medical road high rise

Chapter 374 Saving People Thousands of Miles Away ([-])

Chapter 376 Saving People Thousands of Miles Away ([-])

Qin Feng immediately provided the patient with a nasal tube, and tried to intubate.

But after trying several times, the nasal tube was blocked and couldn't be put in at all.

At this time, even if the patient takes a big mouthful of breath, it has no effect, he can only make a throat noise, his complexion is also cyanotic, and he may die of respiratory failure at any time.

Coupled with the rapid development of the patient's condition, Qin Feng couldn't react for a while.

After tearing off the patient's upper collar, Qin Feng saw obvious depressions in the patient's suprasternal fossa, supraclavicular fossa, and intercostal space. This characteristic is inspiratory dyspnea caused by upper airway edema obstruction.

"Prepare the tracheotomy bag." Qin Feng shouted.

The only option now is to give the patient a tracheostomy to allow the patient to breathe, otherwise the situation is only getting more and more sinister.

The nurse handed over the incision bag, Qin Feng quickly opened it, and then cut, intubated, placed, and sutured the patient's trachea.

Several steps are done in one go.

"Connect to the ECG monitor."

"Establish an intravenous line in the right arm to prevent the patient from going into shock."

……

The instructions were sent out by Qin Feng, and the nurses and hospital staff were always busy.

While waiting for the ECG monitor to be fully connected, Qin Feng found that the patient's blood pressure was low and his heart rate was too fast.

This is a typical symptom of shock.

Qin Feng frowned and asked the nurse to quickly rehydrate the patient.

With a series of corresponding treatments such as epinephrine, oxygen inhalation, intravenous infusion volume expansion, and anti-anaphylactic shock rehydration, the patient finally woke up slowly.

At the same time, blood pressure returned to normal, breathing became stable, and the shock was resolved.

The hospital always saw that the patient was fine, so he said hello to Qin Feng and left directly.

After all, as the hospital chief, there are still many things to do, and it is impossible to waste time on one patient.

Qin Feng also breathed a sigh of relief. This patient was considered lucky. He came to the hospital for treatment in time, and there were no serious consequences.

The shock and suffocation of the patient at this time can easily cause death, and the longer the delay, the more unfavorable it will be.

After re-sewing the trachea, Qin Feng called the doctors in the emergency department, handed over the patient to them, and then returned to his post to wait for the next patient.

For the remaining patients with fever and diarrhea, Qin Feng's consultation speed has also been accelerated a lot.

In the middle of the night, the condition of the female patient improved a lot, and most of the rash has subsided, and it is estimated that it will completely subside tomorrow.

At around six o'clock in the morning, the female patient was discharged from the hospital by her family members, and then made a special trip to Qin Feng's consulting room to thank Qin Feng.

"Thank you, Doctor Qin, if it weren't for you, I'm afraid I would have..."

"It's okay, this is what I should do. Remember to take your medicine on time when you go back, and remember to rest more." Qin Feng said.

The female patient left with the support of her family members.

Qin Feng looked at the computer files and suddenly started searching for cases of bee stings.

After a search, I found that there are tens of thousands of cases of this kind every year, just a lot more, and the data of some small hospitals or outpatient clinics cannot be reported.

At the same time, the death rate is still quite high.

Of course, the cause of death was not that the doctors were incompetent, but that the patients were delayed for too long. Everyone had no systematic understanding of being stung by bees in the hospital.

Qin Feng thought about it for a while, and then shared the case in the document, including the diagnosis, treatment and summary of being stung by bees.

This time, Qin Feng also posted it on the intranet.

Therefore, there are two articles under Qin Feng's name at once.

The first article has been read more than [-] times and has been forwarded thousands of times.

In a small city in the north of the country.

The emergency department received a patient with an unexplained fever. After the emergency doctor made a diagnosis, he did not draw a conclusion. After consulting with the department, the patient was diagnosed as rabies.

The emergency doctor always felt that something was wrong, so he went to the intranet to check, and finally found the article that Qin Feng had posted before.

Rabies?Misdiagnosis?Ruijin Hospital Emergency Department Qin Feng?
The emergency doctor immediately sat up.

Looking along the way, Qin Feng's diagnosis of this case, which finally overturned rabies, was myasthenia gravis.

The emergency doctor exploded as if struck by lightning.

This case is incomparably similar to the patient I just diagnosed, as if it was a replica.

Doesn't the patient's current fatigue and limpness correspond to myasthenia gravis?There is also difficulty in breathing. At that time, I thought it was caused by fever and weakness, but now it seems that it is also caused by muscle weakness.

In addition, the light in front of the consulting room is on, but the patient is not afraid, which is worth pondering.

The more he thought about it, the more the emergency doctor realized that he might have misdiagnosed the patient.

The patient is not rabies, it may be myasthenia gravis.

But thinking of the desperate expression of the patient's family when he gave the diagnosis before, the emergency doctor didn't care to think about it.

He rushed out of the consulting room and asked loudly about the whereabouts of the patient just now.

After learning that they had left, the emergency doctor quickly dialed the number they registered with.

Soon the patient's family brought the patient to the door of the hospital with tears streaming down his face. The emergency doctor also breathed a sigh of relief and told his family members about his diagnosis.

Several tests were done soon, and the patient was found to have myasthenia gravis, not rabies.

The emergency doctor clenched his fist and waved it fiercely. If it wasn't for the inconvenience of the hospital to yell loudly, he would have wanted to yell a few words to vent his inner excitement.

After dealing with the patient's affairs, the emergency doctor returned to the computer, and typed down his feelings under Qin Feng's article.

"I am an emergency doctor at xx People's Hospital. Today I..."

In the township hospital, an aid doctor is reading articles on the intranet and studying. He is destined not to stay in the township for too long, and he will definitely go back in the future. It is only good to have a little more medical knowledge. Although the township health center If you don't encounter that rare case, it's okay to have a look.

Soon, he saw Qin Feng's article about bee stings.

In rural areas, this kind of patient is the most common, but most people think that it is enough to just rub some essential oil.

At this time, the rural doctor saw a child screaming, followed by several bees.

Finally, it was the child who jumped into the pond, and the bees stopped tracking. The child climbed ashore and patted his chest.

"Hiss, these bee stings hurt so much." The child said while clutching his palm.

Seeing this scene, the rural doctor hurried up and asked, "Little friend, what's wrong with you? Why are you so red?"

"Brother, a bee stung me just now, look."

The rural doctor saw a small black spot in the center of the red and swollen area of ​​the child. It should be that the stinger of the bee is already very red and swollen.

(End of this chapter)