Doctor of Healing

There are not many things, but the color looks abnormal.

Brown, tell the medical students bluntly that there is blood in the man's vomit!Although they are rookies, they still understand this simple common sense.

It should be stomach bleeding!

The medical students instinctively became nervous, and the three walked out of the noodle shop one after another. Director Fan led the film crew to shoot at a location a little further away, and immediately called 120 for emergency services.

Whether you can use it or not, calling first is a must.

Facing the unexpected situation, the bald host asked, "Mr. Shen, what do you think is going on?"

"Looking at the color of the vomit, it should be upper gastrointestinal bleeding." Professor Shen stared at the screen seriously, it seemed that he was already immersed in it, and even wanted to help.

"Isn't it gastric bleeding? Upper gastrointestinal bleeding, is it serious?"

"Let's put it this way, many patients with liver cirrhosis and gastric varicose veins will vomit blood, but... I don't think the color is right."

"The color of the patient's vomit is brown. Considering that the amount of bleeding is not large, but fresh blood, so the first judgment may be the upper gastrointestinal tract."

Professor Shen stared at the screen and did not continue to talk about the upper digestive tract.

The patient looked miserable, sweating profusely, and pale.After vomiting a few mouthfuls, he couldn't vomit anything, but he continued to vomit, as if he could feel better this way.

Sweat was visible to the naked eye, and the patient's skin was wet even through the screen.

"It seems like he's suffering, he probably won't die." A guest who had never seen him before, his face turned slightly pale from fright, whispered to himself.

"It's okay, I didn't continue to vomit blood. If I vomit mouthful, as long as I don't spit it out, I can survive to the hospital." Professor Shen judged.

The patient looked very uncomfortable, but the situation was not very critical. In addition, the film crew and passers-by had already called 120 emergency calls, so Professor Shen relaxed after seeing clearly.

He said with a smile, "If you want to treat this kind of patients, these interns may have a headache. But without their treatment, the 120 ambulance will arrive soon."

"It's a small episode." The bald host laughed, "Mr. Shen, have you ever encountered similar situations on planes and trains?"

"I met once. On the T39 train to Rongcheng, the loudspeaker in front of Guangyuan shouted whether there were medical workers. I rushed over. I was a migrant worker with a stomachache. When I held hands, my stomach hurt. Hard, typical plate-shaped belly."

"What happened next?" asked one of the guests.

"I asked the train conductor to contact me. I specifically instructed that the small station is not good, and the township hospitals over there may not be able to treat them. So I contacted Guangyuan, and the 120 ambulance went directly to the platform. When the train arrived at the station, the patient was directly sent to the ambulance. "

"It's so cool!" A guest stared with stars in his eyes.

"This is the simplest diagnosis. There is no way to treat it on the train, so it's not cool." Professor Shen smiled, "I just give a suggestion not to send the patient down at the small station, because I think the patient has acute abdomen combined with gastric cancer. perforation……"

As soon as I said this, the patient who was squatting on the ground and retching suddenly stiffened, and fell to the ground in a squatting position like a puppet.

The three interns beside the patient froze for a moment, staring blankly at the patient.

Everyone in the review room, including Professor Shen who was still talking eloquently last second, was also stunned, looking at the patient not knowing what happened.

On the screen, there was no sound of a 120 ambulance, but the exclamation of passers-by.

The patient's clavicular fossa is very deep and getting deeper, which is the only thing that can be seen.

Within a few seconds, pink liquid suddenly "sprayed" from the patient's nostrils, and pink sputum flowed out from the corner of his mouth.

This time, even the bald host forgot to save the scene, and stared blankly at the scene.

I used to complain about the old-fashioned and unreasonable medical profession, but now the three interns met an emergency patient without a superior doctor. Seeing them bewildered and at a loss, everyone knew that the three could not rush forward .

Not to mention the three interns, even Professor Shen didn't know what happened to the patient and what happened.

Vomiting, brown stomach contents, coughing up pink frothy phlegm...

Professor Shen "huo" stood up all of a sudden, this was already an instinctive reaction engraved in his body.

He didn't know how the patient's problem came about, but now the patient's airway should be unobstructed immediately, and a tracheotomy should be performed if there is a chance.

but!

This is a commercial street, and the 120 ambulance hasn't arrived yet.

"Step aside!"

A "familiar" figure appeared, and the guests in the comment room suddenly felt relieved.

It was Director Yang, followed by Director Li, Director Kong, and Ji Xiang who were full of alcohol.

Director Yang pushed away the intern who was patted on the patient's back in a daze, changed the patient's position, and "opened" the mandible along with the patient's muscle strength.

More pink foam-like liquid flowed out, and there was a hissing sound.

"Knife, cut!" Director Yang stretched out his hand.

However, no one handed him the knife.

In the next second, Director Yang realized that he was eating. Hearing the chaos below, he came out to "pick up" a patient with dyspnea.

This is not a hospital, there is no means of rescue.

"Damn it!" Director Yang cursed, "Get ready for CPR!"

He laid the patient flat and turned his body slightly sideways to avoid aspiration and suffocation when he was still breathing.

Although the patient has not yet reached the time of cardiac arrest, this kind of thing can happen anytime and anywhere, and it is highly probable.

Everyone knows that whether the patient can survive depends on when the 120 ambulance arrives.

But the patient's condition took a turn for the worse, and it took only a few minutes from vomiting to squirting pink liquid.

However, the patient's symptoms did not stop at the stage of "spraying" the pink foam-like liquid, but progressed rapidly.

The clavicular fossa deepened, and the suprasternal fossa also deepened visible to the naked eye.

However, the sound of the 120 ambulance still did not appear.

The time is too short, the guests estimate the time, I am afraid that the 120 ambulance has just left the gate of the hospital.This is already very fast, but it is not enough for patients.

Professor Shen knew that the gap between the ribs of the patient, which was blocked by the clothes, was probably also deepened.Clinically speaking, this is a three-concave sign...

"Teacher Yang, I'm coming."

Chapter 456 Extremely Violent Operation

Director Yang's arm is at the position of the patient's neck, so that he can change the direction at any time to prevent the patient from aspiration.

Ji Xiang's voice sounded, and Director Yang turned his head.

The guests in the review room also followed the camera lens and saw Ji Xiang violently grabbing the pen from the intern standing at the end and snapping it off.

Director Yang was taken aback.

Professor Shen in the review room was also taken aback.

Observing the patient again, the three-concave sign continued to aggravate, with obvious dyspnea.

Although the pink foam-like liquid was less, the patient's condition was significantly worse. Even guests who were not doctors could tell at a glance that the patient's life was in danger.

With a broken pen in his hand, Ji Xiang strode up to Director Yang and adjusted the patient's position.

Director Yang hesitated to speak, but in the end he didn't stop Ji Xiang.

"Mr. Shen, what does Dr. Ji Xiang want to do?" the bald host asked suspiciously.

Before Professor Shen could answer, Ji Xiang held a broken pen in his hand and "stabbed" the lower part of the patient's throat.

"Ah~~~"

"Ow~~~"

"Bang~~~"

A female guest exclaimed.

The tables and chairs shook, and one of the guests was frightened and fell to the ground.

Even the lens of the camera began to shake, silently expressing the flustered heart of the cameraman who carried the camera on his shoulder.

"Huhuhu~"

A pink foam-like liquid sprayed out along the broken pen. Ji Xiang and Director Yang laid the patient flat on the ground, pressed the chest lightly, and increased the pressure.

There were constant exclamations on the street, and no one had ever seen such a scene.

"Director..." Director Fan's assistant said tremblingly.

Although this was the scene he dreamed of, it appeared too abrupt and too bloody. He was just an ordinary person, and he had never seen blood a few times in reality, so he couldn't accept it for a while.

In particular, Ji Xiang held a broken pen and stabbed the patient's neck, which looked like a murder scene in a movie.

If he was watching a movie, he might get excited, but this is reality, he could vaguely smell a strong smell of blood.

"Continue!" Fan Dao also turned pale with fright, his hands and feet trembling, but he waved his hand and told the cameraman to continue.

The voice of 120 ambulance finally came.

The sharp hissing sound is like the sound of life-saving sounds from nature, which makes people feel at ease.

There has never been such a moment that people want to hear the siren of the 120 ambulance.

After 1'12", the 120 ambulance arrived, and the doctor jumped down before the car stopped. When he saw a pen tube inserted into the patient's neck, he was stunned.

"Who the hell told you to do this!" the 120 emergency doctor scolded.

"Me." Director Yang said in a deep voice, "Is there a ventilator in the ambulance?"

"Yang...Yang...Director, you are here." The 120 emergency doctor stammered.

"Prepare for suction and ventilator." Director Yang beckoned, "Carry the patient up."

"Prepare methylprednisolone, 4...80Mg intravenously." Ji Xiang said.

The 120 emergency doctor looked at the mess around the patient in a daze, seeing the crackling and bursting pink foam-like phlegm coming out of the pen tube, and started to rescue him in less than a second.

"Director Yang, how did you come here?" the 120 emergency doctor asked "by the way" while rescuing.

"I don't know. I initially suspect laryngeal edema and pulmonary edema. Hurry up!" Director Yang followed into the ambulance, and Ji Xiang followed without hesitation.

The film crew wanted to keep up, but Ji Xiang gave him a glare, and then closed the car door.

Director Fan regained his composure, cursing inwardly.

This once-in-a-lifetime scene of an emergency first aid did not allow the film crew to follow.

Although the space of the 120 ambulance is narrow, it is not bad for a photographer.

"Guide..."

"Guer's fart! Go back quickly."

"Where are you going?" Director Fan's assistant was still in a dazed state, asking in a daze.

"In the emergency department of the First Affiliated Hospital, the 120 emergency doctor knows Director Yang, and the car belongs to the First Affiliated Hospital." Dao Fan had a clear mind and didn't care to get in the car. He ran all the way to the First Affiliated Hospital.

In the comment room, it was quiet, even the professional Professor Shen and the semi-professional Mao Mao watched this scene dumbfounded.

Director Yang made it very clear that Professor Shen also thought so - laryngeal edema, pulmonary edema, and Professor Shen judged that it might be acute left heart failure.

This is all very easy to judge, no difficulty.

But first aid... just now Jixiang snatched the intern's pen, broke it, and then stabbed the patient's neck like a "killer".

Even Professor Shen had never seen that movement.

All of his clinical experience is in the hospital.

With professional equipment and professional personnel, it is not difficult to perform tracheotomy. If there is no specialist doctor, Professor Shen can do similar operations.

This is just a small part of the three basic training.

Ke Jixiang used a pen tube to stick on the patient's large airway...Professor Shen asked himself, but he didn't dare.

Not to mention the 3.0 era of doctor-patient disputes, even in the 1.0 era.

Not to mention that everyone in the street has a smart phone, and they are recording videos anytime, anywhere, and every action and every word will be preserved.

There is no benefit to the successful rescue, but it is just a doctor's "duty" work.

If the rescue fails, they will be criticized verbally and written down, and will be drowned by spit stars.

Weighing the pros and cons, coupled with the "violent" action of stabbing the patient's neck with a pen tube, Professor Shen felt that he would not do it even at the scene.

The camera was jolting, and the cameraman ran with all his might.

No one spoke, only the sound of heavy breathing came.