273 Who is he (alliance leader bandit number Mengdegagen 2)
Doctors, nurses, stretcher bearers rushed in.
Seeing the patient sleeping profusely, the 120 emergency doctor asked, "Is he the patient?"
"Yes, alcoholic hypoglycemia is now suspected. Wu Mian sat on the chair, his back leaned back slightly, and his legs seemed a little longer.
"Uh......" The 120 emergency doctor was stunned for a moment, he looked at the patient carefully, and still thought it was ordinary drunkenness.
"Who are you? "120 emergency doctors ask the same question as middle-aged men, an ultimate philosophical question.
"You don't need who I am, I've prompted you to sit on things. It has now been 23 minutes since he lost consciousness, and if he is pulled back to the hospital, it will be at least another 30 minutes. Hypoglycemic encephalopathy, which can lead to...... Don't explain it, you can bear all the consequences, it's up to you. ”
Wu Mian looked at the badge of the 120 emergency doctor and said.
"......" The 120 emergency doctor was stunned for a moment, and forcibly defended, "If you get in the car and want an infusion, you can give glucose + vitamin C." ”
"What if it has a cerebral hemorrhage?" Wu Mian asked, "Don't you give mannitol? What's the use of you giving some sugar slowly? What if you give it quickly, which increases blood pressure and causes the cerebral hemorrhage to worsen? In this case, can you rule out subarachnoid hemorrhage?"
"......" 120 emergency doctors were completely speechless.
The young man on the other side said a few words, a few guesses, and completely blocked all the roads.
And he said that he would bear all the consequences, and directly hit the weakness of 120 emergency doctors. Wu Mian, a senior industry insider, knows what doctors are most afraid of, in a word.
120 emergency doctors don't have any idea of saving face, if the patient really has any problems, he can't eat and walk around. Besides, this young man has already said everything like this, and he can't run away if something happens.
From the good as the flow, then measure a blood sugar, anyway, there are more cases of Baidu medical treatment in the patient's family in the hospital, and the doctor has already formed a habit, not bad This case.
"Take your fingerstick blood sugar first. The 120 emergency doctor said.
The little nurse had already taken out the blood glucose meter and began to perform the operation. Wu [fo] Mian stood with his colleagues and listened to whom...... It doesn't seem like much thought. Besides, just measuring blood sugar at your fingertips is not a large-scale operation.
Soon, a drop of blood dripped on the instrument.
The alarm sound of Didi Di came from the instrument in the little nurse's hand, and the 120 emergency doctor took a look at it, and the blood sugar on the fingertips was 1.23mmol/L.
The 120 emergency doctor was stunned for a moment, what was going on? I didn't expect it to be alcoholic hypoglycemia!
This is rare, and it is rare to encounter a single case in a year.
"Hurry up and send it to the car and give 50ml of high sugar. Wu Mian stood up and took the chair aside, "Hurry back as soon as possible, the hypoglycemia will be corrected, and there will be no sequelae." ”
The 120 emergency doctor did what Wu Mian said in a trance, carried the patient back to the ambulance, and injected 50ml of 50% glucose intravenously.
In less than 2 minutes, the patient took a deep breath and then spit it out, and the smell of alcohol filled the car was diffuse, making the doctors and nurses feel intoxicated.
Seeing that the patient was fine, the 120 emergency doctor breathed a sigh of relief.
He was a little surprised that what the young man had just said was right, but his pride was hit hard. How can you be worse than a passerby?
Seeing that the patient was already able to speak, it should be no problem, the 120 emergency doctor picked up his mobile phone, opened the website and began to search for the concept of alcoholic hypoglycemia.
There were a lot of entries, so he clicked on one casually and looked at it carefully.
Alcohol can inhibit hepatic glycogen synthesis, ethanol is oxidized into acetaldehyde and acetic acid in the liver, and a large amount of coenzyme I is redoxed into reduced coenzyme I, resulting in a decrease in coenzyme I, so that lactic acid, glycerol, and amino acids in the blood cannot be turned into glucose through the gluconeogenesis process, and blood glucose production is reduced, so blood sugar is reduced.
After drinking, the body's adrenergic nervous excitement and cortisol function are enhanced, excessive energy is consumed, glucose catabolism increases, and blood sugar levels in the blood plasma decrease.
After reading it, the 120 emergency doctor breathed a sigh of relief.
He came from a nearby second-class hospital, and under normal circumstances, drunk patients are given some sugar and saline, and at most some naloxone, and the patient wakes up on his own.
If there is severe vomiting, a blood routine and serum ions may be checked, and there is a concurrent ion disorder. However, the patient in front of him is just asleep, and even if he is sent to the hospital, he should not have blood drawn for testing.
As for blood sugar, it is "over-medical" and will not be checked at all.
In recent years, the matter of indiscriminate examination by doctors has become extremely heavy pressure of public opinion, unless there is consideration, otherwise too many examinations will not be done.
Thinking back to the situation at that time, the 120 emergency doctors felt a sense of weakness in their hearts.
It's dangerous.
He looked at the patient and let out a sigh of relief.
"Brother Yang, who was that person just now. The little nurse asked.
"I don't know. The 120 emergency doctor said, "I heard him say it very slippery, I guess it's a peer from which hospital." No, he's too young, and he's probably a trainee. ”
"Don't be, can Gui Peisheng have such a big aura?" the little nurse said disdainfully, "You were all stunned at that time." ”
"What's the matter, I'm afraid that there will be a doctor-patient dispute. The 120 emergency doctor said.
"I knew he was right, your level is half a bottle of oil, back and forth. The little nurse naturally stood on Wu Mian's side and said, "Brother Yang, how do you say low blood sugar?" ”
"So much to ask. The 120 emergency doctor said unhappily.
"When I entered the hotel just now, I saw a pair of long legs, long and straight, and I really wanted to touch them. ”
“......”
"If I wasn't in a hurry, I would have asked him for a contact information. "I thought he would follow, but when I pushed the patient into the car, I looked back and saw no one." ”
"Who knows. The 120 emergency doctor said, "It may also be a standard trainee who doesn't know the height of the sky, and he comes out and talks nonsense after learning something in school." ”
"Cut! When will our hospital not admit a few patients with alcohol poisoning? If I see too much, I will give a doctor's order. Isn't it sugar saline, vitamin C, and naloxone? If you vomit badly, give some anti-emetic medicine. When did you check your blood sugar?"
In a word, the 120 emergency doctors were speechless.
Recalling the situation at that time, it was not easy to say that it was alcoholic hypoglycemia without any instruments or examinations. Although he also said that he had a cerebral hemorrhage, the 120 emergency doctor knew that he was scaring himself.
Weird, where did the young man come from?
"Brother Yang, if you go back to the hospital and see him later, you tell me. The little nurse's eyes lit up and she said, "I had a feeling at first glance that he could do anything." ”
"You're the color. The 120 emergency doctor said sourly.
"That's it, what's the matter!" said the little nurse, not to be outdone, with her eyes wide.