Chapter 0001: The Heart That Races Unceasingly

Luffy shouted loudly: "I found a dying person on the road. I am now issuing medical orders; you will assist me in the rescue. Male, around 40 years old, preliminary examination indicates acute myocardial infarction. We will immediately set up cardiac monitoring at the first opportunity."

Mia underwent an electrocardiogram, and the doctors observed closely. The electrocardiogram indicated that the elevated ST segment had decreased by over 50%. The myocardial enzyme profile showed that the peak values of CK and CK-MB had shifted to within 6 hours after the onset of the condition, indicating successful recanalization of the obstructed coronary artery and successful thrombolysis

Olive then stated: "The endotracheal intubation has been completed, the ventilator is connected, and oxygen administration has commenced"

Luffy briefly reported the situation in just a few words

Once again, everyone be careful

After the 11th defibrillation, the patient finally briefly reverted to sinus rhythm. Lu Fei understood that this was merely a temporary measure and that it was crucial to quickly ascertain the patient's cardiac condition. He shouted, "Olive, hurry and perform an electrocardiogram to check the state of the heart"

Luffy jogged to the intersection of Cassie Street and Martin Street, turned right, and after 100 meters, he arrived at St. Cassie Hospital

Mia and Olive rushed to assist the patients who had collapsed. One minute later, Mia exclaimed, "The intravenous access has been established, and the adrenaline and lidocaine have been administered."

Lu Fei, who has traversed to this world, has found much happiness, living a relaxed life, enjoying familial harmony, and possessing ample wealth

Nurse Mia from the emergency room was standing at the entrance. Upon seeing the situation, she hurried over and asked, "What happened, Doctor Lu?"

Dr. Anderson, the patient's condition is too severe; the heart rhythm is extremely unstable, with episodes of ventricular fibrillation occurring every 1 to 2 minutes for a period of time. It is impossible to move the patient, and interventional thrombectomy cannot be performed immediately. I recommend administering intravenous thrombolytic therapy in the emergency room.

Anderson nodded in satisfaction once again: "Very good, Olive, take this fortunate gentleman to the ICU. Mia, please accompany her to assist with the admission procedures, and let our hero—Doctor Jack—take a rest, after all, this is his last day of internship"

The past couple of days have gone quite smoothly on my business trip, so I drank half a bottle of whiskey this morning" Karl replied incoherently

Anderson pondered for a moment and asked, "Jack m.hetushu.com, what do you think should be the next step in treatment"

I recommend intravenous thrombolysis with the thrombolytic agent alteplase, administering 15 mg as a bolus injection, followed by a continuous intravenous infusion of 50 mg over 30 minutes, and the remaining 35 mg infused continuously over 60 minutes. The total duration of intravenous thrombolysis is 90 minutes

One minute later, the venous access was established, and the injection of the thrombolytic agent alteplase was completed, with the intravenous infusion also commenced. Before anyone could catch their breath, the patient began to convulse, and the urgent beeping of the alarm sounded.

Luffy had no time to think, as the patient went into ventricular fibrillation again, and he had no choice but to grit his teeth and continue the defibrillation

The patient's condition is extremely critical, experiencing ventricular fibrillation every one to two minutes, with repeated episodes of ventricular fibrillation and defibrillation.

About 10 minutes later, the intravenous thrombolysis was also completed

His name is Lu Fei, and he is a prospective doctor. Today marks the last day of his one-year internship at St. Cassie Hospital

Luffy exerted all his strength and rushed towards the hospital, fortunately arriving at the emergency entrance after just a few dozen steps

"What about the dosage?" Anderson asked with a calm expression

A brief life can be summarized by heartfelt sorrow, worries over money, and exhaustion akin to that of a dog

Patient Karl gradually regained his senses, slowly turning his head, his gaze focusing on Lu Fei's face

"Understood, I will carry you to the hospital; it's just a few steps away, and there's no time to call an ambulance." As he spoke, Lu Fei crouched down and carried him on his back, quickly making his way to the hospital

This inland city is slowly awakening, with a hint of noise amidst the tranquility

Hi, brother, don't sleep, get up and have some fun, let's go for a drink together. As the saying goes, an early drink ensures lasting friendship

The security guard at the entrance, Eddie, quickly pushed the stretcher over. The two men swiftly lifted the patient onto the stretcher and rushed towards the emergency room.

Luffy saw that he wanted to speak, so he removed the respirator from his face. Karl, in a hoarse voice, said: "Thank you for saving me, allowing my son not to lose his father"

Luffy was sad and depressed for a long time, but the overwhelming amount of study tasks and exhausting internship work gradually helped him overcome his sorrow

How many pigs? A strange question, I live in Wuwuwu, hetushu.com. Dudu. Karl was making squeaking sounds on his back, somewhat disoriented

The hospital bed was slowly pushed away, and the hand had not been released for a long time

"First aid, I am a professional at it." Luffy was in a good mood and became quite brazen.

"Doctor Jack is coming down. Everyone, help me lift the patient onto the hospital bed; I need to start the ECG monitoring." Lu Fei got off the stretcher and, together with Uncle Eddie, lifted the patient onto the emergency bed, shouting loudly:

Do not speak of poetry and distant places; moments of relaxation and tranquility are rare. The daily life of a single person in emergency situations is quite overwhelming. The comfort of a girlfriend is out of the question; where would one find the spare money and time for that

Karl said: "Alright, I came to Carson on a business trip two days ago. I had some alcohol while having breakfast at the hotel at 7 AM. Just as I stepped out, I suddenly experienced excruciating chest pain, so severe that I vomited my breakfast. I intended to go to the hospital for treatment, but I really couldn't hold on any longer by the time I got here"

The work in the emergency department of the Southern Hospital is heavy and monotonous

Luffy pressed his face against Karl's chest, listening to the heartbeat while asking, "Do you have a habit of drinking in the morning?"

Before everyone could continue their actions, the cardiac monitor began to emit loud beeping sounds, and the red warning light flashed frantically. Lu Fei performed defibrillation once again, and with a "bang," as the patient's body fell, Lu Fei shouted to Mia: "Administer dopamine calculated at a maximum dose for 80 kilograms of body weight, and infuse sodium bicarbonate intravenously"

Luffy asked, "Mr. Carl, I am Dr. Jack, an emergency physician at St. Cassie Hospital. Could you tell me where you are feeling unwell? May I examine you?"

It resembles the wail of the Grim Reaper

"Just do it this way," Anderson ordered decisively, and Olive and Mia complied.

Luffy babbled nonsensically, yet his feet did not dare to pause for a moment. If they could reach the hospital in time, there was still hope; if they were even slightly delayed, he might die on his back. If a person truly died on him, it would be a stroke of bad luck.

Located in the city center, Cassie Street is gradually seeing an increase in traffic, as vehicles emerging from various side streets slowly converge into the main road, flowing in a winding manner

Luffy's footsteps did not pause, and in the blink of an eye, he had passed the intersection

After 43 defibrillations, the final defibrillation at 10:04 resulted in the heart rhythm finally converting to sinus rhythm. After waiting for 5 minutes, the patient did not experience any further ventricular fibrillation, and the atmosphere instantly became relaxed.

"Today, we resuscitated a patient and performed defibrillation a total of 96 times, which should have broken our emergency department's record," Mia exclaimed, glancing at the numbers on the machine.

At that moment, the head of the emergency department, Anderson, walked in, putting on gloves while asking, "Jack, what is the patient's current condition"

Luffy looked up at her and shouted, "Acute myocardial infarction, Olive, please assist, prepare for intubation, mechanical ventilation, and get the defibrillator ready." After saying this, he picked up the defibrillator beside him, his eyes fixed on the ECG monitor. Just as Mia connected the ECG monitor, it began to beep loudly, indicating severe ventricular fibrillation.

7:30 AM in Carson City, Nevada, USA

Sigh, it seems I am about to wash my hands of the emergency department and retreat from the world. Hey, this morning I encountered a major issue; the world in America is not kind either. What kind of trouble-prone nature do I possess?

It is everyone who saved you, and you will get better

With a bang, Luffy defibrillated for the second time

Luffy carried Carl and walked faster and faster, and after a few steps, he simply started running, exclaiming loudly:

As I hurried to the intersection, I caught a glimpse from the corner of my eye of a well-dressed middle-aged man on the right side bench, his face flushed, half-reclining on the bench, legs extended straight, right hand gripping the backrest, his body leaning awkwardly against the bench

The patient is currently in a state of coma, and the carotid pulse is no longer palpable. He jumped onto the stretcher and began performing chest compressions, loudly stating: "On-duty nurse, quickly call Mr. Anderson, the head of the emergency department, and have him come immediately; the patient is not going to make it."

With a thud, the patient on the bed jerked upright and fell heavily back down.

20 minutes, with 7 intermittent defibrillations. After the 8th defibrillation, the patient briefly regained sinus rhythm. Lu Fei shouted to Olive: "You take over, I will go get the thrombolytic agent"

Hearing the chaotic, fan-like beating of his heart, Luffy realized that trouble was imminent and initially assessed it as an acute myocardial infarction. In such circumstances, a person could be gone in an instant

In simple terms, it means that a major blood vessel of the heart has been completely occluded (blocked)

In the first year of my internship at the hospital, my father, burdened by age-related illnesses, could no longer endure and passed away. My mother, already frail and suffering from ailments since giving birth in her middle age, succumbed to the blow and also departed this world six months later

April 26, 2009, in a parallel universe mirroring Earth

As soon as the words were spoken, a plump young female doctor rushed in

He hurriedly shouted at the security guard at the door, "Uncle Eddie, I am Jack from the emergency department, bring the stretcher, the patient on my back is about to collapse."

On the hospital bed, Karl slowly extended his right hand towards the sky, with his four fingers bent inward and his thumb raised straight up, making a classic thumbs-up gesture in the direction of Lu Fei.

"Mia, administer one unit of adrenaline intravenously, 50 milligrams of lidocaine intravenously, perform endotracheal intubation on Olive, and provide high-concentration oxygen." Lu Fei issued the medical orders while holding the defibrillator, keeping a close watch on the electrocardiogram monitor

A young man of Chinese descent, dressed in sportswear, is jogging slowly along the sidewalk of Cassie Street, moving from east to west. In the early morning, he occasionally overtakes the sparse pedestrians.

Soon, Olive and the others lifted the patient, Carl, onto the stretcher and pushed him towards the hospital's ICU

Mr. Karl, where is your home? How many people are there in your family, and how many pigs do you raise?

Director Anderson smiled and said at this moment: "Mia, please check the electrocardiogram again to see the situation"

Olive said with a smile, "As you wish"

They should be saved now; let's observe for a while longer. If everything is fine, we will then look into the follow-up treatment and recovery situation after entering the ICU. Jack, you performed excellently today; you could even write a paper on the resuscitation process. " Anderson said with a smile

Luffy took a moment to look up at the clock in the emergency room; it was now 8:50. The rescue had not yet lasted an hour, but that hour felt interminable. Every minute spent battling against death was so excruciating.

Mia and the security uncle pushed the stretcher into compartment 3, one on the left and one on the right. Mia pulled the stretcher to the side of the bed and said loudly

Seven years ago, his soul consciousness traversed and "settled" in the body of a sixteen-year-old frail boy named Lu Fei in Chinese and Jack in English. Initially, he suspected he was suffering from schizophrenia and experienced hallucinations. A few days later, after confirming the undeniable truth of his soul's traversal, Lu Fei felt quite happy, not to mention that he no longer contemplated seeking death.

Here it comes again, my heart racing once more. Mia, Olive, let go, 200 joules for defibrillation, third time," Lu Fei shouted

"Call me Karl, I have severe pain in my left chest, I need to go to the hospital, I can't move, please help me," the middle-aged man said intermittently.

Subsequently, the patient continued to experience frequent episodes of ventricular tachycardia and ventricular fibrillation during the thrombolysis process. Lu Fei and Olive took turns administering defibrillation and continued to provide antiarrhythmic treatment and medication

After two rounds of STEP examinations, he has obtained his medical professional qualification. The difficult days of the intern doctor, who starts work at 5 AM and finishes at 7 PM, have finally come to an end

After observing the patient for half an hour, during which there was no recurrence of ventricular fibrillation, Anderson stated: "Transfer to the ICU. It is recommended to provide symptomatic treatment including anticoagulation, antiplatelet aggregation, plaque stabilization, coronary dilation, and improvement of cardiac function. Everything is okay; the endotracheal tube can likely be removed tonight, and vasopressor medications can be discontinued. A coronary angiography will be performed tomorrow, followed by subsequent interventional or thrombolytic treatment."

Luffy is not a native of this world

In his previous life, his parents had him when they were around 50 years old, which is characteristic of having children later in life.

Alright, continue with the "Electric Man," everyone rushed over to provide first aid

Due to professional sensitivity, I always felt something was amiss, so I turned back and slowed my pace next to this middle-aged man

Olive responded immediately, turned around, and brought over the portable electrocardiogram machine. She tore open the patient's chest clothing and quickly began to apply the electrodes. The electrocardiogram showed sinus tachycardia, complete right bundle branch block, and acute extensive anterior wall myocardial infarction combined with high lateral wall involvement

I am going to defibrillate, stand clear, 200 joules biphasic asynchronous defibrillation. After Lu Fei finished speaking, he placed the defibrillator on the patient's chest

He lowered his head and asked, "Sir, what is the matter? Do you need any assistance?"

In the emergency room, no one speaks; each person's expression is complex, filled with fear of the patient dying at any moment, yet also a hope for a miracle to occur. If the patient cannot be saved, the doctors involved in the rescue will feel dejected for a long time

"Bang", yet another electric shock defibrillation

The stretcher was pushed into the emergency room, and Nurse Mia urgently said: "Cubicle 3"

Come quickly, urgent rescue needed