Doctor: I picked up attributes in the hospital

Chapter 258 Washing a lung with a stomach tube?
Hearing Tian Zhen's call, Zhao Heng immediately put down the case in his hand and came to where Tian Zhen was standing.

"Doctor Zhao, look, I have put a gastric tube on her, but the gastric tube is full of medicine and rice, it doesn't look like she has been gastric lavaged."

Tian Zhen said to Zhao Heng.

"Ah."

Zhao Heng nodded. Looking at it, it turned out that the things sucked out by the gastric tube were all undigested food and white medicine.

This?
Didn't the case say that the stomach was lavaged?How come there are so many undigested food and drug residues in the stomach?

"Are you sure you did gastric lavage in the previous hospital?"

Zhao Heng asked the girl's sister.

"It was washed, I looked at the gastric tube inserted."

The girl sister said in a panic.

"Is there anything washed out?"

Zhao Heng asked immediately.

"Maybe not."

The girl sister thought for a while, and said with some uncertainty.

Hearing this, Zhao Heng had a very bad guess in his mind. He first checked the girl lying on the transfer bed.

[The pupils on both sides are 5 mm, the light reflex is slow, and there is a burn on the chest caused by electric defibrillation, which should be caused by two electric shocks. The heart rate is 120 beats/min, the blood pressure is 120/80mmHg, the breathing rate is 20 beats/min, and the oxygen saturation is 95% ( Oxygen concentration 40%), ventilator A/C mode]

Zhao Heng silently reviewed the results of the physical examination in his mind.

After the physical examination, Zhao Heng motioned for Tian Zhen to continue the tracheal intubation.

After a while, Tian Zhen completed the endotracheal intubation deftly and deftly, and pressed the suction device.

However, Zhao Heng's expression became very serious next.

Because he saw that all the sucked out of the endotracheal tube were blood clots.

Moreover, there was no coughing during suctioning, and what was sucked out were all bright red blood clots!
Such an abnormal situation directly verified Zhao Heng's guess.

"Doctor Zhao, the patient's blood pressure has dropped to 60/40mmHg!"

At this moment, Tian Zhen's voice sounded again.

"Open two lines of rehydration!"

Zhao Heng said without hesitation.

This is a shock!
Zhao Heng judged immediately.

At this moment, Liu Meng, an emergency resident doctor who had finished his work, came to Zhao Heng's side at some point.

"Doctor Zhao, what's the matter?"

Emergency resident doctor Liu Meng asked.

She also just finished dealing with another emergency patient, so she hurried over to Zhao Heng's side, wanting to know how the girl's rescue was going. It seemed that Liu Meng was still very concerned about the girl's situation.

"She just went into shock, her pupils were slow to respond to light, and I suspect that the local hospital didn't give her a gastric lavage at all, so the prognosis may be very poor."

Zhao Heng said briefly with a solemn expression.

"Huh? No gastric lavage? Then what did you wash?"

The emergency resident doctor Liu Meng looked confused. She thought that after taking the medicine, the girl had her stomach washed in the previous hospital, and the situation should be much better now. She didn't expect that the current situation is much worse than she thought. up.

"Not sure yet, but look, all that comes out of the endotracheal tube is blood clots."

Zhao Heng shook his head slightly and said.

"This? Could it be that the gastric tube was inserted wrongly, and it was inserted into the trachea?!"

Liu Meng made a guess that was impossible. She didn't believe that there would be emergency doctors in the hospital who would make such a mistake.

"Obviously, now it is."

Zhao Heng said with a sigh.

This was the first time he had seen such a situation, so he didn't know what to say.

"Doctor, will my sister be all right?"

At this time, the girl sister who was already a little confused asked in a panic.

If something happened to this younger sister, she really didn't know if her parents, who were still on a business trip, would be able to bear the bad news when they came back.

"We will try our best to rescue her. Has she committed suicide before? Has she had any experience similar to overdose before?"

Zhao Heng could only ask as best he could.

The girl came from a small city. In such a small city, such a 14-year-old girl should not be able to buy poison, at most some sedative drugs. Most of the overdoses are basically like this.

Although Zhao Heng thought so, the exact situation would have to wait for a pharmacological and toxicological test to know, but in the current situation, there was no way to wait for a pharmacological and toxicological test that would take at least one day to produce results.

"It's been good all this time. It's just that she was in a bad mood when she was scolded by the teacher once before. I told her to ignore me."

The girl sister thought hard and said.

"Then do you have similar sedatives at home?"

Zhao Heng thought for a while and said, the girl is only 14 years old, even if she goes out to buy sleeping pills at this age, no pharmacy will risk breaking the law and sell them to her, so the source of the medicine can only come from home.

"My mother has depression and has been taking medicine."

The girl sister thought for a while, and said with some uncertainty.

At this moment, the lying girl suddenly opened her eyes and sat up abruptly, looking very restless, and tried to pull out the stomach tube and endotracheal tube inserted in her body.

Seeing this scene, the souls of the people around were almost frightened away.

Zhao Heng also held the girl down, and said to Tian Zhen, "Push flumazenil quietly immediately!"

"it is good!"

Tian Zhen nodded, immediately went to find a flumazenil, and injected it into the girl.

However, after injecting a flumazenil, the girl seemed very restless.

This scene further strengthened Zhao Heng's judgment. This is a nervous reaction caused by overdose of drugs that calm the central nervous system. The specific manifestation is nervous overreaction, that is, irritability. Very dangerous.

"Push midazolam again!"

Zhao Heng continued.

Soon, Tian Zhen responded, found another midazolam and pushed it into the blood vessel quietly. After pushing the midazolam, the girl calmed down, closed her eyes, and fell into a coma again.

"doctor.."

At this moment, the girl's sister has already lost her brain, and she doesn't know what to do or what to say.

"Tell me about the rescue process at the local hospital in detail."

Zhao Heng wiped off his sweat and said to the girl's sister.

This was the first time he encountered such a situation. Although it was basically confirmed that he was poisoned by sedative drugs, Zhao Heng still couldn't believe that the local hospital would insert the gastric tube into the trachea by mistake.

"It was just after one o'clock, and I found that she was smoking, so I was sent to the hospital, and then she was intubated and gastric lavaged."

The girl sister thought about it seriously and said.

"Are you sure you intubated first and then gastric lavage?"

Zhao Heng continued to ask.

"Well, I watched the doctors and nurses intubate."

The girl sister said with certainty.

"I see."

Zhao Heng nodded, now he was sure that the gastric tube was indeed inserted into the trachea by mistake, otherwise, there would be no food and drug residues in the stomach now, and the trachea would not wash out blood clots.

This is not gastric lavage at all, it is a lung lavage with a gastric tube!
Zhao Heng was speechless for a moment.

(End of this chapter)