The Surgeon’s Studio

Chapter 44: 0043 Urgent emergency, big rescue!

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The two of them were silent and ran all the way to the emergency department.

Returning to the emergency room, Director Lao Pan ordered to start removing patients who were not seriously ill and let them go to other hospitals for treatment.

After Director Lao Pan announced that there was a mass poisoning incident and that the city's first hospital should concentrate its efforts on treating critical and severe cases, most of the patients still obeyed the arrangement and left on their own to seek treatment in other hospitals.

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

But a few people started to make trouble. You've come here, but you said you don't want to see a doctor? ! Is your hospital still a place where people save lives and heal the wounded? If you don't want to see a doctor for me, then don't let anyone see me!

Director Lao Pan just looked at the noisy and yelling uncles, aunts and hooligans coldly, ignored them at all, and then started arranging the issue of the emergency observation room.

All those who can be discharged from the hospital will be discharged, and the procedures will be completed later, so as to free up as many observation beds as possible to wait for the coming storm.

Five minutes later, all the leadership team of the city's first hospital arrived at the emergency department and worked on site. Doctors and nurses were deployed from various departments in the hospital to strengthen the emergency department.

After all, such a big event may not happen once every few years. Therefore, there is no regular allocation in the emergency department, only temporary allocation.

A female patient in her fifties had a sullen look on her face. When the hospital leaders arrived, she stepped forward and grabbed Dean Xiao, who was in the spotlight, and started making trouble.

No one can do anything about older people playing rogue, and the same goes for Dean Xiao.

Seven minutes later, nearby police officers arrived to provide support.

Seeing the shining national emblem, those who made trouble became scared.

Nine minutes later, the hoarse horn of the ambulance was heard in the distance, and all personnel were in position, ready to start fighting.

Zheng Ren, together with nurses and caregivers, went to the emergency department gate to pick up the 120 bus. Zheng Ren originally didn't need to go, but he thought that if he had a clear diagnosis a second earlier, he might be able to save a life.

120 The car braked suddenly, and the tires rubbed against the ground, making a screeching sound. A plume of white smoke rose, leaving black traces of brake tire friction on the ground.

Zheng Ren was stunned for a moment when the stretcher was pushed down.

The patient's exposed skin appears blue-gray, making him look like an avatar.

A bad thought suddenly came to Zheng Ren's mind, this is nitrite poisoning.

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

An extremely rare disease such as nitrite poisoning was only introduced in a few sentences in textbooks when I was in school. After leaving school and starting work, Zheng Ren had not even seen a single patient suffering from nitrite poisoning.

But this memory, a few lines of words, appeared directly, without even a hint of ambiguity.

Through the case diagnosis in the upper right corner of the field of view, Zheng Ren determined that this was nitrite poisoning. The patient was already in a state of toxic shock and could 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 or death.

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

Zheng Ren's voice echoed throughout the corridor.

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

The silk young man who is usually very ordinary, with no money, no house, and no girlfriend, is extremely tall at this moment.

"Prepare a lot of Meilan!" Zheng Ren made arrangements loudly as he passed by Dean Xiao.

It was as if he were the dean, with authority in his voice.

Dean Xiao was stunned. The unreasonable aunt in her fifties was still making trouble despite the police's intimidation.

Zheng Ren let go of the cart and said: "Establish an intravenous channel, add 250ml10 of sugar and 140mg of Meilan, inject at full speed, and use potassium permanganate to lavage the stomach at the same time."

The flat car loaded with patients left Zheng Ren's hands and was picked up by a nurse waiting at the door of the emergency room with great skill.

"We need a lot of Meilan. The emergency department has the regular amount in stock, but it's not enough." Zheng Ren walked up to Dean Xiao and said solemnly and solemnly.

"You bullied me, an old lady, and I'm not done with you! I don't believe it, there's no justice anymore!" The old lady seemed to be crazy, grabbing the collar of Dean Xiao's white clothes, and started making a fuss, not even listening to the police around her. .

Without saying a word, Zheng Ren grabbed her arm and threw it aside.

With such force, he threw the noisy bastard old aunt into the crowd in the corner. She was stunned for a moment, then immediately sat down on the ground and started howling, slapping her hands on the ground, "Doctors killed people, police officers killed people!"

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

After saying that, he turned around and left without explaining why.

Emergency rescue is a race against time. Dean Xiao's face was solemn, and he didn't bother to straighten his messed up collar. He arranged for the director of the medical department to allocate Meilan from all over the hospital. Then he picked up the phone and started to contact Meilan from all over the city.

Meilan, also called methylene blue, is generally used in clinical practice to mark surgical sites and for positioning. Therefore, the entire hospital's inventory is not large because consumption is small.

Normal human and animal red blood cells contain substances that reduce methemoglobin, such as vc and various thiones.

If the oxidizing capacity of nitrite entering the body exceeds the reducing capacity of the body, humans or animals will suffer from obvious poisoning symptoms.

Enter melanin, which becomes reduced melanin under the catalysis of reducing coenzyme 1. Reduced melan can reduce methemoglobin to hemoglobin. It itself is oxidized into oxidized melanin. This goes on over and over again, recycled and reused.

Not many medical staff present knew this theory, and it was an extremely unpopular first aid knowledge. But this does not prevent everyone from realizing the seriousness of the problem. After all, the patient's body is blue, his breathing is weak, and his blood pressure is very low. Anyone with some clinical experience can tell at a glance 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 and cerebral edema will soon occur due to reduced blood perfusion, followed by death.

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

The patient was lying on the emergency bed, his coat had been cut off and thrown aside. The whole body is covered with electroshock membranes and connected to ECG monitoring. Densely packed wires transmit the patient's vital signs to the ECG monitor in an orderly manner. Through the current, they are turned into numbers and images, making everything more direct.

Blood pressure 50/20, heart rate 40, blood oxygen saturation undetectable!

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

The head nurse was setting up an intravenous channel. She bent over and saw no blood return after three injections. The cold sweat on my forehead had wet the sterile cap within ten seconds.

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

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

"I'll do it." Director Pan took the incision bag, pulled down the patient's pants, and began to search for the femoral vein, preparing to perform deep vein incision, a procedure that was often done in the past but is rarely done now.

The situation was critical. Even if Director Pan incised the skin and muscles of the groin, the femoral vein would have turned into a trace of transparent connective tissue, challenging the surgeon's vision 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!"