Chapter 393 Notice of Critical Illness
At about nine o'clock, it was the time when the emergency department was most vigilant and the busiest time.
As soon as the emergency inpatient ward was busy, it received a call from 120 to prepare for rescue, and sent a woman who committed suicide by taking sleeping pills.
Chen Cang's nervous heart became vigilant again!
Chen Cang asked more: "How long has it been!"
The emergency center said: "Up to five hours, when the woman's mother went to see him, she was in a coma, and her body was covered in scars."
After hanging up the phone, Chen Cang began to arrange a dialysis room in a hurry. For patients with sleeping pill poisoning, it is usually found within six to twelve hours after taking the drug, and gastric lavage should be done in time, after all, it has not been fully absorbed.
However, for patients who have been in a coma or even anuria, it is necessary to prepare for dialysis in time.
After finishing speaking, Chen Cang quickly turned to look at the nurses Lele and Xiaoyan: "There is a patient who committed suicide with sleeping pills. Now he is in a coma and is in critical condition. He is going to do gastric lavage."
Lele went to prepare items for gastric lavage, while Xiaoyan went to prepare detoxification drugs.
Both of them have been in the emergency room for two or three years, and they have seen this kind of thing no less than ten times or eight times.
About three minutes later, the ambulance that came galloping at Yiliang stopped at the entrance of the emergency room. The doctor and driver hurriedly pushed the bed in, followed by three people, who should be family members.
A woman in her fifties has cried until her eyes are swollen, and a man of the same age has a sullen expression on his face, his eyes are full of anger, but he doesn't say a word in silence, it's terrifying.
In contrast, the man behind the car was not very old, only seventeen or eighteen years old. He was wearing a school uniform, and his face was full of anxiety and anxiety.
At this time, Chen Cang also saw the patient clearly. He was young and his complexion was very pale, but...it could also be morbidly pale. This was the first impression the patient gave him.
The doctor with the car took Chen Cang over and began to explain his condition.
"It's a bit complicated."
The doctor with the car was not young, about forty years old, and Chen Cang was stunned by the words.
Chen Cang asked, "What's wrong?"
The doctor said: "There are many wounds all over the body, there is a lot of blood congestion on the inner thigh, there are also several open wounds, and there are multiple muscle crush injuries, no urine, you should pay attention to rhabdomyolysis, please complete the examination first, or else ...is going to go wrong."
After speaking, the middle-aged doctor saw that Chen Cang didn't seem to be very old, and then said, "Pay attention to the emotions of the family members, the situation... is more complicated!"
After finishing speaking, after completing the handover procedures with the nursing station, he left in a hurry.
The middle-aged woman came to the hospital, and when she saw Chen Cang, she seemed to grab a life-saving straw.
He ran over directly, knelt on the ground with a plop, and his eyes burst into tears!
"Please, please, doctor, save my girl, he's only 26!"
"Please, you must save her, she is still young!"
Chen Cang couldn't care about comforting his family members, and he quickly said to the nurse Lele: "Send to the emergency room, go to guardianship, and have blood drawn for emergency investigation..."
After explaining, Chen Cang looked at the middle-aged man: "Take care of your emotions, we will rescue first."
The man nodded: "Well, please, doctor."
When the man was talking, Chen Cang only saw that the man's teeth were red, and the gums he was biting should be bleeding. The white area in his eyes was also full of bloodshots. The whole body seemed to be dormant with anger, but this anger was ruthlessly used by him. pressed in the body.
Chen Cang's eyelids jumped when he saw this.
At this time, the boy turned around and ran out: "Damn, I'll fucking kill you! You beat my sister like this. If my sister is gone, I'll kill your whole family!"
Seeing this, the middle-aged man shouted angrily, "Stop for me!"
The young man froze, turned his head back suddenly, and shouted loudly, "It's my sister lying on the bed!"
When the middle-aged man heard it, he patted his chest with a piercing heart: "That's my girl!"
...
...
Rescue indoors.
"Pupils dilated!"
"The light reflection disappears!"
"The antireflection is gone!"
...
"Blood pressure 60/30mmHg! Still dropping!"
"The heart beats faster! 120 beats/min!"
At this time, the blood that was urgently checked has also returned!
When Chen Cang saw creatine kinase, he was stunned, 110,000!
Too high!
Hundreds of thousands of creatine kinase, which must be ready for hemodialysis as soon as possible.
Thinking of this, Chen Cang hurriedly called the dialysis room and asked them to prepare items for hemodialysis.
When Chen Cang checked, he opened the girl's mouth.
but! The moment you open your mouth!
Suddenly, a strong smell of medicine came, and Chen Cang's heart sank, how much did he eat?
At least thirty or fifty pieces.
The smell of sleeping pills came to his face. Chen Cang saw a lot of people who committed suicide by taking pills, but... most of them pretended to commit suicide, taking ten or eight pills, mostly to scare people.
But after eating thirty or fifty slices like this, I really made up my mind to commit suicide!
How could a twenty-six or seven-year-old girl be so cruel?
The patient's condition suddenly became dangerous.
Coupled with multiple crush injuries in the body, the resulting rhabdomyolysis can easily cause acute renal failure and hyperkalemia.
At this time, the patient's condition was very unstable.
At this time, the blood pressure continues to drop, the high pressure is only about 60, and the low pressure is close to 30!
Chen Cang's face changed, and he immediately gave dopamine intravenous injection. 210 mg of dopamine was pumped in. The blood pressure slowly rose again, and the heart rate began to drop, reaching about 100 beats per minute.
The whole rescue room was filled with a tense atmosphere!
Lele is doing gastric lavage, and Xiaoyan is helping.
but……
Even with such efforts, Chen Cang still cannot guarantee that the patient can be rescued.
Because, simply so many sleeping pills poisoning is dangerous enough, even life-threatening.
Now add rhabdomyolysis, hyperkalemia...
So many symptoms!
Put together!
There is only one conclusion: the patient... is at stake.
The most critical problem is that the patient's desire to survive does not seem to be strong.
Sometimes, the emergency department really sees everything.
The desire to live is a real thing.
It may not be detectable with modern instruments.
but……
Chen Cang really saw these people in the emergency room.
Just like the man with the steel bar running through it, if it is given to ordinary people, the possibility of death is extremely high.
But...the big guy was abruptly pushed back.
Maybe his heart is filled with the whole family!
Maybe his will is stronger than steel.
but……
People who commit suicide are hard to say.
It is said that medicine does not kill people, but Buddha saves those who are destined.
In fact, there is another explanation for the fact that medicine does not kill people, that is, it can cure those who do not want to die. For those who want to die, no medicine can cure them!
Many people clearly felt that they could not be saved, but a desire to survive made him survive.
Chen Cang went out with the critical illness notice and asked his family to sign the informed consent.
The woman was curled up in the corner and wept, the boy was shaking with anger, holding the phone and not knowing what to write, only the middle-aged man, standing there, silent, no smoking in the emergency room, he had a mouth The butt of the cigarette had been chewed, and blood ran down the butt of the cigarette, staining the body of the cigarette red.
Chen Cang looked at the man: "Hello, this is... a notice of critical illness. Let me introduce you to the situation."
When the man heard this, he was stunned and almost lost his footing!