The system takes me for surgery

Liang Yi nodded and said: "The discrepancy with the notice often occurs. Once our first aid system notice stated drowsiness, but after arriving at the scene, the old man had been dead for a long time, and even his body was cold."

In fact, this is very common in some areas in the south. They don’t understand that the old man has passed away, but they want to explain to the neighbors that the old man has passed away. Why do they say that they are asleep? It’s from the previous generation. Some people are very taboo about some "unpleasant" words and will replace them with some mild words.

But this will also cause the emergency personnel to make wrong predictions on the scene, which is actually a wrong behavior for saving lives.

Zhong Yubo said with a smile: "So as an emergency doctor, always remember one sentence, treat minor illnesses as serious illnesses, and chronic illnesses as emergencies. Your first task is to do your best to let patients be safely sent to the hospital for recovery." more effective treatment."

Liang Yi nodded, agreeing with Zhong Yubo's point of view.

"By the way, how do you deal with it? Tell me."

Liang Yi knew that emergency treatment is a job that pays attention to "practical combat", so he didn't talk about those literal theories.

He said: "Generally, the first step when arriving at the scene is to take off the contaminated clothes, wash the contaminated skin and scalp with soapy water, establish an intravenous channel, and if possible, perform gastric lavage on the patient, and then give magnesium sulfate catharsis."

"You are doing the right thing. How do you use the medicine?"

"The cholinesterase revitalizers, the most commonly used pralidoxime and pralidoxime, are mainly able to effectively relieve nicotine-like symptoms and rapidly control muscle fibrillation."

"Any other medicines?"

"Atropine is 1 to 2 mg, and it can be increased by 10 mg for severe poisoning by intramuscular injection."

"Anything else to add?"

"Critical patients can receive blood transfusion or blood exchange to supplement cholinesterase for symptomatic treatment. Maintain respiratory function and prevent cerebral edema, cardiac arrest and infection."

"It's amazing, the steps are very clear, and the process is very rigorous. It seems that I am a veteran of the emergency department. It is much easier to take care of the veteran. The last time I took a graduate student, he started to vomit as soon as he got into the ambulance. The patient with abdominal pain had to take care of him. , I'm really embarrassing the hospital." Zhong Yubo said helplessly.

The ambulance came to a small village in the suburbs. There was a vegetable garden behind the village.

Then a man in his 60s was seen coming out to guide the ambulance.

They came to the yard of the dilapidated house and saw a woman in her sixties sitting in the middle.

Seeing this situation, I can probably guess with a high probability that this woman had a quarrel with someone and threatened to drink pesticide in a fit of anger.

This situation is generally relatively optimistic, because this kind of drug is not for suicide, but more to threaten and intimidate the other party in this way, so the amount of drug is generally not much.

At that time, the emergency personnel should always remember to think of the disease as the most serious situation. Even if the amount of drinking is not much, it may still be fatal. For example, one bite of paraquat is fatal.

Liang Yi and Zhong Yubo helped the woman into the ambulance,

At present, the woman's mental condition is not bad, and before Zhong Yubo can speak, Liang Yi has done all the first aid work that should be dealt with.

But she does have a strange smell about her.

Such an experienced old emergency doctor also made Zhong Yubo very worry-free. Now there is only one task left for Zhong Yubo, which is to ask a doctor. The patient's family members have no idea about the patient's condition, so they can only tell the family members to continue looking for suspicious pesticides. bottle.

Now I can only ask the patient first, what kind of medicine she took and how much she took.

Zhong Yubo asked, "What medicine did you drink?"

The woman frowned impatiently, panting heavily, and said, "This started a year ago, and I told him that the vixen next door couldn't lend her money."

Zhong Yubo asked: "Is it because your husband lent money to that woman of yours, so you are very angry."

The woman shook her head and said, "No, that woman introduced her daughter to my son."

"Then your son dated her daughter?"

"No, her daughter didn't like it, and my son introduced her classmate to my son."

this?This topic is like a chain, interlocking. If you continue to use this method to ask the doctor, it is estimated that everyone in their village will be asked out, and it is still impossible to ask what medicine she took.

"Can you be simple and tell me directly what medicine you took, so that we can rescue you symptomatically."

"This started a year ago. I told him that the vixen next door couldn't lend her money..."

"It was the woman who introduced her daughter to my son..."

So this woman started the infinite loop mode, repeating this story repeatedly made Zhong Yubo almost depressed.

The following consultations were all wrong, Zhong Yubo asked her why she took the medicine,
She said that the vixen should die, and a lawyer should be hired to sue the vixen.

This is often the case when receiving some patients with poor education. It is not that they do not cooperate with the consultation, it is because they do not understand the questions asked by the doctor, or they understand the questions asked by the doctor. way to find a correct expression.

Sometimes it’s not just patients with some educational levels. When he was in the emergency department of the affiliated hospital, Liang Yi also met a female piano teacher who kept telling Liang Yi that she had stomach pains. What is the stomach, what do you want to listen to my heart with a stethoscope, pestering him for more than three hours to ask her for a reasonable explanation, in the end still not satisfied, and complained to Liang Yi to the medical department.

At this time, Liang Yi was also dizzy from the woman who drank pesticides, but one thing is certain, that is, this woman drank very little or no medicine at all, but before there was no evidence.

No one dares to make such a conclusion lightly. If the drug is paraquat, there may be no discomfort in the first two days, and the condition will directly deteriorate on the third day, and there is no cure.

During this journey, Liang Yi discovered a detail, that is, the woman kept her eyes closed, and would secretly open them from time to time to look at her husband.

It seems that the woman didn't understand the doctor's question. She didn't want to tell the doctor the truth because her husband was there.

In this way, the patient did not give Zhong Yubo any useful information along the way.

After being sent to the hospital, he did not cooperate in various ways, did not do auxiliary examinations, and did not take medicine.

Zhong Yubo became a little irritable and said, "This kind of patient is the most troublesome. Let me fill out the emergency record first. Anyway, if she doesn't cooperate, we can't do anything."

Liang Yi found her husband and said, "Are you having an argument with your lover?"