Emergency physicians often need to help patients whose lives are at serious risk. But not every patient values their lives with the doctors. Suicidal, substance-abusing patients are brought to the emergency room almost every few days. Almost every patient who commits suicide regrets it to the point of no return. Because of the lack of universal psychological intervention and treatment institutions, they will almost always go to a dead end because of something that seems to be no big deal to ordinary people.

During his time working in the emergency room, Sun Lien saw two poor people who had attempted suicide and were taken to the hospital. Both are women and are not very old. Fortunately, most urban women choose to overdose when they commit suicide, and they are found very early, and they can be saved after emergency gastric lavage. After leaving a tear and countless regrets, the two were discharged from the hospital and welcomed their lucky new life.

And patients who abuse drugs or even take drugs...... To put it mildly, except for a few poor people with psychological problems, most of them are self-inflicted.

Due to the particularity of the group, drug addicts often share needles and other habits, and one is a group with a high incidence of blood infectious diseases. The five infectious diseases commonly done in domestic hospitals are basically counted as common diseases in this group. AIDS, syphilis, gonorrhea, hepatitis A, hepatitis B. Two of these five diseases at the same time are almost certainly at least "special work populations". If you win three, there is a more than 80% chance that you will be a drug user.

Sun Lien looked at the thin man lying on the rescue bed in front of him, and he was a little distracted. Sun Lien, a drug addict, has also seen it, but it is the first time he has seen it to this extent.

"Xu Muyang, male, 31 years old, cassibo sarcoma, secondary syphilis, gonorrheic proctitis, hepatitis A, hepatitis B, diacemorphine overdose. ”

Sun Lien blinked, he really felt from the bottom of his heart that something might be wrong with the status bar. But these lines of words have always hung quietly on Xu Muyang's head, which looks quite ironic.

Acemorphine, also known as heroin. It is an acetylated derivative of morphine, which is similar in action and application to morphine, but the analgesic effect is stronger than morphine, and it is easy to produce hallucinations and stronger euphoria after medication. It is characterized by a fast effect, a period of duration, and more than ten times more inhibition of morphine on the central nervous system.

In other words, diacemorphine dependents use the drug more frequently and use a larger amount of the drug than those who are traditionally drug dependent. This makes diacemorphine dependent more likely to have respiratory depression than traditional drug dependents. Xu Muyang is like this now. The dose of diacemorphine he used significantly exceeded the "safe" amount. The strong central nervous system suppression effect caused him to be admitted to the hospital without breathing and heartbeat. The pupils are dilated, about 6 mm in diameter and insensitive to light reflex, the whole body is severely cyanotic, and there is a large amount of white fine foamy discharge in the mouth and nose.

The doctors in the emergency room rushed to resuscitate him. In addition to suctioning to clear the airway, symptomatic measures such as chest compressions, mask non-invasive positive pressure assisted breathing are all used. During the rescue, Yuan Ping'an, who was in charge of directing the rescue, noticed the patient's special signs and dense pinholes on his arms. After two minutes of resuscitation, after an intravenous bolus injection of 1mg of epinephrine, Xu Muyang's heartbeat recovered. But he still did not breathe spontaneously, and finally urgently added 0.8mg of naloxone, and switched to an endotracheal intubation ventilator to assist breathing, and three minutes later, Xu Muyang resumed spontaneous breathing. Oxygen saturation rose from 90% to 95%.

After pushing another dose of naloxone, Yuan Ping'an went to pay attention to other patients. And Sun Lien took a thick stack of cases and came to Zhou Jun to sign. After walking into the rescue room, the first thing he noticed was Xu Muyang, who had a long list of states on his head.

"Lien, are you here?" Yuan Ping'an was sweating, and today's emergency room was still as lively as ever. But seeing Sun Lien coming, he still waved his hand at Sun Lien happily. On Sunday night, he had a chat with Sun Lien, and Sun Lien assured him that there would be no problem in introducing his girlfriend to the Fourth Central Hospital, as long as the director agreed and the association was willing to release him, then it would be easy to say anything.

"Brother Yuan......" Sun Lien put a bunch of cases in his hand next to the duty desk, walked two steps quickly, walked to Yuan Ping'an's side and asked in a low voice, "What's the matter with the patient in bed 3?"

"Oh, that's?" Yuan Ping'an glanced at the 3rd bed, and after confirming that what Sun Lien said was Xu Muyang, he shook his head and said, "I pushed through naloxone, I overdosed on drugs." ”

"Thin like this, I guess I've been smoking for a long time, right?" Sun Lien didn't worry much about Xu Muyang's life, the survival period of drug addicts who are full of drugs is basically calculated on a monthly basis, even if they are worried, it is too late. He tried to guide Yuan Ping'an to pay attention to the infection management of medical staff, "Have you done the five items of infectious diseases?"

"You're getting to the point. Yuan Ping'an's eyes lit up, and after looking around to confirm that there were no unrelated people, he said in a low voice, "Have you ever seen an Internet writer with all kinds of poisons?"

"Net...... Internet writer?" Sun Lien was stunned, and his first reaction was that these four words were probably a joking name for some kind of syndrome.

"It's just writing about the Internet. Yuan Ping'an said with a smile, "The family members who sent him said that they were worried that the patient's sudden collapse was due to symptoms caused by long-term Internet use." ”

Sun Lien was speechless for a while before asking, "Internet writer...... Can you make money writing? No wonder you're so thin......"

"It's a dead end. Yuan Ping'an shook his head and said, "But he should be okay." I heard from his family that he is still a little famous and has written two fine books. He glanced at Xu Muyang again, shook his head and said, "But depending on the situation, it is estimated that the little money he earned was used by him as drug money." ”

Considering that he also has gonorrhea proctitis, Sun Lien strongly suspects that Xu Muyang may have other sources of income besides being an online writer. However, since it has been determined that he is a drug addict, as long as Xu Muyang's vital signs return to stability, he should be transferred to a compulsory drug rehabilitation institution or a specialized infectious disease hospital for treatment. It is more likely that they want to go to a specialized infectious disease hospital for treatment, and even if they do not relapse in the future, the chance of surviving for six months will not exceed 20%. If such a person is sent to a compulsory drug rehabilitation institution, it is estimated that he will die of illness in the near future.

"Call the police?" asked Sun Lien, the treatment process for these special patients is fixed. But seeing that Yuan Ping'an's busy feet did not touch the ground, Sun Lien was really worried that he would forget this stubble. If this person runs away on his own after regaining consciousness, it will be a mess.

"It's reported, Officer Wu has already reported the situation with his colleagues, and it is estimated that someone will come in another ten minutes or so. Yuan Ping'an nodded. In fact, he really didn't know the process of dealing with this situation in the Fourth Central Hospital, and he originally planned to call the police himself.

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Sun Lien put a bunch of case records in the office of Zhou Jun, who needs to attend two regular meetings today and is now in the conference room. Fortunately, the case record did not need to be signed immediately, so after sending another WeChat message to Zhou Jun, Sun Lien walked out of the office again and walked towards the door of the rescue room.

When passing by the third bed, Sun Lien suddenly heard some strange movements, and turned his head to see that Xu Muyang, who was lying on the bed, gradually opened his eyes, because he had regained stable spontaneous breathing, and the auxiliary breathing tube in his throat had just been removed.

"Dr. Yuan, the patient is awake. Sun Lien shouted in the direction of Yuan Ping'an. Then he picked up the restraint equipment next to the bed and rushed over. Patients who inject naloxone after an overdose will experience severe withdrawal, and this long-term drug addict can be very violent. Sure enough, after Sun Lien tied Xu Muyang's hands, he began to struggle violently.

"Upper Constraint...... Oh, it's okay, just tie your feet on. Yuan Ping'an obviously also knew the consequences of naloxone being used on drug addicts, and he originally planned to call Xiao Guo, who had the most strength in the rescue room, to come over to help, but now it seems that Sun Lien has tied the other party's hands, so there is basically no need to worry about the patient breaking free and falling into bed, or hurting other medical staff.

And Sun Lien, who had completed the restraint work, felt a cold sweat on his head. Fortunately, I just went to Zhou Jun's office to put some cases, and fortunately, I walked out of the office after I finished sending WeChat. A little earlier in this time, he would directly miss Xu Muyang's sober moment, and miss the best time to be restrained. A little later, he would happen to pass by when Xu Muyang was struggling the most. When the time comes, this guy who is addicted to drugs and has a bad brain may be able to prick him again with a needle stuck in his body.

Fortunately, this guy was tied up, and Sun Lien felt scared for a while. Even though his limbs were firmly tied to the side of the bed, Xu Muyang was still struggling desperately. The force was so great that the guardrail with a pure steel core made a tooth-sore crunch. After tossing for a while, he gradually accepted the reality and slowly calmed down.

"Excuse me. Xu Muyang shouted on the bed, "Loosen this belt, it hurts me." ”

"If you weren't a drug addict, we wouldn't have tied you up with a belt. Yuan Ping'an's request to Xu Muyang had no meaning of accommodation at all.

Xu Muyang wheezed violently on the bed like a tired dead dog for a while, and then he retorted, "What do you know! I'm an artist, what's wrong with an artist's drug addiction? Without those things, how could I be inspired!"

"Personally, I don't want to talk to you about the connection between art and drugs, because they have no connection at all. Yuan Ping'an glanced at the cardiopulmonary monitor beside the bed, "As for your inspiration, if you don't have inspiration, then don't be a writer." You won't starve to death if you go out and get a job. ”