Myocardial infarction patients’ heartbeats are getting weaker and weaker, and the head nurse knelt down to open up a channel of life!

Within 72 hours, 3 ECMOs (artificial lung membranes) were running at the same time, and the medical staff continued to work day and night…

Recently, the Fourth Affiliated Hospital of Zhejiang University School of Medicine received many cases of critical life in a row. The ICU team staged a thrilling life-defense battle, and a photo recorded the thrill at that time——

I saw Weng Chenxi, the head nurse of the ICU, kneeling on the ground, Instruct colleagues to work closely with the “self-made” ECMO pipeline. After the machine started running, the patient’s oxygen saturation finally rose.

After the incident, his circle of friends posted a message saying: “With the rescue and continuous overcoming of unexpected situations, the burden is getting heavier and heavier, and it is also witnessing that the team is getting stronger and stronger!”

Patients with myocardial infarction have a weak heartbeat

Not enough emergency equipment

Recently, the Chest Pain Center of the Fourth Hospital of Zhejiang University admitted A 40-year-old patient with acute myocardial infarction.

“The cardiogenic shock was very severe. At that time, I looked at the heart ultrasound at the bedside, and his heart was not beating very much. It was a very life-threatening situation.” Cui Ying, a physician in intensive care medicine, recalled Said that the situation at that time was extremely critical, and the patient’s own condition was extremely poor. If ECMO was not implemented in time, the patient himself would not be able to safely survive the urgently needed cardiac stent intervention.

Extracorporeal Membrane Oxygenation ECMO, referred to as “Yeke Membrane”, also known as “artificial heart-lung machine”, is a medical emergency equipment that can replace the work of the heart-lung system in the case of heart-lung stop or failure .

As time passes by, the patient’s heartbeat is getting weaker and weaker. What should I do?

Emergency and Smart Calling Equipment

Head Nurse Kneeled to Homemade ECMO Pipeline

Intensive Medicine Nurse Chang Weng Chenxi said, “Time is life. We need to implement EMCO in the shortest time to gain time for the patient’s cardiovascular opening.” Call the cardiothoracic surgery pipeline to the operating room for re-splicing and assembly, and realize the machine in the shortest time.

In a hurry, Weng Chenxi knelt down to check the equipment and instructed everyone to work closely with the “self-made” ECMO pipeline. Immediately after the machine started running, the patient’s oxygen saturation improved and he was sent to an interventional cardiac center for surgery.

After the operation, medical staff also need to replace the newly delivered new membrane lung for the patient, which is another stressful challenge.

Relevant ICU personnel assembled again immediately to refine and rehearse the entire process of replacing the artificial membrane lung, and assign each person a clear division of labor, and finally completed the replacement in an orderly manner.

Textbook rescue process

Three patients survived

plus the previous two 1 patient, within 72 hours, the ICU team started ECMO for 3 critically ill patients in a row, overcame many difficulties and successfully pulled them back from the edge of the death line. Behind the simultaneous operation of the three ECMOs is a group of ICU people who guard day and night.

Li Min, director of the Department of Critical Care Medicine, said, “I am very proud to have such a team. Every employee is very outstanding and very dedicated, which has made our entire rescue process very smooth and has brought life to the patients. Although I sometimes feel very hard, I am still very satisfied.”

Weng Chenxi, the head nurse of the intensive care medicine department, said that after a day of intensive rescue, the body was very tired, but the whole process was very satisfactory, and the heart was very satisfy.

“Everyone is very proud to be able to grab a lifeline for the patient. The rescue does not pick the time, and the life of the patient may be threatened at any time. Therefore, the ICU is not divided into day and night; at any time, In any case, we will face it with the best mental state.”

ICU nurse Zhang Zhihao also participated in the rescue, he said, “The rescue process of the teachers can be said to be textbook-like, and I can Participating in it was also a very valuable experience. It also made me feel the mission and value of the ICU.”

Our reporter Zhang Bingqing, correspondent Jin Nanxing