My medical skills are a billion points

"In today's society, people's hearts are not old, and the world is declining!"

……

The voices of the passengers talking in the carriage reached Xiao Chu and Cheng Yunshan's ears.

And the voice of the flight attendant rang again on the radio. .

"If there is a doctor friend on the train, please come and see the passengers. The passenger is in a hurry now. Please help the doctor friend."

Xiao Chu and Cheng Yunshan exchanged glances and stood up at the same time.

Cheng Yunshan patted Xiao Chu's shoulder.

"Xiao Chu, it seems that there are no other doctors on this train, just the two of us, let's go."

Xiao Chu nodded.

"Let's go, Director Cheng, let's go and see what's going on with the patient. No matter if we can help, we can't dishonor our profession as a doctor."

Cheng Yunshan looked at Xiao Chu with approval.

As expected of a good seedling in his fancy.

Not to mention superb medical skills, but also impeccable medical ethics.

The two soon came to the No. [-] compartment that the flight attendant said.

I saw a few people in the middle of the third carriage.

A middle-aged man about 50 years old, slumped on a chair, with his right hand covering his chest, with a painful expression on his face.

And sweating profusely at the same time.He gritted his teeth to keep himself from making a sound, as if he was suffering unbearable pain.

The three flight attendants next to him were also anxious.

For the situation in front of passengers, helpless.

After all, they were just flight attendants, not doctors, so they were at a loss as to what to do when passengers suddenly fell ill.

Cheng Yunshan immediately said: "We are doctors, let's see how the patient is doing."

When the flight attendants heard this, their faces were overjoyed, and they hurriedly moved out of the way to give up their seats.

At the same time, I was relieved.

The passenger looked so uncomfortable, the condition must be serious.

If there really isn't a doctor on this train, then the flight attendants can only stare at the patient and worry blindly.

In case the passenger unfortunately dies on the train, it is not a bad luck.

At the same time, it will also have a great impact on their work.

And from the current position to the next stop, it will take four or 10 minutes.

If passengers really can't make it through, then it's in big trouble.

So the mood of the three flight attendants was that they all desperately hoped that a doctor would come forward.

But after shouting several times, no one stood up, which made them very disappointed.

Just when the passengers and flight attendants were completely desperate, Cheng Yunshan and Xiao Chu rushed over.

Let their hearts hang tightly, and then they have a little bit of relief.

Cheng Yunshan stepped forward, clasped the patient's wrist, and felt for the pulse.

Then I looked at the patient's pupils on both sides, and made a rough judgment in my heart.

But he is a major in hand surgery after all, and for hand surgery, he is definitely at the level of a master.

As for diseases in internal medicine, it is a bit difficult to judge.

For a moment, he didn't dare to make a judgment.

Provincial tertiary hospitals are generally specialized in specialties, and they are very good at and specialized in diseases in this specialty.

For diseases outside the profession, it will pale in comparison.

After a little thought, Cheng Yunshan looked at Xiao Chu.

"Xiao Chu, what do you think?"

In fact, just judging from the patient's symptoms, Xiao Chu already had a rough judgment in his mind.

What's more, the passive ability has been automatically activated, and he has already discovered the specific cause of the patient.

However, seeing Cheng Yunshan's question, Xiao Chu still stepped forward and checked the patient.

After checking, Xiao Chu looked at one of the flight attendants.

"Excuse me, how long does it take for the train to arrive at the next station?"

"Almost four and ten minutes."

The steward replied hastily.

"I consider this patient to have acute myocardial infarction. The condition is very serious and he needs to go to the hospital for treatment as soon as possible."

The flight attendant is in a hurry.

Of course he has also heard about the horror of acute myocardial infarction.

This kind of disease can kill people in minutes!

The passenger in front of him turned out to be suffering from acute myocardial infarction.

Not only are the passengers unlucky, but the flight attendants are also unlucky enough.

"Doctor, can you think of a way to relieve this passenger's condition?"

asked the flight attendant hastily.

"Then, is there a first aid kit on your train?"

"Yes, yes, I'll get it now."

A flight attendant hurried out.

In less than half a minute, he ran back again, holding a first aid kit in his hand.

Xiao Chu hurriedly opened the medicine box.

It was full of povidone iodine, alcohol, and bandages.

There are also some cold medicines, antipyretics and medicines for diarrhea.

These things are of no use to the patient in front of him.

Just as he was rummaging through the contents of the medicine box, Xiao Chu's eyes suddenly lit up.

He found a box of aspirin.

Aspirin is an antipyretic and analgesic drug that can reduce fever and relieve pain.

But at the same time, it can also resist platelet aggregation and play a certain anticoagulant effect.

Xiao Chu hurriedly opened the aspirin, took out three pills, and delivered the medicine to the patient's mouth.

"Chew it quickly and swallow it."

Enduring the severe pain in his chest, the middle-aged man swallowed three pills, chewed them up, drank his saliva and swallowed them with his head raised.

Three aspirin, a total of [-] mg.

It is one of the drugs used in the treatment of acute myocardial infarction.

In general, acute myocardial infarction requires dual-antibody therapy.

That is to say, aspirin and ticagrelor or clopidogrel are required to be taken in loading doses.

This dual anticoagulant effect can reduce the symptoms of myocardial infarction.

However, the main treatment for this disease is emergency PCI (percutaneous coronary stent implantation).

Another point of treatment is to use thrombolytic drugs as soon as possible to open up the blocked blood vessels.

But the patient is now on the train with nothing but aspirin.

Xiao Chu could only use local materials and let patients take them to see if there was any effect.

Just hope he can make it to the next stop.

Chapter 172 Acupuncture and Moxibustion

After the middle-aged man took the medicine, he closed his eyes.

However, the bean-sized beads of sweat on his face were still dripping.

Not only did he frown tightly, but his face turned pale, which was very scary.

Looking at the patient's condition, the flight attendant also looked nervous, and asked anxiously, "Is this medicine effective?"

The patient didn't even have the strength to speak, but shook his head weakly.

Xiao Chu hurriedly said: "Oral medicine, the fastest it takes one to ten minutes to take effect. I just took it, how can it be so fast?"

"You don't have nitroglycerin in your first aid kit. If you have nitroglycerin, let him sublingualize it. It will take effect in half a minute at the earliest. It's a pity that you don't have this medicine in your medicine cabinet."

Although Cheng Yunshan was born in surgery, he is not very professional in internal medicine.

But acute myocardial infarction, he still knows the seriousness.

Feeling the patient's pulse again, he said to Xiao Chu: "Xiao Chu, your judgment is correct, it seems that we can only wait now."

Before Cheng Yunshan finished speaking, he turned to the flight attendant.

"Have you contacted the next station? Let them contact the ambulance and wait on the platform to pick up the patient as soon as possible."

The flight attendant nodded hurriedly.

"We have already called, and the hospital has been contacted there, and the ambulance will rush to the platform soon."

"As soon as the train arrives at the station, this passenger can be sent to an ambulance immediately, but..."

The flight attendant hesitated to speak.

Because when she saw the patient in front of her, not only did her condition not get better, but it got worse.

"Ah! My chest hurts so much! I can't stand it!"

The patient finally couldn't bear the pain and cried out in pain.

The treatment of acute myocardial infarction, even if emergency PCI cannot be performed.

Routine treatment is also to give the patient oxygen, ECG monitoring, and oral double-antibody drugs.

Then give analgesics to relieve the patient's pain, and then give thrombolytic drugs to open up the blood vessels.

However, this life-threatening heart disease is now on the train, but there is no treatment.

Seeing that the patient was about to go into shock from the pain, Cheng Yunshan was also in a hurry to turn around, there was nothing he could do.

Not to mention, he is a doctor specializing in surgery, even if he is a master in cardiology, he is still a clever woman who can't cook without rice without any medicine.

There is nothing we can do about the patient's condition.

Seeing Cheng Yunshan was silent, the flight attendants beside him were even more anxious.

She grabbed Cheng Yunshan's arm and begged, "This doctor, can you think of a way to make him relieve the pain, and the station will arrive in more than 20 minutes."

Cheng Yunshan felt powerless, so he could only shake his head helplessly.

"I'm sorry, we have tried our best. Now aspirin has no effect on him. We can only wait. I hope the train will come in sooner."

Cheng Yunshan knew in his heart that what he said was contradictory.

There is a strict time limit for the high-speed rail track.

It is impossible to change the running track and time just because there are patients on the train.

To do so would be a serious irresponsible behavior towards the passengers on the train and other trains.

No one dares to take on this responsibility.

Several people sighed helplessly, watching the patient helplessly, falling into extreme pain and facing death at any time.