Coroner Coroner

"This..." Hearing this, Asai Chengshi couldn't help being a little puzzled.

And before he asked, Lin Xinyi said to him very solemnly:

"This matter is related to an important case."

"If possible, I don't want anyone to know about it except you."

"Doctor Asai."

"Can I trust you?"

Asai was silent for a while.

He finally realized how difficult this matter was, and also realized that Lin Xinyi seemed more mysterious than he imagined.

However, thinking of Lin Xinyi, the man who saved his life...

Asai Chengshi didn't hesitate for long, and responded from the bottom of his heart:

"Mr. Lin Xinyi, you can always trust me."

.......................................

It took time for Asai Narumi to prepare medicines and equipment, and it took even more time to drive here from downtown Tokyo.

Lin Xinyi could only take care of Miyano Akemi by himself first, using uninterrupted artificial respiration to deliver oxygen to her who was breathing weakly.

Although Miyano Akemi's vital signs did not improve significantly, at least they did not deteriorate at all.

She has been walking on the verge of life and death, living in an extremely weak way.

So, I don't know how long it's been...

Anyway, Lin Xinyi's mouth was swollen from artificial respiration.

At this time, Asai finally arrived at the scene in an ambulance carrying medicine and equipment.

"Mr. Lin Xinyi!"

While calling Lin Xinyi's name, he stepped out of the car decisively and opened the back door of the ambulance.

"Cough cough cough cough..."

Lin Xinyi wiped his red and swollen mouth, and hugged Miyano Akemi, who was still almost dead.

He sent Miyano Akemi into the ambulance and made her lie on a mobile hospital bed in the carriage.

"This is the patient?"

Saving people is the most important thing, and Asai Chengshi has no time to communicate with Lin Xinyi.

He seized the time to check Miyano Akemi's pupils, and his face suddenly became serious:

"Symptoms of suspended animation, this is already at the level of severe poisoning."

"Well, how can I help?"

Lin Xinyi didn't talk nonsense, and asked directly:

"I have no experience in rescuing fugu poisoning."

"You guide, I will help."

In terms of autopsy, he is the teacher, but in terms of saving lives, he has to be directed by Asai Narumi.

Lin Xinyi consciously handed over the dominance to Asai, and Asai Shiro quickly responded:

"Puffer fish poisoning needs to clear the unabsorbed toxins in the stomach and intestines as soon as possible, but now, the time has passed for a long time."

"Now the effect of inducing vomiting is limited, and it is not available on the gastric lavage machine."

"In that case..."

Asai Chengmi frowned and said:

"Feed the laxatives first, and let her expel the food residue that has entered the intestine!"

Lin Xinyi: "..."

Cathartic for Miss Mingmei... The picture is too beautiful to imagine.

Moreover, although patients with fugu poisoning cannot move their bodies, their consciousness remains awake throughout the process.

He can be sure that Miyano Akemi, who is lying on the hospital bed now, must be in a very complicated mood.

"There's no need for catharsis."

Lin Xinyi explained the situation in time:

"She did not suffer from oral food poisoning, but intravenous poisoning."

"Intravenous?"

Naruto Asai was taken aback for a moment, with a subtle expression on his face.

But he didn't have time to ask, so he turned his attention back to first aid:

"I'm going to put her on a ventilator and an EKG."

Although there is no gastric lavage machine in the ambulance, there are more critical, vehicle-mounted respiratory muscles and electrocardiographs.

While busy supplying oxygen to Miyano Akemi's ventilator, Asai Narumi said to Hayashi Shinichi:

"You give her IV fluids."

"Yeah." Lin Xin nodded.

He also practiced in the hospital at university and knows how to operate it.

The initial steps of treating poisoned patients are similar, using indwelling needles to establish intravenous access, using glucose or normal saline, and a large amount of intravenous fluid rehydration.

This can diuretic, promote toxin excretion.

"and then?"

Lin Xinyi gave Miyano Akemi a bottle of infusion, and he didn't know what to do next.

While carefully intubating Miyano Akemi, Asai Narumi said to Hayashi Shinichi:

"I put all the medicines in the cabinet next to me, help me take out all the medicines I need."

As he spoke, he announced a series of drug names:

Glucocorticoids, which reduce the tissue response to toxins.

Scopolamine can antagonize the inhibitory effect of tetrodotoxin on striated muscle.

Strychnine hydrochloride, vitamins B2 and B6, can relieve muscle paralysis.

Naloxone can significantly reduce the inhibition of toxins on respiratory and circulatory functions, increase oxygen partial pressure, and restore blood pressure and pulse to normal.

After talking about the names of these medicines, Asai Chengmi also explained the dosage of each medicine clearly.

"Ok, I see."

Lin Xinyi prepared these medicines according to the instructions, and injected them into Miyano Akemi's body one by one.

As these drugs entered the body to take effect, the various data displayed on the electrocardiograph on the side of the car gradually showed a momentum of improvement.

Asai Chengmi has also helped Akemi Miyano complete the endotracheal intubation, activated the A/C mode of the ventilator to assist breathing, and achieved mechanical ventilation.

Seeing the stable and positive data on the electrocardiograph, he breathed a long sigh of relief:

"It seems to be stable..."

"In the future, as long as you carefully monitor this young lady's various physiological data, and depending on the situation, she should be able to recover slowly with medication."

"Is that so..." Lin Xinyi asked with some concern: "Don't you need to do hemoperfusion?"

"Portable blood perfusion device, you should bring it?"

Hemoperfusion can introduce the patient's blood into a perfusion device equipped with solid adsorbent, and remove toxins in the blood through adsorption.

It is a primary means of rescuing poisoning from various drugs and poisons.

According to Lin Xinyi's passable first aid knowledge, he felt that this trick should also be useful for tetrodotoxin.

"Hemoperfusion is indeed very useful in the treatment of tetrodotoxin, and it is the main method of treatment for tetrodotoxin."

"However, this must be used in the early stage of poisoning before the effect will be obvious."

Asai Chengshi said helplessly:

"This patient was injected with toxins intravenously, and so much time has passed... The blood perfusion should not have much effect."

"But the good news is that her vital signs are now stabilizing."

"She should be able to recover without hemoperfusion."

"That's good…"

Hearing Dr. Asai's words, Lin Xinyi felt relieved:

"Then now, let's just watch from the sidelines?"

"Eh..." Asai Chengshi thought for a while and said, "Actually, there are still things to do."

Lin Xinyi: "What are you doing?"

Naomi Asai: "Come on for her."

Lin Xinyi: "..."

"Haha...I'm not kidding."

"Although it cannot be explained in detail medically, the patient's psychological factors can also play a big role in the treatment process."

"The stronger her desire to survive, the more hopeful she will survive."

Asai Chengshi smiled slightly and explained:

"And the brains of tetrodotoxin poisoners are always awake..."

"You cheer her on, she can hear you."

"I understand..." Lin Xin nodded.

After brewing his emotions, he gently held Miyano Akemi's hand and said to her: