Reasoning diagnosis: Big brother, your wife has been prescribed medicine!
Chapter 262 Whose fault is it? !
Chapter 262 Whose fault is it? !
It was past eight o'clock in the morning.
The emergency staff came to the hospital one after another.
Seeing that patients were being rescued in the emergency room, everyone went up to help in unison.
Dr. Sun glanced at the young man on the hospital bed and the almost zero indicators on the ECG monitor and asked:
"What happened to this man? Why did such a young man die?"
The night shift nurse said anxiously:
"Severe diarrhea... I was supplementing potassium, but for some reason, a large bag of potassium was almost lost in half an hour, so...so..."
"Ah?? Potassium supplement accident?!"
Dr. Sun was shocked.
Even Lin Yi who came behind frowned and said:
"Have you told the patient? This medicine must be dripped slowly, otherwise it will kill people."
The nurse nodded again and again: "I said it, I said it! But this man seems to have been saying that he wants to rush to work in a hurry, so... I guess he just adjusted it in order to finish losing early and go to work." drop rate."
"How long did it take to start the rescue?"
"Seven twenty-five."
Lin Yi checked the time, it would be [-]:[-] in the morning.
It means that it has been rescued for almost half an hour.
But still no improvement.
"Hurry up and notify the family members, this person is probably dying."
Sudden death caused by high potassium and has been rescued for almost half an hour, it is difficult to rescue.
The doctors and nurses on the night shift are busy with their shifts, so the rescue work in the emergency room is taken over by those who go to the emergency room during the day.
After Yin Liang heard about this, he hurried to the emergency room to have a look.
Although very helpless, he could only shake his head and say:
"Forget it, there is little hope. Let's explain it when the family members come over."
Yin Liang, like Lin Yi, first asked the nurse on night shift if he had clearly explained the dangers of the fluid to the patient during the infusion.
Then adjust the monitor to check the specific situation.
Surveillance found that the night shift nurse injected 15 milliliters of potassium chloride into this group at [-]:[-].
And the monitoring is sound, and I did hear what the nurse said:
"This medicine must be infused slowly, otherwise people will die!"
After the nurse left, at [-]:[-], another young man accompanied him also left the hospital.
There is no problem with the monitoring seeing here.
The problem occurred during the period from 45:[-] to [-]:[-] when the nurse discovered that the patient had an accident.
Yin Liang watched slowly bit by bit.
This is, after all, a matter of first-degree medical malpractice.
During the two to three minutes after the patient's colleague left, the patient lay motionless on the bed, as if thinking about something.
More than two minutes later, that is, [-]:[-]:[-]!
The patient raised his head slightly, glanced at the busy nurse, then quietly put his hand on the valve of the infusion tube and rolled it twice! !
Then he took his hand back!
Because the liquid is transparent, it is not very clear on the monitor whether he has adjusted the liquid faster without authorization.
However, according to the current situation of the patient, it should be adjusted by himself.
Otherwise, you can't have a big bag of potassium, and you will lose more than half of it in more than half an hour!
Afterwards, the patient lay on the bed and rested with his eyes closed.
At this time, there were still 10 minutes before being discovered by the nurse!
In the monitoring screen, the patient seemed to be really asleep.
The first 10 minutes of falling asleep seemed fine.
But after 15 minutes something is wrong!
The patient begins to have shortness of breath.
But there was no cry for help, and the monitoring angle was about three or four meters away from the patient's bed.
Therefore, the patient's expression and state can't be clearly seen, but the ECG monitor next to him can see a little.
I saw that the ripples of the ECG monitoring became irregular.
Obviously this is the performance of arrhythmia.
But the ripples only fluctuated for about 3 minutes, and then gradually stabilized.
And then it gradually becomes a straight line.
Hey!
Just 3 minutes!
People are gone!
There is no time to rescue, and the person is gone!
Yin Liang secretly sighed, this young man didn't know whether to say he was confused or whether he deserved it.
Because the guy didn't make any noise, the doctors and nurses didn't notice.
After waiting half an hour for a routine inspection, the nurse found out that something was wrong.
The doctors and nurses on duty also carried out rescue work at the first time, which has continued until now.
Soon, Yin Liang asked the security guard in the monitoring room to download the surveillance to his mobile phone.
Then he quickly walked back to the emergency department with his mobile phone in hand.
As soon as the front foot stepped into the door of the emergency department, I heard a burst of family members yelling from the office.
And there was a dull slap? ?
Yin Liang walked fast, could it be that someone beat up the medical staff? ?
Yin Liang quickened his pace and took a closer look, only to find that Lin Yi was standing in front of the two middle-aged couples.
I rely on? !
No way? !
Lin Yi was actually beaten? ? !
More than ten minutes ago, the boy's family members rushed to the hospital and began to understand the cause and effect.
Knowing that his son died suddenly because of too fast fluid infusion, Dang even made a big fuss in the emergency department.
The nurse on the night shift tried to explain to the family members that the drip rate of the liquid was not adjusted by their medical staff, but by the patient himself.
But the family didn't listen at all.
"Would my son be that stupid?? You told him that he would die if he loses too soon. Would he still do such a dangerous move?! Obviously it was the dereliction of duty of your doctors and nurses that caused my son to die!"
"Oh...Xiao Lei! My son! Why did you suddenly disappear!"
"Son... it's mother who is sorry for you, son!"
Chen Lei's mother lay on the ground crying as she spoke.
On the side, Chen Lei's father grabbed the nurse's arm and cursed:
"It's you, right?! It's you who gave my son the infusion, right? Let me tell you, you can't escape! My son's death has nothing to do with you!
And you doctors, can infusions kill people? !
It shows that your hospital technology is not very good!
wait!I will definitely send you all to prison! "
The nurse on the night shift herself stayed up all night, and her family members didn't let go of her arm, so she didn't even have the strength to resist at all.
Seeing this, other colleagues hurried forward to hold them back.
"Family, please calm down!"
"That's right, if you have something to say, don't drag other nurses along."
The family members were anxious, and pushed away the people around them and cursed:
"My special son is gone, how can I calm down?! It's you doctors and nurses! They killed my son! I'm not only trying to drag her! I also want to beat her!"
As he said that, Chen Lei's father waved his hands.
Everyone in the emergency room was shocked!
Even the other family members who were watching outside the door became nervous!
Seeing that the slap was about to fall on the nurse's face!
It's too late to say it!
Suddenly, Lin Yi strode over and dragged the nurse behind him.
Then, snap!
The slap fell on Lin Yi's forearm near the shoulder.
Chen Lei's father is not tall, 1.6 meters five, about the same as the nurse.
So the height of the slap naturally couldn't hit Lin Yi's face.
However, this handsome scene of the hero saving the beauty also made everyone in the emergency department give Lin Yi a thumbs up!
Heroes save beauty!
Lin Yi is indeed a man!
At this moment, Lin Yi looked at Chen Lei's father with cold eyes, and said word by word:
"Family, I hope you understand one thing, I am wearing this white coat now, so I endured your slap.
If I take off this white coat, I will definitely return this slap! "
Lin Yi was tall and burly, very intimidating, and the family members shrugged their necks slightly.
"Also, what happened to your son is that he himself turned the speed up, and your son himself is largely responsible for the current consequences.
At 07:30 in the morning, it is the time when each department is preparing to hand over shifts. Nurses have to check the fluids of general patients and the conditions of patients in the emergency room. Even if there are two nurses on duty in our department, they may not be busy. .
Also, your son's doctor's order is first-level care, and the inspection time for first-level care is once an hour.
The nurses have tried their best to check the fluids of the transfusion patients as soon as possible after finishing their work.
As a result, your son is out of breath because he adjusted the drip speed without authorization! "
"I fully understand the feelings of your family members. If the hospital is responsible, the hospital will not shirk it.
But do you think it's appropriate for you to take your anger out on a nurse who did her best to take care of a son for a night?
Who is not raised by parents?Everyone was heartbroken when something happened.
But beating people not only can't solve the problem, but can make things worse! "
The family members blushed and didn't speak because they hit the wrong person and because of the deterrent force exuding from Lin Yi's body.
At this time, Yin Liang who was standing at the door just saw this scene.
Lin Yi was beaten? ? !
Yin Liang rushed in three steps at a time and spoke for Lin Yi:
"Family, what are you doing?! We are all under surveillance!
If the hospital is responsible for your son's matter, we will be responsible.
But I also tell you that our beaten doctor also has the right to hold you accountable! "
Chen Lei's father saw that Yin Liang was a few years older than himself, and he was also the director of the emergency department.
Coupled with the fact that the legal knowledge was brought out, the family members panicked a little, and hurriedly said:
"I... I just... I did it because I was emotional! It's justifiable! Who told your hospital to put my son to death?!
I think you still want to shirk responsibility? !
He was just a diarrhea!As a result, the infusion killed the person? !
Anyway, your hospital can't escape! "
As soon as the family members finished speaking, the police arrived.
It was the family that reported it to the police.
I was worried that the big hospital would not pay compensation if the person was put to death, so I called the police over.
When the family saw the police coming, they immediately grabbed the policeman's hand and said:
"Comrade policeman! The doctors in the hospital put my son to death! My son is still lying there! He's gone! Comrade policeman, you must help us ordinary people decide!"
At this time, the police probably knew that this was a medical malpractice incident.
In the follow-up, people from the health department will come to do the responsibility appraisal.
But seeing the family members crying so miserable, the police also went to Yin Liang to ask about the situation.
"what's up?"
Yin Liang didn't bother to tell his family members, because they wouldn't believe it.
Simply show the surveillance video on the phone to the police.
"Wang Feijun, come and explain to the police."
Yin Liang looked at Dr. Wang behind him. He was on duty last night and knew what happened best.
Wang Feijun stepped forward and explained:
"At 36am last night, the patient was brought to hospital by colleagues.
When it was delivered, it was found that the patient had shortness of breath accompanied by dyspnea. I heard that the patient had diarrhea more than ten times, so I diagnosed it as acute gastroenteritis.
Later, the test results came out that it was indeed acute gastroenteritis, electrolyte disturbance, and blood potassium was as low as 2.8mmol/L.
I immediately started electrocardiographic oxygen, and also prescribed anti-inflammatory drugs, then vitamins with salt water, electrolytes, and potassium supplements.
At 06:30 in the morning, I tested blood potassium again and it rose to 3.1.
But it was still a little low, so I added another one and asked the nurse to lose it for her. "
The night shift nurse also quickly said:
"I did prepare the solution correctly and followed the doctor's instructions, and I did tell the patient that if the medicine is infused too quickly, it will kill people. I really told him...
But... when I finished my work and came over to check the situation, I saw that the person hadn't responded!
Then... and then more than half of the liquid on the infusion bag was lost...
I guessed that the patient didn't listen to what I said, and adjusted the drip speed without authorization..."
As soon as the nurse finished speaking, Chen Lei's mother rushed up, crying and cursing:
"You fart! How could my son deliberately seek death! It's obviously your negligence!"
The policeman frowned at the yelling family members and said:
"Don't make noise, we are watching the surveillance. In addition, people from the health department have been notified to come and judge. Don't worry, if the hospital is responsible, it will definitely compensate you."
The two family members waited there without saying a word.
Later, they also gathered next to the police to watch the surveillance video together.
During the monitoring, after the nurse and colleagues had left, Chen Lei actually reached out to adjust the valve of the infusion tube!
The family members watching this scene were stunned!
It also makes them heartbroken!
Let them have nothing to say!
"How could it be... Impossible... Impossible that Chen Lei adjusted the drip speed... Impossible..."
Chen Lei's mother shook her head frantically.
Can't believe this fact at all!
In the monitoring, what the nurse said was also very clear.
Reminded Chen Lei that this medicine must be infused slowly, otherwise he will die.
But Chen Lei still didn't listen, and took the initiative to slow down...
This is what caused the tragedy of this untimely death!
In the monitoring, after more than ten minutes, Chen Lei, who was lying on the bed, struggled slightly for a few times, and then lost his anger.
This scene directly made the two middle-aged couples hug each other and cry.
"My son! You died so badly! My son..."
"Ouch, my little Lei, why did you disappear just like that!"
Then, ten minutes later, when the nurse came to check, she found something wrong and immediately rescued it.
After watching the video, the police also have a rough division of responsibilities in mind.
"Family, it is probably impossible for the hospital to take full responsibility for this matter, because your son moved the drip speed by himself. The nurse also reminded me, but your son didn't listen.
(End of this chapter)
It was past eight o'clock in the morning.
The emergency staff came to the hospital one after another.
Seeing that patients were being rescued in the emergency room, everyone went up to help in unison.
Dr. Sun glanced at the young man on the hospital bed and the almost zero indicators on the ECG monitor and asked:
"What happened to this man? Why did such a young man die?"
The night shift nurse said anxiously:
"Severe diarrhea... I was supplementing potassium, but for some reason, a large bag of potassium was almost lost in half an hour, so...so..."
"Ah?? Potassium supplement accident?!"
Dr. Sun was shocked.
Even Lin Yi who came behind frowned and said:
"Have you told the patient? This medicine must be dripped slowly, otherwise it will kill people."
The nurse nodded again and again: "I said it, I said it! But this man seems to have been saying that he wants to rush to work in a hurry, so... I guess he just adjusted it in order to finish losing early and go to work." drop rate."
"How long did it take to start the rescue?"
"Seven twenty-five."
Lin Yi checked the time, it would be [-]:[-] in the morning.
It means that it has been rescued for almost half an hour.
But still no improvement.
"Hurry up and notify the family members, this person is probably dying."
Sudden death caused by high potassium and has been rescued for almost half an hour, it is difficult to rescue.
The doctors and nurses on the night shift are busy with their shifts, so the rescue work in the emergency room is taken over by those who go to the emergency room during the day.
After Yin Liang heard about this, he hurried to the emergency room to have a look.
Although very helpless, he could only shake his head and say:
"Forget it, there is little hope. Let's explain it when the family members come over."
Yin Liang, like Lin Yi, first asked the nurse on night shift if he had clearly explained the dangers of the fluid to the patient during the infusion.
Then adjust the monitor to check the specific situation.
Surveillance found that the night shift nurse injected 15 milliliters of potassium chloride into this group at [-]:[-].
And the monitoring is sound, and I did hear what the nurse said:
"This medicine must be infused slowly, otherwise people will die!"
After the nurse left, at [-]:[-], another young man accompanied him also left the hospital.
There is no problem with the monitoring seeing here.
The problem occurred during the period from 45:[-] to [-]:[-] when the nurse discovered that the patient had an accident.
Yin Liang watched slowly bit by bit.
This is, after all, a matter of first-degree medical malpractice.
During the two to three minutes after the patient's colleague left, the patient lay motionless on the bed, as if thinking about something.
More than two minutes later, that is, [-]:[-]:[-]!
The patient raised his head slightly, glanced at the busy nurse, then quietly put his hand on the valve of the infusion tube and rolled it twice! !
Then he took his hand back!
Because the liquid is transparent, it is not very clear on the monitor whether he has adjusted the liquid faster without authorization.
However, according to the current situation of the patient, it should be adjusted by himself.
Otherwise, you can't have a big bag of potassium, and you will lose more than half of it in more than half an hour!
Afterwards, the patient lay on the bed and rested with his eyes closed.
At this time, there were still 10 minutes before being discovered by the nurse!
In the monitoring screen, the patient seemed to be really asleep.
The first 10 minutes of falling asleep seemed fine.
But after 15 minutes something is wrong!
The patient begins to have shortness of breath.
But there was no cry for help, and the monitoring angle was about three or four meters away from the patient's bed.
Therefore, the patient's expression and state can't be clearly seen, but the ECG monitor next to him can see a little.
I saw that the ripples of the ECG monitoring became irregular.
Obviously this is the performance of arrhythmia.
But the ripples only fluctuated for about 3 minutes, and then gradually stabilized.
And then it gradually becomes a straight line.
Hey!
Just 3 minutes!
People are gone!
There is no time to rescue, and the person is gone!
Yin Liang secretly sighed, this young man didn't know whether to say he was confused or whether he deserved it.
Because the guy didn't make any noise, the doctors and nurses didn't notice.
After waiting half an hour for a routine inspection, the nurse found out that something was wrong.
The doctors and nurses on duty also carried out rescue work at the first time, which has continued until now.
Soon, Yin Liang asked the security guard in the monitoring room to download the surveillance to his mobile phone.
Then he quickly walked back to the emergency department with his mobile phone in hand.
As soon as the front foot stepped into the door of the emergency department, I heard a burst of family members yelling from the office.
And there was a dull slap? ?
Yin Liang walked fast, could it be that someone beat up the medical staff? ?
Yin Liang quickened his pace and took a closer look, only to find that Lin Yi was standing in front of the two middle-aged couples.
I rely on? !
No way? !
Lin Yi was actually beaten? ? !
More than ten minutes ago, the boy's family members rushed to the hospital and began to understand the cause and effect.
Knowing that his son died suddenly because of too fast fluid infusion, Dang even made a big fuss in the emergency department.
The nurse on the night shift tried to explain to the family members that the drip rate of the liquid was not adjusted by their medical staff, but by the patient himself.
But the family didn't listen at all.
"Would my son be that stupid?? You told him that he would die if he loses too soon. Would he still do such a dangerous move?! Obviously it was the dereliction of duty of your doctors and nurses that caused my son to die!"
"Oh...Xiao Lei! My son! Why did you suddenly disappear!"
"Son... it's mother who is sorry for you, son!"
Chen Lei's mother lay on the ground crying as she spoke.
On the side, Chen Lei's father grabbed the nurse's arm and cursed:
"It's you, right?! It's you who gave my son the infusion, right? Let me tell you, you can't escape! My son's death has nothing to do with you!
And you doctors, can infusions kill people? !
It shows that your hospital technology is not very good!
wait!I will definitely send you all to prison! "
The nurse on the night shift herself stayed up all night, and her family members didn't let go of her arm, so she didn't even have the strength to resist at all.
Seeing this, other colleagues hurried forward to hold them back.
"Family, please calm down!"
"That's right, if you have something to say, don't drag other nurses along."
The family members were anxious, and pushed away the people around them and cursed:
"My special son is gone, how can I calm down?! It's you doctors and nurses! They killed my son! I'm not only trying to drag her! I also want to beat her!"
As he said that, Chen Lei's father waved his hands.
Everyone in the emergency room was shocked!
Even the other family members who were watching outside the door became nervous!
Seeing that the slap was about to fall on the nurse's face!
It's too late to say it!
Suddenly, Lin Yi strode over and dragged the nurse behind him.
Then, snap!
The slap fell on Lin Yi's forearm near the shoulder.
Chen Lei's father is not tall, 1.6 meters five, about the same as the nurse.
So the height of the slap naturally couldn't hit Lin Yi's face.
However, this handsome scene of the hero saving the beauty also made everyone in the emergency department give Lin Yi a thumbs up!
Heroes save beauty!
Lin Yi is indeed a man!
At this moment, Lin Yi looked at Chen Lei's father with cold eyes, and said word by word:
"Family, I hope you understand one thing, I am wearing this white coat now, so I endured your slap.
If I take off this white coat, I will definitely return this slap! "
Lin Yi was tall and burly, very intimidating, and the family members shrugged their necks slightly.
"Also, what happened to your son is that he himself turned the speed up, and your son himself is largely responsible for the current consequences.
At 07:30 in the morning, it is the time when each department is preparing to hand over shifts. Nurses have to check the fluids of general patients and the conditions of patients in the emergency room. Even if there are two nurses on duty in our department, they may not be busy. .
Also, your son's doctor's order is first-level care, and the inspection time for first-level care is once an hour.
The nurses have tried their best to check the fluids of the transfusion patients as soon as possible after finishing their work.
As a result, your son is out of breath because he adjusted the drip speed without authorization! "
"I fully understand the feelings of your family members. If the hospital is responsible, the hospital will not shirk it.
But do you think it's appropriate for you to take your anger out on a nurse who did her best to take care of a son for a night?
Who is not raised by parents?Everyone was heartbroken when something happened.
But beating people not only can't solve the problem, but can make things worse! "
The family members blushed and didn't speak because they hit the wrong person and because of the deterrent force exuding from Lin Yi's body.
At this time, Yin Liang who was standing at the door just saw this scene.
Lin Yi was beaten? ? !
Yin Liang rushed in three steps at a time and spoke for Lin Yi:
"Family, what are you doing?! We are all under surveillance!
If the hospital is responsible for your son's matter, we will be responsible.
But I also tell you that our beaten doctor also has the right to hold you accountable! "
Chen Lei's father saw that Yin Liang was a few years older than himself, and he was also the director of the emergency department.
Coupled with the fact that the legal knowledge was brought out, the family members panicked a little, and hurriedly said:
"I... I just... I did it because I was emotional! It's justifiable! Who told your hospital to put my son to death?!
I think you still want to shirk responsibility? !
He was just a diarrhea!As a result, the infusion killed the person? !
Anyway, your hospital can't escape! "
As soon as the family members finished speaking, the police arrived.
It was the family that reported it to the police.
I was worried that the big hospital would not pay compensation if the person was put to death, so I called the police over.
When the family saw the police coming, they immediately grabbed the policeman's hand and said:
"Comrade policeman! The doctors in the hospital put my son to death! My son is still lying there! He's gone! Comrade policeman, you must help us ordinary people decide!"
At this time, the police probably knew that this was a medical malpractice incident.
In the follow-up, people from the health department will come to do the responsibility appraisal.
But seeing the family members crying so miserable, the police also went to Yin Liang to ask about the situation.
"what's up?"
Yin Liang didn't bother to tell his family members, because they wouldn't believe it.
Simply show the surveillance video on the phone to the police.
"Wang Feijun, come and explain to the police."
Yin Liang looked at Dr. Wang behind him. He was on duty last night and knew what happened best.
Wang Feijun stepped forward and explained:
"At 36am last night, the patient was brought to hospital by colleagues.
When it was delivered, it was found that the patient had shortness of breath accompanied by dyspnea. I heard that the patient had diarrhea more than ten times, so I diagnosed it as acute gastroenteritis.
Later, the test results came out that it was indeed acute gastroenteritis, electrolyte disturbance, and blood potassium was as low as 2.8mmol/L.
I immediately started electrocardiographic oxygen, and also prescribed anti-inflammatory drugs, then vitamins with salt water, electrolytes, and potassium supplements.
At 06:30 in the morning, I tested blood potassium again and it rose to 3.1.
But it was still a little low, so I added another one and asked the nurse to lose it for her. "
The night shift nurse also quickly said:
"I did prepare the solution correctly and followed the doctor's instructions, and I did tell the patient that if the medicine is infused too quickly, it will kill people. I really told him...
But... when I finished my work and came over to check the situation, I saw that the person hadn't responded!
Then... and then more than half of the liquid on the infusion bag was lost...
I guessed that the patient didn't listen to what I said, and adjusted the drip speed without authorization..."
As soon as the nurse finished speaking, Chen Lei's mother rushed up, crying and cursing:
"You fart! How could my son deliberately seek death! It's obviously your negligence!"
The policeman frowned at the yelling family members and said:
"Don't make noise, we are watching the surveillance. In addition, people from the health department have been notified to come and judge. Don't worry, if the hospital is responsible, it will definitely compensate you."
The two family members waited there without saying a word.
Later, they also gathered next to the police to watch the surveillance video together.
During the monitoring, after the nurse and colleagues had left, Chen Lei actually reached out to adjust the valve of the infusion tube!
The family members watching this scene were stunned!
It also makes them heartbroken!
Let them have nothing to say!
"How could it be... Impossible... Impossible that Chen Lei adjusted the drip speed... Impossible..."
Chen Lei's mother shook her head frantically.
Can't believe this fact at all!
In the monitoring, what the nurse said was also very clear.
Reminded Chen Lei that this medicine must be infused slowly, otherwise he will die.
But Chen Lei still didn't listen, and took the initiative to slow down...
This is what caused the tragedy of this untimely death!
In the monitoring, after more than ten minutes, Chen Lei, who was lying on the bed, struggled slightly for a few times, and then lost his anger.
This scene directly made the two middle-aged couples hug each other and cry.
"My son! You died so badly! My son..."
"Ouch, my little Lei, why did you disappear just like that!"
Then, ten minutes later, when the nurse came to check, she found something wrong and immediately rescued it.
After watching the video, the police also have a rough division of responsibilities in mind.
"Family, it is probably impossible for the hospital to take full responsibility for this matter, because your son moved the drip speed by himself. The nurse also reminded me, but your son didn't listen.
(End of this chapter)
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