Chapter 68: CPR!!!
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She moved closer to the boy and held his hand, she looked at him compassionately and with lots of affection in her eyes, she was almost about to cry but she couldn't at that moment.
"This is it and it is going to hurt a lot; you need to be strong, try not to lose consciousness," Yu Yan said to the boy. Then she turned to the nurses and asked them to go to their positions with the gauze at both sides of the bed to ensure fast and easy access.
"Hey, hey" She shouted, she was calling a nurse who was about to leave the emergency department but she had never seen his face so she couldn't call him by his name. The male nurse quickly turned back and walked to her.
"What is your name?" she asked hurriedly
"My name is Su Ran" The nurse replied
"Su Ran, you are going to inject 0.5ML IM into this patient right now," Yu Yan said, then the nurse filled the injection and injected the medication into the boy.
"Inject 1ML of tranexamic acid," Yu Yan said to Su Ran then he did as she said, she stood in front of the boy then she glanced at both of the nurses that were standing at both sides of the bed. Then both Han Chen and nurse Wang returned then they stood by the bedside, Yu Yan held the knife with both hands, she bit her lips and looked at the boy and he also reciprocated the look, he started breathing fast in fear of the pain he might feel at any moment from now. Yu Yan noticed this then she said to him "don't breathe too fast, I will make it fast and I have already given you medication to lessen the pain" Yu Yan said, then the boy nodded his head.
"Ready," Yu Yan said
"Ready" the nurses answered
She bit her lower lips and started pulling out the knife fast but steady, the boy tried to endure the pain at first but as soon as the other end of the knife came out of his back, he let out a very loud and agonizing scream, his made everyone in the ER to turn their attention to them, when they saw the horrifying scene they all covered their mouth in shock that someone actually could stab such a young boy in such brutal manner.
As she pulled the knife out of his body, blood started rushing out of his abdomen, she was expecting that to happen after she had pulled the knife out but she didn't expect it to be so sudden.
"Gauze!" She shouted to the nurses at both sides o the bed, then they placed the gauze on the wound as she pulled the knife out but within five second the gauze had already been soaked with blood, then they applied another gauze to the wound, Yu Yan pulled out the knife completely and then the boy let out another scream in pain, blood started gushing out of his body and it just seemed impossible to stop the blood from gushing out. She picked up some gauze from the medical trolley and applied pressure on the wound but it still wouldn't stop bleeding.
"Give me more gauze pad, and inject him with an anticoagulation reversal and antibiotic prophylaxis to prepare for surgery afterwards" Yu Yan shouted then Su Ran handed more gauze pads to her and did as she said, she and the other nurses applied pressure to the wound continuously, after they had exhausted all the gauze they had, the bleeding stopped.
"Give me 0.9% sodium chloride," Yu Yan said, the nurse passed it to her then she poured it on the wound, after cleaning the wound, she wrapped it with a bandage.
The boy had already started breathing irregularly, Yu Yan tried to calm him down but she couldn't.
"He had already bled too much, start the blood transfusion immediately or he might go into cardiac arrest at any time soon" Yu Yan shouted, then nurse wang quickly hung the IV lines filled with blood and started the transfusion but the boy had already bled too much, nurse Wang looked at his vital signs from the electrocardioscope, She gasped when she saw that they were already losing him.
"Surgeon Yu, we are losing him," Nurse Wang said, Yu Yan quickly turned to look at the machine.
Beep!
Beep!
Beep!
The electrocardioscope already had straight lines on it, she widened her eyes when she saw the reading, by this time, her hand and her white coat and top were already dyed scarlet red by the blood. She turned to look at the boy who had already started shaking, she tried to pin his body on the bed but he wouldn't stop shaking.
"Quick the defibrillator, he has gone into cardiac arrest" Yu Yan shouted
"Please don't go, stay with me," Yu Yan said silently to the boy who couldn't even hear her at that time, they quickly brought the defibrillator to her, then she took the paddles from the machine.
"Clear!" She shouted, then they all moved away from the defibrillator.
"100 volts!" Huo Ying shouted to Su Ran who was operating the defibrillator after he set the machine to a hundred volts, he signalled to her to confirm it. Then she placed the paddles on the boy's chest.
"Shocking" Yu Yan shouted then she pressed the paddles on the boy's chest and removed it, the boy's body jerked up as soon as she removed the paddles then she climbed the bed and sat in the middle of his leg and folded her fingers together then she started compressing the boy's chest continuously and with strength when she checked the machine and she saw that he was not picking up, she picked up the defibrillator paddles and stood up from the bed.
"150 volts and everyone clear!" she shouted, Su Ran increased the voltage of the machine then everyone moved away from the bed once again.
"Shocking," She said, then she placed the paddles on his chest and pressed it against his chest, when she lifted the paddles, his body jerked up once again. Then she dropped the paddles on the machine and sat on the bed in the middle o his body and folded her fingers together then she started compressing his body.
"Please wake up, please..." Yu Yan said as she continuously compressed the boy's chest, her body moved up and down while she compressed his chest, she used more strength to compress his chest when she saw that he was still not waking up, by this time, she had already started sweating and breathing very fast. Her front hair slicked down at the side of her face as the sweat continued to drop on her coat and on her top, which was already dyed red in some areas. She had already exerted herself, she continued compressing his chest for three minutes without stopping and she had already started breathing faster than she was before. The nurses and Han Chen saw that she had already exerted herself but they couldn't do anything to stop her. She stood up from the bed and picked up the paddles again.
"250 volts and everyone clear" Yu Yan shouted, then everyone moved away again while Su Ran increased the voltage of the machine
"Shocking" Yu Yan said then she placed the paddles on the boy's chest and pressed it against his chest when she removed it, the boy's body jerked up again, then she dropped the paddles on the machine and sat on the bed again in the middles of his body. She folded her fingers together again and started compressing his chest, she knew that is he didn't wake up this time then he won't be able to wake up again but she didn't want to give up on him. She continued compressing his chest again, they could tell that she was already weak and she might not be able to continue for much longer. Yu Yan heard someone sobbing outside the emergency department so she turned back to see who it was, she saw a middle-aged woman crying outside the ward with another teenage girl then she assumed that they must be his family, Han Chen followed her gaze then he realized that she must be feeling more pressure when she saw his family crying and she wouldn't stop.
"You are already weak, let me continue," Han Chen said to Yu Yan
"I am okay just don't distract me" Yu Yan replied
"But…"
"Just shut up and leave please!" Yu Yan shouted at Han Chen, they were all shocked at her reaction, including Han Chen. They had never seen her that way and she has never really treated children or teenagers that had such complex conditions during her seven years in the hospital so this was totally new to them. Han Chen felt like his presence there was unpleasant so he left as she said, the other nurses who were about to persuade her to let them take over didn't even bother to say anything again. She continued compressing his chest for about two minutes but the machine still had the same weak reading and she was already losing him. She had almost given up but she remembered her promise to him then she decided to persist.
Beeeeeeeeeeeeeeeeeppppppp!
She looked at the machine which seemed like it was also trying to discourage her then she put in more strength into compressing his chest then all of a sudden…...
Beep!
Beep!
Beep!
The heart monitor started showing signs of a normal heart rate, she turned to look at the boy then she realized that he had already opened his eyes slightly, she stopped compressing his chest then she smiled at him and stood up from the bed. Everyone in the emergency department started cheering her when they saw that her persistence has paid off.
She didn't have time to waste on sentimental talk when she saw that his heart rate has stabilized, she quickly turned to nurse Wang and said.
"Prepare for a diagnostic peritoneal lavage," Yu Yan said
"Are you going to perform it here?" nurse Wang asked
"Of Course, from what I know, there won't be any free operating room right now" Yu Yan replied.
"Alright" nurse Wang replied then she brought a trolley filled with surgical equipment. Yu Yan pulled off her already stained gloves and changed into a blue surgical glove, then she picked up the nasogastric tube and inserted it into his nose to prevent aspiration, then she ordered a nurse to close the curtain to prevent people from looking inside.
"Su Ran insert the Foley catheter" Yu Yan ordered, then Su Ran did as she had said.
Please report us if you find any errors so we can fix it asap!
She moved closer to the boy and held his hand, she looked at him compassionately and with lots of affection in her eyes, she was almost about to cry but she couldn't at that moment.
"This is it and it is going to hurt a lot; you need to be strong, try not to lose consciousness," Yu Yan said to the boy. Then she turned to the nurses and asked them to go to their positions with the gauze at both sides of the bed to ensure fast and easy access.
"Hey, hey" She shouted, she was calling a nurse who was about to leave the emergency department but she had never seen his face so she couldn't call him by his name. The male nurse quickly turned back and walked to her.
"What is your name?" she asked hurriedly
"My name is Su Ran" The nurse replied
"Su Ran, you are going to inject 0.5ML IM into this patient right now," Yu Yan said, then the nurse filled the injection and injected the medication into the boy.
"Inject 1ML of tranexamic acid," Yu Yan said to Su Ran then he did as she said, she stood in front of the boy then she glanced at both of the nurses that were standing at both sides of the bed. Then both Han Chen and nurse Wang returned then they stood by the bedside, Yu Yan held the knife with both hands, she bit her lips and looked at the boy and he also reciprocated the look, he started breathing fast in fear of the pain he might feel at any moment from now. Yu Yan noticed this then she said to him "don't breathe too fast, I will make it fast and I have already given you medication to lessen the pain" Yu Yan said, then the boy nodded his head.
"Ready," Yu Yan said
"Ready" the nurses answered
She bit her lower lips and started pulling out the knife fast but steady, the boy tried to endure the pain at first but as soon as the other end of the knife came out of his back, he let out a very loud and agonizing scream, his made everyone in the ER to turn their attention to them, when they saw the horrifying scene they all covered their mouth in shock that someone actually could stab such a young boy in such brutal manner.
As she pulled the knife out of his body, blood started rushing out of his abdomen, she was expecting that to happen after she had pulled the knife out but she didn't expect it to be so sudden.
"Gauze!" She shouted to the nurses at both sides o the bed, then they placed the gauze on the wound as she pulled the knife out but within five second the gauze had already been soaked with blood, then they applied another gauze to the wound, Yu Yan pulled out the knife completely and then the boy let out another scream in pain, blood started gushing out of his body and it just seemed impossible to stop the blood from gushing out. She picked up some gauze from the medical trolley and applied pressure on the wound but it still wouldn't stop bleeding.
"Give me more gauze pad, and inject him with an anticoagulation reversal and antibiotic prophylaxis to prepare for surgery afterwards" Yu Yan shouted then Su Ran handed more gauze pads to her and did as she said, she and the other nurses applied pressure to the wound continuously, after they had exhausted all the gauze they had, the bleeding stopped.
"Give me 0.9% sodium chloride," Yu Yan said, the nurse passed it to her then she poured it on the wound, after cleaning the wound, she wrapped it with a bandage.
The boy had already started breathing irregularly, Yu Yan tried to calm him down but she couldn't.
"He had already bled too much, start the blood transfusion immediately or he might go into cardiac arrest at any time soon" Yu Yan shouted, then nurse wang quickly hung the IV lines filled with blood and started the transfusion but the boy had already bled too much, nurse Wang looked at his vital signs from the electrocardioscope, She gasped when she saw that they were already losing him.
"Surgeon Yu, we are losing him," Nurse Wang said, Yu Yan quickly turned to look at the machine.
Beep!
Beep!
Beep!
The electrocardioscope already had straight lines on it, she widened her eyes when she saw the reading, by this time, her hand and her white coat and top were already dyed scarlet red by the blood. She turned to look at the boy who had already started shaking, she tried to pin his body on the bed but he wouldn't stop shaking.
"Quick the defibrillator, he has gone into cardiac arrest" Yu Yan shouted
"Please don't go, stay with me," Yu Yan said silently to the boy who couldn't even hear her at that time, they quickly brought the defibrillator to her, then she took the paddles from the machine.
"Clear!" She shouted, then they all moved away from the defibrillator.
"100 volts!" Huo Ying shouted to Su Ran who was operating the defibrillator after he set the machine to a hundred volts, he signalled to her to confirm it. Then she placed the paddles on the boy's chest.
"Shocking" Yu Yan shouted then she pressed the paddles on the boy's chest and removed it, the boy's body jerked up as soon as she removed the paddles then she climbed the bed and sat in the middle of his leg and folded her fingers together then she started compressing the boy's chest continuously and with strength when she checked the machine and she saw that he was not picking up, she picked up the defibrillator paddles and stood up from the bed.
"150 volts and everyone clear!" she shouted, Su Ran increased the voltage of the machine then everyone moved away from the bed once again.
"Shocking," She said, then she placed the paddles on his chest and pressed it against his chest, when she lifted the paddles, his body jerked up once again. Then she dropped the paddles on the machine and sat on the bed in the middle o his body and folded her fingers together then she started compressing his body.
"Please wake up, please..." Yu Yan said as she continuously compressed the boy's chest, her body moved up and down while she compressed his chest, she used more strength to compress his chest when she saw that he was still not waking up, by this time, she had already started sweating and breathing very fast. Her front hair slicked down at the side of her face as the sweat continued to drop on her coat and on her top, which was already dyed red in some areas. She had already exerted herself, she continued compressing his chest for three minutes without stopping and she had already started breathing faster than she was before. The nurses and Han Chen saw that she had already exerted herself but they couldn't do anything to stop her. She stood up from the bed and picked up the paddles again.
"250 volts and everyone clear" Yu Yan shouted, then everyone moved away again while Su Ran increased the voltage of the machine
"Shocking" Yu Yan said then she placed the paddles on the boy's chest and pressed it against his chest when she removed it, the boy's body jerked up again, then she dropped the paddles on the machine and sat on the bed again in the middles of his body. She folded her fingers together again and started compressing his chest, she knew that is he didn't wake up this time then he won't be able to wake up again but she didn't want to give up on him. She continued compressing his chest again, they could tell that she was already weak and she might not be able to continue for much longer. Yu Yan heard someone sobbing outside the emergency department so she turned back to see who it was, she saw a middle-aged woman crying outside the ward with another teenage girl then she assumed that they must be his family, Han Chen followed her gaze then he realized that she must be feeling more pressure when she saw his family crying and she wouldn't stop.
"You are already weak, let me continue," Han Chen said to Yu Yan
"I am okay just don't distract me" Yu Yan replied
"But…"
"Just shut up and leave please!" Yu Yan shouted at Han Chen, they were all shocked at her reaction, including Han Chen. They had never seen her that way and she has never really treated children or teenagers that had such complex conditions during her seven years in the hospital so this was totally new to them. Han Chen felt like his presence there was unpleasant so he left as she said, the other nurses who were about to persuade her to let them take over didn't even bother to say anything again. She continued compressing his chest for about two minutes but the machine still had the same weak reading and she was already losing him. She had almost given up but she remembered her promise to him then she decided to persist.
Beeeeeeeeeeeeeeeeeppppppp!
She looked at the machine which seemed like it was also trying to discourage her then she put in more strength into compressing his chest then all of a sudden…...
Beep!
Beep!
Beep!
The heart monitor started showing signs of a normal heart rate, she turned to look at the boy then she realized that he had already opened his eyes slightly, she stopped compressing his chest then she smiled at him and stood up from the bed. Everyone in the emergency department started cheering her when they saw that her persistence has paid off.
She didn't have time to waste on sentimental talk when she saw that his heart rate has stabilized, she quickly turned to nurse Wang and said.
"Prepare for a diagnostic peritoneal lavage," Yu Yan said
"Are you going to perform it here?" nurse Wang asked
"Of Course, from what I know, there won't be any free operating room right now" Yu Yan replied.
"Alright" nurse Wang replied then she brought a trolley filled with surgical equipment. Yu Yan pulled off her already stained gloves and changed into a blue surgical glove, then she picked up the nasogastric tube and inserted it into his nose to prevent aspiration, then she ordered a nurse to close the curtain to prevent people from looking inside.
"Su Ran insert the Foley catheter" Yu Yan ordered, then Su Ran did as she had said.
She moved closer to the boy and held his hand, she looked at him compassionately and with lots of affection in her eyes, she was almost about to cry but she couldn't at that moment. "This is it and it is going to hurt a lot; you need to be strong, try not to lose consciousness," Yu Yan said to the boy. Then she turned to the nurses and asked them to go to their positions with the gauze at both sides of the bed to ensure fast and easy access. "Hey, hey" She shouted, she was calling a nurse who was about to leave the emergency department but she had never seen his face so she couldn't call him by his name. The male nurse quickly turned back and walked to her. "What is your name?" she asked hurriedly "My name is Su Ran" The nurse replied "Su Ran, you are going to inject 0.5ML IM into this patient right now," Yu Yan said, then the nurse filled the injection and injected the medication into the boy. "Inject 1ML of tranexamic acid," Yu Yan said to Su Ran then he did as she said, she stood in front of the boy then she glanced at both of the nurses that were standing at both sides of the bed. Then both Han Chen and nurse Wang returned then they stood by the bedside, Yu Yan held the knife with both hands, she bit her lips and looked at the boy and he also reciprocated the look, he started breathing fast in fear of the pain he might feel at any moment from now. Yu Yan noticed this then she said to him "don't breathe too fast, I will make it fast and I have already given you medication to lessen the pain" Yu Yan said, then the boy nodded his head. "Ready," Yu Yan said "Ready" the nurses answered She bit her lower lips and started pulling out the knife fast but steady, the boy tried to endure the pain at first but as soon as the other end of the knife came out of his back, he let out a very loud and agonizing scream, his made everyone in the ER to turn their attention to them, when they saw the horrifying scene they all covered their mouth in shock that someone actually could stab such a young boy in such brutal manner. As she pulled the knife out of his body, blood started rushing out of his abdomen, she was expecting that to happen after she had pulled the knife out but she didn't expect it to be so sudden. "Gauze!" She shouted to the nurses at both sides o the bed, then they placed the gauze on the wound as she pulled the knife out but within five second the gauze had already been soaked with blood, then they applied another gauze to the wound, Yu Yan pulled out the knife completely and then the boy let out another scream in pain, blood started gushing out of his body and it just seemed impossible to stop the blood from gushing out. She picked up some gauze from the medical trolley and applied pressure on the wound but it still wouldn't stop bleeding. "Give me more gauze pad, and inject him with an anticoagulation reversal and antibiotic prophylaxis to prepare for surgery afterwards" Yu Yan shouted then Su Ran handed more gauze pads to her and did as she said, she and the other nurses applied pressure to the wound continuously, after they had exhausted all the gauze they had, the bleeding stopped. "Give me 0.9% sodium chloride," Yu Yan said, the nurse passed it to her then she poured it on the wound, after cleaning the wound, she wrapped it with a bandage. The boy had already started breathing irregularly, Yu Yan tried to calm him down but she couldn't. "He had already bled too much, start the blood transfusion immediately or he might go into cardiac arrest at any time soon" Yu Yan shouted, then nurse wang quickly hung the IV lines filled with blood and started the transfusion but the boy had already bled too much, nurse Wang looked at his vital signs from the electrocardioscope, She gasped when she saw that they were already losing him. "Surgeon Yu, we are losing him," Nurse Wang said, Yu Yan quickly turned to look at the machine. Beep! Beep! Beep! The electrocardioscope already had straight lines on it, she widened her eyes when she saw the reading, by this time, her hand and her white coat and top were already dyed scarlet red by the blood. She turned to look at the boy who had already started shaking, she tried to pin his body on the bed but he wouldn't stop shaking. "Quick the defibrillator, he has gone into cardiac arrest" Yu Yan shouted "Please don't go, stay with me," Yu Yan said silently to the boy who couldn't even hear her at that time, they quickly brought the defibrillator to her, then she took the paddles from the machine. "Clear!" She shouted, then they all moved away from the defibrillator. "100 volts!" Huo Ying shouted to Su Ran who was operating the defibrillator after he set the machine to a hundred volts, he signalled to her to confirm it. Then she placed the paddles on the boy's chest. "Shocking" Yu Yan shouted then she pressed the paddles on the boy's chest and removed it, the boy's body jerked up as soon as she removed the paddles then she climbed the bed and sat in the middle of his leg and folded her fingers together then she started compressing the boy's chest continuously and with strength when she checked the machine and she saw that he was not picking up, she picked up the defibrillator paddles and stood up from the bed. "150 volts and everyone clear!" she shouted, Su Ran increased the voltage of the machine then everyone moved away from the bed once again. "Shocking," She said, then she placed the paddles on his chest and pressed it against his chest, when she lifted the paddles, his body jerked up once again. Then she dropped the paddles on the machine and sat on the bed in the middle o his body and folded her fingers together then she started compressing his body. "Please wake up, please..." Yu Yan said as she continuously compressed the boy's chest, her body moved up and down while she compressed his chest, she used more strength to compress his chest when she saw that he was still not waking up, by this time, she had already started sweating and breathing very fast. Her front hair slicked down at the side of her face as the sweat continued to drop on her coat and on her top, which was already dyed red in some areas. She had already exerted herself, she continued compressing his chest for three minutes without stopping and she had already started breathing faster than she was before. The nurses and Han Chen saw that she had already exerted herself but they couldn't do anything to stop her. She stood up from the bed and picked up the paddles again. "250 volts and everyone clear" Yu Yan shouted, then everyone moved away again while Su Ran increased the voltage of the machine "Shocking" Yu Yan said then she placed the paddles on the boy's chest and pressed it against his chest when she removed it, the boy's body jerked up again, then she dropped the paddles on the machine and sat on the bed again in the middles of his body. She folded her fingers together again and started compressing his chest, she knew that is he didn't wake up this time then he won't be able to wake up again but she didn't want to give up on him. She continued compressing his chest again, they could tell that she was already weak and she might not be able to continue for much longer. Yu Yan heard someone sobbing outside the emergency department so she turned back to see who it was, she saw a middle-aged woman crying outside the ward with another teenage girl then she assumed that they must be his family, Han Chen followed her gaze then he realized that she must be feeling more pressure when she saw his family crying and she wouldn't stop. "You are already weak, let me continue," Han Chen said to Yu Yan "I am okay just don't distract me" Yu Yan replied "But" "Just shut up and leave please!" Yu Yan shouted at Han Chen, they were all shocked at her reaction, including Han Chen. They had never seen her that way and she has never really treated children or teenagers that had such complex conditions during her seven years in the hospital so this was totally new to them. Han Chen felt like his presence there was unpleasant so he left as she said, the other nurses who were about to persuade her to let them take over didn't even bother to say anything again. She continued compressing his chest for about two minutes but the machine still had the same weak reading and she was already losing him. She had almost given up but she remembered her promise to him then she decided to persist. Beeeeeeeeeeeeeeeeeppppppp! She looked at the machine which seemed like it was also trying to discourage her then she put in more strength into compressing his chest then all of a sudden... Beep! Beep! Beep! The heart monitor started showing signs of a normal heart rate, she turned to look at the boy then she realized that he had already opened his eyes slightly, she stopped compressing his chest then she smiled at him and stood up from the bed. Everyone in the emergency department started cheering her when they saw that her persistence has paid off. She didn't have time to waste on sentimental talk when she saw that his heart rate has stabilized, she quickly turned to nurse Wang and said. "Prepare for a diagnostic peritoneal lavage," Yu Yan said "Are you going to perform it here?" nurse Wang asked "Of Course, from what I know, there won't be any free operating room right now" Yu Yan replied. "Alright" nurse Wang replied then she brought a trolley filled with surgical equipment. Yu Yan pulled off her already stained gloves and changed into a blue surgical glove, then she picked up the nasogastric tube and inserted it into his nose to prevent aspiration, then she ordered a nurse to close the curtain to prevent people from looking inside. "Su Ran insert the Foley catheter" Yu Yan ordered, then Su Ran did as she had said.
