That is, after the pregnant woman's breathing and heartbeat stop, the fetus can survive for about 30 minutes. But it is too late to rescue the fetus after 30 minutes. Because four or five minutes after the pregnant woman's death, the fetus's brain cells will suffer irreversible brain damage due to poor tolerance to ischemia and hypoxia, and the fetus may directly enter brain death.
Based on this situation, if the pregnant woman's breathing and heartbeat stop, and the doctor fails to restore her spontaneous circulation after four minutes of continuous cardiopulmonary resuscitation, she must consider immediate cesarean section to remove the fetus. Especially for the pregnant woman who is more than 30 weeks pregnant, a cesarean section or even a hysterectomy if necessary is very helpful in saving the lives of both the pregnant woman and the fetus.
Surgery requires the consent of the patient's family.
The doctors and nurses on duty here finally knew what the doctors from the top three hospitals were here to rescue. The nurses ran out to prepare emergency surgical supplies.
Dr. Hu turned around and walked out from behind the emergency room curtain to speak to the patient's family.
Even though he couldn't see, he dared to talk directly to the family members who might lose control of their emotions at any time. One can only sigh at the terrifying courage of the clinical boss. The patient's husband was sitting outside anxiously waiting for news about his wife. When he heard that the doctor had come out, he immediately came over with a sprained ankle and asked, "Doctor, how is my wife?"
How should the doctor tell the patient that he is about to die? The doctor on duty at the health center hid away, and the family members who were afraid of death broke down and grabbed the doctor and shouted. The main reason was that in such an emergency, there might be two deaths, and the family members of the patient should not be mentally prepared to accept the bad news.
Doctor Hu's vision was blurry and she couldn't make out the expressions on the family members' faces, but she could hear that they were going crazy. She opened her mouth and said without hesitation, "Your wife is probably beyond saving. So, we need to perform a cesarean section on her now."
"I know, doctor, please operate on her and save her."
...
...
"Listen to me. We can only try our best to take the baby out of her belly. Whether the baby can survive after being rescued depends on the follow-up situation. I hope you will agree to let us perform a cesarean section on your wife immediately. This is the last chance to save the baby in her belly."
"What do you mean, doctor?" After hearing these words, the patient's husband's throat trembled, "What's wrong with my wife? What child? Make no mistake, save my wife first!"
"Can't be saved." Doctor Hu spat out these three words, following her usual scientific approach. She didn't have time to think about how to be considerate of the family members' feelings like a saint like Du Haiwei.
The patient's husband grabbed Dr. Hu's arms, shaking with excitement: "You, say it again."
"To be honest with you, at the scene of the accident, we already knew that she might be brain dead on the spot. We rushed her to the hospital not to save her, but to save the baby in her belly before her breathing and circulation completely stopped."
Wow, the patient’s husband burst into tears.
Doctor Hu listened to the crying on the other side with a blank expression. Whether she could see or not, she could not deny the reality that had already happened. She had been a doctor for so many years, and she had seen all kinds of situations. But tonight was indeed special. It might be her last night as a doctor to save people, so she had to stick to the principles of medicine.
In medicine, doctors can only save lives that can be saved and give up on lives that can no longer be saved.
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