My medical skills are a billion points

The nurse didn't say anything either, and of course it's possible that she didn't know the situation either.

Xiao Chu hurried out of the door of the emergency department to welcome the arrival of the ambulance.

Soon, two ambulances, one after the other, arrived at the gate of the emergency department.

The first ambulance followed a young woman in her 30s who was unconscious.

The second ambulance received a young man in his 30s.

Xiao Chu was on duty today, and Liu Qing was practicing with Xiao Chu, and she was treating the second male patient.

The crowd hurriedly pushed the two patients to the emergency room.

The emergency doctor accompanying the car said as he walked, "These two patients were found in a car in a scenic spot. When they were first discovered, the woman was unconscious, while the man was still conscious."

"According to the man, they were a pair of lovers who died in love. Because their family members did not agree with them being together, they decided to commit suicide in love."

"The medicines taken are mixed, consisting of diazepam and organic phosphorus. It seems that women are heavier at present."

After the emergency doctor finished speaking, Xiao Chu got a general idea of ​​the situation of these two patients.

The two fell in love, but their family members disagreed, so the two came to the scenic spot together and committed suicide by taking poison.

I have to say that it is really rare to have such an infatuated couple die for love these days.

However, Xiao Chu seemed to have judged something from the mouth of the emergency doctor.

When the two patients were discovered, the woman was already in a coma, but the man was still quite conscious.

And told in detail the reasons for their suicide and the drugs they drank.

This is something that made Xiao Chu suspicious.

Apparently the women took the pills first, and the men after.

Furthermore, there is another possibility, that is, women take more medicines, while men only drink a little symbolically, so they remain conscious.

But all of this is Xiao Chu's guess, and he will understand after a while after gastric lavage.

Soon the two patients were pushed into the emergency room, and everyone was busy.

Xiao Chu and several nurses looked after the female patient.

Liu Qing and several other nurses were looking after the male patient.

Insert a gastric tube into the patient, turn on the gastric lavage machine, and start gastric lavage for two people.

The gastric lavage machine worked for a while, and a large amount of milky white liquid was washed out from the female patient's stomach, which gave off a pungent smell.

As soon as Xiao Chu smelled it, he knew that this woman definitely drank a lot of organic phosphorus.

As for the taste of diazepam, I can't smell it, but it can be tested.

For example, this female patient drank a lot of pesticides, so she had to thoroughly wash her stomach.

Under normal circumstances, more than 1 ml of normal saline is required for gastric lavage until the gastric juice washed out is clear.

The entire gastric lavage work will last about half an hour.

During the process of gastric lavage for the female patient, Xiao Chu took a look at the gastric juice of the male patient.

It turned out that the gastric juice washed out by the male patient was very light in color, almost clear, and had no obvious pungent smell.

Under this comparison, Xiao Chu immediately knew that this man definitely had very little medicine.

And that woman definitely drank a lot of pesticides.

Xiao Chu couldn't help shaking his head.

It seems that this female patient really wanted to commit suicide, while this man was just pretending.

But this is a private matter, Xiao Chu doesn't comment too much.

He is just a doctor, and he can do his duty to save the dying and heal the wounded.

Before performing gastric lavage on the two people, Xiao Chu had the nurse draw blood and test blood routine, liver and kidney function, and cholinesterase and other related test items.

When the two patients had just finished gastric lavage and were sent to the ward.

Liu Qing walked over with two test sheets, and said, "Mr. Xiao, the test results of these two patients are out, take a look."

Xiao Chu took the results of two patients, took a look, and found that the cholinesterase of the female patient was very low, less than [-].

The male patient's cholinesterase is still in the normal range.

Comparing these two results, it becomes clearer that the man did not drink much medicine at all, while the woman really drank a lot.

In clinical practice, cholinesterase is the detection index of severe hepatitis. Only when the liver cells are severely damaged, cholinesterase will become abnormal.

There are three standards for the normal value of cholinesterase. The normal value of cholinesterase is different for men, women, and children.

However, these three normal values ​​of cholinesterase are all used to reflect the quality of liver function.

There are two methods for measuring the normal value of cholinesterase: Colorimetric method: the normal value of cholinesterase is 130-310U/L.

Enzyme method: the normal value of cholinesterase is 16- for women (39-4300 years old)

U/L.

Children, adult men, women (over 40 years old) 5410-

U/L.

The decrease of cholinesterase usually reflects the depth of organophosphorus pesticide poisoning.

Because the female patient had very low cholinesterase, she definitely drank a lot of organophosphorus pesticides.

The male's cholinesterase was in the normal range, indicating that he drank very little or almost no pesticides.

It seems that when the two men were discussing suicide by drinking pesticide, the man was playing tricks, he didn't drink much pesticide at all, he just put on a show.

Obviously, the man didn't intend to commit suicide, and he might trick the woman into taking the medicine.

But the woman took it seriously, and really drank a lot of pesticides.

Moreover, her cholinesterase is very low, and now she is in a coma and her condition is very serious, and it is possible that she cannot be rescued.

And that man probably just tasted it, but didn't really drink it.

So he is not heavy, and he can be rescued with some antidote properly.

Xiao Chu handed the test sheet to Liu Qing, and said, "The family members of these two patients, have you been in touch? We must contact their families as soon as possible!"

Because these two people committed suicide together in a scenic spot, when the ambulance arrived, they were not accompanied by their family members.

In other words, so far, all Xiao Chu's rescue work and the medicines used are all from the hospital.

Chapter 122 Although damn, but still have to save

Because neither of these two patients had family members, they did not go through hospitalization procedures.

But after all, when these two people came, they were in critical condition.

Based on the principle of saving people first, Xiao Chu rescued the two patients first.

The current hospitals are just like the legends, they will die without saving them, and they will not treat diseases and save people without money.

In fact, all hospitals in the country will first save people before hospitalization in the spirit of emergency.

If the patient's condition is very critical and life-threatening, even if he has no family members or has family members who have no money, the hospital will treat him first. This is a matter of principle.

Any hospital in the country will do this.

If there is really a hospital where patients are not treated because they have no money and their condition is life-threatening, then this hospital will definitely not be a public hospital.

Now these two patients have undergone thorough gastric lavage treatment.

The next treatment is mainly to detoxify, rehydrate, prevent infection, and protect liver and kidney functions.

At present, the woman's condition is the most serious, and her vital signs are not stable.

Therefore, the most urgent task at present is to find her family members to explain her condition, and of course go through the hospitalization procedures as soon as possible.

As soon as she heard Xiao Chu asking about the patient's family, Liu Qing immediately became interested.

Mysteriously said to Xiao Chu: "Mr. Xiao, you don't know yet, the family members of these two patients have already been contacted. But the matter of this pair of scumbag men and scumbag women is really too bloody."

Xiao Chu was taken aback.

It stands to reason that these two people committed suicide by agreeing to die for love. They are both infatuated people. How could they become scumbags?

Seeing the puzzlement on Xiao Chu's face, Liu Qing stopped teasing him and told the truth about the two of them.

It turned out that these two people were not lovers at all, but each had their own families.

A man has a wife and children, while a woman has a husband, a son and a daughter.

These two people cheated and got together because they met each other because they were chatting online.

And this man has divorced his wife, and this woman wants to divorce her husband, but the husband does not agree.

So in a fit of rage, the woman dragged the man to commit suicide by taking poison in the scenic spot.

After hearing the ins and outs of the whole incident, Xiao Chu couldn't help but slap his mouth.

If you say that these two people are single and in love, they can't be together due to their respective family problems, and if they meet to commit suicide, it can still make people feel sympathetic.

But the fact is that two people have their own families and cheat on each other at the same time.

It is really unsympathetic to commit suicide together because the family members disagree.

Finally, Liu Qing said with a disgusted expression on her face: "Mr. Xiao, if I knew about these two people in advance, I really don't want to save them."

To be honest, don't say that Liu Qing didn't want to save them, these two people were Xiao Chu, and she didn't want to save such people from the bottom of her heart.

Both of them are rich and well-off people, the man is promiscuous, and the woman is unruly and cheats on each other.

In the end, they abandoned their family and children, and even made an appointment to commit suicide. It is not a pity for such a person to die.

But as a doctor, Xiao Chu's duty is to heal the wounded and save the lives of patients.

As for the patient's family situation and privacy, he has nothing to do with it.

As a doctor, he cannot refuse to treat the patient just because the patient is a heinous person or a person with moral depravity.

His duty is to save lives, heal the wounded, and heal the sick.

Even if the bad guys are injured and sick, he will try his best to treat them.

Of course, there are laws to punish such a person, which is different from seeing a doctor and saving lives.

The male patient was sent to the general ward, while the female patient was sent to the emergency ICU.

Although the conditions of these two patients were complicated, fortunately, the family members finally came to the hospital and went through the relevant procedures.

The family members of male patients come from their parents.

They also feel quite ashamed for their son to have this situation.

But after all, he is his own son, so he can't ignore it if he committed suicide by drinking medicine.

The family members of the female patient are mainly her husband.

According to the information Liu Qing inquired about, the affairs of this pair of dogs and men are well known in their locality.

Of course the husband of the female patient also knew about it.

But what he didn't expect was that he came to handle the relevant hospitalization procedures for his cheating wife.

And because of the arrival of the female patient's husband, everyone in the emergency department was quite nervous.

why?

Because he was afraid of the husband of the female patient, he met the male patient and started fighting.

Another fight, bloody emergency department.

Therefore, the medical staff on duty deliberately prevented the husband of the female patient from seeing the male patient.

When Xiao Chu and others were busy in the doctor's office, Liu Qing walked in mysteriously.

He muttered in a low voice: "It's weird, it's strange that these two men didn't fight when they met each other!"

Seeing Liu Qing's mysterious look, Xiao Chu asked puzzledly: "Liu Qing, what are you doing? You're just nagging!"

"Nothing, Mr. Xiao, haven't we all been wary of that female patient's husband meeting that male patient?