455 Street encounters
Maybe it was Director Fan's gesture, or maybe it was the fact that medical students were naturally "nosy", and the two interns stood up in unison.
The intern, with a pen in his hand and thinking about tomorrow's shift, was a little hesitant, and it was clear that he didn't want to do much.
After changing his clothes and identity, he just wanted to be an ordinary person and eat a bowl of noodles quietly.
The other two interns looked out the window, and the man crouched on the side of the road and vomited, vomiting out the brown stomach contents.
There aren't many things, but the color doesn't look normal.
Brown, very bluntly told the medical students that there was blood in the man's vomit! Although they are rookies, they still understand this simple common sense.
It should be stomach bleeding!
The medical students instinctively became nervous, and the three of them walked out of the noodle shop one after another, Director Fan took the film crew to shoot a little farther away, and dialed the 120 emergency number as soon as possible.
Whether it can be used or not, it is necessary to call first.
Faced with the sudden unexpected situation, the bald host asked, "Teacher Shen, what do you think is the situation?"
"Judging by the color of the vomit, it should be upper gastrointestinal bleeding." Professor Shen stared at the screen solemnly, as if he was already immersed in it, and even wanted to come to the rescue.
"Isn't it stomach bleeding? Is the upper gastrointestinal bleeding serious?"
"Let's put it this way, many patients with cirrhosis and varicose veins in the stomach will vomit blood, but ...... I don't think it's the right color."
"The patient's vomit was brown in color, and considering that the amount of bleeding was not large, but fresh blood, it was immediately judged that it might be the upper gastrointestinal tract."
Professor Shen stared at the screen and did not continue to talk about what the upper gastrointestinal tract is.
The patient looked uncomfortable, sweating profusely and pale. After a few mouthfuls of vomiting, he couldn't vomit anything, but he continued to vomit, and it seemed that he felt better.
Visible sweat comes out, and even through the screen, you can feel that the skin on the patient's body is wet.
"It seems like he's very uncomfortable, so he shouldn't be dead." A guest had never seen it, his frightened face turned slightly pale, and he whispered to himself.
"It's okay, I didn't continue to vomit blood. If you vomit one bite at a time, as long as you don't squirt out, you can survive to the hospital." Professor Shen judged.
The patient looked very uncomfortable, but the situation was not very critical, and the film crew and passers-by had already dialed the 120 emergency number, so Professor Shen relaxed after seeing it clearly.
He smiled and said, "If you want to treat this kind of patient, these interns are afraid that they will have a headache. But without their treatment, 120 ambulances will arrive soon."
"It's a little episode." The bald host smiled, "Mr. Shen, have you ever encountered a similar situation on a plane or train?"
"I once encountered a train on the T39 to Rongcheng on the train horn in front of Guangyuan shouting whether there were any medical workers. I rushed over, a migrant worker with a stomachache. As soon as I put my hand on it, my stomach was very hard, typical of a plate-like belly."
"And then?" One of the guests asked.
"Let the conductor contact, I specially instructed that the small station will not work, and the township hospital over there may not be able to treat it. So I contacted Guangyuan, and the 120 ambulance went directly to the platform, and when the train arrived at the station, the patient was directly put on the ambulance."
"That's cool!" A guest has a star in his eye. ….
"It's the simplest diagnosis, there's no way to treat it on the train, it's not cool." Professor Shen smiled, "I just gave a suggestion that the patient should not be sent down at the station, because I consider the patient to have an acute abdomen with gastric perforation......
As soon as he said this, the patient who was squatting on the ground and retching suddenly stiffened and fell to the ground in a squatting position like a puppet.
The three interns beside the patient were stunned and looked at the patient blankly.
Everyone in the review room, including Professor Shen, who was still talking a second ago, also froze, looking at the patient and not knowing what was happening.
On the screen, there was no sound of 120 ambulances, all the exclamations of passers-by.
The patient's clavicle fossa is deep, getting deeper and deeper, and this is the only thing that can be seen.
Within a few seconds, pink liquid suddenly "sprayed" from the patient's nostrils, and pink sputum also flowed out of the corners of his mouth.
This time, even the bald host forgot to save the scene and looked at this scene in a daze.
Previously complained about the old-fashioned and impersonal medical world, now the three interns met an emergency patient without a senior doctor, and looking at their dazed and overwhelmed appearance, everyone knew that the three of them could not rush.
Not to mention the three interns, even Professor Shen didn't know what happened to the patient and what happened.
vomiting, brown stomach contents, coughing up pink frothy sputum......
Professor Shen stood up suddenly, which was already an instinctive reaction engraved in his body.
He didn't know how the patient's problem came about, but now he should have cleared the patient's airway as soon as possible, and if there was a chance, he would have to do a tracheostomy.
But!
This is a commercial street, and the 120 ambulance has not yet arrived.
"Get out of the way!"
A "familiar" figure appeared, and the guests in the review room were relieved.
It was Director Yang, and he was followed by Director Li, Director Kong, and Ji Xiang with a drunken face.
Director Yang pushed away the intern who was at a loss and patted the patient's back with his hand, changed the patient's ***, and "broken" the jaw along the patient's muscle strength.
More pink, foamy liquid came out, mingling with a hissing sound.
"Knife, cut!" Director Yang stretched out his hand.
But no one handed him the sword.
The next second, Director Yang realized that he was eating, and when he heard that there was chaos below, he came out to "pick up" a patient who had difficulty breathing.
It's not a hospital, there's no help.
"!" Director Yang scolded, "Prepare cardiopulmonary resuscitation!"
He lays the patient flat with his body slightly to the side to avoid aspiration and suffocation while still breathing.
Although the patient has not yet reached the time of cardiac arrest, it is possible and probable that this kind of thing can happen anytime, anywhere.
Everyone knows that whether the patient can survive depends on when the 120 ambulance arrives.
But the patient's condition took a turn for the worse, and it only took a few minutes from vomiting to squirting pink liquid.
However, the patient's symptoms did not stop at the stage of "spraying" the pink foamy liquid, but progressed rapidly.
The clavicle fossa is deepening, and the suprasternal fossa is also deepening to the naked eye.
However, the sound of the 120 ambulance still did not appear.
The time is too short, and the guests estimated the time, I am afraid that now the 120 ambulance has just left the hospital gate. It's been fast, but it's not enough for the patient.
Professor Shen knew that the gap between the patient's ribs, which was blocked by clothing, was also estimated to have deepened. Clinically, this is a three-recessed sign......
"Teacher Yang, I'm coming."
True bear first ink