About nine o''clock is the most alert time and the busiest time in the emergency department.
Just after the emergency inpatient ward was busy, I received a call from 120 to prepare for rescue and send a woman who committed suicide with oral sleeping pills.
Chen Cang''s nervous heart is alert again!
Chen Cang asked, "how long has it been!"
The emergency center said, "for up to five hours, when the woman''s mother went to see him, she was unconscious and covered with scars."
After hanging up the phone, Chen Cang hurriedly began to arrange the dialysis room. For patients with this sleeping drug poisoning, it is generally found within six to twelve hours after taking the medicine. They should wash their stomach in time. After all, they have not been fully absorbed.
However, for patients who have been in coma or even without urine, it is necessary to prepare for dialysis in time.
After saying that, Chen Cang quickly turned and looked at nurses Lele and Xiaoyan: "there is a patient who committed suicide with sleeping pills. Now he is in a coma and in critical condition. He is ready to wash his stomach."
Lele went to prepare gastric lavage items, while Xiaoyan went to prepare detoxification drugs.
Both of them have been in the emergency department for two or three years. They have seen this kind of thing no less than ten times and eight times. It can be treated in an orderly, fast and orderly manner.
About three minutes later, the ambulance that came flying at dawn stopped at the emergency door. The doctor and the driver hurriedly pushed the bed in, followed by three people, who should be family members.
A woman in her fifties had swollen her eyes with tears. A man of the same age had no joy on his face. His eyes were filled with anger, but it was terrible not to say a word.
In contrast, the man behind the car was not very old. He was only 17 or 18 years old. He was wearing a school uniform and his face was full of anxiety and anxiety.
At this time, Chen Cang also saw clearly that the patient was not old and his skin color was very white, but... It could also be morbid pale, which was the first impression of the patient.
The car following doctor pulled Chen Cang over and began to explain his condition.
"The situation is a little complicated."
The car following doctor is not young. He is 40 years old. Chen Cang was stunned by a word.
Chen Cang asked, "what''s the matter?"
The doctor said, "there are many wounds all over the body, a large amount of congestion on the inner side of the thigh, several open wounds, and many muscle crush injuries without urine. Pay attention to the dissolution of striated muscles. First improve the examination, otherwise... There will be problems."
After that, the middle-aged doctor saw that Chen Cang seemed to be young, and then said, "pay attention to the mood of his family. The situation... Is more complicated!"
Then he finished the handover procedures with the nursing station and left in a hurry.
When the middle-aged woman came to the hospital and saw Chen Cang, she seemed to grasp the straw.
Directly ran over, flopped and knelt on the ground, with tears in his eyes!
"Please, please, doctor, help my girl. He''s only 26!"
"Please, you must save her. She''s still young!"
Chen Cang didn''t care to comfort his family members, so he quickly said to the nurse Lele: "send it to the rescue room, take care of it, take blood for urgent investigation..."
After the explanation, Chen Cang looked at the middle-aged man: "you take care of your mood, we''ll save it first."
The man nodded, "well, please, doctor."
When the man spoke, Chen Cangcai saw that the man''s teeth were red. It should be that his gums were bleeding. The white area in his eyes was also full of blood. There seemed to be anger dormant in the whole human body, but this anger was severely pressed in his body with his reason.
Chen Cang''s eyelids jumped when he saw it.
At this time, the boy turned and ran out: "dog x, 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!"
The boy suddenly looked back and shouted, "it''s my sister lying in bed!"
The middle-aged man heard it and patted his chest: "that''s my girl!"
……
……
Rescue room.
"Pupil dilation!"
"The light reflection disappears!"
"The antireflection disappears!"
……
"Blood pressure 6030mmhg! Still falling!"
"Heart beat faster! 120 times and minutes!"
At this time, the urgent blood picture came back!
When Chen Cang saw creatine kinase, he was stunned, 100000!
It''s too high!
There are more than 100000 creatine kinases, which must be prepared 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 broke 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?
There are at least thirty or fifty pieces.
The smell of sleeping pills came to Chen Cang''s face. Chen Cang saw many people taking drugs to commit suicide, but... Most of them pretended to commit suicide and ate ten or eight tablets to scare people.
But those who ate 30 or 50 tablets at once like this really made up their mind to commit suicide!
How can a girl of twenty-six or seven be so cruel?
The patient''s condition suddenly became dangerous.
In addition, the rhabdomyolysis caused by multiple crush injuries can easily lead to acute renal failure and hyperkalemia.
At this time, the patient''s state is 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!
As soon as Chen Cang''s face changed, he immediately gave a static push of dopamine. 210 mg of dopamine was pumped in. The blood pressure rose slowly again, and the heart rate began to drop to about 100 beats per minute.
The whole rescue room was filled with tension!
Lele is washing her stomach and Xiaoyan is helping.
But
Even with such efforts, Chen Cang still can''t guarantee that the patient can be rescued.
Because so many simple sleeping pills poisoning is dangerous enough, even life-threatening.
Now plus rhabdomyolysis, hyperkalemia
Many symptoms!
Together!
There is only one conclusion: the patient... Is at stake.
The most critical problem is that the patient''s desire for survival does not seem strong.
Sometimes, I''ve seen everything.
The desire for survival also exists.
Maybe it can''t be detected with modern instruments.
But
Chen Cang really met these people in the emergency department.
For example, the original man with steel bars running through, if given to ordinary people, the possibility of death is great.
But... He was survived by the big man.
Maybe he has the whole family in his heart!
Maybe his will is harder than steel.
But
It''s hard to say who committed suicide.
It is said that medicine can''t kill people, and Buddha is destined for people.
In fact, there is another explanation that medicine can cure people who don''t want to die. For those who want to die, no medicine can cure them!
Many people clearly feel that they can''t be saved, but a desire to survive makes him survive.
Chen Cang went out with a critical notice and asked his family members to sign an informed consent form.
The woman curled up in the corner and wept. The boy trembled angrily. He didn''t know what he was writing with his mobile phone. Only the middle-aged man stood there without saying a word. He didn''t allow smoking in the emergency. He had a cigarette in his mouth. His ass had been chewed up, and his blood stained the body red along the cigarette ass.
Chen Cang looked at the man: "Hello, this is... Critical illness notice. Let me introduce the situation to you."
The man was stunned and almost didn''t stand firm!