36. Causes of poisoning
As for whether Li Mengmeng is black-faced or not, there may never be an answer.
But even if it is really black, Chu Liang is not afraid, after all, the emergency ward is originally to deal with all kinds of incurable diseases, the darker Li Mengmeng's face, the better, anyway, if there are more lice, he is not afraid of itching.
The two followed behind the doctor on duty and hurried to the emergency room.
Although he was separated by the thick door of the rescue room, Chu Liang seemed to sense something, and his brows tightened suddenly.
"It seems a little tricky."
Li Mengmeng was a little confused, but when the heavy door slowly opened, the chaotic scene in the rescue room came into view, and Li Mengmeng's little round face suddenly became solemn.
"Doctor! Doctor, come on, there is a patient who has been losing blood pressure, what now! ”
The alarm of the monitor sounded loudly, and all the medical staff were mobilized, shuttling back and forth in the small space, exhausted.
The object of rescue is a family lying neatly on the flat car.
Men and women, and a little boy.
All fell into a coma and lost consciousness.
It was the little boy whose blood pressure kept plummeting.
The doctor on duty walked to the flat car sweating profusely, and after briefly checking the patient's condition, he looked at the ambulance doctor who had not left: "What's the matter?" Why is the whole family poisoned? ”
The ambulance doctor also looked a little confused: "I don't know, it was the family's neighbors who called the ambulance, they just saw the family fainting through the balcony window, so they called the ambulance, the door was broken by the firefighters, and it was poisoned visually, but it is not clear what poisoning is for the time being." ”
"Unexplained poisoning?" The doctor on duty suddenly had a big head.
Suicide by taking drugs en masse because of family trivialities?
Or is it just food poisoning?
Or is the poison not entered by mouth, but by skin contact, gas inhalation?
The cause of poisoning is unknown, which will naturally have an impact on the treatment, and the poison is mutually restrictive, and the indiscriminate use of drugs may not only not have a therapeutic effect, but will aggravate the symptoms of poisoning.
"First gastric lavage and catharsis, and temporarily observe the blood pressure to see if it can be stabilized." The doctor on duty had a fast brain, and finally chose to stabilize the plan.
Chu Liang and Li Mengmeng also came over at this time, and when they saw the family of three lying unconscious on the hospital bed, they couldn't help frowning.
At the same time, a voice sounded in Chu Liang's mind:
[Mission: Rescue of Poisoned Patients]
[Introduction: Turn the tide, rescue many poisoned patients, and let them turn the crisis into safety]
"Teacher Chu, why are you here, I can still hold it here, you better go back to the office, if you can't hold it, I'll call you over to help." The doctor on duty turned his head and saw that Chu Liang was also following, so he hurriedly pretended to be relaxed.
Director Li Mingwei had already greeted him, and he couldn't let the doctors on duty in the emergency ward participate in the department's rescue, especially the critically ill patients, and they couldn't let them interfere.
Of course, the more important reason was that the doctor on duty felt that it was useless for Chu Liang to stay here.
Poisoning for unknown reasons, this situation can only be dealt with symptomatically, Chu Liang, an old salted fish, can't help if he stays here, so it is better to send him away quickly, so as not to command and delay things here.
Chu Liang's attention was all focused on the patient at this time, and when he heard the words of the doctor on duty, he just said lightly: "This little boy's blood pressure is dropping again, and if you have time to persuade me to go, it is better to use your brain to think about how to stabilize your blood pressure." ”
The monitor alarm sounded non-stop, the cuff was measured at a set interval of one minute, and the latest blood pressure measurement of the little boy was:
83/43mmHg
It's already below the lower limit!
The nurse hurriedly reported: "The blood pressure is too low, and I am about to go into shock, what should the doctor do now?" ”
The doctor on duty suddenly had a big head, thought for a moment, and could only say: "For the time being, let's make up some fluids and see if it can be stabilized." ”
The nurse glared at him: "Just rehydrate?" Saline rehydration? ”
The doctor on duty was a little weak-hearted, but he still pretended to be calm and nodded: "Yes, observe first, the cause of poisoning is unknown, and I don't dare to use medicine casually." ”
Li Mengmeng couldn't help wrinkling her little nose at this time, and muttered: "This is too stable, blood pressure has dropped so much, what's the use of simple rehydration, this is not at all like the emergency rescue I imagined!" ”
However, the rescue of reality is sometimes so simple and unpretentious.
Gastric lavage and catharsis, coupled with a bottle of 500ml of saline quickly poured into the little boy's body, the blood pressure like an avalanche was really pulled so hard.
The patient's condition stabilized, which made the doctor on duty breathe a sigh of relief, and he couldn't help but rejoice, although his class was a little abnormal today, but fortunately, the situation did not deteriorate further, which was a blessing in misfortune.
Soon, however, he realized that he had rejoiced a little too soon.
The sound of the ambulance's rapid braking once again came into the rescue room, and everyone's movements couldn't help but froze, turning their heads to look at the door in confusion.
"Where is the doctor, and there are poisoned patients!"
The ambulance doctor rushed into the emergency room with a flat cart, and on top of it was still a confused poisoned patient.
"Another one? What's going on today? "The doctor on duty grabbed his hair in a mess, and the whole person was not good.
But it doesn't end there.
In the next half hour, ambulances arrived one after another, and six more poisoned patients were transported to the emergency department of the Second Provincial Hospital.
The most serious poisoning has obvious symptoms of shock, blood pressure has fallen below the bottom line, and there is no way to stabilize it through conservative treatment, and the doctor on duty has no choice but to use antihypertensive drugs, which can stabilize blood pressure.
Other patients with mild poisoning have no way to communicate normally and cannot learn the root cause of poisoning from their mouths.
However, things have developed to this point, and experienced emergency department medical staff have probably guessed the cause of the poisoning:
Food poisoning!
Only food poisoning can cause such a group of people who do not know each other and have no contact with each other in life to have the same symptoms of poisoning.
But now the question is, what kind of food did they eat that caused such severe poisoning symptoms?
"I can't ask, the patients are confused, and the poison test will take at least two or three days, and now I can't count on it, so it seems that I can only treat the symptoms." The doctor on duty was sweating profusely and had words of suffering.
Chu Liang had been silently observing each patient beside him, but he didn't have any ideas for a while.
"The onset of poisoning is too sudden, the patient has no way to explain useful information, and there is no outstanding and obvious manifestation from the physical signs alone, and it is indeed difficult to identify the cause of poisoning."
"However, the effect of symptomatic treatment alone is too slow, and the toxicity is still slowly playing a role in the patient's body, after all, gastric lavage catharsis requires a process, during which the toxicity will continue to erode the patient's body, and this damage is often irreversible."
"What's more, the cause of the poisoning is not clear, which means that the restaurant with the problem is still operating normally, and there will be more people who eat it by mistake, and the poisoned patients will continue to be produced......
Chu Liang's thoughts in his mind turned sharply, and suddenly he had a flash of inspiration, turned his head and said to Li Mengmeng: "You go to the office where we stayed just now, and bring me the map of Luzhou City hanging on the wall." ”
"Maps?" Li Mengmeng was stunned for a moment and did not react.
"We need to find out the cause of the poisoning, these people must have been poisoned by eating the same restaurant, we have to narrow down the map and mark this place to prevent further people from being poisoned, and at the same time find the antidote!" Chu Liang said in a deep voice.
Li Mengmeng's eyes suddenly lit up.
That's right, that's the emergency rescue in my mind!
"I'll get it right away!"
I saw her say yes and run to the office like a fly.