Sleepless Doctor
Chapter 699: Legendary clinical experience
That was an incident many years ago. Wei Dabao was a 120 emergency doctor at the time, responsible for outpatient visits and receiving patients.
Similar to this time, the patient complained of chest tightness, shortness of breath and profuse sweating.
Wei Dabao hurried over, and when he arrived, he saw a bunch of people forming a group downstairs.
The 120 emergency center said that the patient was at home, 402. Wei Dabao had information in his hands, and he didn't look at the excitement. But when I passed by, I glanced and saw a man lying on the ground with a blue face and no breathing.
The family members of the patient rushed to the patient and cried loudly.
After checking the information, Wei Dabao knew that this was the patient he was going to receive.
120 Command Center will tell the family members of the patient to lie down quietly and wait for the 120 ambulance and medical staff to come over.
But why did they go downstairs?
Wei Dabao took the patient to the ambulance and pressed the heart outside his chest for half an hour.
This is a "comforting" rescue measure. It is necessary to give a certain psychological hint to the family members of the patient knowing that it is useless, and he died after the doctor's rescue failed.
When the dust settled, Wei Dabao asked about the situation, and he learned that the patient was suffering from chest tightness and chest pain.
Because I haven't been sick before, there is no emergency medicine at home. Coupled with the dying feeling caused by chest pain and ischemia, the patient is extremely frightened. He thought it might be better to run a few times to circulate the blood and open the blood vessels.
But with the help of his wife, he barely walked downstairs and fell to the ground, never waking up.
Wei Dabao has some regrets, but he didn't think much about it at the time, as long as he didn't cause medical disputes. As for the others, does it have anything to do with his half-hearted doctor in the emergency department? Surely not.
After that, Wei Dabao has seen many similar cases. In this regard, it can be said that he is very experienced. After all, the Northeast is extremely cold, and cardiovascular and cerebrovascular diseases are high.
Wanting to understand the cause and effect, Wei Dabao asked the 120 emergency doctor for a call, and directly used the hospital's landline to call the patient's family.
"Hey, is it Xu Guangzhi's house?" Wei Dabao asked directly after answering the phone.
The phone side was messy, and someone could be heard crying vaguely, and there seemed to be a bang bang bang.
Wei Dabao's heart tightened, and he connected to the content described in "Diagnostics" in his mind.
"Who are you." A woman asked in a weeping voice.
"I am a doctor from the Chinese Medicine Hospital, are you knocking on the patient's chest?" Wei Dabao hurriedly identified himself, and then asked.
"Well, what?" the patient's family said, "Tap twice on the chest, Old Xu feels much better."
Wei Dabao hesitated slightly.
After all, the patient feels much better, otherwise... But because it was only an instant matter, he quickly sorted out his thoughts and quickly said, "Stop, stop! Don't hammer your chest!"
In anxious situation, Wei Dabao exploded with foul language.
"Huh?" The patient's family asked questioningly, "The neighbor brother said that he saw it on the Internet. Beating his chest is to shake off the blocked blood vessel, which can make the blood flow faster and open the blocked blood vessel..."
"Don't be a hammer! Do you die?" Wei Dabao said angrily, "It will be fatal!"
"..." The messy voice on the phone side seemed to be a little quieter.
Wei Dabao continued, "The patient lies on his back. You can have a higher pillow, so that he can be quiet, don't be nervous, and breathe hard."
"What's the effort?" asked the phone.
Wei Dabao is speechless, did he fail to learn from Section Chief Wu? Still read "Diagnostics" too much.
"Puff hard, go deeper, breathe into the lung tube!" Wei Dabao roared.
"Oh oh oh."
The patient's family was taken aback by Wei Dabao's attitude, and subconsciously responded.
The bang bang bang on the phone side disappeared. It was obvious that Wei Dabao's words had an effect.
took a deep breath, Wei Dabao just wanted to hang up, suddenly remembered something, and continued, "Also, don't press the person."
"..." The patient's family was taken aback. She felt that if Wei Dabao had clairvoyance, how could she know what this side was doing through the phone.
"Don't pinch people!" Wei Dabao knew he had guessed right when he heard the other person. He quickly roared, "Pinching people hard will cause pain, and the pain will cause irritation, which will accelerate blood flow and increase oxygen consumption. Increase the load on the heart and aggravate the condition."
"What?" the patient's family asked weakly.
Wei Dabao helped the forehead.
"Don't pinch people, you won't... If you pin someone else, your husband will die! Dead!!!" Wei Dabao finally explained the situation to the patient's family concisely and concisely in a familiar way.
There is no need to explain to them why this happened, they just know the result.
In fact, Wei Dabao's saying this is a bit alarmist. The painful stimulus in the pinch is definitely not as strong as the intensity of angina pectoris. But there is no benefit in pinching people at this time, it will only increase the risk, so Wei Dabao said without any scruples.
"Oh oh oh." The patient's family responded quickly.
"Also, don't drink cold water to the patient!" Wei Dabao continued to exhort, "Don't pat the back to let him go. You'd better not do anything. By the way, pay attention to keep the patient warm."
"……"
"Cover a blanket and keep warm. Is your spouse lying on the ground? Don't move, just tuck something under your body." Wei Dabao summed up all the bizarre things encountered in this life in an instant and said everything.
If you are a young doctor who just graduated from medical school, you must not understand why patients drink cold water when they have a heart attack.
This is the legendary clinical experience~www.wuxiaspot.com~ Once again, Wei Dabao told the patient's family that the 120 ambulance will be there soon, so she don't worry, family members don't cry, and try to calm the patient down.
After explained this, he hung up the phone in relief.
"Brother Bao, you have changed." The little nurse stood behind and said when she saw Wei Dabao hang up the phone.
Just now, he was engrossed in explaining the matters needing attention to the patient's family. Wei Dabao didn't hear the little nurse coming in at all. As soon as his spirits relaxed, Wei Dabao was startled when he heard someone talking behind him.
"Oh, let me go, you scared me to death." Wei Dabao said, clutching his chest.
"Brother Bao, don't fool me." The little nurse said with a smile, "Why do you tell the patient's family so much?"
"I have seen similar patients, and they died after drinking a few sips of cold water because of the terrible pain." Wei Dabao sighed and said, "Exhort a few more words, do your best."
"Drink two sips of cold water and die?"
"Jing Baliang, the thing was suddenly drunk, local capillary contraction, body temperature drop, causing coronary artery spasm aggravated, myocardial ischemia..." Wei Dabao sat on the seat and began to recite the fragment of "Diagnostics" seriously. .
used to be just recitation, but now Wei Dabao is able to integrate theory with practice, and he is more and more like a real doctor.
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