Chapter 1758： Really dizzy
120 emergency calls, the general situation is that the local 120 emergency command center people according to the distance to send vehicles for rescue.
There are also strong requests from family members to specify which hospital vehicles are in use.
But this is all done by people who are familiar with the process. Strongly demanding, especially strong, the command center will pinch the nose to recognize this.
After all, no one wants to get into trouble. If it is because of such a complaint, it is not guilty.
Soon, the 912 emergency department received a phone call, and the location was relatively far away.
Zhou Litao picked up the first aid kit and got on the bus with the nurse. He still didn't forget to go to the house and called himself on a critical illness.
"Zhou, what are you doing?" asked the little nurse in the emergency department.
"Zheng boss said that there is a meal to faint, and now I have begun to eat patients who are comatose." Zhou Litao's heart is like a kitten claw scratching, can't wait, want to teleport to the patient.
"..." The nurse stopped.
Eating will be unconscious, isn't that person starving to death? Do you want intravenous infusion every day?
But do you not eat, do not chew, does life make sense?
120 ambulances all the way to the designated location, the car has not stopped, Zhou Litao jumped off the car, ran into the first aid kit.
"Zhou total, wait." The nurse shouted behind.
"You are not in a hurry, I am going to take a look." Zhou Litao's figure has disappeared.
After entering the house, Zhou Litao saw Zheng Ren chatting with a spirited old man. He was happy and there was no sign of a patient.
"Zhou total, come." Zheng Ren saw Zhou Litao rushed, and he said with a smile.
"Well, boss Zheng, where is the patient?" Zhou Litao asked.
"When you come, let's start experimenting. The elderly don't be nervous. You want to do a few actions to make a clear diagnosis." Zheng Rendao.
The old man sitting on the sofa nodded.
"The old man, once again stressed that in fact, the test should be done in the hospital." Zheng Ren said very seriously, "We have limited conditions here, I can only try to ensure your life safety."
"Zheng boss, to be honest, I don't believe that my body is tilting, I will faint. If this is the case, I think I should have been dying." The old man smiled. "As long as you don't go to the hospital, how can you do it. These days also It’s very boring, it’s a boring thing to play with you.”
Zhou Litao is speechless, is there such a boring thing?
The simple tilting test bench is ready, just a solid wooden board, tilted with human power and kept tilted. As for the safety of the old man, Zheng Ren and Su Yun were present, trying not to let him hurt.
"Sublingual 400μg nitroglycerin." Zheng Ren handed the pill to the old man.
The old man smiled and looked like there was no problem at all. Just looking at the appearance and expression, I can't feel it at all. He threatened everyone to "suicide" with bread one hour ago.
"Zhou, is the ECG monitoring smashed?" Zheng Ren asked.
"..."
Car-mounted ECG monitoring, how can you pick up the patient? Zhou Litao sighed, put down the first aid kit, and went back to the ECG monitoring.
The machine slammed up, tied the cuff, and the machine turned on, first measuring the blood pressure of a sitting position.
110/75mmhG, no problem at all.
Containing nitroglycerin, the old man stood on the board. The family moved a corner, and Zheng Ren and Su Yun gently held him to avoid falling.
"This is also called experiment?" The old man said with a smile, "There is no feeling at all."
He is very relaxed, and Ying Yingjie does not feel that there is anything like a child who is a family. Is it just a mess?
Tilting 70°, less than 10 seconds, ECG monitoring began a crazy alarm.
On the electrocardiogram, the patient has a junctional heart rhythm, frequent ventricular premature beats, and ventricular tachycardia!
Blood pressure begins to fall from normal madness.
100...90......70......50......
High pressure has dropped to shock blood pressure, and Zhou Litao is stupid.
The tilt test was only learned, but it has never been seen before. In the emergency department, who is okay to do a tilt test for the patient? !
This time, it’s really open.
"Dopamine, fast!" Zheng Ren and Su Yun immediately held the old man, lying on the ground, leaving the vein channel, and pushing a dopamine to start quiet.
Yan Yingjie is crazy, good people, why are you going to die?
What is the tilt test, he does not know. The obvious number on ECG monitoring tells him that his father is already on the verge of death.
This is what he never expected!
He looked at the pillbox and was definitely nitroglycerin. Does this medicine contain a piece of dead under the tongue? Certainly not.
Will the body tilt 70° dead?
If that's the case, the amusement parks are closed.
How do you get together and your father can’t see it?
MD!
"What are you doing!" Yan Yingjie fell into chaos and roared.
Zheng Ren ignored him, and Ying Yingjie came up to dismiss Zheng Ren. Su Yun turned back and squatted at the roots of Ying Yingjie's thighs. The goods directly lost their ability to move.
"Do not be confused, first aid." Su Yun did not worry, smiled and said.
Only the booster medicine, the other first-aid medicines in the first-aid kit did not move, and Zheng Ren was half-squatting around the old man, ready to be rescued at any time. But blood pressure continued to drop, but he did not give any treatment.
Zhou Litao looked silly.
Shouldn’t the patient be taken to the 120 ambulance and sent to the hospital?
The blood pressure has dropped below 40mmhG, is it really okay?
Time passed by, the blood pressure dropped to 37.5mmhg, and finally "bottomed out" and began to rise.
The heart rate is gradually getting steady.
"The sublingual dose of 400 μg nitroglycerin-induced tilt test resulted in syncope in the patient and a hypotensive response of 5 minutes. The lowest blood pressure was 37.5/29.2 mmHg, and the heart rate was no observation was observed during the tilt test. Heart arrest."
Zheng Ren calmly dictated that Zhou Litao felt that he was returning to the ward, and the director was arguing with confidence.
He subconsciously took out the pen and took a piece of paper in his jacket pocket and recorded Zheng Ren's words.
"Hey, this sleeps well." Soon, blood pressure recovered, and the old man's consciousness immediately recovered.
He sat up from the ground and took a sigh of relief and muttered.
"Dreaming?" Su Yun said with a smile: "Dream to eat bread."
"Oh..." The old man remembered what happened before he "sleeped".
It seems that the two doctors are accompanying themselves to play games.
What experiment, how did you faint?
He looked around and the nanny stood in the corner like a donkey. His son was lying on the ground, holding his leg, as if he was injured.
"What happened?" the old man asked.
He had no memory of everything that happened when he was in a coma.
......
Note: The case is from Kelvin ShenqWoeiSiew, MawPinTan, IdaNormihaHilmi & Alexander Loch. Swallow: acasereportandreviewofliterature.BMCDisord.2019Aug7?.
There are also strong requests from family members to specify which hospital vehicles are in use.
But this is all done by people who are familiar with the process. Strongly demanding, especially strong, the command center will pinch the nose to recognize this.
After all, no one wants to get into trouble. If it is because of such a complaint, it is not guilty.
Soon, the 912 emergency department received a phone call, and the location was relatively far away.
Zhou Litao picked up the first aid kit and got on the bus with the nurse. He still didn't forget to go to the house and called himself on a critical illness.
"Zhou, what are you doing?" asked the little nurse in the emergency department.
"Zheng boss said that there is a meal to faint, and now I have begun to eat patients who are comatose." Zhou Litao's heart is like a kitten claw scratching, can't wait, want to teleport to the patient.
"..." The nurse stopped.
Eating will be unconscious, isn't that person starving to death? Do you want intravenous infusion every day?
But do you not eat, do not chew, does life make sense?
120 ambulances all the way to the designated location, the car has not stopped, Zhou Litao jumped off the car, ran into the first aid kit.
"Zhou total, wait." The nurse shouted behind.
"You are not in a hurry, I am going to take a look." Zhou Litao's figure has disappeared.
After entering the house, Zhou Litao saw Zheng Ren chatting with a spirited old man. He was happy and there was no sign of a patient.
"Zhou total, come." Zheng Ren saw Zhou Litao rushed, and he said with a smile.
"Well, boss Zheng, where is the patient?" Zhou Litao asked.
"When you come, let's start experimenting. The elderly don't be nervous. You want to do a few actions to make a clear diagnosis." Zheng Rendao.
The old man sitting on the sofa nodded.
"The old man, once again stressed that in fact, the test should be done in the hospital." Zheng Ren said very seriously, "We have limited conditions here, I can only try to ensure your life safety."
"Zheng boss, to be honest, I don't believe that my body is tilting, I will faint. If this is the case, I think I should have been dying." The old man smiled. "As long as you don't go to the hospital, how can you do it. These days also It’s very boring, it’s a boring thing to play with you.”
Zhou Litao is speechless, is there such a boring thing?
The simple tilting test bench is ready, just a solid wooden board, tilted with human power and kept tilted. As for the safety of the old man, Zheng Ren and Su Yun were present, trying not to let him hurt.
"Sublingual 400μg nitroglycerin." Zheng Ren handed the pill to the old man.
The old man smiled and looked like there was no problem at all. Just looking at the appearance and expression, I can't feel it at all. He threatened everyone to "suicide" with bread one hour ago.
"Zhou, is the ECG monitoring smashed?" Zheng Ren asked.
"..."
Car-mounted ECG monitoring, how can you pick up the patient? Zhou Litao sighed, put down the first aid kit, and went back to the ECG monitoring.
The machine slammed up, tied the cuff, and the machine turned on, first measuring the blood pressure of a sitting position.
110/75mmhG, no problem at all.
Containing nitroglycerin, the old man stood on the board. The family moved a corner, and Zheng Ren and Su Yun gently held him to avoid falling.
"This is also called experiment?" The old man said with a smile, "There is no feeling at all."
He is very relaxed, and Ying Yingjie does not feel that there is anything like a child who is a family. Is it just a mess?
Tilting 70°, less than 10 seconds, ECG monitoring began a crazy alarm.
On the electrocardiogram, the patient has a junctional heart rhythm, frequent ventricular premature beats, and ventricular tachycardia!
Blood pressure begins to fall from normal madness.
100...90......70......50......
High pressure has dropped to shock blood pressure, and Zhou Litao is stupid.
The tilt test was only learned, but it has never been seen before. In the emergency department, who is okay to do a tilt test for the patient? !
This time, it’s really open.
"Dopamine, fast!" Zheng Ren and Su Yun immediately held the old man, lying on the ground, leaving the vein channel, and pushing a dopamine to start quiet.
Yan Yingjie is crazy, good people, why are you going to die?
What is the tilt test, he does not know. The obvious number on ECG monitoring tells him that his father is already on the verge of death.
This is what he never expected!
He looked at the pillbox and was definitely nitroglycerin. Does this medicine contain a piece of dead under the tongue? Certainly not.
Will the body tilt 70° dead?
If that's the case, the amusement parks are closed.
How do you get together and your father can’t see it?
MD!
"What are you doing!" Yan Yingjie fell into chaos and roared.
Zheng Ren ignored him, and Ying Yingjie came up to dismiss Zheng Ren. Su Yun turned back and squatted at the roots of Ying Yingjie's thighs. The goods directly lost their ability to move.
"Do not be confused, first aid." Su Yun did not worry, smiled and said.
Only the booster medicine, the other first-aid medicines in the first-aid kit did not move, and Zheng Ren was half-squatting around the old man, ready to be rescued at any time. But blood pressure continued to drop, but he did not give any treatment.
Zhou Litao looked silly.
Shouldn’t the patient be taken to the 120 ambulance and sent to the hospital?
The blood pressure has dropped below 40mmhG, is it really okay?
Time passed by, the blood pressure dropped to 37.5mmhg, and finally "bottomed out" and began to rise.
The heart rate is gradually getting steady.
"The sublingual dose of 400 μg nitroglycerin-induced tilt test resulted in syncope in the patient and a hypotensive response of 5 minutes. The lowest blood pressure was 37.5/29.2 mmHg, and the heart rate was no observation was observed during the tilt test. Heart arrest."
Zheng Ren calmly dictated that Zhou Litao felt that he was returning to the ward, and the director was arguing with confidence.
He subconsciously took out the pen and took a piece of paper in his jacket pocket and recorded Zheng Ren's words.
"Hey, this sleeps well." Soon, blood pressure recovered, and the old man's consciousness immediately recovered.
He sat up from the ground and took a sigh of relief and muttered.
"Dreaming?" Su Yun said with a smile: "Dream to eat bread."
"Oh..." The old man remembered what happened before he "sleeped".
It seems that the two doctors are accompanying themselves to play games.
What experiment, how did you faint?
He looked around and the nanny stood in the corner like a donkey. His son was lying on the ground, holding his leg, as if he was injured.
"What happened?" the old man asked.
He had no memory of everything that happened when he was in a coma.
......
Note: The case is from Kelvin ShenqWoeiSiew, MawPinTan, IdaNormihaHilmi & Alexander Loch. Swallow: acasereportandreviewofliterature.BMCDisord.2019Aug7?.
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