stjorthotic Chapter 325
Chapter 325
Chapter 325
Harmony Hospital,
Emergency Department.
Lin Feng admitted to the hospital for a young man with appendicitis, and planned to operate directly during the day after tomorrow…
Sent away this young male patient,
The next patient,
“Wang*zhen, please go to the third consultation room…”
Just when the patient was about to walk into the ward,
The nurse rushed in.
“Dr. Lin, an ambulance just called, a patient, hemorrhage from the back door… There is a possibility of shock at any time, and several doctors feel unsure. The director wants you to pick up this patient!”
“good!!”
Lin Feng did his part and directly took over the important task of rescue.
In the emergency department, many doctors are proficient in single or several departments, but Lin Feng is the only one who is proficient in general departments.
There are many diseases that require Lin Feng to get along.
“How long will it take for the ambulance to arrive?”
“5 minutes……”
“good!”
Lin Feng turned his head to look at the new patient with an apologetic expression: “I’m sorry, I have to go to the rescue, or should I arrange for you to go to another doctor?”
The patient was an old woman in her 50s. She was reasonable and smiled and said, “Dr. Lin, go now, life is at stake…”
Long live understanding!
Lin Feng quickly came to the nurse station and ordered a few nurses.
“Things to be refilled immediately, saline, glucose, plasma, blood red… etc…sent to the rescue room…”
“Yes!!”
All nurses are experienced fighters.
Shortly after,
Beep Beep Beep Beep~~~~~~
A hurried voice rushed in.
At this moment, Lin Feng couldn’t help his adrenaline soaring and his heartbeat accelerated.
Someone is going to be rescued!
Anyone who can be delivered by an ambulance is definitely not a minor illness! !
Bleeding, I don’t know what happened…
“Doctor Lin!”
The 120 doctor on board the ambulance quickly ran out of the car, and then saw Lin Feng, his eyes lit up.
Lin Feng quickly ran over, took the flat car, and quickly pushed to the rescue room.
On the way, Lin Feng looked at the patient:
·Female, about 20 or 30 years old…
·In a coma…
·The bottom is already red…
·Pale face, cold hands and feet, obviously a sign of hemorrhagic shock…
Feel the pulse.
·The pulse is small and fast, obviously low blood pressure, high heart rate, already in shock…
·Looking at the pupils, there is no problem for the time being…
Lin Feng asked the doctor 120 with the car as he ran wildly:
“What’s the specific situation?”
The doctor in the car spoke quickly.
“The patient was at work, and then went to the toilet. The result was bleeding and she shed a lot. Then he called for help. The colleague heard him and called 120 to the police. By the time we went up, 10 minutes had passed…”
“While on the road, she was in shock… But before she passed out, she said that the worker had blood in the stool 5 times a few days ago, but not much…”
Lin Feng nodded while listening.
“Have you checked and confirmed that it is bleeding from the steel door? Is it possible that it is bleeding from the seal canal?”
“After checking, it is confirmed that the steel door is bleeding.”
Female patients pull blood is a little special, it is necessary to figure out whether it is bleeding from the obstetric tract or gastrointestinal bleeding.
Because female patients have Yue Jing!
If you make a mistake, the examination and treatment will be totally different.
“Has the patient’s family come?”
“I didn’t come… It was her colleague who sent her… But she has already contacted her husband, and it is estimated that she will be there in 12 minutes…”
…
at this time,
A Dorsett is jammed on the viaduct.
Wang Jiali’s husband was constantly honking the horn anxiously, frantically urging the vehicles in front.
“Hon the horn, honk the horn… you are in a hurry to reincarnate!!”
The burly man in front was so upset by the horn that he got out of the car and went straight to the door of his husband’s car. He was very vicious.
The husband yelled with a ferocious face: “Yes, I am in a hurry to reincarnate. My wife is now in the hospital for rescue!!!”
The brawny man was so loud that his eardrums fainted, and the ferocity suddenly vented.
If his wife went to the hospital for emergency treatment, he would also go crazy.
“I’m sorry, brother… The previous Tesla had a car accident, and now the traffic police are dealing with it… I also want to hurry up…”
“Ahhh~~~~~” The husband scratched his hair and hammered the steering wheel several times.
Ling Ling Ling~~~
An unfamiliar call came in.
“Hello, is it Wang Jiali’s husband?”
“I am, how is my wife now?”
“Your wife has been sent to our Harmony Hospital. She is now in the emergency room. Doctor Lin is taking over. Please come as soon as possible…”
“I will rush over as soon as possible… Please save my wife…”
“Don’t worry… we will try our best… Now, sir, calm down. We need to understand your wife’s condition, because she is fainted. Now we can only understand through you…”
“Well…you ask…”
“Your wife had blood in the stool a few days ago, do you know?”
“Blood in the stool…I don’t know…” The husband’s anger receded at this moment, leaving only countless regrets, regrets, and embarrassment.
My wife had blood in the stool, I didn’t even know it!
…
Emergency Department.
emergency room.
The patient has quickly connected to the ECG monitor.
Take a look at the value,
·Blood pressure: 85/45mmHg……
·Heart rate 140 beats/min…
Proper shock! !
Hurry up and establish a dual venous channel!
Rehydration!
Salt first, sugar, crystal first, glue…
Physiological saline, balanced salt solution, glucose solution to increase the return heart blood volume and cardiac output…
Whole blood, plasma, albumin, etc., reduce the penetration of crystalloid blood into the third space outside the blood vessel…
A series of operations down.
As for bleeding?
Let’s make up for the shock first! !
At this time, the patient’s blood has stained all the sheets of the rescue bed.
Moreover, I also brought a lot of mixtures, very smelly ones.
However, Lin Feng was unmoved, only the patient’s condition in his mind.
The other doctors and nurses are also unmoved, after all, they have experienced many battles…
This is professionalism! !
Lin Feng assessed the patient.
This amount of bleeding is at least 2000ml online!
No discount!
At this time, the patient Wang Jiali was unconscious and stepped into the ghost gate with one foot.
now,
Rehydration and anti-shock have started to work.
Then the next (good) is to find the cause and cure the root!
Where is the bleeding? ! !
Need to find quickly!
And stop bleeding quickly!
Lin Feng began to analyze…
Where is the bleeding?
The human digestive tract is divided into upper and lower parts.
·Upper gastrointestinal tract: from the mouth to the esophagus→stomach→duodenum→part of the jejunum (bounded by the ligament of flexion)……
·Middle digestive tract: jejunum→ileum……
·Lower digestive tract: colon → rectum…
The patient has so much blood in the stool, and all blood comes out, most likely it is lower gastrointestinal bleeding.
So……
The most likely is the colon, rectum…
You can try colonoscopy.
If you see bleeding spots in the mirror, stop bleeding immediately.
but! !
At this time, ‘flesh and bloody’.
Is colonoscopy really possible? Will the lens be blurred?
——-factory-
ps: The three shifts are over…
. .