Despite being southern, the difference between winter and summer is high. It rains most of the winter in Xiangsha City. Even if it wasn't raining, it was mostly cloudy, and the king pigeon barely looked forward to the sun coming out from behind the clouds.

Even though it was noon, the grey sky made it seem like it was already evening, and it seemed that a heavy rain was inevitable again. Wang Ge drove to the gate of the emergency room, the doctor who got into the car was Liu Ya, and the nurse was Bai Nan.

Bai Nan has been recuperating for a month and a half since the last time he took an ambulance to the clinic and suffered a traffic accident, with a bone crack and a fracture on his body. But after recovering from her injuries, she returned to the emergency department nurse team despite her family's objections.

Since the injury was not very serious, no surgery was performed. It's just that I've just recovered for more than half a month, and I can't carry out labor sports such as carrying the wounded.

"I know it's you kid out of the car. Liu Ya muttered, Shen Hui's sudden disappearance, he felt very surprised and puzzled, but also a little sad. I thought that I had known good friends for so long, and I didn't even say hello when I left. Even if something happened at home, Liu Ya could help something, even if he couldn't help it, there was no such thing as a friend, Liu Ya felt very strange.

So much so that Liu Ya always felt strange when he saw the king pigeon. The Iron Triangle of the Emergency Department of the Second Affiliated Hospital of Yaxiang is missing, and no one is very comfortable.

But strange is strange, man is indeed gone.

Although the work of the emergency department is busy, the role of nurse is not too much, and it is not too much to be less, so it is necessary to transfer one from other places or re-recruit to fill the vacancy.

"Sit tight, it's best to put on your seat belt. It just rained yesterday, and the ground hasn't dried yet. Wang Ge saw the two of them get in the car and close the door, immediately put down the handbrake, stepped on the clutch to hang up the first gear, the wheel turned, and the accelerator blasted out.

At 12 o'clock at noon, the temperature in Xiangsha City in winter is still only five or six degrees Celsius. There is almost no snow in Xiangsha City, the average temperature in winter is above freezing, and the road surface is basically not frozen. It's just that the cold and wet weather makes it very difficult to dry everything wet, including the road surface.

It rained last night, and after a whole night and a whole morning, the ground was still wet, which the king pigeon had never seen before in the north.

Of course, this also brings great difficulties to the ambulance travel. Because it was noon, as soon as the ambulance left the hospital gate, it was blocked at the intersection of the main road, and no matter how the king pigeon honked, the car in front refused to get out of the way, and let the ambulance with the siren flashing the police lights pass first.

The most important thing for an ambulance driver is to have a good driving mentality, and when he encounters this kind of blind person who does not give way, even if he scolds him a thousand times or ten thousand times in his heart, he cannot make any action on the surface, he cannot cause trouble, and he cannot drive a vindictive car.

When driving, you have to concentrate and have no distractions to make the most accurate judgment, if you have been thinking about how to fix those who do not give way, the chance of accidents will definitely increase.

Let is love, not let is duty.

There are many people who have duties, and there are too few people who have feelings.

The king pigeon was also helpless.

Fortunately, there was only a solid line between the traffic lane and the non-motorized lane, and there was no guardrail, so he glanced at the right rear with his turn signal at the same time, and changed lanes directly after seeing that there were no bicycles. A few students in front of them were waiting for a red light on a shared bicycle, and when they saw the ambulance behind them, they quickly pushed their bicycles to the side of the road to make way for the king pigeon.

Occupying non-motorized lanes, running red lights, and changing lanes on a solid line add up to enough to deduct an ordinary person's driver's license points, but ambulances can indeed violate these regulations in an emergency. After all, in China, human life is higher than the sky, no matter how troublesome a thing is, as long as no one lives is killed, you can play casually. But as long as someone dies, it's really big.

The king pigeon observed the traffic in the left and right directions, and cautiously drove through the traffic light intersection at the red light.

"That place is really far enough, but fortunately the location is out of the way, otherwise it would be blocked and you can't walk. After passing through the intersection, the road ahead suddenly became clearer, and there were few cars on the road, which was relatively rare during the midday rush hour.

"That place should be out of our range, it must be more than ten kilometers. Why does the command and dispatch center still want us to go over there?" Bai Nan asked.

"This situation is relatively rare, although it is relatively close to the branch of the First Hospital of Xiangsha City, but the hospital is only a branch, the emergency department is relatively small, there is only an ambulance, and it is useless to go out, and it still depends on us. The king pigeon didn't look back and said directly.

After all, the Second Affiliated Hospital of Yaxiang is the hospital with the largest emergency department and the most ambulances in the entire Xiangsha City, supporting half of the emergency medical treatment in the entire Xiangsha City.

As Wang Ge predicted, as soon as the ambulance entered Kaifu Avenue and headed east, the road conditions became even better. The maximum speed limit here is 80 kilometers per hour, and there are relatively few vehicles, and the speed of private cars is basically above 70 kilometers per hour, which gives the king pigeon a lot of room to play.

From the hospital to the opposite side of the Begonia community, it took only fourteen minutes for the king pigeon. Haitang Community is a resettlement community, diagonally opposite or some bungalows, and there are indeed these buildings around Xiangsha City. But it didn't take much effort for the king pigeon to find the place where the incident happened, because there was a circle of people around a house near the left side of the road, looking at the scene in the circle.

Wang Ge turned the ambulance, parked the car on the side of the road, and carried the cart down with Liu Ya.

The onlookers seemed to be neighbors of the family who had an accident, and after seeing a doctor coming, they consciously got out of the way.

The family's house is a small two-story building next to the road. Like many areas in Nanhu Province, this kind of two-storey small building is built by itself, square, different from the house in the north, because it is very humid, the first floor here will not live in people, the door is particularly large, enough to drive a three-wheeled motorcycle to enter, and as soon as you enter the door is a hall, that is where everyone drinks tea and plays mahjong, and the real person lives upstairs.

The door of this house opened, and an elderly man in his sixties was lying on the dry ground under the eaves outside the door, and the two community police officers next to him were doing cardiopulmonary resuscitation, looking like they had been holding on for a while, sweating profusely and panting.

They were all relieved to see the doctor coming.

"Doctor, over here! After the man moved out, his heart beat and breathed out. A policeman straightened up and waved at Wang Ge and Liu Ya.

In fact, the three medical workers did not stop, Liu Ya squatted down after arriving, touched the old man's carotid artery, then looked at the pupils, used a flashlight to irradiate, and finally took out the stethoscope and listened to the heartbeat and breathing.

Although it is relatively weak, the carotid artery is pulsating, and the heartbeat and breathing are also present.

"Stop cardiopulmonary resuscitation first, Xiaobai, measure blood pressure. After Liu Ya finished speaking, he turned his head and said to the two policemen.

"With your own heartbeat and breathing, you've been a great help. What kind of situation do you say?" Liu Ya did not exaggerate at all. The police still have a certain amount of first-aid knowledge, and immediately after rescuing the person, they were examined, and their heartbeat and breathing should have stopped at that time. After cardiopulmonary resuscitation, the old man actually regained his own heartbeat and breathing, which is really indispensable.

If the two policemen did nothing during the period from the time the police called the police to the ambulance arrived at the scene, then this old man was really unlucky.

"Not long ago, we received a call to the police, and the old man made an appointment with his neighbor to play cards together after lunch. No, the neighbor came to his house to call him, and he shouted a few words downstairs and didn't respond, so he went upstairs to take a look. The weather was cold, the old man's bedroom had a stove, the door was still locked, and the neighbor felt that something was wrong, so he called the police. When we came, we pried the door open, and the people carried it out, and that's it. The policeman hurriedly said.

"When we went in, the stove was almost out, and the honeycomb coal was very damp, and as soon as we entered the room, I felt chest tightness and dizziness, and this old man was afraid of carbon monoxide poisoning. Another police officer added.

"Uncle, can you hear me, if you can hear you, move your hands or move your eyelids!" Liu Ya shouted leaning into the patient's ear, and then carefully observed the patient's hands and eyes.

The patient's eyes remained closed and there was no response.

"High body temperature, rapid pulse and breathing, involuntary consciousness, peachy lips and oral mucosa, increased tension in the limbs. Xiaobai, what is blood pressure?" Liu Ya finished the emergency examination and looked up at the smoking pipe on the second floor of the house.

"One hundred, one hundred and fifty mm Hg, there may be a condition of high intracranial pressure. Bai Nan replied.

"The symptoms are more consistent with carbon monoxide poisoning. Liu Ya said.

In Xiangsha, there are several cases of death due to carbon monoxide poisoning every winter. Although in recent years, the newly built communities in Xiangsha have basically had collective heating to cope with climate change, but this kind of bungalow still mainly uses earth heating or stoves as the main source of heating. This kind of thing is usually more dangerous.

When coal combustibles are not fully burned or poorly ventilated, the indoor air will be filled with a large amount of carbon monoxide. Carbon monoxide, after inhalation into the human body, has an affinity with hemoglobin in human blood that is 200 to 300 times higher than the affinity between oxygen molecules and hemoglobin, and is very easily absorbed by the human body.

Carbon monoxide binds to hemoglobin, which means that oxygen molecules cannot bind to hemoglobin, causing tissue suffocation, which has great toxic side effects on tissues and organs and cells throughout the body, and has the most serious impact on the cerebral cortex.

If a person is awake in a house with a coal stove and feels that his limbs are weak, dizzy and want to vomit, then there is a slight poisoning.

However, at this time, as long as you put yourself in a well-ventilated place in time, take a deep breath, and get out of the poisoned environment, you can recover immediately and will not leave any sequelae.

Moderate carbon monoxide poisoning does not leave any sequelae if rescued promptly.

Severe cases can be troublesome, and after deep comatose shock, incontinence, loss of various reflexes, blood pressure drops, and even death. Even if it is cured, it will cause the sequelae of dementia, memory and IQ decline, and quadriplegia due to the long-term lack of oxygen in the brain, and the longer the coma, the more serious the sequelae.

Not only that, carbon monoxide poisoning can also cause cerebral edema, pulmonary edema, myocardial damage, arrhythmia and respiratory depression.

The fatality rate and disability rate of carbon monoxide poisoning is very high, but no matter how much the government has publicized in recent years, there are still many people who burn coal for heating at home, and poisoning is not uncommon.

"I can't tell how well he's poisoned right now, and if he's in a state of consciousness, he's definitely above moderate poisoning. Are his relatives here?" asked Liu Ya with a frown.

"His son, who works in Xiangsha City, came back once a week, called to inform him, and was rushing over with his wife. The police officer replied

"Rabbit, stop grinding, it's time for us to go. The king swallowed and reminded.

Liu Ya has known Wang Ge for so long, Wang Ge urged him to leave the scene with the patient many times, Liu Ya didn't know why Wang Ge did this, but he always chose to listen to Wang Ge.

The king pigeon, of course, would not say that he saw a grim reaper behind the crowd of onlookers. He only knew that if he didn't leave now, the old man would leave by himself later.

Wang Ge, Liu Ya and the two policemen worked together to lift some of the old people who were lucky into the cart. Since it was winter, Liu Ya only smelled a fishy smell when he lifted the old man.

"Incontinence, obviously not just now!" Liu Ya took out a flashlight again to check the old man's pupils, and it seemed that cerebral edema had not yet occurred.

He didn't know why the patient's condition deteriorated every time he said it was time to go, but he knew that what he said was accurate.

"Get in the car, first aid in the car. Liu Ya was already pushing the cart with Wang Ge, and the two policemen in the back also followed and helped together.

"Tell his son not to go home and go directly to the emergency department of the Second Affiliated Hospital of Yaxiang. Liu Ya said to the two policemen.

The group carried the patient into the car, and Wang Ge and Bai Nan found the disinfectant green cloth for the emergency department and covered the patient's body to block the wind. The winter is relatively cold, even if there is air conditioning, the heat is almost dispersed as soon as the door of this carriage is opened and closed, and it will take a while for the air conditioner to reheat.

People with carbon monoxide poisoning are also at high risk of developing pneumonia if they are exposed to cold or high winds. Respiratory depression itself, lack of oxygen, absolutely not to make the situation worse.

Wang Ge looked at the female Grim Reaper holding a long-handled umbrella who was constantly approaching his ambulance, quickly turned on the engine, stepped on the clutch while putting down the handbrake, hung up the first gear, the clutch lifted the wheel slightly and just turned twice, then quickly released the clutch, stepped on the accelerator fiercely, the engine buzzed instantly, and the number of revolutions instantly increased to 1,800 rpm.

The back of the ambulance rubbed against the asphalt road, and the vehicle flew out of the way.