Chapter 2 Chapter 33 Life Shall Not Come Out of the Mouth
The road back looked boring, the clouds overhead obscured the sun, and the weather was gloomy and unusually cold.
"It's going to rain again. Liu Ya looked at the sky outside, rubbed his waist a few times, and relaxed his muscles.
In addition, sometimes diagnosis, treatment, and surgery need to maintain a special posture, which has relatively large damage to the knees, waist, and neck, and there are symptoms such as frozen shoulder, cervical spondylosis, lumbar muscle strain, lumbar disc herniation and rheumatoid arthritis at a young age.
Liu Ya's knees are still relatively sensitive to the weather, as soon as the weather is cold and cloudy, before it rains, the air humidity increases, and the knee joint begins to ache.
The king pigeon has only been in the industry for a few months, and although there are occasional physical exertions, it is still not serious enough to this extent. "As soon as it rains, there will definitely be more things going on. ”
The weather is no small challenge for pre-hospital emergency workers. The king pigeon grabbed the intercom and made a report.
"Center, here is the Second Affiliated Hospital of Yaxiang No. 0110, Xiang AGZ689, empty state, returning to the emergency department of the Second Affiliated Hospital of Yaxiang. ”
Before he could put down the intercom, there was a reply on the other end of the intercom.
"Attention vehicles, please report your location and vehicle status. ”
When the king pigeon heard it, this is a job!
He turned his head to look at Liu Ya, saw Liu Ya nodded, and immediately continued.
"There is a driver in the car, a doctor and a nurse, the equipment is in good condition, the medicine is used lightly, the reserves are sufficient, and the space in the car is not polluted. It is now located near Changya Middle School on Trinity Avenue, and the display positioning is accurate. ”
"Great, three minutes ago, we received a call to the police, Beichen Times Square, there is an injured person at the event site in the lobby on the first floor of the Intercontinental Hotel in Beichen, the situation at the scene is unknown, please request the number 0110 to cancel the original return plan, and go to the incident site immediately!" The tone of the voice in the intercom was very excited.
The location of the king's pigeon ambulance is very close to the place of the incident, but it is still a little far from the Second Affiliated Hospital of Yaxiang. It just so happens that the ambulance is on the scene, which saves a lot of time.
"Received, go to the scene immediately!" Wang Ge hung up the intercom, turned on the siren and lights of the vehicle, and the ambulance that suddenly honked the horn startled the private cars around the road and moved away.
"Look at your broken mouth!" Wang Pigeon stepped on the accelerator deeply, hit the turn signal, and the steering wheel moved slightly, moving from the original straight lane to the right turn lane.
Beichen Times Square is located on the edge of the Xiangjiang River, is the intersection of the Xiangjiang River and the Liuheyang River, if you follow the normal route, you have to drive to Xiangjiang North Road and then turn right, but the section near Xiangjiang North Road is to cross the bridge, every bridge in the Hedong area and Hexi area of Xiangsha City is congested with traffic most of the time, even including the right turn lane.
Now the ambulance is halfway on the road, and it is so close to the place of the incident, if it is blocked on the road and delayed time, it is better to send a car directly from the Second Affiliated Hospital of Yaxiang, Wang Ge can not afford this risk.
As soon as Liu Ya in the car heard that he was alive, he stretched his waist and moved his muscles, and immediately lifted his spirits. Although the first aid of more than 40 minutes just now was indeed very tiring, and the person was rescued, Liu Ya's physical condition and mental state had reached the lowest point, but now he was still full of energy to welcome the arrival of the next patient.
There is no way, to be a doctor, you must have a strong heart and a good self-regulation ability, otherwise other patients will not be cured, and they will fall down first because of mental illness.
Because the distance was so close, it took only five or six minutes for the king's ambulance to arrive at the scene while speeding.
Beichen Times Square is a living area closest to the Xiangjiang River in the central part of Kaihehefu District, Xiangsha City.
A few years before Wang Ge left Xiangsha City, it was still a barren place, and construction sites were everywhere. After several years of development, it has become a relatively large commercial living area in Xiangsha City, integrating commerce, hotels, office buildings, apartments and communities, with huge flow of people and vehicles, and rapid development, high-rise buildings and extraordinary prosperity.
Wang Ge only passed by this place when he got out of the car before, without careful observation, and after he really arrived here, he sighed at how rapid the city was developing.
The Intercontinental Hotel Beichen is one of the several five-star luxury hotels in Xiangsha City, because it has not been built for a long time, many things are new, the building itself is very beautiful, the surrounding landscape is incomparable, and the interior of the building is graceful and luxurious.
All of this gave the king pigeon a feeling that he was poor.
Seeing that an ambulance was coming, the hotel's doorman quickly opened the fence gate and pointed in the direction of the gate, and it seemed that they had learned through their internal communication system that someone was injured in the activity area of the lobby on the first floor of the hotel.
The ambulance stopped in front of the hotel gate, and Wang Ge immediately pulled the cart out and rushed into the hall with Liu Ya and Tian Yuqing.
Except for a few customers checking in, the rest of the hall is staff. The entry of three medical staff immediately attracted the attention of everyone in the lobby of the hotel.
"It's so fast! It's hard, come with me, the patient is inside!" The hall manager was a woman of about thirty years old, wearing a suit and leather shoes, very professional, and her hair was not neat enough, although her face was eager, but her demeanor was elegant, and she should have been very well trained and educated.
Wang Ge and his entourage hurriedly followed the manager into the left side of the hotel hall, and after entering the door, there was another hall, which was similar to a cafeteria, but it was obvious that it had been booked, what activities were being held, the people here were denser, everyone was standing aside and discussing something quietly, and there was a circle of people gathered around a round table, asking about the patient's situation.
As soon as I entered the cafeteria lobby, the clattering high heels on the female manager's feet stopped ringing, and only the wheels of the cart in the hands of the king pigeon were still creaking.
The patient was a man of about 40 years old, with his hands on his neck and chest, his expression was very painful, and there was a mess of vomit on the ground, which seemed to have just been vomited by the patient, and there was some blood in it.
The patient was awake, Liu Ya even touched the carotid artery, stepped forward to disperse the crowd, and asked the manager to take the irrelevant personnel away, leaving only the patient's lover beside him.
"Take your blood pressure. Liu Ya turned his head to Tian Yuqing and said, Tian Yuqing put down the white first aid kit and immediately started to move.
Liu Ya looked at the patient's pupils and felt that there was nothing wrong, temporarily ruling out the vomiting caused by the head injury. "What's the situation?"
When the patient saw the doctor coming, he finally reassured himself, but his brow was still furrowed and he looked very distressed.
He pointed to his throat, then shook his head, indicating that he could no longer speak.
"Eating, my throat is stuck, I just typed to tell me, I don't dare to open my mouth, it hurts to open my mouth, it should be a fish bone." The middle-aged woman next to her said, picked up a plate of salmon on the table, and showed it to Liu Ya.
Liu Ya shook his head, it was only more than ten o'clock in the morning, and lunch was early enough. Still, he picked up the salmon and looked at it.
The salmon on the plate had been cut into small pieces and looked fine, but as soon as Liu Ya reached out and touched the sashimi meat of the salmon, he noticed the problem. In the white part of the small piece of fish, there are fish bones!
When the manager on the side saw this, the sweat on his head came down. Although it is booked here, the catering is still provided by the hotel.
There should never be fish bones in this sashimi. There is a problem with the ingredients, and if something like this happens, the hotel must be fully responsible.
The manager gritted his teeth and stomped his feet, "If it is really the problem caused by the fish bone stuck in the throat, our hotel will bear all the costs and compensate." ”
"What's the use of talking about this now? Don't interrupt yet, listen to the doctor. "The middle-aged woman is very qualified, and she is more concerned about her lover's physical condition, although the tone is not very good, but I don't want to talk about compensation for the time being.
"Did you get stuck after eating this?" asked Liu Ya.
The patient nodded.
"In addition to the sore neck and throat, what else hurts?" Liu Ya asked again.
The patient pointed to his chest, indicating that there was pain in the area as well.
"Don't be afraid of the pain, open your mouth and I'll see. Liu Ya pondered for a while and said.
Although the patient's mouth opening will pull the muscles of the throat and neck, causing pain, but the doctor's examination can be effectively treated, and the mouth is still obediently opened.
Liu Ya took out the tongue depressor and irradiated the inside of his mouth with a flashlight, "The pharynx is swollen, there are signs of mucosal bleeding, and no obvious foreign body can be seen." He asked the patient to close his mouth, and when he looked down to think, he suddenly saw the vomit on the ground, which was still bloodshot, and asked quickly.
"Did you do anything after you noticed the symptoms?"
The patient and his lover glanced at each other, and the woman replied, "I heard on the Internet that drinking vinegar will soften the fish bones, stimulate the esophagus, and the fish bones can go down, so I drank some vinegar, and then I found that it was useless, so I wanted to eat some pastries to see if I could press the fish bones down, but it was useless, and finally I checked the Internet, and said that it was useless to eat, and it was best to vomit, so I used my fingers to induce vomiting......"
As a result, the woman didn't need to say anything, and if it worked, there was no need to call an ambulance.
In fact, if the patient is in a better state now, it is not impossible for the hotel to find a car to take him to the hospital.
But now the patient has pain in his neck and chest, and it is difficult to walk, let alone go to the hospital by himself, so he has no choice but to call an ambulance.
If those methods are useful, why does the hospital still have an otolaryngology department?" Liu Ya suddenly became angry.
The matter of fish bones stuck in the throat is not big or small, and it is really not small to say that it is small.
Generally speaking, the small fish bones are stuck in the throat, drink some water and eat something, it can indeed be pressed down, and it can be spit out, except for causing slight bleeding in the throat.
But the big fish bone got stuck in the throat, and it wasn't that simple. If it is stuck in the throat near the tonsils, if it is not treated by medical attention in time, it may cause tonsil or laryngeal edema, resulting in suffocation, and if the suffocation lasts for a long time, it is brain death, and there is basically no chance of rescue.
The method of picking the throat by hand, chopsticks and spoons to stimulate vomiting will also cause damage to the inner wall of the mouth and throat, which may have the chance of infection and also has certain risks.
If it passes through the esophagus and enters the stomach, although it scratches the esophagus, it is just a week that you can't eat hard food, take some antibiotics, and slowly raise it without infection. But if you stay in the narrow esophagus, then it's troublesome.
Spices such as vinegar can indeed soften calcareous fish bones, but that also needs to be soaked for a period of time, and it is impossible for people to keep vinegar in the esophagus all the time! The esophagus is stimulated by vinegar, the mucous membrane may secrete a lot, the esophagus becomes narrow, and the muscles will contract sharply after being stimulated, and the esophagus becomes more narrow, and the fish bones that were originally stuck in the esophagus may pierce the inner wall of the esophagus under the squeezing of the esophagus!
Eating is even more unreliable, and the swallowing action is originally achieved by the contraction and expansion of the esophagus, which will also allow the fish bones to pierce the lining of the esophagus.
And what's on the other side of the lining of the esophagus? It's the bronchi and the aorta.
In case the fish bones are relatively thick, piercing the trachea or aorta under the action of various forces, causing difficulty breathing, massive bleeding, and even entering the blood vessels and flowing into the heart with the blood, causing heart damage and cardiac tamponade, the fatality rate is infinitely close to 100%!
Most people get stuck in a fishbone with an incorrect way of handling it.
Small fish bones have to cough, and the speed of the air generated by coughing will bring out a large part of the small fish bones. If the cough is ineffective, it must be to go to the hospital to hang up an ENT department, or hang an emergency department, and let the doctor go through the gastroscopy.
More than 80% of foreign bodies can be removed without surgery, and there is basically no pain, but once the time drags on, it is estimated that surgery is required.
A gastroscope is estimated to cost two or three times, and it is just a matter of eating a few fewer fish.
Although the chance of causing massive bleeding in the arteries is not as high as that of a slightly larger fish spine, nothing is medically worth the risk, especially when it comes to life.
"There is a small amount of bleeding, no obvious foreign body is seen, a sharp foreign body may have entered the esophagus, the vomit is bloody, and the digestive tract may be damaged. Liu Ya sighed, turned his head and asked, "How much blood pressure?"
"Ninety, one hundred and thirty mm Hg, normal blood pressure. Tian Yuqing replied.
"Vital signs are stable. I don't have any equipment here, so let's go back to the hospital first. Liu Ya glanced at the king pigeon.
The king pigeon nodded in agreement, for he had seen an incomparably familiar figure at the gate.