Chapter 392: :medical crisis notice

At about nine o'clock, it was the time when the emergency department was most vigilant, and it was the busiest time.
As soon as the emergency inpatient ward was busy, I received a call from 120 to prepare for the rescue and sent a woman who committed suicide by taking oral sleeping pills.
Chen Cang's nervous heart was vigilant again!
Chen Cang asked: "How long!"
The emergency center said: "Up to five hours, when the woman's mother went to see him, she was unconscious, and her body was full of scars."
Hanging up the phone, Chen Cang started arranging the dialysis room in a hurry. For patients who were poisoned by this sleeping pills, they usually found within six to twelve hours after taking the medicine and should wash their stomachs in time.
However, for patients who already have a coma or even no urine, they need to be ready for dialysis in a timely manner.
After speaking, Chen Cang quickly turned to look at the nurses Lele and Xiaoyan: "A patient who committed suicide with a sleeping pill is now in a coma and is in critical condition and is preparing for gastric lavage."
Lele went to prepare the items for gastric lavage, and Xiaoyan went to prepare the antidote.
Both of them stayed in the emergency department for two or three years, and this kind of thing has been seen no less than ten times and eight times, and it can be regarded as organized and fast and orderly.
About three minutes later, Yiliang's ambulance stopped at the emergency door, and the doctor and driver hurriedly pushed the bed in, followed by three people, who should be family members.
A woman in her fifties was already crying with swollen eyes, and the face of a man of the same age was unhappy and frosty, and her eyes were filled with anger, but the silent word was terrible.
In contrast, the man behind the car was not too old, only seventeen or eighteen years old, wearing a school uniform, his face full of anxiety and anxiety.
At this time, Chen Cang also saw the patient clearly. He was young and had a pale complexion, but ... it might also be pathologically pale. This was the first impression the patient gave him.
Dr. Cang pulled Chen Cang over and started to explain the illness.
"It's a bit complicated."
The doctor who followed the car was not too young. He was forty years old. In a word, Chen Cang was stunned.
Chen Cang asked, "What's wrong?"
The doctor said: "There are many wounds all over, there is a lot of congestion on the inside of the thighs, there are several open wounds, and there are multiple muscle crush injuries, no urine. You should pay attention to the rhabdomyolysis, and improve it first, otherwise ...... There is something wrong. "
After speaking, the middle-aged doctor saw that Chen Cang seemed young, and then said, "Pay attention to the emotions of family members. The situation is more complicated!"
Having said that, I left in a hurry after completing the transfer formalities with the nursing station.
When the middle-aged woman came to the hospital and saw Chen Cang, she seemed to catch the life-saving straw.
I ran straight over and threw myself on my knees with tears in my eyes!
"Please, please, doctor, save my girl, he is only 26 years old!"
"Please, you must rescue her, she is still young!"
Chen Cang couldn't care about the comfort of his family, and quickly said to the nurse Lele: "Sent to the rescue room, go to the guardianship, and take a blood test ..."
After the explanation was finished, Chen Cang looked at the middle-aged man: "Take care of your emotions, let's rescue first."
The man nodded: "Well, trouble you doctor."
When the man talked, Chen Cang saw that the man's teeth were red, and the biting gums were bleeding. The white area in his eyes was also bloodshot. The whole body seemed to be dormant with anger, but this anger was severely fierce with reason. Pressed in the body.
When Chen Cang saw this, his eyelids jumped.
At this time, the boy turned around and ran out: "Dog x, I kill you! You made my sister like this, if my sister is gone, I will kill your family!"
Seeing this, the middle-aged man screamed angrily, "You stand still for me!"
The boy was in a stature, looked back, and shouted, "My sister is lying in bed!"
The middle-aged man heard it and slap his chest with his heart: "That's my girl!"
...
...
Rescue indoor.
"Dilated pupils!"
"The reflection of light disappears!"
"Antireflection disappears!"
...
"Blood pressure 60 / 30mmHg! Still falling!"
"Heartbeat speeds up! 120 beats per minute!"
At this time, the blood signs of the emergency investigation also returned!
When Chen Cang saw creatine kinase, he was suddenly stunned, 110,000!
Too high!
More than 100,000 creatine kinases must be prepared for hemodialysis as soon as possible.
Thinking of this, Chen Cang quickly called the dialysis room and asked them to prepare the hemodialysis items.
When Chen Cang checked, she opened her mouth.
but! The moment I opened my mouth!
Suddenly a strong smell of medicine came, Chen Cang sank inside, how much did he eat?
Let ’s say there are thirty or fifty.
The smell of sleeping pills came to the face, Chen Cang saw more drugs to commit suicide, but ... most of them pretend to commit suicide, eat ten or eight tablets, and scare most people.
But after eating three or fifty tablets like this, it was really determined to commit suicide!
How can a 26- or 7-year-old girl have such a hard heart?
The patient's condition suddenly became dangerous.
Coupled with multiple crush injuries in the body, which cause rhabdomyolysis, it can easily cause acute renal failure and hyperkalemia.
At this time, the patient's condition was very unstable.
At this time, blood pressure continued to drop, high pressure was only about 60, and low pressure was close to 30!
As soon as Chen Cang's face changed, he was given a dopamine intravenously, and 210 mg of dopamine was pumped in. His blood pressure slowly rose again, and his heart rate began to drop, to about 100 beats per minute.
The entire rescue room was filled with tension!
Lele was washing the stomach, Xiaoyan was helping.
but……
Even with such efforts, Chen Cang still cannot guarantee that patients can be rescued.
Because just so many sleeping pills poisoning is already dangerous enough, even life-threatening.
Now add rhabdomyolysis, hyperkalemia ...
Many symptoms!
Put it all together!
There is only one conclusion: the patient is at stake ~ One of the most critical issues is that the patient's survival and hope are not strong.
Sometimes the emergency department has really seen everything.
The desire for survival also exists.
May not be detectable with modern instruments.
but……
Chen Cang really met these people in the emergency department.
For example, the man who penetrated the steel bar at the beginning, if given to ordinary people, the possibility of death is extremely great.
But ... stubbornly got over by the big man.
Maybe he had the whole house in his heart!
Maybe his will is stronger than steel.
but……
It is difficult to say who committed suicide.
It is said that medics do not die, and Buddha has a destiny.
In fact, there is another explanation for undead people in medicine, that is, those who don't want to die can be cured. For those who want to die, no medicine can cure them!
Many people clearly feel that they can't be saved, but a type of survival called him to survive.
Chen Cang went out with the critical notice and asked his family members to sign the informed consent form.
The woman curled up in tears in the corner, where the boy shivered in anger, holding the mobile phone and didn't know what was being written, only the middle-aged man stood there, silent, and he was not allowed to smoke in the emergency department. The cigarette has been chewed, and blood runs down the cigarette butt, which reddens the cigarette body.
Chen Cang looked at the man: "Hello, this is ... a critical illness notice, let me introduce you to the situation."
As soon as the man heard it, he suddenly hesitated and almost did not stand still!