699 Legendary Clinical Experience
That was many years ago, when Wei Dabao was a 120 emergency doctor, responsible for picking up patients.
Similar to this case, the patient complains of chest tightness, shortness of breath, and profuse sweating.
Wei Dabao hurried over, and when he arrived, he saw a bunch of people gathered downstairs.
120 emergency centers say patients are at home, 402 doors. Wei Dabao had information in his hand, and he didn't have the heart to watch the excitement. But when he passed by, he glanced and saw a man lying on the ground, his face was blue, and he was no longer breathing.
The patient's family threw themselves on the patient and cried, and some pinched people.
After checking the information, Wei Dabao knew that this was the patient he was going to take.
The 120 command center will tell the patient's family to lie down quietly and wait for the 120 ambulance and medical staff to arrive.
But why did they go downstairs?
Wei Dabao carried the patient into the ambulance and gave chest compressions for half an hour.
This is a "comforting" rescue measure, knowing that it is useless, but also giving certain psychological hints to the patient's family, and he died after the doctor's rescue failed.
When the dust settled, Wei Dabao asked about the situation, and he learned that the patient's chest tightness and chest pain were very severe at that time.
Because I had never been sick before, I didn't have first-aid medicine at home. Coupled with the feeling of impending death caused by chest pain and ischemia, the patient is extremely frightened. He thought that it would be better if he ran a few times and the blood circulated to open the blood vessels.
But with the help of his wife, he reluctantly walked downstairs, fell to the ground, and never woke up.
Wei Dabao was a little regretful, but he didn't think much about it at the time, as long as he didn't have medical disputes. As for the rest, does it have anything to do with him, the half-baked doctor in the emergency department? Surely not.
Since then, Wei Dabao has seen many similar cases, and in this regard, it can be said that he is full of experience. After all, the Northeast is very cold, and there is a high incidence of cardiovascular and cerebrovascular diseases.
Thinking about the cause and effect, Wei Dabao asked the 120 emergency doctor for a phone number, and directly used the hospital's landline to call the patient's family.
"Hey, is it Xu Guangzhi's house? After connecting the phone, Wei Dabao asked directly.
The phone was messy, and I could vaguely hear someone crying, and there seemed to be a knock knock sound.
Wei Dabao's heart tightened, and his mind was connected to the content described in "Diagnostics".
"Who are you? A woman asked, crying.
"I'm a doctor from a Chinese medicine hospital, are you knocking on the patient's chest?" Wei Dabao hurriedly identified himself, and then asked.
"Well, what's the matter?" said the patient's family, "Knock on the chest twice, Lao Xu feels much better." ”
Wei Dabao hesitated slightly.
After all, the patient feels much better, or else...... But since it was only a matter of moments, he quickly gathered his thoughts and said quickly, "Stop, stop!
In a hurry, Wei Dabao burst into foul language.
"Huh?" the patient's family said suspiciously, "The neighbor's brother said that what I saw on the Internet was that beating the chest was to open the blocked blood vessels, which could make the blood flow faster and flush away the blocked blood vessels......"
"Don't the hammer!!" Wei Dabao said angrily, "It's going to be fatal!"
The messy voice on the other side of the "......" phone seemed to be a little quieter.
Wei Dabao continued, "The patient can lie flat, you can have a higher pillow, let him be quiet, don't be nervous, and breathe hard. ”
"What are you exerting force?" asked on the other end of the phone.
Wei Dabao was speechless, did he learn badly with Section Chief Wu? Or did he read too much "Diagnostics".
"Gasp harder, deeper, into the lung tubes!" Wei Dabao roared.
"Oooh oh. ”
The patient's family was taken aback by Wei Dabao's attitude and subconsciously responded.
The sound of the phone was gone, and it was clear that Wei Dabao's words had worked.
With a sigh of relief, Wei Dabao just wanted to hang up the phone, but suddenly remembered something and continued, "Also, don't press the middle of the person." ”
The family of the ......patient was stunned for a moment, she thought that Wei Dabao had clairvoyance, and how could he know what he was doing on the phone from the phone.
"Don't pinch people!" Wei Dabao knew that he had guessed correctly when he heard that the other side did not speak, and hurriedly shouted, "If you pinch people hard, the patient will be in pain, and the pain will produce stimulation, resulting in accelerated blood flow, increased oxygen consumption, increased load on the heart, and aggravated the condition." ”
"What?" the patient's family asked weakly.
Wei Dabao supported his forehead.
"Don't pinch people, you won't ...... If you pinch someone again, your husband will be dead!!!" Wei Dabao finally told the patient's family concisely in a familiar way.
They don't have to explain why this is happening, they just know the outcome.
In fact, Wei Dabao is also a bit alarmist when he says this, and the kind of pain stimulation in pinching people definitely can't catch up with the intensity of angina. But at this time, there is no benefit in pinching people, it will only increase the risk, so Wei Dabao said without any scruples.
"Oooh oh. The patient's family hurriedly responded.
"Also, don't give the patient cold water!" Wei Dabao continued to admonish, "Don't pat him on the back and let him be happy." You'd better not do anything, and by the way, keep the patient warm. ”
“......”
"Just cover a blanket and keep warm. Is your lover lying on the ground? Don't move, just tuck something under your body. Wei Dabao instantly summarized the bizarre things he encountered in his life and said them all.
If you are a young doctor who has just graduated from medical school, you will definitely not understand why patients should drink cold water when they have a heart attack.
That's the legendary clinical experience.
After telling her again, Wei Dabao told the patient's family that the 120 ambulance would arrive soon, telling her not to worry, the family not to cry, and to try to calm the patient down.
After explaining this, he hung up the phone with a sense of relief.
"Brother Bao, you have changed. The little nurse stood behind and saw Wei Dabao hang up the phone, so she said.
Just after paying full attention to explaining the precautions for the patient's family, Wei Dabao didn't hear the little nurse walk in at all. As soon as his spirit relaxed, he heard someone talking behind him, which startled Wei Dabao.
"Oh, I'll go, you're scared to death. Wei Dabao said while clutching his chest.
"Brother Bao, don't lie to me. The little nurse smiled and said, "How can you tell the patient's family so much?" ”
"I've seen similar patients who died of a few sips of cold water because of the severe pain. Wei Dabao sighed and said, "Two more words of advice, do your duty." ”
"Drink two sips of cold water and die?"
"The well is cold, that thing suddenly drank it, the local capillaries constricted, and the body temperature dropped, resulting in aggravated coronary artery spasm and myocardial ischemia,......" Wei Dabao sat in his seat and began to recite the fragment of "Diagnostics" seriously.
In the past, he only memorized, but now Wei Dabao can connect theory with practice, and he is more and more like a real doctor.