Passengers, including those who may be sick, ended up accusing the captain of making a mountain out of a molehill. No one asked you to land. Do you want to land? It delayed my very anxious trip.
People fly because they want to be fast. The delay caused to passengers by a plane's temporary landing is much more serious than that of a train or bus.
What the flight attendant said was equivalent to a warning to Xie Wanying, and her judgment may affect the captain's decision.
Thinking of this, Xie Wanying stayed focused, did what a doctor should do first, and carefully analyzed the patient's condition to make a clear diagnosis as soon as possible.
As mentioned above, without instrumental examination, it is basically difficult for doctors to 100% identify and diagnose acute abdomen. At this time, the doctor uses abdominal palpation, which does not mean that he can immediately determine which organ in the patient's body is affected. In the hospital, doctors have to prescribe various examinations to check step by step. How can we be sure by palpation alone. The first thing that can help the doctor through abdominal palpation is to initially check whether it is an acute abdomen.
This is probably something that people inside and outside the industry have never thought of.
Abdominal pain is not necessarily an acute abdomen, but may be similar symptoms caused by other diseases throughout the body.
Xie Wanying followed Teacher Tan's example and quickly pressed several key areas on the patient's abdomen and found that the patient's abdomen was overall soft. When pressed, the patient did not have any tenderness or rebound pain, and no radiating pain or pulling pain in the back.
This abdominal pain is not obvious at all, and it may not be abdominal pain at all.
In fact, when Xie Wanying came to the scene and saw the patient at first glance, she didn’t feel like she had abdominal pain. If there is abdominal pain, the patient will at least cover his stomach with his hands, but this patient did not. Therefore, her first step must be to check whether it is an acute abdomen.
It is not an acute abdomen. An experienced doctor will immediately check whether it is cardiopulmonary disease or cerebrovascular accident. These two types of diseases are the most common clinical critical and severe fatal diseases and must be dealt with immediately.
Observe the patient's breathing, feel the patient's pulse, and determine the patient's heart rate.
Seeing this, nurse Lu Xin walked back to the first-class cabin to get a blood pressure monitor, and came back to measure the patient's blood pressure. She thought she might need to bring a defibrillator over to do the patient's electrocardiogram.
Occasional symptoms of heart disease may manifest as acute abdomen, which together with acute gastroenteritis may confuse the doctor's judgment.
There is no blood glucose meter on board, otherwise the patient could be tested for blood glucose. Hypoglycemia is also common for students who are underweight like this. However, the patient's family members said that the patient ate while waiting for the flight and did not vomit or have diarrhea, so it was unlikely to be hypoglycemia.
After the sphygmomanometer was obtained, the patient's blood pressure was measured. The blood pressure was 9055 mmHg, which was low, but not in a state of shock.
"Can you let her lie down flat?" The flight attendant asked Xie Wanying and the others for their opinions.
According to the experience of flight attendants, the most common emergency patients they see on the plane are usually told by medical staff to make the patient lie down. Lying flat can undoubtedly improve these symptoms for patients with hypoglycemia and dizziness.
For this reason, some flight attendants were prepared to find a piece of ground on the plane with blankets and spread it on the cabin floor to make room for patients to lie down for treatment.
Xie Wanying did not say that it was necessary. She carefully observed the patient's face and body with her eyes. She could not make mistakes in judgment or speak lightly, otherwise the impact would be too great.
A passenger in the back seat murmured, dissatisfied with her seemingly slow response, and said, "Is she okay? Is she really a doctor?"
