In the next six days, Han Lei conducted systematic training for doctors on on-site rescue.

In the second week, Li Xiyang took the lead in passing the assessment and became the first all-honor student.

To this end, Han Lei approved that Li Xiyang could independently carry out rescue operations, and that three people could be selected as assistants from among other trained doctors.

Li Xiyang chose Sun Xin, Nie Rou, and Liu Guodong.

Because the three of them have experienced rescue drills together before, they are quite familiar with each other.

Monday, 7:40 a.m.

Li Xiyang and the team members put the first aid kit, monitor, intubation box... Large and small equipment was placed on the ambulance.

"Turn on the machine and debug the equipment, and then check if the first-aid medicine is enough!"

Today is the first action, and Li Xiyang instructed again very cautiously.

Checking equipment, installation and commissioning is an indispensable work before departure.

In Han Lei's words, these equipment are the weapons of emergency doctors, and they cannot be lost when they go to the battlefield.

Soon Sun Xin made an OK gesture to Li Xiyang, and everything was ready.

At 7:52, the switchboard of the emergency center sent the first instruction: "There is an elderly man in the recreation community near the Normal University who is unconscious and needs to be rescued." ”

"Get in the car!"

Li Xiyang waved his hand, and the team members quickly assembled.

In less than two minutes, the ambulance pulled out of the emergency center.

Sitting in the car, Li Xiyang dialed the patient's family.

"Hello, this is the Yuncheng Emergency Center, we are already on the way, we are expected to arrive in ten minutes, can you tell me about the patient's situation now?"

After a brief communication, Li Xiyang probably had a preliminary judgment.

"The old man has diabetes, so I think this coma is mostly caused by too high or too low blood sugar."

"Get out of the car in a while, Nie Rou will bring a first-aid kit, and Sun Xin and Liu Guodong will carry a stretcher."

"Good!"

Soon, Li Xiyang and the others arrived at the old man's house.

There was only the old man's daughter in the house, crying like a tearful person.

"Family, calm down first, Nie Rou test your blood sugar!"

"Yes!"

As soon as her blood sugar was measured, Nie Rou's face changed.

"Captain, blood sugar has spiked to 33 mmol/L."

It is important to know that the fasting blood sugar value of normal people is not higher than 6, and it is basically around 10 1 hour after a meal.

Li Xiyang gently opened the old man's mouth, and there was a smell of rotten apples in his breath, "It's acetone." ”

"It's not good, the patient is ketoacidosis caused by high blood sugar!"

Li Xiyang quickly asked, "How long has the patient stopped taking the medicine?" ”

The daughter was stunned, "No... I didn't stop taking the medicine! ”

As he spoke, he seemed to have suddenly thought of something, and hurriedly ran into the back room and took out a box of insulin secretions.

But as soon as the pillbox was opened, it was empty.

The daughter cried as soon as she wowed, "Oops, it's all my fault, I forgot that the medicine has been taken!" ”

Li Xiyang frowned slightly, diabetic ketoacidosis is an emergency of diabetes, which is generally caused by infection, discontinuation of drugs, surgery and other reasons.

People may be thirsty, drink too much, and have weakness in their limbs.

Symptoms are loud breathing and the smell of rotten apples, which is the smell of acetone.

If glucose-lactic acid poisoning is not corrected promptly, it can lead to coma.

"The patient now needs to immediately take a large amount of fluids to correct the electrolyte acid-base balance, and I will open the infusion channel, and Nie Rou will monitor the patient's blood pressure and heart rate throughout the process."

"Good!"

Sun Xin said anxiously on the side, "What about me?" What do I do? ”

Li Xiyang said while infusion for the patient, "Our equipment can only do basic treatment and examination, and the patient also needs to deal with infection, as well as antibiotic treatment, maintain a normal internal environment and maintain a relatively stable internal environment, so that diabetic ketoacidosis can be quickly corrected, so as not to cause danger to life." ”

"What's the nearest hospital?"

Sun Xin checked the map on the way to come, and said quickly, "City Hospital, two kilometers to the west." ”

"Okay, you can call the city hospital immediately and explain the situation."

"Liu Guodong bulldozed the car and set off immediately."

Li Xiyang quickly divided the work among several people, and the patient was quickly pushed into the ambulance.

When I arrived at the city hospital, I just handed the old man over to the doctor.

The Yuncheng command and dispatch center sent another message through the tablet on the ambulance: an 80-year-old man was unconscious at home and needed to get out of the car immediately.

The situation was very dangerous, and Li Xiyang and the four of them quickly jumped into the ambulance and galloped all the way to the community where the old man was.

The old man lives on the 5th floor and there is no elevator.

Without saying a word, the four of them began to climb the stairs with a first-aid kit and a stretcher on their backs.

Dozens of pounds of equipment, climbing the fifth floor in one go, all of them were tired and panting.

Entering the house, the old man was lying on the bed, his limbs curled up, his mouth wide open, and he was in a state of shock.

My wife was teary-eyed, "I slept well last night, but I couldn't wake up this morning." ”

"Auntie, don't worry, let's take a look at the situation first." Li Xiyang comforted him while motioning to Sun Xin to do an electrocardiogram for the old man.

Nie Rou helped the elderly measure their body temperature, blood pressure and blood sugar.

"Old man, can you hear me?" Li Xiyang leaned over the old man and called out loudly.

But the old man still had his eyes closed, unable to answer.

Li Xiyang asked Liu Guodong to help him infuse sodium chloride solution to the elderly.

Then he took out the syringe from the first-aid kit and injected the old man with 30 mg of dopamine hydrochloride injection.

After about 3 minutes, the dopamine hydrochloride took effect, and the old man began to gasp heavily, his fingers gradually moved, and his eyes could be slightly opened.

Seeing that the old man's condition seemed to have improved, his wife thanked Li Xiyang excitedly.

"The patient is not out of danger and needs to be taken to the hospital immediately, and the time cannot be delayed."

Li Xiyang asked Nie Rou to hold the hanging bottle, and he and Sun Xin and Liu Guodong helped the old man onto the stretcher, and everyone carefully carried the old man down the 5th floor.

When she arrived downstairs, Nie Rou, who was just holding the hanging bottle, was already sweating profusely and her arms were sore, not to mention Li Xiyang and the others.

That's when they lamented that physical training was really necessary.

After the stretcher was pushed onto the ambulance, the ambulance drove to the nearest hospital, Anzhen Hospital.

Every second counts in the car.

As soon as he got in the car, Li Xiyang quickly brought an oxygen mask, buckled it for the old man, and kept an eye on the ECG monitor throughout the whole process.

On the screen, the blood pressure parameters are low, the heart rate is high, and the situation is not optimistic.

Because the old man is very thin, and there is still a big gap in the oxygen mask buckle on his thin face, Li Xiyang is worried that the patient's blood oxygen level is too low, which is life-threatening.

Resolutely increase the oxygen supply to 8 litres per minute, and tell the driver to increase the speed appropriately.

More than ten minutes later, the old man was admitted to the emergency room of Anzhen Hospital.

Li Xiyang and the four of them finally breathed a sigh of relief.

At this time, the inside of their first aid suits was soaked with sweat.

On the way back to the emergency center, Sun Xin said strangely, "It's really strange to have two old people in a coma in the morning." ”

Li Xiyang looked out the window, it was cloudy, and said, "In weather like this, the temperature is high, the humidity is high, and the elderly have poor resistance, so it is easy to have sudden situations such as dizziness and shock." ”

The three of them all nodded, admiring Li Xiyang even more.

"Not only are you good at medicine, but you can always find details that others can't notice."

"It's worthy of being a talent who can enter the first hospital!"

Just when a few people sighed, a message from the dispatch command center popped up on the computer screen on the car: "An elderly man is dizzy and unwell and urgently needs to be transferred to the hospital." ”

It's really what to say.

The four of them looked at each other and smiled.

The next second, the ambulance turned around and headed straight for the next stop.