Recently, the popular Korean drama "The Descendants of the Sun" has set off a "solar storm" in both China and South Korea. The sixth episode of the drama has surpassed the new high in the finale of "You from the Stars". In the face of the carnival of fans, medical experts pointed out that there are many medical errors in "The Descendants of the Sun", mostly for the plot needs, we should not be too "fascinated".
Doubt 1:
Breathing without pinching your nose?
Interpretation:
Medical staff should kneel on the right hand side of the patient
The replay of the plot: Song Huiqiao played Jiang Yanyan driving into the cliff, and Liu Daqi heard the news and rushed to rescue. After Dr. Jiang fell into the water, Liu Dazhao artificially breathed it.
Expert comment: The cardiopulmonary resuscitation carried out by Song Zhongji in "The Descendants of the Sun" is not standardized, but the basic point is still correct. Zhang Jianqing, director of the Six Diseases Department of Cardiovascular Surgery of the Seventh People's Hospital of Zhengzhou City, said: "In the play, Song Zhongji is resuscitating on the left hand side of Song Huiqiao. The correct one should be that the single-person cardiopulmonary resuscitation is on the right hand side of the patient, and the left knee of the medical staff. With the patient's right shoulder; when the cardiopulmonary resuscitation is done, one person is left and right."
The correct approach is: patient awareness should be judged before resuscitation; recovery begins, every two artificial respirations followed by 30 chest compressions until the patient resumes heartbeat breathing, generally 5 groups.
Doubt 2: Can pregnant women really not be anesthetized?
Interpretation of doubt: the use of medicine to try to choose the drug has little effect on the fetus
Plot replay: In the 7th episode, a foreign pregnant woman was not allowed to treat the fracture wounds in the disaster area of ​​the Uruk power station after the earthquake. Because the language is unreasonable, the doctor can't understand the reason. A photo of the B-ultrasound, the doctor realized that this is a pregnant woman. In order not to affect the fetus in the abdomen, the pregnant woman asks the doctor not to use anesthesia.
Expert comment: "Pregnant women can not be anesthetized", this is the idea of ​​most people, but is it really true? Liu Shuqin, director of the Department of Obstetrics and Gynecology, Henan Armed Police Corps Hospital, said that for pregnant women, it is generally necessary to choose a most suitable anesthesia method for the mother, according to the different treatments, maternal health or fetal conditions. The operation went on more smoothly. In the medication, try to choose the drug to absorb less fetal, general local anesthesia, such as spinal anesthesia used in painless delivery, pregnant women can safely and safely use. For patients with fractures in the drama, it is also possible to treat the wounds under local anesthesia.
For general anesthesia, the anesthesiologist will assess the risk of anesthesia, the anesthetic used should also "circumvent" the placenta as much as possible, without entering the fetus, to ensure maximum fetal safety. Unless critical surgery for general anesthesia is necessary, it is generally not recommended to perform surgery under general anesthesia during pregnancy.
Doubt 3: Is there a pulse in the heart of the hammer?
Interpretation: there is a short-term effect, but not as good as the defibrillator
Plot replay: In the earthquake, the injured patient, abdominal hemorrhage, once shocked. At this moment, the female host Joe Sister (Song Hye Kyo) appeared, and the chest of the patient was hammered a few times, and the patient immediately showed a pulse. A few simple actions, is it really amazing?
Expert comment: Zhang Jianqing said that the patient in the drama had shock and arrhythmia due to abdominal bleeding. At this time, if he was in the hospital, the defibrillator might be used, but there was no such equipment condition at the time, and the heart area was hammered by hand. It can be used as a defibrillator to make a short pulse, but the effect may not be as good as the defibrillator.
Doubt 4: "I am AB blood, pumping me" Can it?
Interpretation: there are great security risks
Plot replay: Injured patients in the play need urgent surgery, and AB blood is urgently needed. After the soldiers of the peacekeeping force examined the type AB blood, they began to transfuse blood. While the doctor operated on the patient, the soldiers transfused blood for the patient. This kind of scene is also common in TV dramas, but is this really ok?
Expert comment: Zhang Jianqing said that blood transfusion is a very complicated process. Clinically, in addition to the identification of blood type before transfusion, the blood of the donor and the recipient should be cross-matched according to the principle of agglutination, and the other red blood cell types can be confirmed in vitro to be transfused. Be sure to be safe. And if such a blood transfusion, there is no anti-infection treatment, there is a great security risk.
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