Wang Ge frowned, the Grim Reaper did not appear just now, but now he appears here, and it is very fast, this is not logical! If the patient is very dangerous, then the Grim Reaper should have appeared a long time ago. Definitely not right now!

Song Ping'an already knew the patient's condition when he received the task of leaving the car, drinking too much and being in a coma, so he asked Bai Nan to bring relevant medicines. After the basic diagnosis, Song Ping'an immediately asked Bai Nan to start taking medicine.

According to the patient's symptoms, hangover, cranial blood pressure lowering, diuretic, and can be used, the patient's current condition should be better than before, at least during this period of time, the vital signs should have been more stable, if the Grim Reaper did not appear just now, it should not appear now.

Wang Ge couldn't see the vital signs monitoring equipment inside the carriage, and Song Ping'an also muttered at this time.

The patient's blood pressure did drop, but now it is ridiculously low.

"Don't use the machine, measure your blood pressure manually, I feel a little wrong," Song Ping'an said to Bai Nan...... Blood pressure should be lowered after mannitol, but this dose and drip rate will not always make the patient's blood pressure lower than normal, right?

During alcoholism, the patient's blood pressure rises sharply, then decreases dramatically, and finally dies of multi-organ failure. An excessive decrease in blood pressure is a very bad omen.

Bai Nan immediately complied with the doctor's instructions and measured the patient's blood pressure again, "The blood pressure is 80 or 60 mm Hg, which is the same as the ...... measured by the instrument."

"Blood oxygen concentration drops, respiratory failure?" Song Ping'an stared at the blood sample concentration on the screen, which had dropped from 90 percent to 88 percent just now, and there was a trend of continuous decline.

"What's the situation? This can't be!" Song Ping'an was shocked. With so many medicines for the symptoms, the patient's condition not only did not improve, but was still approaching death.

Did he misdiagnose himself? In addition to alcoholism, does the patient have other symptoms? Song Ping'an closed his eyes and thought for two seconds, and then his mind went through his diagnosis and examination process again, as if he had not missed anything before. All symptoms are consistent with alcoholism.

Even if you want to do an examination, you have to go to the hospital first and then conduct a thorough examination, and Song Ping'an is even a little at a loss now.

After so many years of medical practice, this kind of helplessness has not occurred for a long time. Song Ping'an still didn't give up, and decided to repeat the examination he had just made. He first checked the patient's heartbeat and breathing, and in addition to the slower heartbeat, the breathing in the lungs actually began to make sounds, which should not occur in alcoholism, at least not in the patient's body!

He began to check the patient's pupils again, the pupils were dilated, the light reflex seemed to be okay, and there should be no cerebral hemorrhage due to intracranial hypertension or brain herniation. But the moment he opened his eyelids, Song Ping'an found that the bleeding under the patient's eyes was more serious than before.

Song Ping'an believed that the previous fundus hemorrhage was caused by intracranial hypertension caused by alcohol poisoning, and the edema of the optic nerve ** also increased further. It stands to reason that these situations should be alleviated after emergency treatment. Song Ping'an didn't understand it the more he looked at it.

"Look at the mouth and throat?" Bai Nan patted Song Ping'an, who was a little flustered, "The last hope." Something suddenly occurred to her.

Song Ping'an nodded, temporarily removed the patient's oxygen mask, pried open the patient's mouth, and irradiated the patient's throat with a flashlight.

The patient's throat was red and swollen, and his tonsils were swollen, Song Ping'an did not examine the patient's mouth in detail before, but the throat was slightly red and swollen, which may be caused by excessive smoking or a cold, he didn't think much about it, but now the situation is getting more and more serious.

No matter how much you smoke or how much you drink, it will not cause such severe edema.

"Pharyngitis?" Song Ping'an felt that something was wrong, and immediately turned his head and asked the patient's classmates, "What else did he eat besides drinking?"

The classmate with glasses was stunned for a moment, obviously more nervous than when he got on the bus just now, and said hesitantly, "It's just some snacks...... Snack...... Not...... Didn't eat anything else. As he spoke, his hands were still shaking, and his face and lips turned pale, as if something had been discovered.

Bai Nan muttered in his heart, your classmate's life is dying, fear and nervousness should be, you rushed to get into the ambulance, you must be usually caring, and the emotions you are showing now should be more inclined to worry, or sadness, what are you afraid of?

"Tell the truth! people's lives are going to be gone!" Wang Ge also felt that something was wrong with this child, people encountered this kind of thing, it was too late to hide, this classmate with glasses hid in the corner when they just entered the KTV box, did not say a word, and did not help, obviously not very concerned about their classmates. But when he heard that Wang Ge was going to take people away, he was very anxious, and Wang Ge was busy dealing with the sick at that time, and he didn't have time to pay attention to him, and now he thinks that there is indeed something suspicious.

"Now, maybe it could save my life. After the death of a patient, we will perform an autopsy at the request of the family, and nothing can escape. When that time comes...... It's too late!" Song Ping'an also became serious, using technology to scare the student.

"Methanol ......," the student said tremblingly, in a corner of the ambulance car, for fear that someone would punch and kick him. "I was in the wine he drank...... Formaldehyde is added. ”

The other three people in the ambulance were stunned, poisoning formaldehyde?

Song Ping'an didn't have time to care about anything else, "When did it happen, how much did it use, and how much concentration did it have?"

"That's it...... industrial alcohol, to which he added about ...... Seventy milliliters, about one or two o'clock in the morning, ....... The student began to cry, "I didn't mean to kill him...... I don't want him to die......"

The methanol content of industrial alcohol is about four percent, and the situation may not be as bad as Song Ping'an thought. The lethal dose of methanol is about 70 milliliters, which should only cause poisoning.

However, under the effect of Red Bull's accelerated absorption, the poisoning situation deepened a little more than expected.

However, in the case of ingestion of alcohol, i.e. ethanol, the toxicity of methanol in the body will be suppressed, and by speeding up metabolism, the concentration of methanol that has been absorbed into the blood can be continuously reduced, and the harm can be minimized.

In most cases, when the emergency doctors find that the patient is in a state of methanol poisoning, they will generally ask the patient to drink an appropriate amount of high-grade liquor for detoxification, and if it is too late, they will directly instill ethanol. The so-called moderate amount only allows the patient to have a relatively low alcohol content in the blood, and excessive intake will have the opposite effect, just like the current patients.

In addition to being able to wake up patients with acute alcoholism, naloxone also has a certain alleviating effect on methanol poisoning. It is likely that the patient's current condition is a mixture of methanol and ethanol poisoning.

The patient's fundus congestion and optic nerve damage are not only caused by alcohol poisoning, but also have the effect of methanol poisoning. The redness and swelling of the throat is also a burn caused by methanol passing through the throat, although under normal circumstances, only methanol steam will have this more obvious symptom, but direct drinking will also produce this situation from person to person.

This clinical manifestation still directly reminded Song Ping'an that the patient may have other poisoning conditions.

"It is estimated that there is edema in the respiratory tract, tracheostomy is connected to a ventilator, sodium bicarbonate is given to correct acidosis, and naloxone is not stopped. Wang Ge, contact the hospital, draw blood for blood tests, prepare for hemodialysis, if necessary...... Let's match. Song Ping'an said that now it has been a few hours since the patient ingested methanol, gastric lavage has no meaning, if the methanol content in the blood is still very high, hemodialysis is ineffective, Song Ping'an will also use exchange transfusion.

Wang Ge immediately picked up the intercom and did it, originally thinking that the child was drinking too much, but he didn't expect that there was also a poisoning incident involved.

It's just that because the bespectacled child in the car doesn't understand the relationship between methanol and ethanol enough, maybe the biology and chemistry grades are not so good, and the damage caused by methanol and ethanol ingested into the body together doesn't seem to be as serious as he thought. Once the cause of the disease is known, the treatment is more obvious.

"Doctor, will he die, I really didn't mean to hurt him, I just couldn't get angry for a while," the classmate cried and said, "You............ Can you not tell him about it?"

"If the lethal dose is not reached, methanol poisoning may cause the optic nerve to atrophy, and when he wakes up, his vision may be blurry. Bai Nan said as she covered the patient's eyes with a towel to avoid direct stimulation by the light.

But no one in the carriage would answer the student's second question, because the answer was unquestionable. Not only will they inform the patient's family about the incident, but they will also choose to call the police immediately

Now it seems that the child chose to get into the ambulance, probably to see what happened to his poisoned object.

The reason for the poisoning is not known and does not want to know. But no matter what kind of hatred and estrangement there is, it is absolutely intolerable to do such things as endangering the lives of others.

Three or four minutes later, his ambulance stopped at the gate of the hospital, and everyone carried the person down with all hands and feet, and rushed him to the emergency room for examination and follow-up treatment. And after correcting the acidosis and performing a tracheostomy, the Grim Reaper did not know when to leave the ambulance, and was not even willing to pester the poor soul anymore. The soul suppression card on the chest of the king pigeon also increased by a number very smoothly.

Wang Ge controlled the student who wanted to escape, directly called the security guard at the gate of the emergency department, took him to the security room, and told the security captain on duty about the situation, and then the security captain called the police after being surprised again and again.

Since the patient's family cannot be contacted by phone, Wang Ge can only ask the security captain to explain the situation to the police, and let the police help contact a third party.

Their children didn't come back all night to drink outside, the child's parents actually ignored it, and now something happened, and they didn't answer the phone, I really don't know how this parent behaved, and it wouldn't be like this if they were busy with work, right?

Wang Ge ran east and west, assisted in the examination and treatment procedures, opened a green channel for the child, handled the arrears, and was very busy, just had time to relax, and met Liu Ya in the hall.

"Look at you're busy, and you're running the formalities?"

"People say it's hard to come to the hospital to see a doctor...... The hospital is too big, and you said that if ordinary patients and their families come and are not familiar with the terrain, it is estimated that they will not even be able to find the payment window. The king pigeon wiped the sweat from his head.

"When you go to the staff meeting, you can mention it to the vice president, he will definitely praise you!" Liu Ya smiled and shook his head, "What's the situation with that person inside?"

The king pigeon was asked, and it was difficult to explain this matter, so he could only briefly describe it in a few words.

"My good man, methanol is poured into ethanol and poisoned, this kid can figure it out! I want to use real wine to cover up the smell of methanol, but I didn't expect that alcohol can detoxify methanol......" Liu Ya was amazed, he had practiced medicine for so many years, and he had seen a case of drinking fake wine blended with industrial alcohol, but it was the first time he had seen such poisoning.

"If you don't study well, I'm afraid you don't even know how to harm yourself! Why poison his classmates?" asked Liu Ya again.

"I don't know, I didn't ask. Children of this age...... What kind of hatred can there be for killing one's father and taking one's wife? There is no education at home, comparisons, verbal injury, jealousy, and school violence have accumulated. Wang Ge also shook his head, feeling a pity, thanking his roommate for not killing and the like, it should be able to say for many years.

The two were talking, the police found the scene, these two policemen and the king pigeon is more familiar, as soon as they heard that this thing was experienced by the king pigeon, they immediately came to him. The doctor and nurse were now busy with first aid and did not have time to deal with them, and after briefly asking about the situation of the king pigeon, they took the poisoned student away. At the same time, they also brought good news, they finally contacted the patient's family, and they were rushing here, the distance is relatively close, at most ten minutes can be reached.

There was no formalities to be done here, so after handing over the things in his hand to the emergency room, he drove the car back to the parking lot.

At noon, the sullen king pigeon was tortured by his colleagues, and he had no choice but to tell the negative energy.

"I'll go, the children now can actually play this?...... it's just a shame" Xu Lin was in a cold sweat when he heard this, "It's too vicious......"

"The symptoms of alcohol poisoning are similar to methanol poisoning, this poisoning method is not easy to find, and he can still get out of the whole body, it is really not possible to push the pot on KTV, if he does not admit it himself, the patient died of acidosis and respiratory failure, and the follow-up investigation will be carried out...... That's a problem. You say...... Does this count as a voluntary surrender?" Xie Guang said as he touched his bald head and held a toothpick in his mouth.

"I don't know if it's a voluntary surrender, and I didn't intercede with the police, but I truthfully reported the situation at the time, and we were also under pressure before the child spoke. Wang Ge put down his chopsticks, and there was still more than half of the food on the plate in front of him, but he couldn't eat anything.

At least in this case, he did not want to induce and influence the results of any investigation, neither exaggerating the facts nor giving the poisoned child any chance.

He just experienced, but he didn't want to judge.