Chapter 295: Incontinence
In fact, the arrival of the king pigeon took a little shorter than he expected. Although it was just over 12 o'clock in the middle of the night, there were still a lot of cars on the road, but there were already a lot fewer than during the day, and they didn't dare to rush to the ambulance. The king pigeon got out of the car tonight very smoothly, nothing happened, and the place itself is relatively close to the hospital, so there was not much delay on the road.
In Jintai Jiayuan Community, although there are more buildings inside, the whole community is relatively large, but the buildings are arranged in order, under the guidance of the security guard at the door, Wang Ge quickly parked the ambulance under the building of the sixth, and Liu Ya carried out the cart together.
The six buildings belong to a high-rise, regardless of the unit, the whole building is in a ring, there are more than a dozen floors high, the whole building is in a ring, it should be more than two dozen rooms on each floor, it seems to be an apartment type.
It is relatively close to Jintai Square Station of Metro Line 2, and there are many young people who want to have convenient transportation and rent a house here.
"Great, there's an elevator, I thought it was one of those old buildings. Liu Ya breathed a sigh of relief, looked at the elevator in front of him and said.
Wang Ge also feels the same way as Liu Ya. If there is no elevator, the cart will definitely not be able to go up, can only rely on a stretcher, in the middle of the night to carry people down the five floors, that is really going to be dead, looking for a helper and can't find it, very troublesome.
The speed of the elevator was very fast, and after entering the elevator, the group reached the sixth floor in a few seconds.
As soon as the door opened, the three of them were a little stunned. The outside of the building looks quite regular, the internal layout can be a little messy, the corridor is actually semicircular, you can't see the end from the beginning, even if the lights are on in the room, you can't see it, and you really can't find where the room 5012 is for a while.
Wang Ge made a decision immediately and decided to let Liu Ya and himself look for it separately. "Rabbit, you are on your left, I am on my right, if there is an alarm in that room, the door must be open, and look for it along the place where there is a light. Sister Guan, you are watching the cart here to prevent the alarm from looking for it at the elevator entrance. There was a shout, and when they heard it, the rest of the people rushed over. ”
Liu Ya felt that the king pigeon had a good way, so he didn't hesitate much, and immediately looked for it, but he really let him find it. The door of room 5012 was wide open, and a middle-aged man was waiting outside the door with a mobile phone, sweating profusely.
"Doctor, you're here. The middle-aged man hesitated, "But why is it just one person, this ...... It's hard to deal with the lack of manpower! Look at the situation inside......"
Liu Ya waved his hand, signaling him to wait for a while, and immediately shouted when he turned around, "Wang Ge, Sister Guan, in my place!" After shouting, he didn't wait for anyone to come over, he entered the room first, and when he walked to the door, he smelled a foul smell, and after entering the room, the smell became even stronger.
After stepping into the room, looking at the dirt on the ground, Liu Ya was stunned for a moment, and then immediately found the patient who had fallen to the ground with his face facing the sky.
There's a lot of excrement on the ground, isn't it? And it's very thin, light brown, definitely not what it should be under normal circumstances, a bit like Indian curry. However, unlike curry, the smell is so stinky.
The patient was probably in his twenties, a young man with glasses, and his one-bedroom home was not too tidy, but overall it was not dirty. Interestingly, the patient's lower body shorts and underwear were ripped below the knees.
Liu Ya immediately calmed down, bypassed the dirt, stepped forward and squatted on the ground, and began to examine the patient's injuries.
Wang Ge and Guan Fengxia rushed to hear the news, and they were shocked by the scene in front of them, they really hadn't seen much of this scene before. Guan Fengxia handed over the cart to Wang Ge without saying a word, and then came to Liu Ya with a first-aid kit.
"Take your blood pressure. Liu Ya said as he examined.
Due to the fact that there is a lot of dirt on the indoor floor, in order to prevent the cart from being contaminated, Wang Ge did not put the cart into the room, but parked it in the corridor.
"Brother, are you the landlord here?" asked Wang Ge, looking at the informant next to him.
The informant was probably in his fifties, not too tall, wearing a sleeveless vest that had long been soaked in sweat, beach shorts on the bottom, a pair of flip-flops at his feet, and a mobile phone and a folding fan in his hand.
"I'll live on the other side, 5018. Several houses near this floor are mine, and they have been rented out to the outside world. For so many years, I have a habit of being afraid that something will happen to the tenants, and after playing cards at eleven or twelve o'clock at night, I will always come to their door to take a turn to see if there are any bad people, whether the husband and wife quarrel or not, whether the door is closed or something. In today's society, young people don't pay attention to safety. I had just come up from playing cards tonight, and when I walked into room 5012, I smelled a stench. We don't know what people are doing at home, maybe it's eating stinky dried seeds? But the smell is too big, and it doesn't affect the neighbors, don't it be a gas leak or something, then it's a big trouble, so I started knocking on the door. The middle-aged man opened his folding fan and fanned it in front of him, as if to fan the smell away from him.
"You're really responsible!" said the pigeon.
"That's not it. People rent our house and give us money, that's a deal, it's a deal. When I knocked on the door tonight, no one answered, and no one answered the phone ringing in the house. I was afraid that something had happened, so I opened the door with the key, and when it opened, it was just like that, and the people were lying on the ground, and there was a pile of ...... Alas, I didn't dare to go in either. Just waiting for you to come. The landlord said and said in the local dialect of Xiangsha, looking like a hand in Xiangsha. The older generation in Xiangsha City, especially the landlords, are like this, chattering, but they are warm-hearted, nosy, serious and responsible.
"I looked at the person as if he was still panting, and I didn't know what the situation was, so I didn't call the police, and called 120 directly, I was afraid that something had happened to this child. You're coming pretty fast!" said the landlord again.
The king pigeon nodded, "Thanks to you." Otherwise, the family would not know that this man died. ”
"The blood pressure is ok, a little low, sixty, one hundred mm Hg. Guan Fengxia said.
"Is this incontinence?"
Liu Ya shook his head, "It's like a squirt, it doesn't look like it, and the incontinence is all flowing out without nerve and muscle control." The patient's heartbeat and pulse are relatively fast, shortness of breath, shallow and light, the pupils have a normal light reflex, and the skull compresses and there is a bone friction feeling, like a skull fracture in the head. And touch this body temperature...... I still have a high fever. Liu Ya touched the patient's head and neck, and felt that the temperature was a little wrong.
"Skull fracture?
"If he is at home, with the door locked, who can beat him? If he breaks his skull outside and fights outside, he can still support him to go home, and it is not very likely. Looking at this situation, it looks like a fall. Liu Ya couldn't cry or laugh, today's scene is really strange.
"With such a serious injury, isn't it due to incontinence caused by a head injury?" Guan Fengxia asked again.
"Even if it's incontinence caused by a head injury, it's definitely not ejected. ”
"Big brother, what industry does this person do, do you know?" Liu Ya only said half of what he said. didn't answer Guan Fengxia's question immediately, but asked again. Skull fracture is not a problem that can be solved on the spot, and it is beneficial to find out what the patient's condition is as much as possible on the spot, which is conducive to follow-up treatment.
There are so many doubts in this patient's body that have not been solved.
"Like...... What software company does you work for, programmer. The landlord thought for a while and said, "Aren't you doctors, how did you investigate, it's like the police station." ”
"There's leftovers on the coffee table, King Pigeon, take a look at the leftovers, and what's in the fridge. Liu Ya commanded.
Wang Ge didn't have time to ask the reason, he went directly to check, picked up the dishes and chopsticks on the coffee table, and frowned when he smelled it, "This rice is rancid!" He ran to the kitchen again, opened the door of the refrigerator, and a peculiar smell rushed to his face.
"Well, I don't think there's anything in this fridge that's within its expiration date. He touched the temperature inside the refrigerator, "The refrigerator is broken, only the light is on, not the refrigeration!"
"This guy is really unlucky!" Liu Ya sighed. "It should be busy with work, it's summer, the refrigerator is broken and I don't pay attention, I ate a stomach full of bad things, causing gastroenteritis and even food poisoning, fever and diarrhea, I couldn't hold it back and took off my pants and ran away, but I still didn't have time, and I sprayed directly halfway. What are the consequences of water state excrement on this marble floor?"
"It must be slippery to death, and the patient didn't wear slippers, so he took off his pants and planned to go to the toilet, but he fell, his head hit the ground, and his skull was fractured!" Wang Ge gave Liu Ya a thumbs up. "Bunny,!"
This person with a high IQ has a high IQ everywhere! I can't complain that this Liu Ya is a high-achieving student, so he restores the scene of the patient's accident.
To put it mildly, if this patient is unlucky, he falls on the back of his head all of a sudden, his brain stem is damaged and he falls to death, and the police don't need to come at all, and Liu Ya, a doctor, can solve the case alone.
"How do you know he's going to the bathroom?" Guan Fengxia asked again.
Liu Ya smiled and raised the patient's hand, "I'm still holding toilet paper in my hand!"
"What now, is the fracture serious?" the king pigeon looked around, but found no sign of death. Looking at Liu Ya's relatively relaxed appearance, the patient's condition should not be so bad, and he will not die immediately.
"The bone friction is relatively clear, but the amplitude is not large, and the fracture should not be too serious. According to the pupils, there are no symptoms of intracerebral hemorrhage, and the patient has not vomited. Of course, I'm not completely sure, and it's possible that bleeding has occurred, but there are no clinical manifestations yet. Go back and do a CT of the brain, so that the MRI can be clear. The key question is...... What is the cause of food poisoning or gastroenteritis? The best effect is the right medicine. There were no antibiotics in the car, so he had to be hydrated and electrolytes first to prevent acidosis. It is estimated that there is a bit of dehydration. The coma is estimated to be only temporary, with a high fever and concussion, and fainting. The vital signs are basically stable, the source of pollution is identified, and the right medicine is prescribed, and it is generally impossible to die. Liu Ya waved his hand.
"King pigeon, don't be dirty, carry it to the car!"
The sick man fell into his own excrement!
The king pigeon smiled and immediately got started. "I've seen the dirtier ones. ”
The landlady saw that the medical staff did not dislike the dirt on the ground, and he also had the courage to come over to help.
"It's not easy for you to do medical work, and you have to take all kinds of patients. ”
"I'm used to it, how can I let people go and not save them. Liu Ya looked around and picked up a mobile phone from the sofa, "This mobile phone can't unlock the password, there is no fingerprint, and I can't find my family." ”
"I'll go first, I'll pay for the medical expenses, this young man is not easy, he never defaults on rent, and he can be trusted. I don't know if the refrigerator is broken, and I'm responsible for it. "The landlord put the fan in his pocket.
"Brother, don't blame yourself, he didn't find out himself, he didn't tell you, you can't stare at it every day, right?" Wang Ge laughed and pushed the cart into the elevator,
"Eh, wait!" Liu Ya suddenly shouted, "I almost forgot, Sister Guan, you find a cotton swab, collect the patient's excrement, go back and do a bacterial culture, virus test, let's find the root of the disease." ”
Guan Fengxia agreed, took the solid and liquid excrement in front of two sticks, and put them into a plastic bag.
The group quickly entered the ambulance, and the king pigeon closed the door and jumped into the cab after everyone got into the car.
"Inhalation of oxygen, opening venous access, 500 ml compound sodium chloride injection intravenously, fifteen ml of 10 percent potassium chloride injection into 500 ml of 5 percent glucose injection intravenously, the speed can be a little faster, he needs a lot of water and electrolytes. Potassium chloride hurts when it hurts, just wake up. Liu Ya gave a doctor's order.
Guan Fengxia listened as she began to move and dispense medicine.
Liu Ya did not dare to give antibiotics to patients directly, and ambulances are generally not equipped with such things. Misuse of antibiotics is likely to exacerbate the patient's condition until the causative agent is identified. During this time, after arriving at the hospital, Liu Ya may give the patient some routine antibiotic drugs according to the specific situation.
"This is the Second Affiliated Hospital of Yaxiang, No. 0110, Xiang AGZ689, has received a patient from Jintai Jiayuan, the patient is now suffering from severe diarrhea, suspected of dehydration, skull fracture, and requests the hospital to prepare cranial CT, MRI examination, and fecal colony culture. Wang Ge picked up the intercom and said, "Rabbit, there's nothing to add, do you?"
"You're almost half a doctor. Liu Ya waved his hand and said.
"The center received, please pay attention to safety on the road. ”