Chapter 43 One Hundred Thousand Urgent, Big Rescue!

The two were silent and trotted all the way to the emergency department.

Back in the emergency room, Director Pan ordered to start removing patients who were not seriously ill and sent them to other hospitals for treatment.

Director Lao Pan announced that there was a mass poisoning incident. After the city's first hospital had to concentrate its efforts to treat the critically ill, most of the patients still obeyed the arrangement, left on their own, and went to other hospitals for treatment.

There are also some people who are not seriously injured or in a hurry, and stay to watch the fun.

But a few people started to riot. You have come, but you said you don't see a doctor? ! Is your hospital still a place to rescue the wounded? If you don't want to see a doctor for Lao Tzu, then don't see anyone!

Director Lao Pan just stared coldly at a few clamorous grandparents and hooligans, ignoring them at all, and then set about arranging the emergency room.

Those who can be discharged will be discharged, and the procedures will be done in the future, and as many observation beds as possible will be vacated to wait for the coming storm.

Five minutes later, the hospital leadership team of the city's first hospital all went to the emergency department, working on site, deploying doctors and nurses from various departments of the hospital to strengthen the emergency department.

After all, such a big event may not happen once in a few years. Therefore, the emergency department is not routinely allocated, but only temporarily allocated.

A female patient in her fifties had a sullen look on her face. Seeing the hospital leader came, she stepped forward and grabbed Dean Xiao, who was staring at the moon, and started to make trouble.

There is nothing anyone can do to be a rogue to someone who is a little old, and the same is true of Dean Xiao.

Seven minutes later, nearby police came to support.

Seeing the shining national emblem, those who made trouble were all cowardly.

Nine minutes later, the hoarse horn of the ambulance came from afar, and all the personnel were in place, ready to start the fight.

Zheng Ren went to the emergency door to pick up 120 cars with the nurses and nurses. Originally, Zheng Ren didn't need to go, but he thought that if he had made a clear diagnosis a second earlier, he might have saved a fresh life.

The 120 car braked suddenly, the tires rubbed the ground and made a harsh sound. A swirl of white smoke rose, leaving black marks on the ground from the friction of the brake tires.

When the stretcher was pushed down, Zheng Ren was startled.

The patient's exposed skin is bluish-gray, a living avatar.

A bad thought suddenly popped up in Zheng Ren's mind, this is nitrite poisoning.

Since training in the system, Zheng Ren's memory is countless times stronger than before.

An extremely rare disease such as nitrite poisoning is only introduced in a few simple sentences in textbooks when I was in school. Leaving school to work, Zheng Ren has never seen a patient with nitrite poisoning.

But this memory, a few lines of words, appeared directly, not even a little vague.

Through the diagnosis of the case in the upper right corner of the visual field, Zheng Ren determined that this is nitrous acid poisoning. The patient is already in a state of toxic shock and may die at any time!

Pushing the cart, Zheng Ren ran wildly.

At this time, every second is extremely precious and can determine a person's life and death.

"Nitrite poisoning! Prepare Meilan! Prepare potassium permanganate for gastric lavage!" Zheng Ren roared while pushing the cart.

Zheng Ren's voice echoed throughout the corridor.

Xiao Zhao is hiding in an inconspicuous corner of the corridor of the emergency department and is broadcasting live. When he heard Zheng Ren's voice and saw him running with the cart, a sense of admiration suddenly rose in his heart.

Usually very ordinary, the diaosi youth who has no money, no house, and no girlfriend, is extremely tall at this moment.

"Prepare Meilan, a lot!" Zheng Ren loudly arranged as he passed by Dean Xiao.

As if he were the dean, with authority in his voice.

Dean Xiao was stunned for a moment. The unreasonable aunt in her fifties was still making trouble despite the police's deterrence.

Zheng Ren let go of the cart and said, "Establish an intravenous channel, add 140 mg of melan to 250ml of 10 sugar, stop at full speed, and wash your stomach with potassium permanganate at the same time."

The flat car loaded with the patient left Zheng Ren's hands and was picked up by the nurse waiting at the door of the emergency room, very skilled.

"A lot of Meilan is needed, and the emergency department has regular stock in stock, but it's not enough." Zheng Ren walked up to Dean Xiao and said solemnly and seriously.

"You bully me, an old lady, I'm not finished with you! I don't believe it, there's no reason for it!" The old lady seemed to be crazy, grabbing the collar of Dean Xiao's white clothes and making a fuss, she didn't even listen to the police around her. .

Without saying a word, Zheng Ren went up to grab her arm and threw it aside.

With such force, he suddenly threw the rambunctious old aunt into the crowd in the corner. She was stunned for a moment, then sat on the ground immediately, and began to howl, slapping the ground with her hands, "The doctor killed, the police killed!"

"You go and deal with it, and more people will come later." Zheng Ren entered the king mode, arranged for the police to work, and then said to President Xiao, "Our hospital's stockpile should also be insufficient, so ask the city for help. If the stockpile in the city is not enough , ask for help from brother cities and counties!"

After speaking, he turned around and left without explaining why.

Emergency rescue is a race against time. Dean Xiao's face is solemn, and he can't even bother to tidy up the messy collars. He arranged for the director of the medical department to allocate Meilan in the whole hospital, then picked up the phone and started to contact Meilan in the city.

Methylene blue, also known as methylene blue, is generally used in clinical practice to mark surgical points and for positioning. Therefore, the stock of the entire hospital is not large, because the consumption is small.

In normal human and animal red blood cells, there are substances that reduce methemoglobin, such as VC and various glutathiones.

If the oxidative capacity of nitrous acid entering the body exceeds the reducing capacity of the body, the human or animal will have obvious symptoms of poisoning.

Entering methylene blue becomes reduced methylene blue under the catalysis of reduced coenzyme 1. Reduced methylene blue can reduce methemoglobin to hemoglobin. It is itself oxidized to oxidized methylene blue. This is repeated over and over and over again.

The medical staff present did not know much about this theory, and it was extremely unpopular first aid knowledge. But this does not prevent everyone from realizing the seriousness of the problem. After all, the patient's whole body is blue, his breathing is weak, and his blood pressure is very low. Anyone with some clinical experience will know that the patient has entered a state of shock.

If the shock state cannot be improved as soon as possible, complications such as liver and kidney failure, cerebral edema, and subsequent death will soon occur due to reduced blood perfusion.

Zheng Ren arranged for Dean Xiao to enter the emergency room. At this moment, he had no idea whether the tone he spoke to the dean would cause him trouble in the future.

The patient was lying on a rescue bed with his shirt cut off and thrown aside. The whole body is covered with electric shock film, which is connected to ECG monitoring. The dense lines systematically transmit the patient's vital signs to the ECG monitor, and through the current, turn them into numbers and images, making everything more direct.

Blood pressure 50/20, heart rate 40, blood oxygen saturation can not be measured!

In a normal sense, this should already be considered dead.

The head nurse was setting up the venous access, bent over, and there was no blood returning after three needles. The cold sweat on the forehead had already wet the sterile cap in ten seconds.

Life or death depends on whether the venous channel can be successfully established.

At this time, the patient's blood pressure was 50/20, and the pulse was extremely weak. Even the thick veins such as the jugular vein and the femoral vein were deflated and turned into connective tissue in the muscle tissue, which was completely impossible to find.

"I'll do it." Director Pan took the incision bag, dragged down the patient's pants, and began to search for the femoral vein, preparing to perform deep vein incision, a long-standing operation that was rarely performed now.

The situation is critical, even if Director Pan cuts the skin and muscles of the groin, the femoral vein may have turned into a trace of transparent connective tissue, challenging the surgeon's eyesight and experience.

And doing so is very slow. Zheng Ren seemed to hear the sound of the 120 ambulance in the distance again.

Without hesitation, Zheng Ren entered the system space and shouted, "I want to buy training time!"

Thanks Niu Ge 223 and Xingyujian for the reward. Ask for votes at noon~~~ Students who get up late should vote!