Disaster comes from the mouth, and disease enters from the mouth. I don’t know if this was said by an ancestor of that era. This person must have experienced a lot, and it must be delicious.
The medical treatment of some poisonings is very rough. If it is discovered early and sent to the hospital in time, when most of the poison is still in the stomach, the general situation is to induce vomiting and gastric lavage, and even comatose patients cannot escape this operation.
To be honest, this operation is no different from killing a pig.
The hand-width straps tied the person tightly, and even a mouth brace was stuffed into the mouth, and then the thick tube was stuffed directly into it.
This thing is much thicker than a gastroscope. A meal of soapy water, a meal of sodium bicarbonate solution, and a meal of potassium permanganate solution are forcibly poured into the body. On one side, the gastric lavage machine pours into the body like a duck, and on the other , the nurse will also press on your stomach, and rub your stomach vigorously like a loser who loses money.
This operation is not done once, but repeated many times until the liquid in the stomach becomes clear.
Perhaps this operation is unfamiliar to outsiders. This thing can be compared to the operation of cleaning a narrow-mouthed glass bottle. Pour in clean water, then shake it vigorously, and repeat it many times until the glass bottle looks the same.
To be honest, patients who have experienced this kind of operation can even turn those who believe in God into atheism, and make atheism require a Hu Da to redeem them.
If a patient commits suicide, he will never choose to use drugs to commit suicide again in his life.
Because it's too painful. What makes you cry and cry, what makes life worse than death. These exaggerated words give a sense of powerlessness when placed in the gastric lavage and vomiting center of the emergency room.
In some departments that perform invasive treatments, they will do their best to reduce the pain of patients. For example, in the gastroscopy room, in the early years, the tubes were so thick that it was scary to see them, but now they are painless and even capsules.
But this kind of equipment in the emergency room has almost no changes, because if you want speed, you have to give up some other comfortable things.
And once some poison enters the blood, trouble will come!
When the kidneys and liver cannot break it down and fail, dialysis is the only option.
What dialysis is, according to Du Niang, is still a bit difficult to understand. In fact, to put it simply, it is to use a sieve to filter out harmful substances in the blood.
However, this thing is not a panacea and has many contraindications.
There is a grading standard for poisoning incidents in China, which are divided into general (iv), major (iii), major (ii) and extremely serious (i).
If the number of people in kindergartens, schools, and construction sites exceeds five and is less than 100 at a time, the level is relatively high if there are no deaths, and it is serious if there are deaths. The corresponding processing level is, in general, the corresponding hospital, and in the larger case, it is directly the superior agency of the local government.
For example, if something happens in the district, the city will be directly responsible for dealing with it. Major poisoning incidents go beyond the provincial level and are handled directly by the central government.
The poisoning incident in Chasu Kindergarten is now handled by the Chasu Government. Once a death occurs, the Border Province will be directly responsible.
China's control over poisoning incidents is becoming more and more strict. In the early years, it was the same as for infectious diseases, which I didn't understand well. Now it is becoming more and more strict.
Only he knows the pressure in Xu Yang's heart in the emergency center. Now every oral doctor's order and every operation is a tightrope walk.
One mistake may cost a young life.
When he was in the capital, he was the one working, not the brain. Even if he encountered a major accident, he would not be under much pressure.
But, it was different now. Under the light blue rescue suit, there were streams of cold sweat.
He is a doctor, and he hopes that one day he will become the commander-in-chief of the first aid battle. However, when this day comes, they really understand why the superior doctor is so irritable and hateful.
Because the pressure is too much.
What they hold in their hands is a living life.
Modern medicine pays more and more attention to training, so that they can be more confident in saving other people's lives, but to be honest, a top doctor is not only made with money, but also with human lives.
Some experiences cannot be mastered by words and deeds through training. Just like an experienced driver, when life and death are on the line, a subconscious tilt of the steering wheel can save others or yourself. Can this experience be taught?
And Xu Yang is now the brain, and he is also responsible for rescuing the brains of six poisoned young children at one time. Really, this pressure is too much.
He originally thought that after taking tea, he could finally step up from being the main person in charge of patients to the person in charge of a large-scale rescue operation.
But accidents always come faster than before. There is no time to follow the steps, and I directly become the person in charge of a large-scale rescue.
Medical treatment is like this. It won't discuss it with you, and it won't even give you much chance to understand.
Is Xu Yang's skills sufficient? For now, no one can teach him anything in toxicology, but what he lacks is endurance and mentality.
"Urine volume summed up by each group!"
Zhang Fan could hear the tremor in Xu Yang's voice. There was nothing he could do now. Even if he was shaking like a plague chicken, he still had to go to school. He was the best in toxicology. Even Chasu Hospital had no one with this subject before. Not to mention the leader.
The nurses immediately looked at the urine bag.
200ml for bed No. 1...1000ml for bed No. 5! The nurses in charge of several groups reported the urine quantity in turn.
There was no urine in bed No. 6. While reporting, the nurse directly lifted the sheets and stared at the little nugget in bed No. 6. She pinched the ureter, hoping that the ureter was blocked, and even hoped that the tube would be healed after pinching. , Xiaodouding can discharge urine happily.
However, there was no joy, not even a drop of urine flowed out.
Xu Yang gritted his teeth. The child in bed No. 6 was the youngest and might not eat the most. But once this thing exceeds the drug's safety window, the only thing that matters is the ability to compensate.
"I need a pediatrician to determine that the speed of kidney failure in young children must be ensured now!" Xu Yang issued an order.
Academician Liao stood up directly, "40 mg of dopamine mixed with 5% glucose, 15~20 drops/minute, 100 mg of furosemide intravenously..."
Zhang Fan frowned slightly as he listened to Academician Liao's powerful medicine.
Although he is not good at pediatrics, he also knows that this kind of medicine is too violent. He is just walking on the red line of drug safety. If he does it well, he will be awesome. If he does not do it well, he will kill people.
Really, not only Zhang Fan frowned, but even the physician frowned.
However, after the second confirmation, Academician Liao directly signed his name on the nurse's rescue record. This means that he is responsible for this medical order to the end.
Just after the renal function was processed, the director of the anesthesiology department shouted loudly, "Atrial fibrillation and arrhythmia have appeared."
Ren Shushu took Na Duo and Xu Yang directly to deal with the heart.
One department after another was rotated like a dam. Xu Yang considered comprehensively while adjusting the treatment plan at any time according to the condition.
He had never been so nervous in his life.
In the observation room, there were not only reporters, but also a large number of foreign doctors who came to participate in the meeting.
"Effective! The speed and treatment methods are too precise. The emergency center of Chasu Hospital is still awesome."
"Yeah, Chou Yi Chou, how can we not be awesome with the few academicians here? Their team building is so good, our hospital is level three, their hospital is level four, and there are academicians above the director. This person is mainly responsible for the rescue The level of the person is also very high, and he seems to have a very clear understanding of toxicology.
Every step is the correct way to deal with it. It’s amazing. I don’t know how Chasu Hospital cultivated it. We don’t even have a toxicology leader in our hospital. "
"We are moderate, we are moderate!" However, before he said this, the doctor who came to the meeting shouted loudly in his heart.
…
"The indicators of patients in three beds and four beds are currently stable, and their kidney function has improved significantly!"
Xu Yang felt a little calmer after listening to the report. This rescue could be said to be the most stressful one he had ever experienced in his career, but this time it was also a sublimation.
"Bed one is starting to get better too."
…
With the treatment, the children began to improve one by one. In the observation room, the reporter from CCTV directly asked his superiors, "Can it be broadcast live?"
The leader hung up the phone and started communicating with Bianjiang.
To be honest, the leader in charge of health at Chasu wished that no one knew about it at this time.
But some newspapers have already been distributed, and many people on the Internet are paying attention.
Whatever you say.
In this case, the best way is to let everyone see.
However, China has never conducted a live broadcast of rescue operations.
Finally, because of the child's improvement, the leader agreed to broadcast it.
Then, Yangma Channel 13 stopped broadcasting other news and directly inserted the live broadcast of the tea rescue.
"Dear viewers..."
People are still capable. After the incident, the children were released from the hospital.
To the uninitiated, the excitement is like, "Oh my God, six kids. I hope they're safe."
Experts, on the other hand, look at the basics and say, "Let me go. Chasu Hospital is so awesome. You see, they cooperate so well and there is almost no pause in the connection."
"Let me go, who is this? One person is commanding six academicians. He is so young. Is he even forty years old? After this battle, this kid is awesome."
"Oh my god, Zhang Fan has to listen to others!"
The more knowledgeable people directly said: "The team of Chasu Hospital is so luxurious, this is a hospital, this is a top hospital!"
The Zhongyong boss looked at Xu Yang, who was his little doctor last month, and felt a sour feeling in his heart. How come this person, who was so incompetent before, can now be used as a good hand after removing the tea element?
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