I can see the status bar

Chapter 932 Foresight

Fortunately, there are always ways to overcome difficulties, and after repeated persuasion by street and community workers, those who are willing to risk breaking their bones have basically given up their plans to go out.This made the emergency department finally a little easier.

Similar to the patients received by the Fourth Hospital, after the first wave of trauma patients, the subsequent patients will naturally develop in other "directions".

"Forecast of carbon monoxide poisoning, three patients!" Sun Li'en, together with the emergency department of Zhongfu Hospital, had just admitted all the patients waiting for treatment at the door, when the alarm sounded on the other side.

It was the security office of the paper mill that alerted Nakatomi Hospital.Chang Ning had encountered a blizzard attack that had not been seen in decades. The staff of these security offices patrolled the corridors of various residential buildings to prevent accidents.And it is necessary to go to see if the lonely elderly people living alone are safe.

Just looking at it like this, the staff of the security office discovered something unusual—the door of a house on the third floor was closed, and there was a strange smell coming from the room.It smells like something is burnt.

This situation quickly attracted the attention of the security staff. After knocking on the door for several minutes without answering, they decisively took coercive measures—smashing the closed wooden door open.

After breaking open the door, the smell of burnt is especially obvious.In the room, a family of three collapsed beside the dining table and the sofa without moving.On the dining table is a red tandoor with barbed wire over it.On the barbed wire, a few pieces of pork belly have been roasted into charcoal.

The burnt pork belly attracted the attention of the security staff, and it was this attention that rescued the family from the closed room of carbon monoxide.

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The situation is very bad.

The ventilators at Zhongfu Hospital are adequate, at least oxygen inhalation is not a problem.But what's more troublesome is that the hyperbaric oxygen chamber in Zhongfu Hospital...it's not that big.

It is unlikely that a family of three will all enter the hyperbaric oxygen chamber.This is the biggest problem.

According to general regulations and requirements, a hyperbaric oxygen chamber can only accommodate one patient at most.From a "physical" point of view, accommodating two patients is probably the limit.

Fortressing three patients in...that is simply an impossible task.

Hyperbaric oxygen chamber is a main means of treatment of carbon monoxide poisoning.It's not that other methods won't work-it's just that this method is the best for treating carbon monoxide poisoning.

Leave it alone, it takes about four hours for the red blood cells to naturally release half of the carbon monoxide, and it takes 40 to 50 minutes for inhalation of pure oxygen.The hyperbaric oxygen chamber can shorten this process to about 30 minutes.

"Put the sickest ones in." After learning about the situation, Sun Lien quickly made a decision. "After they come over, do a blood test right away."

Five minutes later, the family was sent to Zhongfu Hospital by three electric tricycles.As soon as the flustered volunteers moved the patient to the hospital bed, the nurses who had been running for a day came out to take over and started pushing the patient into the ward.

It has to be said that the level of medical staff in Zhongfu Hospital is indeed not as good as that of the Fourth Hospital.In the fourth hospital, opening and intubating intravenous access for patients on the move is almost the norm.But in Zhongfu Hospital...the nurses can only prepare for the transfer after the patient has been transferred.

For things like rushing for time, the ordinary second-level hospitals are indeed inferior to the top three emergency centers.

"Send the older couple in first." Sun Lien looked at the status bar, and then whispered, "Give pure oxygen to the young one."

In fact, there is no need to analyze and judge. Sun Lien can also see that the young man's situation is a little better - his complexion is paler than his parents.

Patients with carbon monoxide poisoning will have obvious facial flushing, which is caused by the characteristics of carbon monoxide poisoning.The affinity between carbon monoxide and hemoglobin is 200 to 300 times that of oxygen. Most of the hemoglobin in patients with carbon monoxide poisoning will give up carrying oxygen and carry carbon monoxide with a stronger affinity.

After hypoxia in the body, the human body will naturally produce changes such as vasodilation and increased blood pressure, trying to make more blood flow through the body tissues as much as possible, thereby increasing oxygen supply.This natural change also leads to a "flushing" phenomenon on the patient's body-this is due to capillary dilation and increased blood flow.

For patients with carbon monoxide poisoning, the most important treatment is to correct the suffocation of the whole body caused by carbon monoxide poisoning as soon as possible.This damage has severe effects on all cells in the patient's body, but the most sensitive and severe is the brain tissue.

Carbon monoxide poisoning is not exactly the same as suffocation - after all, in the real environment, as long as it is not a special place such as a chemical plant, it is rare for the concentration of carbon monoxide in the air to reach 100%.In other words, the carbon monoxide concentration in the patient's body is generally not particularly high.

For example, in a family of three poisoned now, the parents fainted on the table where the oven was placed.It is the closest to the generation point of carbon monoxide, and its relative position is relatively high.Carbon monoxide is lighter than air, and the total amount of carbon monoxide they inhale is much more than the son sitting on the sofa in the distance.

But even in this case, the carboxyhemoglobin content of the couple is only about 40%.This is considered moderately severe, but not to the point of severe poisoning.

After quickly sending the couple to the hyperbaric oxygen chamber, Sun Lien began to adjust the treatment plan for this 21-year-old young man.

He will not receive hyperbaric chamber support for the next two hours, nor will he have the ability to transport him to another hospital with a hyperbaric chamber.Sun Lien first set a tone for the patient's treatment - within two hours, he tried his best to reduce the damage caused by hypoxia.And the scale of the treatment must be controlled so that he can be sent in to continue treatment immediately after his parents finish the two hours of hyperbaric oxygen treatment.

"This anonymous person's carboxyhemoglobin content is 35%." Soon, the test results of Zhongfu Hospital came out.After hearing this data, Sun Lien quickly began to issue a treatment plan.

"20% mannitol 125ml, dexamethasone 20mg with 10 sugar." Since the patient is already inhaling pure oxygen, the breathing treatment can not be adjusted temporarily.The treatment first proposed by Sun Li'en was for the cerebral edema that would occur after poisoning.

Due to the lack of oxygen in the brain tissue, the cerebral edema of the patient will develop to the peak within 24 to 48 hours after the poisoning.In order to prevent brain herniation caused by severe cerebral edema, Sun Lien chose to perform dehydration treatment first to protect the patient's brain.

The effect of dexamethasone is milder than that of physically dehydrated mannitol-through immunosuppression, dexamethasone can weaken the degree of cerebral edema in patients.It also reduces the severity of the subsequent sterile inflammation in the lungs.

Emergency medical treatment, especially for patients with severe delayed response, the most important thing is to prevent the delayed condition predictably after dealing with the current problem.

"We need to add some energy mixture to the brain cells to enhance metabolism." Yuan Pingan added, "Adenosine triphosphate?"

"Adenosine triphosphate is out of stock." This suggestion was rejected by Han Wenping on the other end of the walkie-talkie, "There is only one empty box of adenosine triphosphate left here."

Sun Lien lowered his head and thought for a while, "Cytochrome C first, add 10 sugar to 30mg, intravenous infusion." After speaking, Sun Lien lowered his head and took out his mobile phone to make a call.

"Dad, where are you now? There is a patient in the hospital who needs adenosine triphosphate. Ask if you can find a batch."

　The book friend group thing... is very interesting.I will go back and write a detailed story for you to see.

　　This is really... Art comes from life, and life is not logical at all...

　　
　
(End of this chapter)