stjorthotic Chapter 413
Chapter 413
Chapter 413
Time, another few days passed.
The controversy in Harmony Hospital has become more intense in the discussion of “Salarlu Syndrome.”
Many doctors feel that they should save a few more minutes for the patients.
However, many doctors feel that among hundreds of thousands or millions of cases, it may not happen once, and it is unnecessary and time-consuming.
certainly,
These discussions are internal discussions and have not been passed to the outside world, otherwise there will be a lot of moral pressure.
However, the hospital finally made a few suggestions:
1. Cardiac resuscitation should last at least 20 minutes.
2. Try to avoid high intrathoracic pressure and over-inflation during ventilation.
3. Since short-term cardiac arrest may occur after defibrillation, it is necessary to carefully consider whether to give up resuscitation immediately after defibrillation fails.
4. During the treatment of refractory cardiac arrest, if there is a possibility of heart rhythm recovery in “Zero 83”, compression should not be stopped.
5. It is recommended to extend the ECG monitoring time after termination of resuscitation from 5 minutes to 10 minutes.
It is recommended to issue,
The discussion suddenly disappeared a lot.
The matter just passed, but it also affected the operating room to some extent.
…
a new day,
Lin Feng went to day shift and came to the hospital early.
First, the ward round. After 5 days of treatment, patients with “Salar Road Syndrome” have recovered a lot and can get out of bed and walk.
Then go to the consulting room and start a consultation.
But at this moment…
Ling Ling Ling~~~~
Lin Feng’s cell phone rang suddenly.
stranger……
Lin Feng’s mobile phone number has always been relatively private, and there are very few calls from insurance, banks, or advertisements.
Pick up.
“Hello……”
“Lin Feng!!”
There was an excited voice on the other side.
A bit of unfamiliar familiarity…
“You are??”
“Lin Feng, it’s me, junior high school classmate, Wang Bin…”
Lin Feng heard,
Come to think of it, it’s a junior high school classmate, but I haven’t contacted him for more than ten years…
“Oh, Abin, what’s the matter? I’m going to work now, if I’m not in a hurry…”
“No, no, no… don’t hang up, I’m in a hurry… there is something I ask you to help…”
At this moment, Lin Feng thought of ‘chicken’ (the patient who came in through the back door).
But after all, they are classmates and can help as much as possible.
“What happened? You said…”
“Yes, my child is hospitalized…”
“Well, you said, don’t worry, take your time…”
Then classmate Wang Bin cried and talked about his condition.
A big man crying like this, you can imagine how flustered he is.
“That’s how it happened. The child had a fever the day before yesterday and thought it was a cold. I didn’t care. I bought some cold medicine for him from the drugstore and went to school after taking it. Unexpectedly, the child vomited at school. The teacher hurriedly asked his mother to pick up the child. Go home. After taking the medicine, the child is a little better, but still not very energetic, so I went to the nearby clinic, prescribed some medicine, and continued to take…Unexpectedly, the next day I started speaking uncomfortable…”
When Lin Feng heard this,
A word flashed through my mind.
encephalitis!
“The child kept crying and vomiting. We were terrified and rushed to the hospital…Then the doctor said it might be encephalitis. Now I live in ICU…”
“Then what?”
“That’s it. The doctor said that a spinal puncture should be done. Hearing what the doctor said is to penetrate directly into the spine, I would like to ask your opinion. The risk is not big…”
Lin Feng heard,
very angry!
“Are you still asking my opinion? You should agree to the doctor quickly and get a puncture quickly!”
Although Lin Feng was not at the scene, he did not know the results of the inspection.
but,
Lin Feng combined several conditions:
·Fever, cold…
·Vomit……
·Poor spirit…
·Speaking is not easy…
The judgment is high probability of encephalitis.
why?
Colds, under normal circumstances, only have typical manifestations such as nasal congestion, nasal discharge, sneezing, sore throat, and fever.
And if vomiting occurs, you still have to be highly vigilant!
In addition, the problem of “bad spirit” is added, and the problem is even greater!
If you have a fever, if you are mentally okay, it is generally not a problem, just take the anti-fever medicine yourself.
If you are not energized, you must be sent to the hospital immediately!
But how do ordinary people know that a fever needs to be squeezed into the hospital?
Fever is a common symptom. Children have fever several times a year. They are basically common colds. Who can think of encephalitis?
The most important thing is that-“Speaking is unsuccessful”…
This shows what?
This shows that something is wrong with the brain center!
Such a speculation, the high probability is encephalitis!
pity,
The old classmate went to the small clinic the first time he was sick. The doctor in the small clinic didn’t pay attention to it, and then wasted a day!
If it is really encephalitis, the progress of the disease may not be good!
And now, the old classmate even consults Lin Feng whether to do a lumbar puncture?
I must do it!
This condition is already very dangerous!
Lin Feng sighed when he heard it, and said his opinion. ……..
“Don’t hesitate, trust the doctor, and if the doctor recommends it, do it as soon as possible. Lumbar puncture is a relatively small operation, risky, but generally the problem is not big… By the way, what kind of hospital is your hospital?”
“Guangdong North City, the top three…”
“That shouldn’t be a big problem…”
“Lin Feng, can you send it to your hospital?”
There was a cry of pleading in the voice of classmate Wang Bin.
Lin Feng hurriedly stopped: “Why! I am the imperial capital here, and there is no airport in your place. It will take at least 10 hours to come here… The progress of encephalitis usually progresses faster. If you bring your children over, what will happen to your illness? Do! Your child has to race against time to understand, so quickly do a lumbar puncture, 2.3 to test what is causing the encephalitis!”
“Okay!”
“Is the child awake now?”
“Still awake…”
“Okay… Hurry up and do a lumbar puncture!”
Lin Feng said here,
Classmate Wang Bin has quickly agreed to the doctor to do a lumbar puncture.
I wrote before, ‘what is a “lumbar puncture”’, but I didn’t make it clear why ‘cerebrospinal fluid’ was extracted instead of ‘spinal fluid’?
reason:
Because the brain fluid and spinal fluid of the human body are connected, they are collectively called cerebrospinal fluid.
If there is encephalitis or meningitis, the brain fluid will be abnormal, and the abnormal brain fluid will flow into the subarachnoid space. At this time, our lumbar puncture can extract this part of the cerebrospinal fluid. Laboratory tests can provide a lot of information.
That’s why there will be lumbar puncture—obtain—cerebrospinal fluid!
. .