Wrong cardiac resuscitation is not advisable!

  The Lancet is a television series depicting hospital material. After watching it, I think: the measures on in-hospital cardiac resuscitation in the TV series are questionable. For example, in the drama: when the emergency department repeatedly resuscitated a patient in cardiac arrest, the ECG monitor clearly showed that the ECG was in a straight line with no cardiac activity. The first resuscitation should be cardiac compressions. Instead, the medical staff in the drama performs electrical defibrillation (or electric shock). It is important to know that giving electric defibrillation without ventricular fibrillation is undoubtedly worse for the diseased heart and further aggravates the damage to the heart muscle.  This administration does not meet the requirements of national and international CPR guidelines. Even if ventricular fibrillation occurs, electric shock can be given, but continuous use is not advocated. When the master of this drama, cardiac surgeon Gu Mingdao, M.D., resuscitated his teacher (also the president of his hospital, Chen) in the drama, Chen was the one who had another myocardial infarction and cardiac arrest with a straight line ECG, and instead of immediate cardiothoracic compressions, electric defibrillation was given. At that time, the patient was in the corridor room of the operating room, although myocardial infarction is prone to ventricular fibrillation, and in the case of ineffective electric defibrillation, it should be the immediate application of drugs or open-chest compressions, while repeated and continuous electric shocks were taken, as if electric defibrillation was the only life-saving measure. This is a violation. Dr. Gu’s eagerness to save his teacher is understandable, but as a cardiothoracic surgery specialist, it is incomprehensible that the wrong and illegal method of first aid was taken at the moment when the patient’s life was in danger. Although the TV series is not an academic forum, it should reflect science popularization, especially for the public need to popularize the knowledge of first aid today, which plays a wrong orientation.  Medical norms and operating procedures are the result of blood and tears, and are to be remembered by every health care worker, not implemented arbitrarily.