The stretcher was carried into the emergency room, and when they came to her, Guo Fu asked, "What's going on?" ”

Who in Sanya does not know the number two person in the health center, the elite among female nurses. One of the attendants hurriedly said, "Food poisoning." ”

"What did you eat?" Guo Fushu walked in unison and waved his hand, "Quick, put it on the No. 1 platform"

"Ate mushrooms." A hygienist said.

Poisonous mushroom poisoning. Guo Fu thinks that this is one of the most common types of food poisoning in the local area. No matter how many health education classes are given to the workers, no matter how many deaths there have been before, the mushrooms in the mountains and forests are always full of temptation for the workers. From time to time, people take food.

"Did you bring the sample?"

"Brought, here," the hygienist opened a laborer-used lunch box containing boiled mushroom fragments, a gray pile. She pointed to a few unpleasant laborers behind her, "They also ate, but the symptoms are not serious, they are weak, and they have stomach pain......

"Stomach aches, diarrhea, vomiting?"

"Yes," the hygienist panicked, "they ate it last night, and they don't know when they picked it." The hygienist was so frightened that her face turned white, "I really didn't see it......"

She has seen cases of death from eating poisonous mushrooms and knows the serious consequences. The most important thing is that if there is such a major liability death accident in the squadron in charge of him, he has to be sent back to Lingao to the Ministry of Health. The status of "***" in the minds of naturalized and indigenous people is now second only to "labor camps".

"Don't be in a hurry." Guo Fu comforted her, while taking care of the nurses on duty in the emergency room, "Quick, go and ask Dr. He, all the nurses on duty are fine."

Guo Fu asked people with symptoms but not serious to sit down on the bench against the wall first, and dealt with the seriously ill number lying on the treatment table first.

The sick's overalls had been stained with vomit, and his pants had traces of watery feces and a foul smell.

"Quick, help him undress" Guo Fu wiped her hands with alcohol while instructing the third-term nurse, and the female hygienist who sent the patient was afraid that she would be affected in case of an accident, so she hurriedly said, "I'll come." ”

"Okay, the scissors are in drawer 5." Guo Fu said as she opened the lunch box brought by the female hygienist. She poured the mushroom fragments into an enamel plate and pulled them with tweezers. The Ministry of Health has printed a lithographic copy of the "Illustrated Guide to Common Poisonous Animals and Plants on Hainan Island", which not only contains white drawings, but also detailed descriptions of the forms and colors -- because the printing industry in Lingao is temporarily unable to carry out large-scale color printing of photographs -- this book is not only included in the training materials, but also an essential reference book for all health institutions. Guo Fu has put a lot of effort into this book, but the shape and color of the cut and boiled mushrooms have changed, and she can only barely think that it is about porcini mushrooms.

"How much did you eat?" Guo Fu asked.

"I heard them say that there was a lunch box," said the hygienist, "and that the others didn't eat much." This person is a middle shift, and after getting off work, he added another three hours to the shift and missed the supper time. When I returned to the dormitory, I saw that there were boiled mushrooms, so I ate a lot of the rest, about half of it. ”

"When did you find out?" Guo Fu asked.

"Just now," the hygienist was frightened, "I went to the squadron dormitory to check the hygiene, and they carried him out, saying he had fainted - I really didn't know they were secretly cooking mushrooms in the dormitory" She cried, "This killed me"

"Don't cry" Guo Fu hurriedly stopped her and asked, "How long did it take to pass out?" ”

"It's been almost an hour now."

Guo Fu calculated and speculated in his mind. The middle shift leaves at 12 midnight. This person ate mushrooms at about 3 o'clock. Now the 7 o'clock whistle has just been played. According to the description in the medical book, the incubation period of porcini is 10 minutes to 2 hours, and from the point of view that he did not begin to show symptoms until 6 o'clock, the incubation period has been 3 hours, so it is not porcini bacteria...... But the book says that there are a few cases that can be incubated for 6 hours. This made her a little unsure.

"Are there any fresh samples?" She asked, hopeless.

"No, I went to their dormitory to find out about the poisoning......

She lifted the patient's eyelids and shone a tiny flashlight into his eyes. His eyes moved nimbly, and he let out a moan.

"What's his name?"

"Jiang Dashan."

Guo Fu leaned down at the patient and said directly into his ear, "Jiang Dashan, can you hear me?" Jiang Dashan"

His eyes moved slowly in her direction, and he nodded slightly.

"What's your name?"

"Ginger...... Big...... Mountain ......"

The degree of his reaction was sufficient to prove that the nervous system was not damaged - this should be gastroenteritic type of mushroom poisoning, which is the mildest of mushroom poisoning. However, some mushroom poisoning is accompanied by damage to the organs, although it also presents with gastroenteritis symptoms. However, the incubation period of this type is generally more than 10 hours, and vomiting and diarrhea are not severe. She thinks her judgment should be correct.

She instructed Shi Jiemei, the nurse on duty:

"Prepare intubation, saline solution, and straws," Guo Fu instructed, and then instructed, "those against the wall, give them medicine to induce vomiting"

The gastric emptying time is about 4~6 hours, and foods with high protein content such as mushrooms stay in the stomach for a longer time, and it is still too late to wash the stomach. As for the others, the vomiting is a little late, and maybe it will work a little bit - their symptoms are not serious anyway, and the laxative should be fine.

"I'll go now" Shi Jiemei quickly went to get the medicine and utensils - she was the best in the third phase of life: from the fact that she could bear the surname of Dr. Shi, it was clear that Dr. Shi favored her. Shi Jiemei not only has a strong sense of learning and understanding, but her body appearance can be evaluated according to the "Comprehensive Standards for the Evaluation of Maids in the Office (1630 Edition)", which can score 175 points, which belongs to the * level......

"Give them magnesium sulfate after spitting," Guo Fu told in the back.

Magnesium sulfate heptahydrate is a chemical that is used in medicine as a swelling agent, vasodilator, and laxative. Lingao's magnesium sulphate is manufactured at the bitter brine plant of the Mahui Salt Works. Guo Fu gave them magnesium sulfate mainly to induce catharsis and promote the patient's intestines to empty as soon as possible.

"Got it, there's also rehydration to correct dehydration and electrolyte imbalances—" Shi Jiemei deliberately raised her tone from the other end of the hallway.

Guo Fu nodded helplessly: "Yes, I still need to rehydrate." Although she is about the same age as Shi Jiemei, she has been displaced for a long time and is older than others in terms of personality and affairs.

After the equipment was ready, Guo Fu broke open the patient's mouth and stuffed it into an opener, inserted a tube, and skillfully stabbed it into his throat and into his stomach. A nurse then handed Guo Fu a glass jar filled with saline. Guo Fu poured a portion of the saline into the funnel at the top of the cannula.

After half-filling the solution, she waited a few moments for the solution to flow into her stomach, then took the straw that sucked the saline, squeezed the liquid into a basin, and then continued to wash the mushroom residue in this way. When she sucked up the third time, she found gray scraps of food. In this way, she cleaned the stomach cavity of the patient again and again, gradually sucking out all the food residues, and she felt that the patient was out of danger.

Atropine is injected subcutaneously, and 5% GS solution and normal saline are injected intravenously once every 6 hours."

Atropine injections are used to relieve gastrointestinal symptoms such as abdominal pain and diarrhea. Shi Jiemei finished injecting atropine, and then quickly inserted the infusion needle. Intravenous saline and dextrose are easily given to the patient to prevent dehydration and correct electrolyte balance. At the same time, Guo Fu observed the patient's heart rate, pulse and chest sounds.

Guo Fu felt that the patient had regained a little strength, so she helped him sit up.

"100 grams of activated charcoal, mixed with water and taken orally."

Jiang Dashan then drank a cup of activated charcoal. He didn't want to drink the strange black water, and coughed up some, but was forced to drink it anyway. Activated charcoal water not only prevents toxins from entering the patient's body, but also digests some of the toxins that have already been absorbed.

Guo Fu then checked his blood pressure, pulse and breathing, as well as his vision and reactions. She kept talking to him, making sure that all his nerve reflexes were normal, though his answers were weak.

Then she turned back to the minor patients: after vomiting and catharsis, they were tossed and languished, and they were paralyzed on the hospital bed and unable to speak. According to the doctor's instructions, Shi Jiemei has distributed oral glucose saline mixture to them to replenish** and restore electrolyte balance - Shi Yuanren asked everyone at the Ministry of Health work meeting not to use infusion treatment unless absolutely necessary. This is not only for the purpose of saving the use of equipment, but also to avoid the many dangers that may arise in the infusion.

Seeing that everything was on track, Guo Fu sat down and began to write medical records. The hygienist rubbed uneasily against the table.

"Are you alright?"

"It should be fine." Guo Fu said, continuing to write the medical records with a dipping pen, "I want to write a report on this matter......

The female hygienist simply said in a pleading tone: "Please write a supernatural life and say a few kind words for me in front of Dr. He...... I don't want to send it back to Lingaojin***. ”

"The absence of fatalities is not a major liability accident." Guo Fu comforted her and said, "Besides, they secretly picked mushrooms to eat, and they are also responsible." You don't have much responsibility. ”

"Xiexie, Xiexie......" The female hygienist almost knelt down and kowtowed, of course, this is not allowed under the Lingao system. The fear of the female hygienist is not unfounded: the salary level of the hygienist is much higher than that of ordinary laborers, and once they are in, they have no personal freedom for several months, and their wages are only a small amount of living expenses. This is quite a terrible blow to many working families.