyone is here, please make way, the second batch of serum is here!" Sun Peng came in and showed the serum to Li Zheng. After Li Zheng confirmed it, he handed it to the nurse.
Everyone was a little dumbfounded. How come Li Zheng became the host?
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