Chapter 352: The Difference Between Death and Attachment
On the sofa is a little girl, only about six or seven years old, wearing a performance costume, from the face, neck, wrists and the back of the hands can be seen, her whole body has a rash, her face is red, she is unconscious, there is a driver, a doctor and a nurse standing next to her, it seems that these three people are the medical staff in the ambulance at the door just now.
The three of them stood bare-handed, and they could see that they were in a hurry, but they did not take any action against the patient, which made the king pigeon feel very strange.
Next to the little patient was an elderly man, constantly wiping the child's neck and head with a wet towel, trying to make him wake up.
Song Ping'an didn't hesitate any longer, walked directly to the patient, and said while rolling the child's eyes, "Bai Nan, measure blood pressure." ”
Bai Nan nodded in agreement, and wanted to roll up the patient's sleeves but couldn't, the patient was so fat that the cuffs of the costume were tightly stuck on the wrists, and it seemed that he couldn't take them off.
But Bai Nan knew in his heart that if he couldn't take it off, it meant that it was impossible to put on the clothes, and it was uncomfortable to put them on, and a child would never be able to bear the discomfort of the clothes.
There is only one possibility, the reason why the clothes cannot be taken off is formed after putting on the clothes.
The whole body is swollen!
"This ...... It's too swollen. Bai Nan took out the scissors, planning to cut the tight part of the clothes first, otherwise it would affect the patient's breathing or blood circulation, she looked up at the teacher at the door.
"The child is important, save people first!" The teacher's attitude is very clear, just a set of performance costumes, cut it.
Bai Nan is quick with his hands and feet, and he can get it all done with three times and five divided by two.
"There is no abnormality in the pupillary light reflex, weak pulse, tachycardia, tachypnea, cyanosis of the lips and nail beds, marked asthma sounds, symmetrical crackles in both lungs, and possible pulmonary edema. The whole body is swollen, erythematous, erythematous, and in a state of shock, and no other trauma or internal bleeding is seen on the body surface. Song Ping'an frowned, how could this kid be so sick that he called an ambulance!
Before the current state of shock, the patient must have experienced a very painful stage, after all, shock is not caused in a short period of time, there must be signs before shock, and when you are uncomfortable, you should go to the hospital for diagnosis and treatment, how can it be dragged like this!
"Forty, sixty millimeters of mercury, blood pressure is very low. Lupus erythematosus?" A terrible word immediately popped into Bai Nan's mind.
"Not considered. The child is so young that he has not yet begun to enter puberty and development, and he does not look like lupus erythematosus. Song Ping'an shook his head. The patient's condition is not in line with the age of onset of lupus erythematosus, and if it were lupus erythematosus, it would have been so severe that it would have died a long time ago.
"Look at this...... How does it feel like ......" Before Song Ping'an finished speaking, the doctor from the tumor hospital next to him spoke.
"Allergies. "The doctor was younger, he looked less than thirty years old, but his face was not very good-looking, he was crying, and his voice was very small, and he did not dare to speak loudly.
Song Ping'an glanced at him and nodded, seemingly agreeing with his point of view, "Are you sure about the allergen?"
Before the doctor could reply, the family member next to the little patient said, "What allergies, hypocrisy! My granddaughter is fine with whatever she eats. How can eating normal things eat dead people? In this case, it is good to exercise and exercise, eat more to form antibodies, and there is nothing wrong with it!"
"Are you the child's grandmother?" Song Ping'an took a good look at the patient's family, who looked fifty or sixty years old, with gray hair, and was quite fashionable. "What is she allergic to?"
"I told you, it's not an allergy, you can use some medicine, reduce fever, reduce swelling, get rid of the rash, and exercise and exercise. The old man did not answer Song Ping'an's question directly.
"Peanut allergies. The emergency doctor at the cancer hospital finally couldn't hold back and said directly, "About a month ago, this child came to our hospital, and the condition at that time was asthma, shortness of breath, rash on his body, and swelling on his face, but it was not so serious. After our diagnosis, it was determined that the rash caused by peanut allergy and bronchial edema were discharged, and he was discharged after a period of desensitization treatment. ”
"Then, you gave her peanuts again?" Song Ping'an was shocked, such a serious situation, the family has not paid attention to it!" "The doctor told you that the child is allergic to peanuts, how can you give her food indiscriminately, take life as a child's play!"
Allergies are still not aware of the situation of Chinese people, especially the elderly. Most people's perception of allergies is still only at the level of drugs, as well as dust, penicillin, cephalosporin antibiotics, and skin tests are generally performed before injection or taking. Dust allergies can at best cause asthma, sneezing, and poor breathing.
Food allergies, which can be large or small. Because people's genes and constitutions are different, allergens are also strange. Theoretically, every food has the potential to become an allergen.
There are many kinds of milk, seafood, and nuts, and not only eating them, but even touching them can cause allergies.
The symptoms of allergies also vary according to the individual's constitution. Some people may have red and swollen hands, feet, and face, some people may have diarrhea, and some people may have erythema on their bodies, edema all over their body, and even pulmonary edema, and their breathing may be affected as they do today.
Allergy treatment should be systematic, and it is absolutely impossible to fight poison with poison in this way, hoping that the body can develop any anti-allergic properties. The general treatment is to keep the patient absolutely away from allergens, wear a mask if you are allergic to pollen, and don't eat seafood and peanut allergies. Even if the latest international treatment of "fighting poison with poison" is adopted, it must be implemented through a strictly formulated plan after doctors and scientists infer the situation according to the situation, and it is definitely not a method of letting patients eat a large amount of allergen food.
"Listen up to the patient's family. Now the patient is not the mild disease of a month ago, but in a very serious state of shock, edema, rash, erythema, fever, it is very likely that this erythema has spread to the visceral trachea, life-threatening, if this is in the emergency room, I will directly issue a critical illness notice, all of which is caused by you knowingly giving her a large amount of allergen food. In this case, we have the responsibility and obligation to carry out all rescue treatment for the patient. If you obstruct our rescue work and delay the treatment, we will immediately call the police, because you are suspected of using the patient's allergy disease to deliberately harm her, understand?" Song Ping'an showed a fierce look that he had never seen in the past, and stared at the old man.
"Who are you scaring about? How can a child be so hypocritical, when I was young, when her father was young, where was there any allergy?" The child's grandmother still didn't understand, and the stalk in her neck was also on fire, and the wet towel in her hand didn't wipe the child's head, and she just fell and threw it into the basin.
"This side of the matter, we will take over, the patient will be sent directly to your hospital later, you can go back first, so that the emergency department is ready to pick up the patient, you should know the situation very well." Song Ping'an said to several medical staff at the cancer hospital.
"Then I'm sorry for you!" the men hurriedly pushed the cart and trotted away.
"No, last time I was in that hospital, but it was cured on the surface, this time I ate fewer peanuts than last time, and the situation is even more serious than last time, and that hospital is a grass life!"
"Bai Nan, write a notice of the situation and ask her to sign it. Song Ping'an ignored her and said directly to Bai Nan.
"At the request of the patient's family, the ambulance destination was not selected as the nearest hospital, and went to the Second Affiliated Hospital of Yaxiang for treatment, because the patient is in critical condition and the journey takes too long, which may lead to the patient's inability to receive timely treatment, and the hospital is not responsible for the consequences caused. In fact, Bai Nan didn't write it so quickly, she just read out the content, the two of them have been cooperating for so long and have a tacit understanding, she is just cooperating with Dr. Song to fool the patient's family and make her obedient.
"What are you doing to get away with it?" shouted the patient's family, who was even more anxious.
"It's our duty to inform. Bai Nan said.
"Yes, yes, it's not okay to listen to you? I'll tell you, if something happens to my precious granddaughter, I want you to pay for your life!" The patient's family seems to have understood that their granddaughter's condition is now more dangerous, so serious that her life may be threatened, so they have no choice but to agree.
"You can rest assured that we will definitely do our best to save the patient's life. ”
I have to say that this move of Song Ping'an and Bai Nan
Wang Ge always felt uneasy in his heart, and the Grim Reaper was already on his way to come.
In order to prevent her from causing any trouble on the way or during the treatment process and delaying the treatment, Wang Ge hurriedly came to the dance teacher's side and pulled her arm.
"Teacher, do you have any contact information for this child's other family members, the parents' are the best. The king pigeon whispered.
This teacher is also a sensible person, knowing that the child's situation is dangerous now, and the child's grandmother is not a person who understands, so she immediately understood Wang Ge's words, "I have the child's father's phone number here, and I should be able to contact him immediately." ”
"Okay, don't let him come here, just let him go to the emergency department of the tumor hospital, at least ...... The younger generation, who have a little medical education, are still willing to listen to the doctor, let him call the shots in the hospital. The king pigeon breathed a sigh of relief.
The dance teacher nodded in agreement, held the mobile phone and went out the door, and called.
"Pulmonary edema is the most severe, shock can be caused by asphyxia, don't think about anything else, diuretic, control breathing and blood pressure. Furosemide 20 mg intravenous injection, cediran 0.4 mg intravenous injection, norepinephrine 1 mg into 100 ml 5% glucose solution rapid intravenous drip, dexamethasone 20 mg intravenous injection, ECG monitoring after getting into the car, oxygen inhalation, heartbeat, blood pressure, and breathing every three minutes, closely observe the patient's performance, and prevent cardiac arrest!" Song Ping'an's judgment was very accurate, and the speed of speech was also very fast.
Fortunately, Bai Nan is also an old nurse, Song Ping'an said while silently writing down, he had already started to dispense medicines, and within a few minutes, all the medicines were injected into the patient's body.
"Don't be stunned, come and help!" Song Ping'an put away his stethoscope and turned his head to shout.
The king pigeon hurried over and squatted beside the patient.
"Pulmonary edema, do you know how to do it?"
Wang Ge nodded, for patients with pulmonary edema, to take a sitting posture, because the patient is not conscious now, pull up the back of the bed cart to let the patient sit, there may be a risk of falling, Wang Ge still lifted the patient with Song Ping'an and put it on the cart, but the body leaned down a little, so that the patient's legs hung in the air and drooped, reducing the amount of blood returning to the heart.
The group took the elevator to the first floor of the Culture and Arts Center, and the delirious little girl attracted a lot of attention, and everyone pushed the cart out of the lobby and onto the ambulance.
Before getting into the ambulance, Wang Ge turned his head and saw a grim reaper standing across the road with a long-handled umbrella, he didn't pay too much attention, and he didn't know that the little girl ate the disease caused by allergic food, whether it was an accident or a situation where Yang Shou had ended, in short, the god of death had not read the book of life and death now, and tried his best to rush to the hospital.
The child's grandmother also followed into the car, looking at the needle on the left, the oxygen mask in the middle, and the monitor on the right, she felt distressed for a while, and seemed to regret it a little in her heart.
This is undoubtedly a good thing for the first responders throughout the vehicle.
The king pigeon quickly hit the engine, put down the handbrake and stepped on the accelerator to start, and the vehicle just moved forward, and picked up the intercom.
"This is the No. 0110 of the Second Affiliated Hospital of Yaxiang, and I have received patients from Meixi Lake Culture and Art, communicated with their families, and agreed to go to the emergency department of the Provincial Cancer Hospital!"
In fact, it is not that the doctors in the provincial cancer hospital could not cure the disease, but that the family members of the outrageous and unreasonable patients were not recruited. Song Ping'an has been a doctor for many years, and he doesn't know how many troublesome family members he has seen in the emergency department, and he knows very well that the carrot and stick mode is very smooth. If it is said that Song Ping'an is better than those doctors, it is also clever in this aspect.
Wang Ge pulled the intercom behind him, and Song Ping'an shouted at the top of his voice.
"The patient is allergic to peanuts, the whole body is swollen, the heartbeat and breathing are not good, and he is in a state of shock, and now he suspects that the patient has pulmonary edema, please take blood for blood test, blood gas analysis, chest and abdomen X-ray, CT imaging, the grade is the most priority!"