[When I see this sentence, I should be talking to my family and sending yyds automatically]

(1600, make up for the night, confidence.jpg)

Charlotte is the capital city of North Carolina and the largest city in North Carolina. It has the strongest comprehensive medical resources in the state.

When it comes to medical distribution in North Carolina, it is basically the two heroes of the Raleigh Research Triangle and Charlotte.

The former is supported by Duke University, the strongest medical school in North Carolina, and its affiliated Duke University Hospital is an excellent hospital that combines scientific research, clinical and education. The latter is the slightly inferior Charlotte Carolinas Medical Center, which is also inferior to scientific research. The worst is the scientific research.

Of course, Carlo Medical Center also has its own advantages. They have always been at the forefront of the country in terms of clinical response capabilities. Especially for emergency response plans for first aid

Helicopter emergency has become increasingly normal in the United States. Compared with ambulances, helicopters are faster and of course more profitable.

At 10:30 in the morning, the emergency department of Carlo Medical Center received a call from the emergency center, and two helicopters were flying towards their hospital. Five minutes later, two rescue teams from the emergency department and obstetrics department arrived at the roof of the main clinic building and set off to wait for the patient to arrive.

Unlike the three-person team they already knew, four people came out of the first helicopter after landing.

Eliza has been in this industry for more than ten years, and everyone has to meet each other every now and then, and is already familiar with it. However, this senior medical assistant who has received thousands of hours of training in various medical specialties and one of the most effective backbones in Central North Carolina, can only stay next to a stretcher and do a nurse job like pinching a ball.

"A 26-year-old woman, suspected of methamphetamine poisoning, has fever, sweating, delirium, mania, muscle tremors and convulsions..."

Listening to the helicopter pilot and Eliza's old partner talked about Monica's condition, most of the people's attention should be between him and the patient, and while listening to the report, checking the patient's condition and doing some necessary checks.

These have long been the passive skills they have honed in their daily work, and they will do them subconsciously. Moreover, the patient's condition is special and there are so many symptoms, which is also a good opportunity for lower-level doctors to broaden their clinical experience in teaching.

However, the medical care on the rooftop was focused on the stretcher bed that had just been removed from the helicopter.

To be precise, it should be Monica's body.

A young man with yellow skin was kneeling there, pressing Monica's chest with both hands. Eliza on one side of the stretcher was pinching the ball, while the first aid team on the other side could only push the cart to hit the ball.

"Don't talk about these, yes, no!" Qi Jing's words paused quite rhythmically with the frequency of pressing, "Is there any, portable, suction?"

"Yes!" One of the interns who had just arrived had no idea of ​​superiors and subordinates, and soon carried the attraction to meet him. "The power is full, the attraction should be enough."

"I just vomited, suck it!"

Qi Jing didn't stop in his hand, and after watching the suction device enter his mouth, the command on his mouth did not stop, completely leaving the doctor who was still listening to the medical history aside: "Call to the emergency room, prepare, vitamin C, diarrhea, phenotolamine, naloxone, adrenal glands, preparation, ventilator..."

This is a set of solutions for patients with severe poisoning symptoms after excessive drug use.

Vitamin C acidifies urine, promotes the renal excretion of methamphetamine metabolites; stabilizes the patient's excitability and can also reduce subtle tremors in the muscles throughout the body; phentoramine can relieve hypertension caused by vascular smooth muscle spasm, and can also cope with pulmonary edema and frequent premature ventricular failure. (1)

Naloxone is an antidote drug after acute opioid poisoning. It is actually not in line with methamphetamine. But now Monica has reactive respiratory center inhibition, so she can only use naloxone to compete. (2)[space]

Only after pressing all the way to the emergency room, applying medicine and ventilator will the process be completed.

Of course everyone knows this process. The United States absorbs so many patients, and they encounter such patients almost every day. So after receiving the call, they brought a suction device to deal with vomiting and suffocation, and a complete set of first aid drugs.

But it will be strange to say the familiar process from the mouth of a young man in ordinary dress.

The emergency rescue team members instinctively wanted to follow because this is how they usually do training, but rationally told them that they should have their own judgment. After a large amount of information is turned into auditory signals and then after logical thinking processing, it was prompted that the commands were completely correct, several seconds had passed.

"Why are you standing there? Go and do it!"

Only those who have experienced this awkward scene can experience it. When they come to their senses, the stretcher has reached the elevator door, and Monica's heartbeat is pressed back.

But everyone present still breathed a sigh of relief, and couldn't feel relieved at all.

Her whole body twitched before she could stop, and her stool was incontinent, and some yellow and white secretions remained at the corners of her mouth. She was unconscious and had no reaction to external stimuli.

“Blood pressure 148/70, heart rate 135.”

"The suctioner has pink sputum, acute heart failure, and pulmonary edema."

"Two people will take blood tests and get medicine!"

The elevator was always in the state of door opening. After entering, the stretcher truck descended all the way, without any obstacles throughout the journey, leading directly to the rescue room. In just half a minute, the two nurses in the rescue team completed blood sampling, catheterization, attracting foreign objects in the oral cavity and injecting drugs.

By the time of the emergency room, all the things that should be done were done, but Monica's heart was no longer good.

This is a very simple cardiac arrest. The defibrillator is useless and can only be pressed continuously with both hands.

"Come on adrenaline!"

"Intubation...completed~"

“Vitamin c, 8g~”

"Naloxone 3mg..."

"3mg is not enough, add the dosage, use 5mg first! If it is not enough, you have to add it!"

"The adrenal glands again..."

The emergency room seemed to be busy, but the strongest rescue team in North Carolina was still busy and orderly. Qi Jing watched the medicine on the shelf enter Monica's body drop by drop, and she didn't dare to relax her hands.

"Come back, come back to me, your dad, haven't scolded you yet..."

Monica is a typical central cardiac arrest, and the brain controls the heart and lungs centers are overstimulated. This situation is generally not an indication for cardiopulmonary resuscitation, because no matter how accurate the compression is, it cannot control the effect of methamphetamine.

However, cardiopulmonary resuscitation can at least maintain basic blood circulation, and the heart may still regain after the body's methamphetamine metabolites are excreted from the body.

The chance is not high, but there is still hope of survival...

It’s a pity that hope is often more keen on fairy tales. The reality is too cruel and there is very little soil for them to survive safely.

“…Diet on November 25th, 12:33 noon.”

The attending doctor announced the death time and stepped forward to hold Qi Jing's sleeve: "I have been repeatedly suspended three times, and now my heart and lungs have no response to your chest compressions and medications... She is dead."

"grass!"

Qi Jing's stomach was filled with resentment, and she ran around and then stuck to her neck.

After that, a large amount of inhalation was inhaled and about 10                                                                                                                                                                                                                                                      

One patient experienced repeated fainting? The duration was 1 to 2 minutes.

, shallow coma, incontinence.

Blood pressure increased significantly (140-200/90-110mmhg). The heart rate increased by 100-170 times/min in 35% of patients. Leukocytes increased by 6 cases (10?9-13?3)×109/l. 3 cases of conventional urine abnormalities? It is urine sugar (+)? Urine occult blood positive? Red blood cells 2-4/hp. Liver abnormalities are abnormal? It is manifested as non-conjugated bilirubin increase of up to 17?5-44?5μmol/l (reference value 1?7-17μmol/l) and alanine aminotransferase increased by 45-54u/l (reference value 5-40u/l). All renal function is normal. Blood sugar increased by 6-17-9 in 12 patients.

?38μmol/l.5 patients had hypokalemia 3?08~3?25mmol/l. 11 cases of creatine kinase (ck) increased by 177~604u/l (reference value 38~174u/l)?ck-mb                                                                                                                                                                                                                        

(-------------------------------------)

Charlotte is the capital city of North Carolina and the largest city in North Carolina. It has the strongest comprehensive medical resources in the state.

When it comes to medical distribution in North Carolina, it is basically the two heroes of the Raleigh Research Triangle and Charlotte.

The former is supported by Duke University, the strongest medical school in North Carolina, and its affiliated Duke University Hospital is an excellent hospital that combines scientific research, clinical and education. The latter is the slightly inferior Charlotte Carolinas Medical Center, which is also inferior to scientific research. The worst is the scientific research.

Of course, Carlo Medical Center also has its own advantages. They have always been at the forefront of the country in terms of clinical response capabilities. Especially for emergency response plans for first aid

Helicopter emergency has become increasingly normal in the United States. Compared with ambulances, helicopters are faster and of course more profitable.

At 10:30 in the morning, the emergency department of Carlo Medical Center received a call from the emergency center, and two helicopters were flying towards their hospital. Five minutes later, two rescue teams from the emergency department and obstetrics department arrived at the roof of the main clinic building and set off to wait for the patient to arrive.

Unlike the three-person team they already knew, four people came out of the first helicopter after landing.

Eliza has been in this industry for more than ten years, and everyone has to meet each other every now and then, and is already familiar with it. However, this senior medical assistant who has received thousands of hours of training in various medical specialties and one of the most effective backbones in Central North Carolina, can only stay next to a stretcher and do a nurse job like pinching a ball.

"A 26-year-old woman, suspected of methamphetamine poisoning, has fever, sweating, delirium, mania, muscle tremors and convulsions..."

Listening to the helicopter pilot and Eliza's old partner talked about Monica's condition, most of the people's attention should be between him and the patient, and while listening to the report, checking the patient's condition and doing some necessary checks.

These have long been the passive skills they have honed in their daily work, and they will do them subconsciously. Moreover, the patient's condition is special and there are so many symptoms, which is also a good opportunity for lower-level doctors to broaden their clinical experience in teaching.

However, the medical care on the rooftop was focused on the stretcher bed that had just been removed from the helicopter.

To be precise, it should be Monica's body.

A young man with yellow skin was kneeling there, pressing Monica's chest with both hands. Eliza on one side of the stretcher was pinching the ball, while the first aid team on the other side could only push the cart to hit the ball.

"Don't talk about these, yes, no!" Qi Jing's words paused quite rhythmically with the frequency of pressing, "Is there any, portable, suction?"

"Yes!" One of the interns who had just arrived had no idea of ​​superiors and subordinates, and soon carried the attraction to meet him. "The power is full, the attraction should be enough."

"I just vomited, suck it!"

Qi Jing didn't stop in his hand, and after watching the suction device enter his mouth, the command on his mouth did not stop, completely leaving the doctor who was still listening to the medical history aside: "Call to the emergency room, prepare, vitamin C, diarrhea, phenotolamine, naloxone, adrenal glands, preparation, ventilator..."

This is a set of solutions for patients with severe poisoning symptoms after excessive drug use.

Vitamin C acidifies urine, promotes the renal excretion of methamphetamine metabolites; stabilizes the patient's excitability and can also reduce subtle tremors in the muscles throughout the body; phentoramine can relieve hypertension caused by vascular smooth muscle spasm, and can also cope with pulmonary edema and frequent premature ventricular failure. (1)

Naloxone is an antidote drug after acute opioid poisoning. It is actually not in line with methamphetamine. But now Monica has reactive respiratory center inhibition, so she can only use naloxone to compete. (2)[space]

Only after pressing all the way to the emergency room, applying medicine and ventilator will the process be completed.

Of course everyone knows this process. The United States absorbs so many patients, and they encounter such patients almost every day. So after receiving the call, they brought a suction device to deal with vomiting and suffocation, and a complete set of first aid drugs.

But it will be strange to say the familiar process from the mouth of a young man in ordinary dress.

The emergency rescue team members instinctively wanted to follow because this is how they usually do training, but rationally told them that they should have their own judgment. After a large amount of information is turned into auditory signals and then after logical thinking processing, it was prompted that the commands were completely correct, several seconds had passed.

"Why are you standing there? Go and do it!"

Only those who have experienced this awkward scene can experience it. When they come to their senses, the stretcher has reached the elevator door, and Monica's heartbeat is pressed back.

But everyone present still breathed a sigh of relief, and couldn't feel relieved at all.
Chapter completed!