The stretcher was carried into the emergency room, and after they came to her, Guo Fu asked, "What's going on?"
Who in Sanya doesn't know this number two person in the health center, an elite among female nurses. [No pop-up novel website]" A hygienist who accompanied him quickly said: "Food poisoning. "
"What did you eat?" Guo Fushu walked over and waved, "Quick, put it on stage 1."
"Eat mushrooms," a health worker said.
Poisonous mushroom poisoning. Guo Fu thought that this was the most common type of food poisoning in the local area. No matter how many hygiene education classes are given to the workers, no matter how many deaths there have been in the past, mushrooms in the mountains and forests are always full of temptation for the workers. Sometimes someone comes to eat.
"Did you bring the sample?"
"Bring it here," the health worker opened a laborer's lunch box, which contained a gray pile of cooked mushroom fragments. She pointed to a few workers with bad expressions behind her, "They also ate, but their symptoms were not serious, they just felt weak and had stomachaches..."
"Stomachache, diarrhea, vomiting?"
"Yes." The health worker panicked, "They ate it last night, I don't know when they picked it up." The female health worker was so frightened that her face turned pale, "I really didn't see it..."
She has seen cases of death from poisonous mushrooms and is fully aware of the serious consequences. The most important thing is that if there is such a serious fatal accident in the squadron that he is responsible for, he will have to be sent back to Lingao and enter the Ministry of Health for "***". The status of "***" in the minds of naturalized people and indigenous people is now second only to "labor camps".
"Don't be anxious." Guo Fu comforted her and asked the nurses on duty in the emergency room, "Quick, go ask Dr. He. All the nurses on duty will come over if they are okay."
Guo Fu asked those who had symptoms but were not serious to sit down on the benches against the wall first, while she dealt with the seriously ill patients lying on the treatment table first.
The patient's overalls were stained with vomit, and there were traces of watery feces on his pants, emitting a foul odor.
"Quickly, help him take off his clothes," Guo Fu ordered the third-stage nurse while wiping her hands with alcohol. The female health worker who sent the patient was afraid that she would be harmed if something happened, so she quickly said, "I'm here."
"Okay, the scissors are in drawer No. 5." Guo Fu said as she opened the lunch box brought by the female hygienist. She poured the mushroom fragments onto an enamel plate and plucked them with tweezers. The Ministry of Health has printed a lithographed "Illustrated Book of Common Poisonous Animals and Plants in Hainan Island", which not only has white drawings, but also detailed descriptions of shapes and colors - because Lingao's printing industry is temporarily unable to carry out large-scale color printing of photos - ―This book is not only included in training materials, but also a must-have reference book for all health institutions. Guo Fu had put a lot of effort into this book, but the shapes and colors of the cut and cooked mushrooms had changed. She could only reluctantly think that they were probably porcini mushrooms.
"How much did you eat?" Guo Fu asked.
"I heard they said there was a lunch box," the female health worker said. "Others didn't eat much. This person worked the middle shift and worked three hours of overtime after get off work, missing the supper time. When he returned to the dormitory and saw boiled mushrooms, he I ate a lot of the rest, probably half of it.”
"When did you show up?" Guo Fu asked.
"Just now," the female health worker was frightened, "I went to the squadron dormitory to check the hygiene, and they took him out and said he had fainted - I really didn't know they were secretly cooking mushrooms to eat in the dormitory," she cried. Get up, "This is going to kill me."
"Don't cry." Guo Fu quickly stopped her and asked, "How long will it take for you to faint?"
"It's been almost an hour now."
Guo Fu made some calculations in her mind. The mid-day shift ends at 12 midnight. This person ate mushrooms at almost 3 o'clock. The 7 o'clock whistle has just blown. According to the description in the medical book, the incubation period of boletus is 10 minutes to 2 hours. Judging from the fact that he only started to show symptoms before 6 o'clock, the incubation period has already been 3 hours, so it is not boletus... But the book It said: There are a few cases that can incubate for 6 hours. This made her a little unsure.
"Are there any fresh samples?" she asked, without any hope.
"No, I went to their dormitory to look for them after I found out about the poisoning..."
She lifted the patient's eyelids and shined a miniature flashlight into his eyes. His eyeballs moved very flexibly and he groaned.
"what is his name?"
"Jiang Dashan."
Guo Fu leaned over the patient and said directly into his ear: "Jiang Dashan, can you hear me? Jiang Dashan"
His eyes moved slowly in her direction and nodded slightly.
"May I have your name?"
"Ginger... big... mountain..."
The degree of his reaction was enough to prove that the nervous system was not damaged - this should be gastroenteritis-type mushroom poisoning, which is the mildest form of mushroom poisoning. However, although some mushroom poisoning also presents gastroenteritis-type symptoms, it is accompanied by organ damage. However, the incubation period of this type is generally more than 10 hours, and the vomiting and diarrhea are not serious. She thinks her judgment should be correct.
She told the nurse on duty, Shi Jiemei:
"Prepare intubation, saline solution and suction tubes," Guo Fu ordered, and then ordered, "For those who are leaning against the wall, give them medicine to induce vomiting."
The time for gastric emptying is about 4 to 6 hours. Foods with high protein content such as mushrooms stay in the stomach for a longer time. It is not too late for gastric lavage now. As for the other few people, it was a little late to induce vomiting, and it might have some effect. Anyway, their symptoms were not serious, and laxatives should be enough.
"I'll go right away." Shi Jiemei quickly went to get the medicine and equipment - she was the best among the third-generation students: from the fact that she was named Dr. Shi, she knew that Dr. Shi favored her. Not only does Shi Jiemei study hard and have strong understanding, but her figure and appearance were evaluated according to the "Comprehensive Standards for Office Maid Evaluation (163o Edition)" and scored 175 points, which is a first-class level.
"Give them magnesium sulfate after vomiting," Guo Fu warned from behind.
Magnesium sulfate heptahydrate is a chemical used medicinally as a detumescent, vasodilator and laxative. Lingao's magnesium sulfate is manufactured in the bittern plant of Manao Salt Field. Guo Fu gave them magnesium sulfate mainly for catharsis, prompting the patients to empty their intestines as quickly as possible.
"I know, there is also rehydration to correct dehydration and electrolyte imbalance -" Shi Jiemei came out from the other end of the corridor in a deliberately high tone.
Guo Fu nodded helplessly: "Yes, we need to rehydrate." Although she is about the same age as Shi Jiemei, she has been homeless for a long time and is more mature than others in dealing with people.
After preparing all the instruments, Guo Fu opened the patient's mouth and inserted a gag, inserted a tube, and skillfully inserted it into his throat and into his stomach. A nurse then handed Guo Fu a glass jar filled with saline. Guo Fu poured some of the saline into the funnel at the top of the cannula.
After filling half of the solution, she waited for a moment for the solution to flow into her stomach, and then took the straw to absorb the salt water. She squeezed the liquid out into a basin, and then continued to clean the remains of the mushrooms in this way. When she sucked it up for the third time, she found gray food fragments. In this way, she cleaned the patient's stomach cavity again and again, gradually sucking out all the food residue. She felt that the patient was out of danger.
Atropine is injected subcutaneously, and 5% gs solution and normal saline are injected intravenously every 6 hours."
Injectable atropine is used to relieve gastrointestinal symptoms such as abdominal pain and diarrhea. Shi Jiemei finished injecting atropine and quickly inserted the infusion needle. It is easy to give the patient intravenous saline and glucose to prevent dehydration and correct electrolyte balance. At the same time, Guo Fu observed the patient's heart rate, pulse and chest sounds.
Guo Fu felt that the patient had recovered a little strength, so she helped him sit up.
"1oo grams of activated carbon, mixed with water and taken orally."
Jiang Dashan then drank a cup of activated charcoal. He didn't want to drink the strange black water and even coughed up some, but he was forced to drink it anyway. Activated charcoal water not only prevents toxins from entering the patient's body, but also digests some of them that have been absorbed.
Next, Guo Fu checked his blood pressure, pulse, breathing, etc., and also checked his vision and reactions. She kept talking to him, making sure his reflexes were all normal - even though his answers were feeble.
Then she turned back to deal with the mild patients: these people had been induced to vomit and have catharsis, and all of them were so exhausted that they were slumped on the hospital bed and could not speak. Shi Jiemei had already given them oral glucose-normal saline mixture according to the doctor's instructions to replenish blood and restore electrolyte balance - Shi Niaoren asked everyone at the Ministry of Health work meeting to try not to use infusion treatment unless absolutely necessary. Way. This is not only for the purpose of saving equipment use, but also to avoid many dangers that may occur during infusion.
Seeing that everything was on track, Guo Fu sat down and started writing medical records. The female hygienist moved to the table uneasily.
"Are you okay?"
"It should be fine." Guo Fu said, continuing to write the medical record with a dip pen, "I want to write a report on this matter..."
The female health worker almost said in a begging tone: "Please write down, please speak kindly for me in front of Dr. He... I don't want to send Lingao to the hospital."
"It's not a major liability accident if there are no dead people." Guo Fu comforted her and said, "Besides, they secretly picked mushrooms to eat, so they are also responsible. Your responsibility is not big."
"Thank you, thank you..." The female health worker almost knelt down and kowtowed. Of course, this was not allowed under the Lingao system. The fear of female health workers is not unreasonable: the salary level of health workers is much higher than that of ordinary workers. Once they enter the labor force, they will have no personal freedom for several months and their salary will only be a small amount of living expenses. This is a terrible blow to many working families. . ..
