Chapter 151: A Whim (August 7, 1/1 Subscription Update)
Liu Tangchun did make mistakes, and in his own opinion, this kind of mistake was big and serious. Therefore, Liu Tangchun was rarely panicked.
"I called the hygienist. The soldier who sent Lin Weijie over took out the walkie-talkie on his body and began to call people, "What else do you need?"
"Have your hygienist bring all the saline, and glucose. Liu Tangchun took two deep breaths, stabilized his psychological fluctuations, and then turned to Sun Lien and said, "I'm not in the right state, you come to take over the organization of the rescue." ”
Sun Lien glanced at his teacher, then nodded. "You take a break, I'll organize first. After saying that, Sun Lien turned around and started to work. Liu Tangchun slowly walked to the ground on the side, sat on the ground and began to rest.
"Hu Jia, put the patient's urinary catheter. Mr. Li, please get started with intravenous catheterization. Sun Lien quickly began to arouse three people, including his girlfriend, "Teacher Chen, go and call the teacher of the orthopedic department." Ask them to come over and see if they can immobilize the patient first. ”
All three of them received clear instructions, and Sun Lien lowered his head and began to break the ampoule. Diazepam (Valium) injection is encapsulated in an easy-to-open ampoule and can be easily broken without grinding the mouth with a grinding wheel. Sun Lien was thinking about the follow-up treatment and rescue plan while breaking it. He suddenly realized that the syringe in his hand would run out and he couldn't just throw it away. After all, if you don't bring the injection, it probably means that the medical team didn't even have an intravenous dropper.
The hygienist quickly rushed to the doctor's area and brought all the saline in the team – only two bottles of saline could be used for injections, totaling 500ml.
Hydration of burn patients is an important part of first aid. However, with only two bottles of saline, it is completely impossible to meet the need for rehydration. Liu Tangchun believes that Lin Weiqiang needs at least 1500ml of rehydration fluid. And Sun Lien also agrees with his teacher's judgment - this bit of salt water is not enough at all.
The health workers in the army rarely carry large amounts of saline, partly because it is too heavy. On the other hand, it is because of the types of casualties that they usually need to deal with, and those that need intravenous fluids are basically sent directly to the field hospital. Hygienists have a little less work than the pre-hospital in an ambulance, and they are mainly responsible for immobilizing and temporarily stopping bleeding, dressing, and debridement of minor injuries. These two bottles of saline were originally prepared by them to wash the wounds of their comrades.
"That's not enough. "Sun Lien is a little anxious, he has a status bar, and there is no problem in organizing diagnosis and treatment. But the status bar can't conjure up a few bottles of saline out of thin air. He took two deep breaths and calmed down like Liu Tangchun, "How much glucose?"
"Only orally. The hygienist was also anxious, "You didn't bring anything?"
This reminded Sun Lien. He first asked Hu Jia to hang up the normal saline solution to Lin Weiqiang, and then began to find the medicine box.
"That's not enough......" After looking for a while, Sun Lien really found four boxes of distilled water for injection in the medicine box, but the four boxes have a total of forty ampoules, and together they are only 40 ml of distilled water for injection...... That's not enough.
Under the coconut shadow, Sun Lien was anxious like an ant on a hot pot. It was a new experience he had never experienced before – the patient had a clear course of disease and a fixed treatment plan, but he couldn't do it because he didn't have enough saline or 706 generation plasma...... It's a terrible feeling.
Director Liu was also very anxious, he stood up and circled around a coconut tree on the ground, and after a few minutes, he suddenly stopped and looked up at the coconut tree in front of him thoughtfully.
"Coconut, coconut can be used. Liu Tangchun's voice suddenly drew Sun Lien's attention back. I saw Liu Tangchun like a big horse monkey, jumping and jumping under the tree, as if he had discovered a new continent, pointing to the coconut tree and shouting, "Pick the coconut, coconut green water can be used as saline!"
Sun Lien didn't say anything, he just carefully read Liu Tangchun's status bar - Director Liu couldn't be too sick and vomit, what vomiting encephalopathy happened, right?
There were no meaningful findings in the observation of the status bar, and Director Liu looked normal and rational. This is Sun Lien's turn to be shocked. When rescuing the firefighters who were poisoned by organophosphates before, Sun Lien was taught a lesson by Xu Yourong. There are strict requirements for drugs to be injected into the human body, and the API is dissolved in distilled water for injection or normal saline for injection in a sterile operating room, and then it is not possible to give it to the patient. ...... with coconut water?
Sun Lien suspects that if he makes this suggestion, he may be directly cancelled from his medical license.
"There has been a precedent for coconut green water to be used as an injection solution. Just as Sun Lien was trying to stop his teacher's groundbreaking idea, Dr. Qian Yihong, the oldest doctor in the medical team, walked out and explained to Sun Lien, "It's no problem to use this method for emergency response." ”
Before Sun Lien could speak, the two hygienists on the side suddenly came to their senses. The engineering corps has already cut down more than a dozen coconut trees in order to open up a landing ground. Doctors don't have injections, but there are plenty of coconuts. The two immediately volunteered to move the coconut, and made a promise, "Don't worry, you will pick the most beautiful coconut!"
The two hygienists ran away with a smoke and disappeared. But Sun Lien was still a little worried, "Doctor Qian, this coconut green...... Does it really work?"
"Yes. Dr. Qian nodded, "I haven't used it, but my teacher did." ”
In the 60s of the last century, Qian Yihong's teacher used to work on Hainan Island, which was still part of Guangdong Province at that time. At that time, Hainan's infrastructure was still very poor, and almost all medical supplies relied on Guangdong shipping. In the event of weather such as a typhoon, shipping is almost inevitably disrupted. And after the outage, the island's medical supplies will quickly run out.
In June '63, Typhoon Trais made landfall in Guangdong. Huge winds and waves blocked ships from Guangdong to Hainan Island. Dr. Wen Xiancheng, who was working at the Ruixi Commune Health Center in Chengmai County at the time, boldly used coconut water for intravenous rehydration in order to treat 15 patients with acute diarrhea without injectable glucose.
Among the 15 patients, all 13 were cured and discharged from the hospital, except for one person who had diarrhea and had gastric bleeding and one who died of third-degree malnutrition.
"Coconut water can be used in a bold way, as there were records of children aged 1 to 3, infants and toddlers aged 8 months, and children aged 7 to 15. They used up to 900 ml without any adverse effects. The maximum dosage for three adult patients was 2000 ml. "The main reason why it was not popularized at that time was that the transportation force to Hainan was sufficient, and the island began to build its own pharmaceutical factory." ”
Sun Lien was dumbfounded, coconut water can really be injected intravenously directly, and Liu Tangchun said with a smile, "When we were in Laoshan, we heard similar stories from veterans. But that's the experience over there - in the 80s, we had plenty of supplies at the front. ”