Chapter 309
The half-man-high gastric lavage machine, with a box-sized body, is connected to two transparent tubes as thick as thumbs.
One end is for water intake and the other end is for drainage.
The family members were shocked when they saw this instrument.
Although they had never seen gastric lavage, the term was very easy to understand. As the name suggests, a gastric tube is inserted into the patient's nose, passing through the esophagus and cardia, and finally entering the stomach body to wash out the drugs still remaining in the stomach.
"Doctor, do we have any other way? This thing looks too scary." The woman's mother saw such a thick tube, and her legs softened at the time.
Especially thinking that the thick tube would be inserted into her daughter's body, constantly sucking and flushing, it was heartbreaking to think about it.
"The human stomach only empties for 4-6 hours. While the medicine has not been completely absorbed, hurry up to wash the stomach. One minute later, the patient will be more dangerous."
Xiao Chenguang said with a serious expression.
Sometimes, no matter how much you explain, it is better to directly tell the most serious harm.
I used to hear people complain that doctors like to scare people.
But at this time, "scare" can really save a lot of trouble and allow patients to get treatment as soon as possible.
Sure enough.
When this sentence was said, the patient's mother dared not say anything and immediately agreed to gastric lavage.
A gastric tube dedicated to gastric lavage was placed, and the gastric tube was confirmed to be in the stomach by auscultating the sound of air passing through water, and then the gastric lavage machine was operated.
"Director Xiao, how much to wash?"
"25,000 milliliters of clean water, gastric lavage, set the time for half an hour."
"Okay."
As she said, the nurse immediately began to fill the clean water according to Xiao Chenguang's doctor's instructions.
25,000 milliliters of flushing fluid is equivalent to the amount of 50 bottles of Wahaha mineral water.
So much water is constantly flushed in the stomach to wash out the undigested sleeping pills in the stomach as soon as possible.
As the gastric lavage machine is connected to the power supply, the body starts, the motor makes a buzzing sound, and clean water begins to enter the patient's body through the gastric tube.
At the same time, another water outlet pipe also began to suck out the stomach contents mixed with clear water from the stomach.
After a while, white pills the size of a fingernail were drawn out from the thick tube.
The densely packed small pills made people's scalps numb, and they almost suffered from intensive phobia.
"Why is this silly girl so upset!"
The family members felt distressed.
It seems that just as they thought, the patient took a bottle of sleeping pills in one breath, so she fell into a coma.
Seeing this, Xiao Chenguang also frowned.
No wonder the drug treatment just now didn't work. The amount of a bottle is scary to think about. If the man hadn't discovered it in time, I'm afraid the person would have died in a few hours.
As for why a bottle of quantity can be bought.
In fact, in this era, similar controls are not strict, and sleeping pills like this are easy to prescribe.
After all, the price is not expensive, and often the patient says a few good words, and the doctor will prescribe it easily.
It was not until later when there were more and more sleeping pill incidents that the government gradually implemented control and abolished the doctor's permission.
For many oral sleeping pills, only specialized psychiatrists or neurologists have permission to prescribe them.
And the amount prescribed each time is very small, just to prevent such a thing from happening.
"If it is really a bottle of volume, the treatment effect of gastric lavage alone may not meet the conditions for the patient to wake up."
Xiao Chenguang thought about it in his mind, and finally felt that CRRT was still necessary to completely eliminate the drug concentration in the patient's body.
Only Shengli Hospital can independently carry out CRRT technology.
The People's Hospital, which was just established in the south, is even worse.
It seems that so far, only the Central Hospital in the west has a CRRT machine.
"How about transferring to the Central Hospital?"
Xiao Chenguang always pays attention to the patient's vital signs. The heart rate has indeed improved, indicating that gastric lavage has worked.
Some pills that have not been decomposed by gastric acid are cleared out to prevent the condition from getting worse.
However, drugs that have passed through the gastrointestinal barrier and absorbed into the blood can only be completely eliminated through continuous blood purification technology to allow patients to recover.
"Although the equipment is available, I don't know how the Central Hospital's continuous blood purification technology works."
Xiao Chenguang is weighing the pros and cons.
Earlier today, the ambulance that rescued Teacher Han at the scene was the patient taken by the Central Hospital.
The equipment on the car is indeed the most advanced in this era.
Therefore, they have the ability and funds to buy the most advanced equipment for the hospital.
"The technology in the provincial capital is more reassuring, but I'm afraid the patient won't be able to hold on for so long after the delay on the road."
Xiao Chenguang sighed.
The limitations of the times made things that were originally easy become very complicated.
Unlike the intensive care units of most tertiary hospitals in later generations equipped with CRRT machines. At this time, there were not many hospitals with blood filtration machines.
A CRRT machine with the least functions is also worth millions, which can be called a sky-high price machine at that time.
At this time, the electric gastric lavage was almost over, and the gradually clear gastric lavage fluid showed that the drugs in the patient's stomach had been basically cleared out.
The rest were all drugs accumulated in the blood.
The patient was still unconscious, and his breathing began to become irregular. No matter how the family members around him called, he kept his eyes closed.
"Go to the central hospital."
Xiao Chenguang no longer hesitated. At this moment, for the safety of the patient, he decided to follow the ambulance himself.
CRRT bedside hemofiltration technology has been communicated with the family members. Xiao Chenguang arranged for the driver to prepare for the transfer. He asked the emergency nurse for the number to come to the emergency department of the central hospital, and then picked up the phone and called.
…
At the moment, the emergency department of the Central Hospital is not too busy.
Perhaps it was because the weather had become fine this time, but there were only a few patients receiving treatment in the luxurious emergency room.
It's just that no matter how good the weather is, in Qi Tiancheng's eyes, it is bleak and clouded.
The nurse following him didn't dare to take a breath, and even a gust of wind sent shivers down her spine.
"Brother Cheng, if you tell me what happened today, will you be punished?"
The nurse felt a chill in her heart when she thought of Director Lei's furious appearance just now.
As she expected, not long after the ambulance returned from Shengli Hospital, Qi Tiancheng was called into the director's office.
Then came Director Lei's usual angry curses. Like a nozzle of blood, he scolded Qi Tiancheng to the point where he was completely scratched.
Why did Qi Tiancheng send patients to Shengli Hospital when the Central Hospital was clearly capable of receiving them.
He also said that Qi Tiancheng left the hospital's good equipment unused and ate it up, but chose to use the scrap metal from Shengli Hospital.
Finally, Director Lei said that he was very dissatisfied with Qi Tiancheng's decision-making at that time, and ordered him to write an examination and conduct self-examination at tomorrow's emergency department handover.
"I don't know either."
Facing the nurse's question, Qi Tiancheng showed a wry smile.
The situation was urgent at the time, and he made the choice based on his own first aid experience.
There is no time to think too much, let alone these miscellaneous things.
What he has to do is to get the wounded treated in the shortest possible time.
As for whether to go to Shengli Hospital or return to the Central Hospital, Qi Tiancheng knew very well.
"Brother Cheng, if we encounter this kind of thing in the future, we should approach it from the hospital's perspective. After all, we are the ones who will be punished and disciplined in the end.
The nurse said it very implicitly, but it was also vague that it was not difficult to express Qi Tiancheng's decision at that time.
"From a hospital perspective?"
After hearing the nurse's words, Qi Tiancheng shook his head secretly.
There are some things to consider, but like today's matter, he never feels that he has done anything wrong.
The risk of transportation on the road is extremely high. The injured were unable to reach the central hospital in time due to their condition at that time.
Is it possible that when the injured person arrived at the central hospital and his vital signs were gone, he then pretended to perform a full-scale rescue operation for half an hour, proving that everyone worked hard and that the injured person could not be saved because of his serious condition.
Are you using this kind of rhetoric to appease your family members?
sorry.
Qi Tiancheng, he can't do it.
"I don't know how this patient is doing."
Thinking of this, Qi Tiancheng couldn't help but think of the scene in the emergency department of Shengli Hospital.
Groups of surgeons, fast response teams, green channels all the way, and the trauma center that Xiao Chenguang mentioned in the ambulance.
All of this was like a new door, standing a hundred meters high in front of Qi Tiancheng, making him look up.
At this moment, a phone call rang at the emergency nurse station, disrupting Qi Tiancheng's thoughts.
The nurse picked up the answer, quickly stuck her head out, and said to Qi Tiancheng, who was a little stunned in the corridor.
"The emergency call of Shengli Hospital, Mr. Qi, please answer it."
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