Yi Zewen was in a happy mood sitting in the front seat of the emergency van.

Originally, he was a little nervous before getting out of the car. It all depended on how serious the patients being transported were. Their heartbeat and breathing might have stopped, and they had to go all the way back to the hospital.

In the end, nothing happened. I just fell down. At most, I got a concussion or something. These are all minor problems.

So Section Chief Yi, who was in a happy mood, was still in the mood to joke with the driver, but in the end he became extremely happy and sad.

The car was still driving halfway, and Bai Xue fainted again and lost consciousness.

At the beginning, the nurse on board the car noticed that something was wrong with Bai Xue's condition. She felt that she was in a daze and thought she was motion sick and didn't care.

Who would have expected that Bai Xue started convulsing again without saying a word, so frightened that Manager Xie screamed. At this time, the little nurse called Bai Xue and there was no response.

Yi Zewen saw that his posture was gone. After parking the car, he rolled and crawled into the car. When he felt that his body temperature was still there, he was still breathing, and his heartbeat was normal, he breathed a sigh of relief.

As long as he didn't die and the magical Director Chen was there when he was brought to the hospital, he wouldn't have anything to worry about.

"Lao Yu, open it quickly. The patient's condition is not right and he needs to be rescued immediately."

When the driver, Lao Yu, heard this, he stepped on the accelerator and the ambulance rushed into the People's Hospital at a flying speed, all the way to the door of the emergency room.

Chen Qi and the others had already heard the loud siren of the ambulance from a distance, and were already waiting at the door with the rescue bed.

When they saw that the patient had fainted and was twitching, the doctors and nurses who participated in the rescue for the first time became nervous.

When Chen Qi saw the patient arriving, he became serious and asked:

"How is the patient?"

"The patient, a 22-year-old female, suddenly experienced syncope and loss of consciousness for unknown reasons one hour ago, mixed with convulsions. According to colleagues, the patient had a history of head trauma a week ago, but she did not suffer from coma and vomiting at that time."

Chen Qicun wanted to use this first patient as a textbook example, so the instructions he gave were based on diagnosis and treatment standards.

"Chen Li, measure your blood pressure immediately; Xiao Chang, do an electrocardiogram immediately; Wang Lin, immediately open two venous channels and hook up normal saline first. Yi Zewen, prepare a diazepam needle and mix it into 10 ml of normal saline, and perform intravenous

Push."

Just when Chen Qi was considering whether to take other anti-epileptic drugs, the patient's convulsions suddenly stopped, and the situation suddenly turned from rough to calm.

Everyone was stunned. The patient stopped peeing before taking any medicine?

Chen Qi immediately took out a small flashlight and illuminated the patient's pupils on both sides. Fortunately, at this time, the pupils were opposite to the light and were equal in size and circle.

"Dean Chen, the blood pressure is only 98/52mmHg, and the heart rate is 110 beats/minute."

This blood pressure is low and the reason is unknown.

Chen Qigang was deep in thought, and Yi Zewen beside him couldn't help but ask: "Chen Tou, does this look like epilepsy to you?"

"It's hard to say now. I can only say that I have doubts. You can see that the patient's attack was not accompanied by vomiting, and the frequency of the tics was wrong. There was no tonic seizure. Of course, it could also be a petit mal seizure.

Considering that the patient has a history of brain trauma and suffered two episodes of unconsciousness and convulsions today, we absolutely cannot rule out brain problems. A brain CT must be done. By the way, are the patient's family members here?"

Manager Xie quickly raised his hand: "I am the manager and the leader of Comrade Bai Xue's unit. My surname is Xie. Her family has not arrived yet."

What emergency patients fear most is not having someone to accompany them, or not having a family member who can make the decision and sign off, making it difficult to carry out the next step of treatment.

"Manager, maybe. Let me tell you, this patient's condition is very critical. He is no longer conscious and comatose. We cannot rule out cerebral hemorrhage or other possibilities. The most serious ones may even cause cardiac and respiratory arrest in a short period of time.
p>

Let’s explain it this way. The brainstem of the brain controls the life center of the human body and is the most important of all organs. If there is damage there, the consequences will be disastrous and the person may simply die today.”

Doctors, especially emergency doctors, like to make the condition more serious or prepare the worst-case scenario in advance.

This can avoid many medical disputes afterwards. At the same time, family members will know what to do and can actively cooperate with subsequent treatment.

In the 1980s, there were no mobile phones and the Internet. It was very troublesome to find someone in a big city. Sometimes, human resources were needed to search, and it was not always certain when the family members would arrive.

So sometimes a normal goodbye can be said to be the difference between life and death.

Manager Xie can be considered a responsible person, so he gritted his teeth and nodded:

"Okay, I'll listen to your doctor. If anything happens, I'll take care of it. Besides, Comrade Bai Xue is a regular employee of our department store and enjoys public medical care. You don't have to worry about medical expenses. Try to rescue her as much as possible. You must rescue her."<

/p>

As soon as these words came out, Chen Qi felt relieved. The money was in place and the leader agreed, so he could save it according to his ideas.

"Okay, don't worry, Manager Xie, we will do our best."

Everyone in the rescue room acted quickly and entered combat mode.

In order to facilitate the rescue, Chen Qi asked the nurse to open another intravenous channel for the patient, which meant giving one more injection. If a large amount of blood transfusion was needed, having one more needle would be much more convenient.

At the same time, blood was drawn for routine testing.

Chen Qi once again approached the patient's head and shouted her name loudly: "Bai Xue, Bai Xue, can you hear me?"

The patient still didn't respond. Manager Xie was very worried about this scene, thinking that the female employee was about to die.

"Ah, what can I do? I was fine before going to work this morning. Why am I suddenly dying now? How can I explain it to my family? Ah, how pitiful I am. What should I do? Why don't these family members still want me?"

Come, I won’t see you for the last time.”

Manager Xie was there feeling very sad, while Chen Qi was busy continuing to check:

When I shined the flashlight again, my pupils were still equal in size and round, and the light reflex was still there.

This chapter is not over yet, please click on the next page to continue reading!

Chen Qi was a little relieved, because severe craniocerebral trauma may lead to unequal pupils or even slow or missing light reflexes, which would mean that one foot has stepped on the door of death.

Even if he doesn't die, the prognosis will be very unsatisfactory.

At this time, Zhu Zhongyi from the emergency department ran in from the back door, "Dean Chen, the CT room is ready."

"Okay, send me to the CT room immediately for a brain CT examination."

For safety reasons, Chen Qi originally planned to let Yi Zewen and Zhang Xing follow the patient there, but after thinking that it was not safe, he went into battle himself.

There are a total of 5 doctors, one nurse, and behind them is Manager Xie as the unit representative.

And we have prepared various rescue drugs:

Adrenaline (rescue cardiac arrest), norepinephrine (increase blood pressure), diazepam (anti-epileptic), nicotinic acid injection (excited breathing), atropine (increase heart rate), etc. are all on duty, including the endotracheal intubation box

Carry them all.

Chen Qi has his own considerations, because he doesn’t know what is going on inside the skull, and the patient’s heart and breathing may collapse at any time, and even a second of delay may lead to an irreversible situation.

Especially now that the family members have not arrived at the scene, nothing can go wrong. With a few more people here, cardiopulmonary resuscitation will be more convenient, and the rescue will not be in the dilemma of insufficient manpower.

So the people who came to the People's Hospital to see a doctor today saw a female patient pushed out from the back door of the emergency department, surrounded by a large group of doctors, and there was a clearing person in front of her, shouting for everyone to get out of the way.

Many people are talking about it:

"Hey, what's going on with this guy?"

"Could he be someone who is about to die? I'm in a hurry to see the doctor."

"That's not necessarily true. I see that the woman is still moving. She must be related to some leader's family. She doesn't even have to queue up."

"Yeah, it's so unfair. We've been waiting for three days to get a CT scan, but they can do it as soon as they come, huh."

Chen Qi didn't care what others thought. After he rushed into the CT room, he personally controlled the machine and began to conduct examinations carefully. Bai Xue didn't even know that the young doctor in front of him wanted 50,000 US dollars.

Make a fortune.

Fortunately, things were not as bad as Chen Qi thought.

As soon as Bai Xue arrived in the CT room, she woke up leisurely. The first thing she said when she woke up was: "Where am I?"

Chen Qi suddenly had a strange feeling in his heart, wondering if this patient had any mental problems?

After all, patients with mental illness also have convulsions.

Otherwise, how can we explain that we feel dizzy for a while and then not faint for a while; we have seizures for a while and suddenly stop smoking for a while? This comes and goes at the drop of a hat, with no warning?

But the most important thing as a doctor is to be patient. You can question it in your heart, but don’t show it, otherwise you will easily get beaten.

"Baixue, right? You are in the People's Hospital now. You fainted again just now. Now we need to do a head CT for you. Don't worry, Manager Xie from your department store next to you is always with you. Your unit has also notified you.

My family will come as soon as possible."

Stabilizing the patient's emotions and allowing the patient to cooperate with treatment are the basic skills of a doctor.

When Bai Xue heard this, she knew that her situation was not good, so she nodded slightly: "Okay, I understand, thank you doctor."

The head CT is done.

Chen Qi couldn't wait for the film to come out and stared at the screen (picture tube TV). The picture passed frame by frame, but no obvious craniocerebral hemorrhage lesions were found.

Chen Qi breathed a sigh of relief and said to his subordinates and Manager Xie:

"Fortunately, it was not a cerebral hemorrhage, and there was no obvious skull fracture. It is estimated that the impact did not cause obvious damage, and the most serious situation did not occur."

If the brain really bleeds, or if the blood stasis needs to be removed, it will involve a craniotomy. This kind of brain surgery, let alone the Viet Nam People's Hospital, even the provincial hospital would not dare to do it easily.

Then the only choice is paralysis or death.

Then here comes a new question.

The patient fainted twice, suffered from disturbance of consciousness, and had convulsions. If it was not cerebral hemorrhage, what would be the cause?
To be continued...