I can see the status bar

Chapter 124 What the Colleagues Have Learned (Part [-])
Li Songzhao was indeed ill.No need for Sun Liendo to say, the two big men directly turned Li Songzhao over and laid him flat on the ground, monitored Li Songzhao's heart rate with a portable cardiopulmonary monitor, and took an electrocardiogram by the way.As expected, T waves were sharply inverted symmetrically, suggesting acute right ventricular dilatation, typical ECG changes in pulmonary embolism.

Big guy A ran out of the Internet cafe to drag the emergency bed, while Sun Lien asked for two pairs of latex gloves from big guy B.After making sure that the gloves were worn and not damaged, Sun Lien carefully took off the shoes on Li Songzhao's feet.A strong stench came to his nostrils, and the socks on his feet, which were supposed to be white, were wet, and there were strange traces of cyan and yellow liquid soaking on the edges of his toes.Except for these two socks that I don't know how long they have been wearing, Li Songzhao's feet are directly exposed to the air.

Starting from the thumb of Li Songzhao's right foot, there was an ulcer about five centimeters by three centimeters.Smelly pus continued to slowly flow out of the sores.

The big man B glanced at Li Songzhao's feet, and wondered, "It really looks like a diabetic foot, how did you tell it? You can't be the one lying on his feet and smelling it, right?"

"Such a strong smell, as long as you have a nose, you can definitely smell it." Sun Lien took off the latex gloves, took two steps back, looked at Li Songzhao's feet, shook his head and sighed, "Diabetic feet of this degree... amputated."

Li Songzhao's foot injury is serious, but this is not the top priority right now.The big man A rushed in pushing the emergency bed, and there was a bottle of oxygen tube on the bed.The two big men worked together to transfer Li Songzhao to the bed, and skillfully put the oxygen mask on his face.The oxygen flux was turned on to the maximum, and then the big man B took out a bottle of heparin sodium from the medicine box, dissolved it with the sodium chloride injection in the small bottle, and was about to puncture the vein in the middle of Li Songzhao's elbow.

After cutting the clothes with scissors, the big man B was dumbfounded, "This..." He looked at the gray skin on Li Songzhao's arm, "What's wrong with this?"

Sun Li'en glanced at it, and instructed, "It's just been a long time since I took a shower. Wipe off the alcohol cotton ball." He picked up the mineral water he hadn't had time to open and handed it over, "Wash off the dirt first, Wipe it off with a cotton ball."

The alcohol cotton balls distributed by the first responders in the hospital should actually be called alcohol wipes.The advantage is that each piece is individually packaged, which is very convenient to use and carry.But this is where the inconvenience lies-if you need a lot of alcohol cotton balls to wipe, then just relying on non-woven cloth soaked in alcohol will not work at all.Sun Li'en just saw the wipes that the big guys took out, so he asked them to take a bath on the spot to remove the dirt.

Disinfection is required in this emergency situation, not because doctors have any cleanliness.It was purely because Li Songzhao's body was too dirty.It was so dirty that Sun Lien was worried that the needle would be blocked.Compared with the hands, the elbow does not usually come into contact with other things, and the dirt will not be panned out.Instead, it fell off naturally in pieces, and then stuck to the body by the heat of the body and the moisture removed from the pores.Big guy B wiped with a piece of gauze and a whole bottle of mineral water from Sun Li'en for several minutes before he managed to wipe off a piece of real skin.Then wiped the film with alcohol for disinfection, and then injected a heparin sodium into Li Songzhao's vein.

"Get in the car, take it to the nearest place." Two big men pushed the first aid Chuang into the car, and dragged Sun Li'en up by the way. "You reported 120, and you are a doctor. At least come with us, and make a handover with the doctors in the emergency department of the hospital."

Just like that, Sun Li'en was dragged into the car.It's a pity that the night-packed computer he spent 30 yuan on was used for less than an hour.And the owner of the Internet cafe looked at Li Songzhao's pair of socks with an angry look on his face. It seemed that he would not refund Sun Lien's money either.

"Send it to the nearest..." After getting into the ambulance, the big guy A patted the driver's seat and said to the driver, "Brother Wang, send it to the co-worker."

"A fellow co-worker, right?" The driver looked young, but for some reason he was called "Brother" by the pre-hospital emergency who seemed to be in his forties, but his reaction was still very decisive. "no problem!"

After two kicks of the accelerator, the driver suddenly lifted the clutch, and then quickly kicked the floor to get the oil down.The heavy ambulance even had a slight tendency to raise its head, and then there was a harsh sound of tires rubbing against the ground.

Although the ambulance accelerated quickly, there was no violent shaking in the compartment.Although it was late at night, there were still quite a few vehicles on the streets of the capital.Walking left and right in the traffic, within 3 minutes, the howling ambulance drove along Danbei Street and entered the entrance of the emergency hall of Tongxie Hospital.

"Just predicted, acute pulmonary embolism combined with diabetic foot." While jumping out of the ambulance at a flying speed, the big man A shouted to the doctors and nurses who rushed out of the emergency room, "He has already received a high concentration drug. Oxygen was inhaled, and [-] units of heparin sodium was injected intravenously."

Sun Li'en also jumped out of the car, helped push the bed and ran towards the emergency room.Big man A pointed at Sun Lien, "This is the doctor who called the ambulance. He saw that there was something wrong with this man. When we arrived, the patient suddenly stood up, very emotional. Then he suddenly fell down clutching his chest .”

The receiving doctor glanced at Sun Lien in surprise, "Whose student are you? I haven't seen you before."

"Eh..." Sun Lien was taken aback for a moment, and then he realized that the other party probably regarded him as a doctor of the association. "I came to the capital from Ningyuan on a business trip."

"The fourth central hospital?" The other party immediately called out Sun Lien's unit, "I heard Director Zhu mentioned your hospital, the emergency center, right?"

They were talking here, and the nurses beside them had quickly guided the emergency bed to an empty bed.Several people worked together to lift Li Songzhao onto the bed.Then he began to put electrodes on his body in a hurry.

The pasting of the electrode patch encountered unprecedented difficulties at this time.The patches either don't stick at all, or don't respond to electrical signals at all.This made the nurses of the co-operative anxious.Seeing this man's dirty appearance, the nurses could only hold a bottle of 500ml normal saline each, and began to wipe off the thick layer of dirt on Li Songzhao's body with gauze.Black water flowed down his body, and the sour smell almost filled the entire emergency room.It took a while before the nurses managed to wipe the necessary clean areas on his body.Only then was the electrode patch barely pasted.

While the nurses were scrubbing Li Songzhao, the doctor who spoke to Sun Lien was operating a B-ultrasound, and had confirmed that there was indeed a thrombus in the deep veins of Li Songzhao's lower extremities.However, the specific size needs to be confirmed by imaging examination.Considering that Li Songzhao had been injected with anticoagulant heparin in the first aid before the hospital, the priority now should be to solve his pulmonary embolism.

Li Songzhao's symptoms of pulmonary embolism are very typical, and there is no difficulty in diagnosis.Dyspnea, syncope, shortness of breath, wheezing, tachycardia, jugular vein distension.These are very typical symptoms of acute pulmonary embolism.However, the size of the embolism can only be known after pulmonary angiography is performed on CT.

The doctor who spoke to Sun Lien introduced himself, "My name is Yuan Ping'an, and I am the chief resident here. Do you know Professor Liu Pingchuan?"

Sun Lien reached out to shake his hand, "My name is Sun Lien. Professor Liu is now the vice president of our college."

"You are Sun Li'en?" Yuan Ping'an grinned, "I saw a post about you in Liuxiang Garden." He paused and asked curiously, "Professor Liu's students are really in the same treatment as you team?"

Sun Li'en nodded helplessly, "Although there are many unavoidable things in the middle, the truth is the same."

Yuan Ping'an and Sun Li'en shook hands a little stronger, "I have also listened to Professor Liu's class before, and I wanted to take the exam for Professor Liu's research group when I was taking the doctoral exam, but I didn't expect that Professor Liu was poached by your Fourth Central Hospital .”

Sun Li'en suddenly felt cold behind his back.

"My postgraduate study is in neurosurgery, and I thought that my research direction at the postgraduate stage coincided with that of Professor Liu..." Yuan Ping'an shook hands even stronger, "I didn't expect that two days before my interview, Professor Liu would be rejected You dug it away." He gritted his teeth, and looked at Sun Lien with a very "kind" look, "In the end, I was reluctantly accepted by Professor Zhu in the direction of emergency medicine."

Yuan Ping'an's own level will definitely not be bad if he can be admitted to the Tongxie for a doctorate degree.However, a former neurosurgeon turned into an emergency resident in the end. The story that happened in the middle may have a lot of blood and tears besides the waves.Sun Li'en looked at the doctor who shook hands vigorously with some sympathy, but didn't know what to say to comfort him.

The emergency department can dominate the operation of the entire hospital. This kind of thing can only happen in a hospital with a large emergency model.As the pinnacle of Chinese medicine, Tongxie's emergency department is also very powerful, but it is not as high-quality as their neurosurgery and cardiac surgery.Yuan Pingan, who originally came for the capital Tongxie doctor of Shenwai, suddenly turned into a doctor of emergency medicine of the capital Tongxie, the psychological gap in the middle can be imagined.

"Doctor Yuan!" The sister nurse next to him helped Sun Lien out in time, "The patient's blood oxygen saturation is dropping!"

The heart and lung monitor beside Li Songzhao was beeping, and his blood oxygen saturation had been below 90%. During the ten minutes of Yuan Pingan and Sun Lien shaking hands and doing basic examinations, Li Songzhao's blood oxygen saturation The speed has dropped to 87%, and it is still gradually declining.

"Is the oxygen concentration the highest?" Yuan Ping'an let go of Sun Li'en's hand and turned to look at the situation.He watches the heart and lung monitors as he adjusts his support plan. "How much heparin sodium was given before the hospital?"

"Seven thousand units." Sun Lien replied in time, "No other medicines were given except heparin sodium."

"Another two thousand units." Yuan Ping'an frowned, "What is his blood clotting time now?"

"The prothrombin time (PT) is 17 seconds." The nurse has already got the test result, "The estimated INR is 1.6, which is not enough time."

"It shouldn't be." Yuan Ping'an's brows furrowed even deeper, "Please ask the Department of Hematology for consultation. This patient may be insensitive to heparin."

　The [-]-word chapter has another update today.

　　
　
(End of this chapter)