For the 120 emergency call, people from the local 120 emergency command center usually dispatch vehicles for rescue according to the distance.
There are also cases where family members of patients strongly request to designate which hospital has the vehicle.
But this is done by people who are familiar with the process. If the request is strong, especially strong, the command center will hold its nose and admit it.
After all, no one wants to cause trouble. If I really get complained about this kind of thing, I won't be guilty of it.
Soon, the 912 emergency department received a call and made a visit. The location was relatively far away.
Zhou Litao picked up the first aid kit and got into the car with the nurse. He also asked his family to call him if there was an emergency.
"Mr. Zhou, why are you following me?" asked the nurse in the emergency room.
"Boss Zheng said that there is a patient who fainted after eating, and now he has started to coma even after eating steamed buns." Zhou Litao felt like a kitten's claws were scratching his heart, and he couldn't wait to teleport to the patient.
"..." The nurse was stunned.
If you fall into a coma after eating, isn't that person starving to death? Do I need intravenous infusion every day
But without eating, without the process of chewing, is there any meaning in life
The 120 ambulance drove all the way to the designated location. Before the car stopped, Zhou Litao jumped out of the car and ran in with the first aid kit.
"Mr. Zhou, wait a minute." The nurse called from behind.
"Don't worry, I'll go in and take a look first." Zhou Litao's figure has disappeared.
Entering the house, Zhou Litao saw Zheng Ren chatting with a cheerful old man, enjoying himself without any sign of being sick.
"Mr. Zhou, here we come." Zheng Ren said with a smile when he saw Zhou Litao arriving.
"Well, Boss Zheng, where is the patient?" Zhou Litao asked.
"We will start testing as soon as you arrive. Don't be nervous, old man. We can make a clear diagnosis by just doing a few movements." Zheng Ren said.
The old man sitting on the sofa nodded.
"Old man, I would like to emphasize again that the test should actually be done in the hospital." Zheng Ren said seriously, "Our conditions here are limited, and I can only try to ensure your safety."
"Boss Zheng, to be honest, I don't believe that I would faint if I leaned sideways. If that were the case, I think I should have died a long time ago." The old man smiled, "As long as I don't go to the hospital, everything will be fine. In the past few days, It’s very boring, I just want to play with you to relieve my boredom.”
Zhou Litao was speechless. Is there such a way to relieve his boredom
A simple tilt test bench has been prepared, which is just a strong wooden board that can be pried manually to keep it tilted. As for the old man's safety, Zheng Ren and Su Yun were present and tried their best to prevent him from getting hurt.
"Take 400 μg of nitroglycerin sublingually." Zheng Ren handed the pill box to the old man.
The old man smiled and seemed to have no problem at all. Just looking at his appearance and expression, there is no clue that he threatened everyone with bread to "commit suicide" an hour ago.
"Mr. Zhou, have you picked up the ECG monitor?" Zheng Ren asked.
“…”
How can a car-mounted ECG monitor be carried when carrying a patient? Zhou Litao sighed, put down the first aid kit, and went back to pick up the ECG monitor.
The machine was brought up, the cuff was tied, the machine was turned on, and the blood pressure was measured in a sitting position.
110/75mmhG, no problem at all.
Taking nitroglycerin, the old man stood on the wooden board. The family member pried a corner, and Zheng Ren and Su Yun gently supported him to prevent him from falling.
"Is this also called a test?" the old man said with a smile, "I don't feel anything at all."
He was very relaxed and Luan Yingjie didn't think anything was wrong. It was like a child playing house. It was just nonsense.
Tilt 70°, less than 10 seconds later, the ECG monitor starts to alarm like crazy.
The electrocardiogram showed that the patient had junctional rhythm, frequent premature ventricular contractions, and ventricular tachycardia!
Blood pressure begins to drop wildly from normal.
100… 90… 70… 50…
The high pressure had dropped to shock blood pressure, and Zhou Litao was dumbfounded.
I have only learned about the tilt test, but I have never seen it with my own eyes. In the emergency department, who has nothing to do to perform a tilt test on the patient? !
This time it really opened my eyes.
"Dopamine, hurry!" Zheng Ren and Su Yun immediately supported the old man, lying flat on the ground, leaving an intravenous channel, intravenously injecting a dose of dopamine, and then started to inject the drug.
Luan Yingjie was going crazy with worry. How could such a good person be so ready to die
What a tilt test was, he didn't know. But the obvious numbers on the ECG monitoring told him that his father was on the verge of death.
This was something he never expected!
He looked at the pill box and saw that it must be nitroglycerin. Will taking a tablet of this medicine under the tongue cause death? Certainly not.
Will someone die if the body is tilted 70°
If that happens, the amusement parks will all be closed.
Why is it that when the two things are put together, my old man is dying
MD!
"What are you doing!" Luan Yingjie fell into confusion and roared.
Zheng Ren ignored him. Luan Yingjie came up to push Zheng Ren away. Su Yun turned around and kicked Luan Yingjie in the thigh, causing the guy to lose the ability to move.
"Don't make trouble, we need first aid." Su Yun was not in a hurry and said with a smile.
There was only blood pressure medicine, and other first-aid medicines in the first-aid box were not used. Zheng Ren half-crouched and half-knelt beside the old man, ready to rescue him at any time. But the blood pressure continued to drop, but he didn't do anything.
Zhou Litao was dumbfounded.
Shouldn't the patient be carried to the 120 ambulance and sent to the hospital
My blood pressure has dropped below 40mmhG. Is everything okay
Time passed by, and when the blood pressure dropped to 37.5mmhg, it finally "bottomed out" and began to rise.
The heart rate also gradually stabilized.
"A tilt test provoked by sublingual administration of 400 μg nitroglycerin resulted in the patient experiencing syncope and a 5-minute hypotensive reaction. The lowest blood pressure was 37.5/29.2 mmHg and the heart rate was 75 bpm. No cardiac arrest was observed during the tilt test."
Zheng Ren dictated calmly, and Zhou Litao vaguely felt that he was back in the ward, and the chief director was making rounds with confidence.
He subconsciously took out a pen and a piece of paper from his jacket pocket to write down Zheng Ren's words.
"Oh, I slept so soundly." Soon, the blood pressure recovered, and the old man's consciousness also returned.
He sat up from the ground, stretched his waist, and murmured.
"Did you dream about it?" Su Yun smiled and said, "Dream about eating bread."
"Uh..." Then the old man remembered what happened before he "fell asleep".
It seemed like the two doctors were playing games with him.
What kind of test, why did you faint
He looked around in a daze. The nannies were all standing in the corner, like quails. His son was lying on the ground, holding his leg, as if he was injured.
"What happened?" the old man asked in a daze.
He had no memory of anything that happened when he was unconscious.
…
Note: Case source Kelvin Shenq Pin Tan, Ida Normiha Hilmi & Alexander Loch. Swallow syncope: a case report aerature. BMC Cardiovasc Disord. 2019 Aug 7?.