Doctor of Healing

Gastric lavage, rehydration, and waiting for the "overnight meal" in the stomach to be spit out and arranged for observation. In severe cases, some proton pump inhibitors are used. The routine is simple and clear.

Emergency physicians thought it was routine, but Jixiang watched it with gusto.

The patient who drank 300＊＊＊ dew turned out to be like this. Jixiang will remember this scene deeply, and he will definitely not panic when he encounters similar patients in the future.

By the way, Jixiang took out his mobile phone and searched for the effect of oral toilet water.

"Old Meng, what are you doing?" The emergency physician walked out of the emergency room and saw Meng Qingfei who had just heard the patient's roar and came out to check the situation.

Meng Qingfei seemed a little dull, he hesitated for a moment, and Ji Xiang noticed that his eyes had been staring at the patients in the emergency room.

"Old Meng, what's the matter?" The emergency physician was also a little puzzled.

"No." Meng Qingfei put his hands behind his back subconsciously, and wiped the white suit's buttocks, as if he had just washed his hands.

"The patient may have a poor metabolism of alcohol, his body is red and hot, and he is crazy about alcohol. It's nothing! I'm going to work." The emergency physician hurried all the way back to the consulting room, and there were already piles of patients there.

"Teacher Meng, what's wrong with you?" Ji Xiang asked.

"I have seen 6 patients who drink toilet water and need gastric lavage, but this patient is different." Meng Qingfei looked at the patient who was preparing for gastric lavage with flickering eyes, with a serious expression on his face.

"Different?" Ji Xiang was surprised, "The symptoms of the consultation and physical examination are exactly the same as what Brother Zhao said."

Meng Qingfei thought for a while, turned his head, seemed to be thinking, but smiled helplessly after a few seconds.

"Maybe I'm suspicious."

He glanced at the patient's ECG monitoring again, turned around and took Ji Xiang away.

"Xiaoji, I ordered beef dumplings for you." Meng Qingfei said, "Last time I ordered rake beef, I think you taste very delicious."

"I eat the same thing." Ji Xiang said, "Mr. Meng, what do you think is wrong with the patients in the emergency room?"

Even if Meng Qingfei wanted to forget the uncomfortable feeling just now, Ji Xiang couldn't help reminding him repeatedly.

"I can't tell, I just feel that something is wrong." Meng Qingfei was full of suspicion, "The patient's vital signs are stable, so there should be no problem..."

As he spoke, Meng Qingfei "walked" forward with his upper body, his feet nailed to the ground like nails. If Ji Xiang hadn't stretched out his hand to help him, he might have fallen flat.

"Teacher Meng, be careful."

"Uh...hahaha, I have dementia, and my hands and feet are uncoordinated." Meng Qingfei teased himself.

"Whoa, vomit~~~" A violent vomit sound came from behind.

Not to mention Meng Qingfei, even Jixiang was used to the sound of gastric lavage patients in the emergency department vomiting.

There will be gastric lavage patients in every shift, and this point is fine now, more people come to the hospital for gastric lavage and transfusion in the middle of the night after drinking too much.

"Doctor Lang! If the patient doesn't cooperate, take a look!" The nurse shouted angrily as she stood at the door of the emergency room.

Meng Qingfei shrugged, "Stomach lavage is so uncomfortable, it's no wonder we can cooperate."

As he spoke, he turned his head and looked again.

Ji Xiang also looked over, the patient's family members pressed the patient's body, but the patient's hands were still waving, as if struggling.

The heart rate on the ECG monitoring has reached 130 beats per minute, and it should be caused by the violent action of refusing gastric lavage just now.

"Xiaoji, do you drink?" Meng Qingfei asked absently.

"I can drink a little, but I basically don't drink it." Ji Xiang replied, "I drink two cups every year when the family gathers during the Chinese New Year, but only two cups."

"Drink less." Meng Qingfei returned to the emergency surgery room, and almost bumped his head on the door when he turned around.

"Brother Meng, be careful, what's wrong with you?" Zhao Zhe asked suspiciously.

Seeing that Meng Qingfei was restless, Ji Xiang thought of the elderly patient who had been taking estazolam and eating a lot of grapefruit all year round.

If Meng Qingfei hadn't woken up with a start, the patient would have fallen asleep in the waiting hall, and when rhabdomyolysis was discovered, he might not be able to save him.

This is the intuition of the old doctor. Ji Xiang felt that it was not that simple, so he entered the system space with breathless concentration.

"Brother Meng, you should be fine. There is alcohol in the dew, so it's probably due to alcohol intolerance, just like drinking too much." Zhao Zhe said, "I've seen similar patients who couldn't hold back after drinking too much.

Once the traffic police checked for drunk driving and pulled a drunk buddy to draw blood. "

"The nurse was almost beaten in the treatment room. I quickly pulled the nurse out, and there was a bang bang bang inside. In the end, the buddy refused to allow blood collection, and the traffic police couldn't help it. I was really frightened and frightened. Bad luck. People who drink too much are like this, if they really drink into a puddle of mud..."

Zhao Zhe was still babbling, when suddenly Ji Xiang had a serious expression, "Mr. Meng, can this kind of behavior of the patient be called irritability?"

"Agitated?" Meng Qingfei's eyes lit up, but then he fell into a long exam.

Ji Xiang's words pointed out a direction. If it wasn't for the patient's agitation due to gastric lavage, it seemed that he could think of more if he explained it with irritability.

"Family, hold him down!" The emergency physician's voice came.

This is also normal. For gastric lavage, patients are often held down.

Meng Qingfei turned around suddenly, the "problem" of uncoordinated hands and feet disappeared, and trotted to the emergency room.

"Xiao Lang, don't take off the ECG monitor yet!" Meng Qingfei said.

"Ah, Lao Meng, what's going on?" The emergency physician was removing the electrode membrane and was about to hold the patient down for gastric lavage.She raised her head when she heard Meng Qingfei's words, and looked at Meng Qingfei suspiciously.

"Look again, look again." Meng Qingfei didn't know why, but his intuition told him it was wrong.Especially the sentence that Ji Xiang asked—anxiety, like a key, has opened the door.

Chapter 369

Although Meng Qingfei had the key, he didn't get the correct answer in the blink of an eye.

He stood outside the emergency room door, watching the emergency physician busy comforting the patient, hurrying up to do gastric lavage, and sorting out his thoughts quickly over and over again.

The patient did seem a little irritable. If his behavior could be called mild irritability when he was first sent to the hospital, it can be called moderate irritability now.

Something is wrong, something is wrong!Meng Qingfei gradually had an idea.

The heart rate on the ECG monitor had changed from 130 beats per minute to 138 beats per minute. The patient waved his arms, and Meng Qingfei took out his mobile phone from his pocket with a thought.

"Hello, are you seriously ill? I'm in the emergency department." Meng Qingfei directly called the intensive care unit.

"We have a patient here who may need a hospital bed, please prepare for dialysis..."

"Ah? Is the bed full?" Meng Qingfei stared at the monitor and said helplessly.

The ICU is full of beds, there are several possibilities, the most likely is that the ICU doctors are unwilling to take care of themselves.

There is a high probability that there will be patients with slightly milder conditions on that side, whose indications are hovering above and below the red line of being transferred out of the intensive care unit.

If you are really seriously ill, you can even squeeze.

For an extra bed, discuss with the family members of the patients who can be transferred out, coordinate with the receiving ward, and complete all procedures in about half an hour.

But sometimes, the condition of the newly admitted patients is not as serious as that of the transferred patients, which is very oolong.

Similar things have not happened.

The ICU doctor doesn't see the rabbit and doesn't stalk the eagle. Meng Qingfei hasn't confirmed the diagnosis yet, and he doesn't have the courage to yell at the ICU doctor with his mobile phone—quickly make room for me!

Meng Qingfei didn't have the ability.

He hung up the phone regretfully, and the heart rate value on the patient's ECG monitor had changed to 145 beats per minute.

Soaring heart rate, irritable patients, what do they mean?Meng Qingfei was running through one diagnosis after another in his mind, his hands inadvertently landed on the buttocks of the white clothes, and kept wiping them.

"Director Bai, hello, I'm Ji Xiang."

Ji Xiang's voice interrupted Meng Qingfei's thinking.

"I'm in the emergency department. There's a patient here who doesn't look very well. I don't have time to go into details. Can you coordinate an ICU bed? The sooner the better, the heart rate is already 148 beats per minute."

"..." Meng Qingfei was stunned.

"Well, if there is a need here, I will push it to the ICU immediately, and we need to prepare hemofiltration equipment, a ventilator, and others will be discussed later."

"Thank you Director Bai."

When Ji Xiang hung up the phone, Meng Qingfei felt a little different after he couldn't laugh or cry.

If he wants an ICU bed, but a Gui Peisheng can get it, the weird sense of dislocation makes Meng Qingfei feel that this world does not really exist.

"Xiaoji, I'm just asking casually, and I'm not sure if there is a problem, so I just want to push it up if necessary." Meng Qingfei wiped the white suit's buttocks vigorously with both hands.

"I feel that the patient's condition is not right, Mr. Meng, I trust your judgment." Ji Xiang conveniently put the blame on Meng Qingfei's head.

"..." Meng Qingfei was speechless.

The emergency physician was still busy, and she had no time to think.Not only her, but even Meng Qingfei, who was concentrating on the side, didn't know what was going on with the patient.

A few minutes later, Lu Gang strode over.

"Xiao Ji, what are you bothering about!" Before Lu Gang came to Ji Xiang, the boss said reluctantly.

"Ms. Lu, why are you here?" Ji Xiang asked.

"Director Bai asked me to coordinate with you." Lu Gang said, walked into the emergency room, and saw the emergency physician connecting the QZD-B automatic high-efficiency gastric lavage machine, preparing to lavage the patient's stomach.

He briefly asked about the situation, and his face sank after knowing that it was a patient who had taken 300**** dew.

"Xiao Ji, don't be fooling around, do you know how heavy an ICU bed is! How much work does Director Bai need to coordinate to give you..."

As soon as he said this, he saw Jixiang walking into the emergency room.

"Xiao Ji, don't go away, what I told you is very important." Lu Gang felt that Ji Xiang was avoiding his "reprimand", so he chased after him and continued, "There are many patients who take toilet water, mainly children. The toilet water contains a lot of alcohol because..."

Before the words fell, the beeping sound of the monitor was loud, sharp and irritable, suppressing the noise of the emergency room.

In just an instant, the patient's electrocardiogram changed from sinus rhythm to atrial fibrillation, and the heart rate increased linearly from about 150 beats per minute to 180 beats per minute.

"Ready to defibrillate!" Ji Xiang shouted loudly.

He had already found where the defibrillator was placed, pulled it over, and tore off the patient's shirt.

With a squeak, a button hit Lu Gang's face, like a small stone hitting back all Lu Gang's words.

Lu Gang is an academic school, a theoretical school, but not strong in practical operations.

He watched in a daze as Ji Xiang applied conductive lotion on the patient's chest, turned on the defibrillator to start charging, and then placed one electrode plate on the upper right side of the sternum under the clavicle, while the center of the other electrode was on the left midaxillary line.

"boom!"

The patient "jumped" on the flat car.

Still not working, the heart rhythm is still atrial fibrillation, and Ji Xiang repeats the previous step.

Lu Gang was surprised.

The patient just took a large amount of toilet water, and the emergency physicians were ready to wash his stomach, so there should be no other possibility.

Toilet water can cause cardiac arrest?

I can't!

Meng Qingfei was also dumbfounded. He knew that the patient had a problem, but he didn't know that the patient had such a serious problem.

A split second later, the patient suddenly went from sinus rhythm to atrial fibrillation.

Meng Qingfei's hands were icy cold, as if they were placed in icy water, which was biting to the bone.He wiped his hands on the white suit's buttocks faster.

"Please give way." Zhao Zhe said.

Meng Qingfei and Lu Gang turned sideways and saw Zhao Zhe coming in with a flat cart.

At the same time, the patient's atrial fibrillation disappeared after 3 defibrillations.

Ji Xiang and Zhao Zhe carried the patient onto the flat car. Seeing that the emergency physician was still in a daze, Ji Xiang immediately shouted, "Send the patient to the ICU, hurry up!"

The emergency physician almost relied on muscle memory to put the monitor on the flat car, erected the baffle, and beckoned the nurse to hurry up and follow with the emergency medicine kit.

As soon as he left the gate of the emergency room, the ECG on the ECG monitor was in disorder for a while, and then there were signs of straightening.

Ji Xiang jumped up, rode on the patient's abdomen without hesitation, and started chest compressions.

"Hurry up, hurry up!" Ji Xiang roared while rescuing.

The rumbling sound of the flat car echoed in the corridor and gradually faded away. The sound of Ji Xiang yelling for someone to press the elevator at the end was still there, but the man had disappeared.

Meng Qingfei and the emergency physician stared blankly, unable to recover.

Chapter 370 Addison's Sudden Death

"What's the situation?" Lu Gang was in a daze for a long time, and finally asked in doubt.

Meng Qingfei sighed deeply.