Chapter 148: Techniques for Bringing the Dead Back to Life
Akemi Miyano is still alive.
Her feigned death managed to fool Gin's eyes.
And in the eyes of Gin and the organization, Akemi Miyano's body was also thrown into the sea by Lin Xinyi.
In this way, even if her body is not found later, the organization will only think that Akemi Miyano has sunk into the vast sea, and there will be no more suspicions.
The crisis brought by the organization has been completely lifted by Lin Xinyi.
However, this does not mean that the crisis is over.
Although Akemi Miyano is alive, her vital signs are still very weak.
Sending Gin away and fooling the Order, she now has to fight tetrodotoxin in her body.
"It's better to get to the hospital as soon as possible."
"Survive on her own... Although it is possible, the probability is too low. ”
Lin Xinyi was a little apprehensive in his heart.
He can now give Akemi Miyano artificial respiration to maintain her life and help her solve the most lethal problems of respiratory muscle paralysis and weak respiratory function.
But Shiho told him before that tetrodotoxin can not only paralyze the respiratory muscles and nerves and obstruct breathing, but also paralyze the motor nerves of the blood vessels, causing severe symptoms of hypotension.
Even if oxygen is supplied by artificial respiration, patients will have dangerous symptoms of systemic organ failure due to insufficient blood perfusion of various organs due to prolonged severe hypotension.
Therefore, it is really difficult to survive on your own body without medical first aid.
"What to do... It's a gamble of luck to see if she can survive herself..."
"Or send it to the hospital and let Akemi Miyano receive professional first aid?"
Lin Xinyi was very entangled.
Bet on luck and only do artificial respiration, the probability of survival is not high.
Sent to the hospital, the hospital needs to be registered, and the "dead" Akemi Miyano has to be exposed in front of people.
If the organization finds out, then he and Akemi Miyano, and even Shiho, who is still locked up in the laboratory, will be killed.
"I can't help it..."
Lin Xin thought for a moment, and finally chose the compromise that he had thought of a long time ago.
"Let's ask him to help."
Lin Xinyi's circle of friends is not big.
And in the current situation of suddenness, there is only one person who can help him get drugs and equipment as soon as possible, and has professional medical knowledge and knows how to rescue him.
Although Lin Xinyi has known that person for a short time, he at least knows his past and knows that he is a righteous and trustworthy person.
And because Lin Xinyi once saved him from the darkness, he now regards Lin Xinyi as an idol and a respected teacher.
If you let him help, you can minimize the risk.
"Dr. Asai."
Thinking of this, Lin Xinyi hurriedly took out his mobile phone.
He had been wrapping the phone in a plastic evidence bag that he had carried with him, and dived into the water with it.
This is done so that you can call for help in time after you go ashore:
"Hello? Asai, do you know how to rescue a puffer fish poisoning patient? ”
As soon as the phone was connected, Lin Xinyi asked straight to the point.
"Uh..."Suddenly asked, Asai Narumi was a little confused.
But he still subconsciously replied: "Yes." ”
"Puffer fish poisoning is more common in Yuben, and when I was an intern in the hospital, I once participated in the treatment of a puffer fish poisoning patient."
"That's great."
Lin Xinyi suddenly breathed a sigh of relief:
He is a forensic doctor, and he is not very skilled in saving people.
Shiho is a biochemist, and she has only studied the toxicology and pharmacology of tetrodotoxin, so she can't teach Lin Shinichi first-aid knowledge about tetrodotoxin.
Fortunately, there is a serious doctor named Narumi Asai here, who is professional and knows how to save people.
"Asai, I'd like to ask you for a favor."
"I remember you told me that your adoptive parents run a private hospital, right?"
"Yes."
Asai Narumi faintly heard something:
"I'm at home right now, not far from my family's private hospital."
"What, Mr. Lin Xinyi... Do you need to send a patient with puffer fish poisoning for treatment? ”
"Nope."
Lin Xinyi's tone was extremely solemn:
"I want to ask you to go to your hospital alone, get medicine and equipment, and drive an ambulance to save people."
"I have a patient here, and it's inconvenient to go to the hospital."
"This..."Hearing this, Asai Narumi couldn't help but be a little puzzled.
And before he could ask, Lin Xinyi said to him very solemnly:
"This is related to an important case."
"If I could, I wouldn't want anyone but you to know about it."
"Dr. Asai."
"Can I trust you?"
Asai was silent for a while.
He finally realized how difficult this matter was, and also realized that Lin Xinyi seemed to be more mysterious than he imagined.
However, thinking of Lin Xinyi, the man who saved his life...
Asai Narumi didn't hesitate for long, and responded from the bottom of his heart:
"Mr. Lin Xinyi, you can always trust me."
........................................
It takes time for Asai to prepare the medicine and equipment, and it takes even more time to drive from downtown Tokyo.
Lin Xinyi could only take care of Akemi Miyano by himself first, using uninterrupted artificial respiration to deliver oxygen to her weak breathing.
And although Akemi Miyano's vital signs did not improve significantly, at least, they did not deteriorate at all.
She has always been on the verge of life and death, living in an extremely weak way.
That's it, I don't know how long it has been...
Anyway, Lin Xinyi's mouth was swollen after artificial respiration.
At this time, Narumi Asai finally arrived at the scene in an ambulance carrying drugs and equipment.
"Mr. Lin Xinyi!"
While shouting Lin Xinyi's name, he decisively stepped out of the car and opened the back door of the ambulance.
"Ahem, ahem, ahem..."
Lin Xinyi wiped his slightly red and swollen mouth, and picked up Akemi Miyano, who was still like a dead man.
He put Akemi Miyano in an ambulance and put her on a mobile hospital bed in the carriage.
"This is the patient?"
It is important to save people, and Asai Narumi has no time to communicate with Lin Xinyi.
He hurried to check Miyano Akimi's pupils, and his face suddenly became solemn:
"Fake Death Symptoms, this is already the level of severe poisoning."
"Well, how can I save it?"
Lin Xinyi didn't talk nonsense, and asked directly:
"I have no experience in rescuing puffer fish poisoning."
"You guide, I'll help."
In the autopsy, he is a teacher, but in terms of saving people, then he has to let Asai Narumi command.
Lin Xinyi consciously put the leading power in the hands of Asui, and Asai Narumi also reacted quickly:
"Puffer fish poisoning requires the removal of unabsorbed toxins from the stomach and intestines as soon as possible, but now, time has passed a long time since the poison occurred."
"Now the effect of vomiting is limited, and there is no one on the gastric lavage locomotive."
"In that case..."
Asai Narumi frowned and said:
"Give the catharsis first, let her expel the food residues that have entered the intestines!"
Lin Xinyi: "......"
Giving a catharsis to Ms. Akemi... The picture is too beautiful to imagine.
In addition, although the body of the patient cannot move, the consciousness remains awake throughout the whole process.
He was sure that Akemi Miyano, who was now lying on the hospital bed, must have a very complicated mood.
"There's no need to be a catharsis."
Lin Xinyi explained the situation in a timely manner:
"She wasn't food poisoning by mouth, she was poisoned by intravenous injection."
"Intravenous?"
Asai Narumi was slightly stunned, and his expression was a little subtle.
But he didn't have time to ask in detail, so he turned his attention back to first aid:
"I'm going to put her on a ventilator and an EKG machine."
Although there is no gastric lavage machine in the ambulance, there are more critical, vehicle-mounted respiratory muscles and electrocardiographs.
While busy supplying oxygen to Akemi Miyano's ventilator, Asai Narumi said to Lin Shinichi:
"You give her intravenous fluids."
"Hmm." Lin Xin nodded.
He also did an internship in a hospital at university and knew how to do it.
The initial steps in treating poisoned patients are similar, with an indwelling needle establishing intravenous access and a large amount of intravenous fluids with glucose or normal saline.
This is a diuretic and promotes the excretion of toxins.
"And then?"
Lin Xinyi hung a hanging bottle infusion for Akemi Miyano, and he didn't know what to do next.
While carefully intubating Akemi Miyano, Asai Narumi said to Lin Shinichi:
"I've put all the medicine in the cabinet next to me, you can help me take out everything I need to use."
As he spoke, he reported a series of drug names:
Corticosteroids, which can reduce tissue reactions to toxins.
Scopolamine can antagonize the inhibitory effect of tetrodotoxin on rhabdomin.
Strychnine hydrochloride, vitamins B2 and B6, can relieve muscle paralysis.
Naloxone can significantly reduce the inhibition of respiratory and circulatory function by toxins, increase the partial pressure of oxygen, and restore blood pressure and pulse to normal.
After talking about the names of these drugs, Asai Narumi also explained the dosage required for each medicine one by one.
"Okay, I see."
Lin Xinyi prepared these drugs according to his instructions, and injected them into Miyano Akemi's body one by one.
As these drugs enter the body to take effect, the data displayed on the on-board ECG on the side gradually show a momentum of improvement.
And Narumi Asai has also helped Akemi Miyano to do endotracheal intubation, activated the A/C mode of the ventilator to assist breathing, and realized mechanical ventilation.
Seeing the stable and positive data on the ECG, he breathed a long sigh of relief:
"It seems to be stable..."
"Next, as long as you carefully monitor the physiological data of this young lady, and use drugs to assist her, she should be able to recover slowly."
"Is it..."Lin Xinyi asked with some concern, "Don't you need to do hemoperfusion?" ”
"Portable hemoperfusion, you should have brought it, right?"
Hemoperfusion introduces the patient's blood into a perfusion device filled with a solid adsorbent to remove toxins from the blood through adsorption.
This is the main means of rescuing poisoning with various drugs and poisons.
According to Lin Xinyi's first-aid knowledge, he thinks this trick should also be useful for tetrodotoxin.
"Hemoperfusion is indeed very useful in the treatment of tetrodotoxin and is the mainstay of treatment for tetrodotoxin."
"However, this must be used early in the poisoning period for the effect to be obvious."
Asai Narumi said helplessly:
"This patient was given an intravenous toxin, and so much time has passed... Hemoperfusion should not have much effect. ”
"But the good news is that her vital signs are now stabilizing."
"Without hemoperfusion, she should be able to recover."
"That's good..."
Hearing Dr. Asai's words, Lin Xinyi was also relieved:
"Now, let's just watch?"
"Uh..."Asai Narumi thought for a moment and said, "Actually, there is still something to do." ”
Lin Xinyi: "What to do?" ”
Narumi Asai: "Give her a boost." ”
Lin Xinyi: "......"
"Haha... I'm not kidding. ”
"Although it is not medically possible to explain in detail, the psychological factors of the patient can also play a big role in the treatment process."
"The stronger her desire to survive, the more hopeful she is of surviving."
Narumi Asai smiled slightly and explained:
"And the brains of people who are poisoned by tetrodotoxin are always awake..."
"You cheer her on, she can hear her."
"I understand..."Lin Xin nodded.
He brewed his emotions for a while, then gently held Miyano Akemi's hand and said to her:
"Akemi-san, wake up..."
"Shiho, she's still waiting for you."
It's a simple sentence, as if there is some kind of magic.
Hearing the name "Shiho"...
Miyano Akemi's dilated pupils suddenly trembled slightly.