Aortic tearā¦ intense painā¦ blood pressureā¦ causeā¦
The middle-aged knight and the young knight exchanged a glance, reading confusion in each otherās eyes:
Do you understand these terms?
No, I donāt.
Have you heard them before?
I havenātā¦
The two of them looked back, staring expectantly at Garrett. Maybe this is just how spellcasters and healers speak? After all, they often couldnāt understand the mage in their teamā¦
As they turned their heads, they simultaneously exclaimed:
"Mage, what are youā¦"
On the treatment bed, the old knight frowned, tossing and turning, groaning softly. The two knights watched their father for a moment, cautiously asking:
"Mage, did you cancel the Calming Spell? Why would you cancel it? Father has been suffering for so long, it was finally giving him some relief!"
"Yes, I canceled it," Garrett said, staring at the old knightās electrocardiogram, deep in thought. While pondering the cause, he answered smoothly:
"This thing being active all the time isnāt beneficial. When the patient is anesthetized or restrained, any changes are hard for the healer to see. Although there are theseā" He gestured to the flashing screens beside him, displaying the patientās condition with heart monitors, blood pressure meters, and blood oxygen spells. "But nothing compares to the patientās own reactions. Every subtle sign is something the healer must considerā¦"
The heart rhythm was still not great, having just gone through a massive hemorrhagic shock. Low potassium and sodium levels hadnāt been fully corrected. Based on previous examination results and his clinical experience, theoretically, this patient faced numerous potential deadly complications:
Disseminated intravascular coagulationā¦
Malignant arrhythmias due to low potassiumā¦
Cardiac tamponadeā¦
Pheochromocytoma crisisā¦
Massive cerebral infarction or hemorrhage affecting life centersā¦
Outflow tract obstructionā¦
Acute pulmonary embolismā¦
Acute myocardial infarctionā¦
Acute aortic dissection had just been addressed, and a sweep of the aorta showed no likelihood of an aortic sinus aneurysm rupture. But any of these other conditions were possible and needed vigilance.
Before he could think further, the old knight suddenly opened his eyes, mumbling indistinctly:
"Where am Iā¦ Iāmā¦ Iām fineā¦ I want to go backā¦"
"Father! Father, youāre awake!"
The middle-aged knight rushed forward first. The younger knight, slower by a beat, popped his head up from the bedside:
"You canāt go back now! You just lost so much blood, we barely saved you. The mage hasnāt said you can leave yet!"
"Let me go back!"
The old knight suddenly became angry. He swung his arm forcefully, and Garrett only heard a "whoosh" as a violent gust of wind roared.
With a loud crash, the middle-aged knight fell backward, hitting the treatment table, which collapsed under the impact.
Garrett: "..."
This was beyond the scope of "extensive clinical experience." In his previous life, patients, even strong ones, didnāt have this level of strength!
Also, the patientās family members were too weak. Not even an 8th-level knight? Taking a hit from your father and getting thrown away like this?
Fortunately, Garrett was standing at the foot of the bed, out of the patientās attack range. Reacting quickly, he cast another Calming Spell. The spell hit instantly, and the old knight fell back onto the bed, motionless. ššŖNĆįÄÅ
"Uh, sorry, Mage Nordmarkā¦" The middle-aged knight awkwardly got up from the broken wood, limping back. Garrett waved it off casually:
"No problem. Just remember to compensate for the table. ā Oh, no!"
As the knight repeatedly promised to compensate, Garrettās eyes widened, rushing forward.
After just this little disturbance, the old knightās electrocardiogram suddenly changed. At the same moment, a piercing alarm sounded from the screen!
Damn it!
Ventricular fibrillation!
How did it suddenly turn into ventricular fibrillation!!!
"Father!"
The two knights rushed over, grabbing their fatherās arms and shouting:
"Father! Wake up!"
"Father, wake up! ā Mage Nordmark, should we do chest compressions?"
"Move aside!" Garrett shouted. Seeing the knights not immediately responding, he frowned and pointedā
Boom!
Boom!
Two transparent force field hands appeared, swatting the knights away.
"Move! Keep your distance!"
Garrett ordered sternly. After shouting, he concentrated, adjusting the spell configuration for electric defibrillationā
"Direct current defibrillation, first attempt, electric claw unidirectional wave defibrillation, 360 joules, begin!"
Thank heavens, this time it wasnāt "direct current cardioversion, electric claw unknown joules." The adjusted spell was finally presentableā¦
No need to undress, it was already done during the chest puncture. No need for coupling agent, the electric claw hits directly. No need for electrodes, the defibrillation spell includes automatic targetingā¦
Bright electric light struck the old knight. His robust body jerked, emitting a burnt smell, then fell back down, silent. Garrett frowned, sending two high-level mage hands to press downā
No movement.
An 8th-level knight, even unconscious, had bones and muscles too strong. Two high-level mage hands together couldnāt exert enough force.
"Do CPR! Hurry!" Garrett shouted. The knights rushed back, positioning themselves, pressing down, their whole bodies trembling. Garrett had to guide them:
"Straighten your upper body! Straighten! Push straight down!"
"Harder! Itās useless if the depth isnāt enough! ā Donāt be afraid to break ribs!"
"Keep your body steady! Youāre saving your fatherās life, not dancing!"
Sighā¦ Your CPR training is problematic! The actions arenāt standard, theyāre useless!
Under Garrettās command, the knights alternated, completing five sets, a total of two minutes of external chest compressions. When time was up, Garrett shouted:
"Step back!"
Good, they obeyed immediately this time, no need to use force field hands to pushā¦
"Direct current defibrillation, second attempt, electric claw unidirectional wave defibrillation, 360 joules, begin!"
Garrett mentally recited, extending his hands. White lightning shot out again. The second wave of burning odor rose, the old knightās body jerked but remained stillā¦
"CPR! Hurry!"
Garrett shouted again. Pushing the knights forward to do chest compressions, he stood by, casting an Encouragement Spell as a substitute for adrenaline, while quickly thinking:
Why is defibrillation ineffective?
Incorrect timing of the shock?
No, the spell has been adjusted to match the rhythm;
Electrolyte imbalance, acidosis, hypoxia?
He quickly took a blood drop, casting a blood identification spell. Potassium and sodium levels had been corrected, no abnormalities in sodium, not electrolyte imbalance; normal pH, blood oxygen saturation was fine;
Transition from fine to coarse ventricular fibrillation? Impossible, he had been watching the ECG;
Thenā¦ perhaps itās the defibrillation energy? The energy required for defibrillation is closely related to the patientās physique. For example, defibrillation for children should start with 2 joules/kg, and the second time, 4 joules/kg.
Knight, 8th-level knight, strong bones and muscles, high energy resistanceā
For example, an electric claw hitting an ordinary person would knock them out instantly; hitting an 8th-level warrior like Bernard would just make him stagger, numb, but he could still roar and charge forwardā¦
Alright then, tell me, how much energy should be used for defibrillation on an 8th-level warrior?
I havenāt gathered this data before!
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