Chapter 456 Encounter on the street
Perhaps it was Director Fan's signal, or perhaps medical students were naturally "nosy", so the two interns stood up in unison.
Holding a pen in his hand, the intern who was thinking about what to hand over tomorrow was hesitant. It was obvious that he didn't want to be too fussy.
After changing his clothes and identity, he just wanted to be an ordinary person and eat a bowl of noodles in peace.
The other two interns looked out the window and saw the man squatting on the roadside vomiting, and what he vomited out was brown stomach contents.
There aren't many things, but the colors don't look normal.
Brown, very straightforwardly told the medical students that there was blood in the vomit! Although they were novices, they still understood this simple common sense.
It must be stomach bleeding!
The medical students instinctively became nervous, and the three of them walked out of the noodle shop one after another. Director Fan took the camera crew to film from a slightly farther distance, and dialed the 120 emergency number immediately.
Regardless of whether it can be used or not, calling first is a must.
Faced with an unexpected situation, the bald host asked, "Teacher Shen, what do you think this is going to be?"
"Judging from the color of the vomit, it should be upper gastrointestinal bleeding." Professor Shen stared at the screen seriously. It seemed that he was immersed in it and even wanted to help.
"Isn't it stomach bleeding? Upper gastrointestinal bleeding, is it serious?"
"Let's put it this way, many patients with liver cirrhosis and gastric varices will vomit blood, but... I think the color is wrong."
"The color of the patient's vomitus was brown. Considering that the amount of bleeding was not large, but there was fresh blood, we immediately judged that it might be the upper gastrointestinal tract."
Professor Shen stared at the screen and did not continue to talk about what the upper gastrointestinal tract was.
The patient looked very uncomfortable, sweating profusely, and his face was pale. After vomiting for a few mouthfuls, he could no longer spit anything out, but he continued to vomit, which seemed to make him feel better.
Sweat is visible to the naked eye, and the patient's skin can be felt wet even through the screen.
"It seems like he is feeling very uncomfortable. Is he probably dead?" One of the guests, whom I had never seen before, turned slightly pale with fright and whispered to himself.
"It's okay, I didn't continue to vomit blood. If I vomited one mouthful at a time, I would be able to survive to the hospital as long as it didn't spit out." Professor Shen judged.
The patient looked very uncomfortable, but the situation was not very critical. In addition, the film crew and passers-by had already dialed 120 emergency number, so Professor Shen relaxed after seeing clearly.
He said with a smile, "If you want to treat this kind of patient, these interns will probably have a headache. But without their treatment, the 120 ambulance will arrive soon."
"It's a small episode." The bald host smiled, "Teacher Shen, have you ever encountered similar situations on airplanes or trains?"
"I encountered it once. On the T39 train going to Chengcheng, the train loudspeaker shouted in front of Guangyuan if there were any medical workers. I rushed over. He was a migrant worker and had a stomachache. When I touched my hand, my stomach felt very special. Hard, typically plate-like belly.”
"What happened next?" one guest asked.
"Let the train conductor contact me. I specifically told him that if the small station is not working, the township hospital over there may not be able to treat him. So I contacted Guangyuan, and the 120 ambulance went directly to the platform. When the train arrived at the station, the patient was sent directly to the ambulance. "
"How cool!" One guest said with stars in his eyes.
"This is the simplest diagnosis. There is no way to treat it on the train, so it's not cool." Professor Shen smiled, "I just gave the suggestion that the patient should not be sent down at the small station because I considered that the patient had acute abdomen and gastrointestinal disease. perforation……"
As soon as he said this, the patient who was squatting on the ground and retching suddenly stiffened and fell to the ground in a squatting position like a puppet.
The three interns next to the patient were stunned for a moment and looked at the patient blankly.
Everyone in the review room, including Professor Shen who was talking eloquently just a second ago, was also stunned, looking at the patient not knowing what was going on.
On the screen, there was no sound of the 120 ambulance, only the screams of passers-by.
The patient's clavicular fossa is very deep, getting deeper and deeper, and this is the only thing that can be seen.
Within a few seconds, pink liquid suddenly "squirted" out of the patient's nostrils, and pink sputum also flowed out of the corner of his mouth.
This time, even the bald host forgot to come to the rescue and looked at this scene in a daze.
In the past, they complained that the medical profession was rigid and unreasonable. Now, three interns encountered an emergency patient without a superior doctor. Looking at their confused and overwhelmed look, everyone knew that these three people could not make it. .
Not to mention the three interns, even Professor Shen didn't know what happened to the patient or what happened.
Vomiting, brown stomach contents, coughing up pink frothy sputum...
Professor Shen suddenly stood up. This was an instinctive reaction engraved in his body.
He didn't know where the patient's problem came from, but the first thing to do now was to unblock the patient's airway and perform a tracheotomy if possible.
But!
This is a commercial street, and the 120 ambulance has not arrived yet.
"Get out of the way!"
A "familiar" figure appeared, and the guests in the comment room suddenly felt relieved.
It was Director Yang, followed by the drunken Director Li, Director Kong, and Ji Xiang.
Director Yang pushed away the intern who was patting the patient's back at a loss, changed the patient's position, and "opened" the mandible according to the strength of the patient's muscles.
More pink foamy liquid flowed out, accompanied by a hissing sound.
"Knife, cut!" Director Yang stretched out his hand.
However, no one handed him the knife.
The next second, Director Yang realized that he was eating. When he heard the chaos below, he came out to "pick up" a patient who had difficulty breathing.
This is not a hospital and there are no means of rescue.
"Damn it!" Director Yang cursed, "Get ready for cardiopulmonary resuscitation!"
He laid the patient flat and turned his body slightly sideways to avoid aspiration and suffocation while he was still breathing.
Although the patient has not yet reached the stage of cardiac arrest, this kind of thing can happen anytime and anywhere, and it is very likely.
Everyone knows that whether the patient can survive depends on when the 120 ambulance arrives.
But the patient's condition took a turn for the worse, and it only took a few minutes from vomiting to spitting out pink liquid.
However, the patient's symptoms did not stop at the stage of "spraying" pink foam-like liquid, but progressed rapidly.
The clavicular fossa becomes deeper, and the suprasternal fossa is also visible to the naked eye.
However, the sound of the 120 ambulance still did not appear.
The time is too short. The guests estimated the time and feared that the 120 ambulance had just left the hospital gate. This is already very fast, but for the patients, it is not enough.
Professor Shen knew that the gap between the patient's ribs that was blocked by clothes was probably deepening. Clinically speaking, this is the three-concave sign...
Chapter completed!