Chapter 392: A Notice of Critical Illness
It was around nine o'clock, and it was the most vigilant time for the emergency department and the busiest time.
As soon as the emergency hospitalization ward was finished, I received a call from 120, asking me to prepare for rescue and send a woman who committed suicide by taking oral sleeping pills.
Chen Cang's nervous heart became alert again!
Chen Cang asked more: "How long has it been!"
The emergency center said: "At most five hours, the woman's mother was unconscious when she went to see him, and her body was covered with scars."
After hanging up the phone, Chen Cang hurriedly began to arrange a dialysis room. For patients with this sleeping pill poisoning, they are usually found within six to twelve hours after taking the medicine and should be laundered in time, after all, they have not been absorbed.
However, for patients who have been in a coma or even anuria, they need to prepare for dialysis in time.
After saying that, Chen Cang quickly turned around and looked at nurses Lele and Xiaoyan: "There is a patient who committed suicide by sleeping pills. He is now in a coma and is in critical condition. He is ready to have a stomachache."
Lele went to prepare items for stomach washing, while Xiaoyan went to prepare medicine for detoxification.
Both of them were in the emergency room for two or three years, and they had seen such things no less than ten or eight times. They were handled in an orderly and fast and orderly manner.
About three minutes later, the ambulance that was speeding towards him was parked at the door of the emergency room. The doctor and the driver hurriedly pushed the push bed in, followed by three people, probably the family members.
A woman in her fifties was already crying and her eyes were swollen. A man of the same age was as happy as ice, and his eyes were filled with anger, but it was terrible not to say a silent sentence.
In contrast, the man following the car was not 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 clearly that the patient was not old and had a very white skin color, but... it may also be pathologically pale, which was the first impression the patient gave him.
The doctor in Che pulled Chen Cang over and began to explain the condition.
“The situation is a bit complicated.”
Dr. Che is not young, forty years old, and one sentence makes Chen Cang stunned.
Chen Cang asked, "What's wrong?"
The doctor said, "There are many wounds all over the body, there are a lot of blood congestion on the inner side of the thigh, and there are several open wounds, and there are multiple muscle squeezing injuries and no urine. Please pay attention to rhabdomyolysis and improve the examination first, otherwise... there will be problems."
After saying that, the middle-aged doctor saw that Chen Cang seemed to be young, and then said, "Please pay attention to the emotions of his family. The situation... is quite complicated!"
After saying that, he left in a hurry after completing the handover procedures with the nursing station.
The middle-aged woman came to the hospital and saw Chen Cang, she seemed to have grabbed a life-saving straw.
He ran over and knelt on the ground with a thud, his eyes flowing into tears!
"Please, please, doctor, save my girl, he is only 26 years old!"
"Please, you must save her, she is still young!"
Chen Cang didn't care about comforting his family's emotions, and quickly said to nurse Lele: "Send to the rescue room, go to surveillance, draw blood and check urgently..."
After explaining, Chen Cang looked at the middle-aged man: "You take care of your emotions and we will rescue you first."
The man nodded: "Well, please trouble you, doctor."
As the man spoke, Chen Cang saw that the man's teeth were red, and his gums were bleeding due to his biting gums. The white area in his eyes was also covered with blood. The whole body seemed to be dormant, but this anger was pressed hard by him with reason.
Seeing this, Chen Cang's eyelids twitched.
At this time, the boy turned around and ran out: "Dog, I'll kill you the fuck! 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 it!"
The boy paused, looked back suddenly, and shouted loudly: "It's my sister who is lying on the bed!"
When the middle-aged man heard this, he patted his chest heartbrokenly: "That's my girl!"
...
...
Rescue indoor.
"Pupils dilated!"
"The reflection to light disappears!"
“The antireflection disappears!”
...
"Blood pressure is 60/30mmhg! It's still falling!"
"Heartbeat faster! 120 times per minute!"
At this time, the blood signs that were urgently checked were also back!
When Chen Cang saw the creatine kinase, he was stunned, 110,000!
Too high!
For more than 100,000 creatine kinase, you must prepare for hemodialysis as soon as possible.
Thinking of this, Chen Cang quickly called the dialysis room and asked them to prepare hemodialysis items.
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 felt a deep heart. How much did he take?
There are at least thirty or fifty pieces.
The smell of sleeping pills came to my face. Chen Cang saw that he had committed suicide by taking medicine, but... most of them pretended to commit suicide, and took ten or eight tablets, which was mostly scaring people.
But after eating thirty or fifty tablets at once like this, I really made up my mind to commit suicide!
How could a girl of twenty-six or seven years old have such a cruel heart?
The patient's condition suddenly became dangerous.
In addition, the rhabdomyolysis caused by multiple squeeze injuries can easily cause acute renal failure and hyperkalemia.
The patient's condition is very unstable at this time.
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 static push. 210 mg of dopamine was pumped in, his blood pressure slowly rose again, and his heart rate began to drop, reaching about 100 times per minute.
The entire rescue room was filled with a tense atmosphere!
Lele is gastric washing, Xiaoyan is helping.
but……
Even with such efforts, Chen Cang still cannot guarantee that the patient can be rescued.
Because so many sleeping pills are poisoned by just so many sleeping pills, it is dangerous enough, and even life-threatening.
Now add rhabdomyolysis and hyperkalemia...
Many symptoms!
Comprehensive together!
There is only one conclusion: the patient... is in danger.
The most critical problem is that the patient's desire to survive does not seem to be strong.
Sometimes, I have seen everything in the emergency department.
The desire for survival also exists.
Maybe it cannot be detected with modern instruments.
but……
Chen Cang really saw these people in the emergency room.
For example, if the man who had steel bars penetrated through the original one, the possibility of death was extremely high.
But... he was survived by that big man.
Maybe he is in his heart with the whole family!
Maybe his will is harder than steel.
but……
It is hard to say that those who commit suicide.
It is said that medicine will not kill people, but Buddha saves people with destiny.
In fact, there is another explanation for the medicine that cannot kill people, that is, those who do not want to die are cured. For those who are determined to die, no medicine can cure them!
Many people clearly feel that they can't save themselves, but they have a desire to survive.
Chen Cang walked out with the critically ill notice and asked his family to sign an informed consent form.
The woman curled up in the corner and cried, the boy was shaking angry, holding his cell phone and didn't know what he was writing, but the middle-aged man stood there without saying anything, and the emergency room was not allowed to smoke. He had a cigarette in his mouth and his butt had been chewed, and the blood dyed the cigarette body red.
Chen Cang looked at the man: "Hello, this is... a notice of critical illness, I will introduce you to the situation."
Chapter completed!