Chen Jue

In the entire carriage, apart from the rattling sound of friction between the train wheels and the track, the onlookers held their breath unconsciously, and moved their hands and feet lightly, with a trace of imperceptible fear in their cautiousness.

Chen Jue pressed on the old man's heart and performed CPR, one click, one click...until Chen Jue felt the strength of the old man's breathing increase, he reached out and touched the carotid artery to confirm that it was the artery that fluctuated under his hand, Chen Jue's Put your thumb in the middle of the old man's body, and use the sharp nails to press down hard.

The old man's eyelashes trembled slightly, his eyelids opened tremblingly, and his cloudy eyes met Chen Jue. Chen Jue heaved a sigh of relief, with the corners of his mouth slightly raised, and said in a low voice, "Welcome back."

It was not only Chen Jue who breathed a sigh of relief, but also the female train conductor. Seeing the old man wake up from a coma, her tense nerves were finally relieved.The onlookers also looked happy, and the carriage swept away the previous downturn, filled with an atmosphere of joy.

"Let's go, let's go..." The two conductors who were sent by the train conductor to the oxygen cylinder and oxygen breathing equipment said, and they also brought the first-aid kit that was placed on the train.Chen Jue thought for a while, and stuffed the pen and notebook on the car seat that he had put on the car seat to rescue the elderly. At this time, at this place, only the conductor could give him a little trust. "In a while, I will examine the patient, please record it with the train conductor."

The female bus captain also knew how powerful she was. During the period when she asked the announcer to announce that there were patients in need of first aid, there were no doctors, nurses or people in the medical industry in the sixteen cars including the sleeping berths. Chen Jue appeared when he had no hope, even when he was in despair.Even if Chen Jue is just an intern, so what if he carefully gives remote guidance on the way here, and buys time for emergency patients. What to do is much stronger.

"How long has the patient been in a coma?" Chen Jue asked while busy installing the oxygen cylinder and oxygen inhalation device.

"About 2 minutes." Chen Jue was answered by a family member of the unconscious old man. A girl who looked about 20 years old may have been frightened by the old man's coma before. Her face was pale and her eyes were filled with tears. The corners of her eyes were reddish, and when she spoke, she had a slightly crying nasal voice, but those eyes were shining brightly at Chen Jue.

"Did the patient have symptoms of chest pain, nausea, or vomiting before coma?"

The girl thought for a while, "Yes."

"When did you start having the above symptoms?"

"An hour ago."

"Have you taken any medication?"

"No."

That is to say, the patient developed symptoms shortly after getting in the car.

"Why no medicine?"

The girl sniffed, "Grandpa said you can't take medicine on an empty stomach."

"How long has the patient had a heart attack?"

"Ten years?" The girl replied uncertainly, and then she cried with grievance and fear: "I don't know the specifics, grandpa, grandpa is usually in good health."

Chen Jue glanced at the crying girl with pear blossoms and rain, connected the straw, unscrewed the humidification bottle and handed it to the nearest conductor, "Please fill half of the bottle with tap water."

The conductor took the bottle, turned around and ran towards the sink in this car without saying a word.

Chen Jue said softly to the old man, "Master, where do you put the medicine you usually take?"

The old man slowly turned his eyes, staring at the backpack hanging on the curtain hook, his upper and lower lips trembled, his throat wriggled, and he made hoarse notes intermittently.

"In the bag?" Chen Jue looked at the old man.

Before the old man could answer, the girl hurriedly took two steps to take off the backpack. After searching for a while, she took out three or five brown or white medicine bottles from the bag and came to Chen Jue, "That's all. "

Chen Jue found the medicine he needed from the girl, unscrewed the cap and poured out a pill, "Master, open your mouth and stick your tongue up." Chin, with one hand, he stuffed the pill under the old man's tongue.

After doing this, Chen Jue put one arm of the old man on the opposite chest, and clamped the thermometer under his armpit who did not know who had placed it before he came. "Master, I want to check your body, please cooperate."

Seeing the old man nod slightly, Chen Jue took out the stethoscope and desktop sphygmomanometer from the first-aid kit, hung up the stethoscope, pressed the probe to the anatomical position of each valve of the old man's heart, and stared at the watch on his wrist to count silently.Heart rate 1 times for [-] minute, slightly faster, arrhythmia, increased heart dullness, weakened first heart sound, and pericardial friction rub...

Based on these physical examination findings alone, there is no doubt of myocardial infarction.

After Chen Jue took the old man's blood pressure, he said to the female train conductor, "Train conductor, please make a note."

The female train conductor nodded, and Chen Jue said, "Main complaint, colon..."

Hearing the word colon after the main complaint, the female train conductor gave Chen Jue a weird look and then began to record what Chen Jue said.

"Chief complaint, colon, the patient had symptoms of chest pain, nausea, and vomiting an hour ago, and was in a coma for 2 minutes, with a history of heart disease for more than ten years."

"History of present illness, colon, the patient had symptoms of chest pain, nausea, and vomiting for unknown reasons one hour ago, without coughing, sneezing, and diarrhea, and was not treated with medication. Awake."

"Past history, colon, suffering from heart disease for more than ten years..."

Before Chen Jue could finish speaking, the train conductor holding the humidified bottled water came back panting. Chen Jue pressed the humidified bottle, turned on the pressure gauge, and after observing the bubbles in the humidified bottle for a while, he put his hand on the end of the straw. The oxygen flow was detected at the opening, and after adjusting the oxygen output, Chen Jue placed the straw in the old man's nostril.

"The conductor."

The female conductor nodded, indicating to Chen Jue that she was ready.

"Physical examination, colon, high pressure 140 two, low pressure 94, heart rate 37 times per minute, body temperature..." Chen Jue took out the thermometer from the old man's armpit, "26 degrees Celsius, breathing..." He glanced at his watch , Counting the rise and fall of the old man's chest, "[-] breaths per minute."

He opened the old man's eyelids, "the face is pale, the breathing is a little short, the pupils are large and round, the heart rate is fast, one hundred and three times per minute, slightly fast, the rhythm is irregular, the heart dullness is enlarged, the first heart sound is weakened, Pericardial friction rub can be heard. Coarse breath sounds in both lungs, no dry and wet rales are heard. The abdomen is soft, and there is no abnormality in the limbs and spine."

While dictating, Chen Jue checked the old man's body.After a brief inspection, Chen Jue put the probe of the stethoscope on the old man's heart and listened for a while, then said: "After nearly 10 minutes of cardiopulmonary resuscitation, the patient woke up and was given oxygen, four liters per minute; Five milligrams sublingually treats..."

"Master, how do you feel?"

The old man opened his mouth, and a few notes came out of his throat. Not only his family members and the train conductor couldn't hear clearly, even Chen Jue who was the closest to him couldn't understand what he said, let alone the crowd watching the excitement. The crowd is onlookers.

Chen Jue's ear was close to the old man's, and after he finally understood what the old man meant to say "it's okay", he asked the train conductor, "Did you call the emergency call?"

"It's a fight." As early as the first time the old man was unconscious, she requested emergency assistance by radio, and the center replied that the distance to the nearest city and village was half an hour away. If there was no doctor or medical staff, she would be unconscious within half an hour. No one knows whether something unexpected will happen to the old man.

Fortunately, there is this medical student!The female train conductor secretly looked at Chen Jue who was flipping through the first-aid kit, thinking to herself.

After searching for a long time, Chen Jue didn't find what he wanted from the first aid kit. He took a deep breath, covered his disappointment, and asked, "Master, do you still have the medicine under your tongue?"

The old man nodded, and Chen Jue said again: "Master, if the stuff under your tongue is going to disappear or you feel unwell, please tell me!"

The old man nodded again.

"The train conductor, give me the notebook." Before the old man's signs changed, he had to simply summarize what he had dictated and recorded by the train conductor into a temporary medical record.

While Chen Jue was writing and drawing in his notebook, he devoted part of his mind to observing the condition of the old man. The family member of the old man, that is, the girl around 20 years old, proposed to help the old man up and sit on the car seat. Chen Jue refused. , After briefly explaining the first aid and nursing knowledge of patients with myocardial infarction, the girl sat down and held the old man's hand, her eyes were red.

After the female conductor leaned over and said a few words in the ear of a conductor, the conductor nodded and left quickly.The crowd of onlookers basically dispersed after seeing the old man wake up, gathering in twos and threes or whispering, or talking about the scene that just happened before them with lingering fear.

Two or three minutes later, Chen Jue pressed the stethoscope on the old man's heart again. He wanted to have an ECG monitor and necessary medicines to save the dying myocardium, reduce the size of the infarction, protect the heart function, and deal with various diseases in time. a complication.But the premise is that he has these things, but as far as the current conditions are concerned, the only things that Chen Jue can use are the stethoscope and the medicines that the old man carries with him, and he can only rely on simple and basic auxiliary inspection tools such as the stethoscope To judge the current physical condition of the elderly, and then select medication according to the situation.

While Chen Jue was worrying about the old man's prognosis, and taking physical examination every two or three minutes to write and write on the medical record, the conductor who had been sent away by the female conductor came back.

"I have already contacted the center, and I will be able to send an ambulance to the nearest hospital in 5 minutes!"

After hearing the news, Chen Jue breathed a sigh of relief but also tensed up his nerves. In 5 minutes, in just 5 minutes, the previous 99 steps have been taken, and the last step must be done steadily and properly!

Chen Jue approached the old man, "Master, did you hear that? The ambulance will be here soon..."

The old man nodded, with a smile on the corner of his brow, and the light in his cloudy pupils, although small, was enough to start a prairie fire.

"Woooo..." The train's whistle blew for a long time, and the speed gradually slowed down. The inside of the train was full of tense and eager joy, but outside the window was the comfort of the lights of thousands of houses at night. At the moment when the colleagues on the stretcher were wearing white coats, Chen Jue smiled, whether it was the relief that the old man would eventually get medical treatment, or the relief of taking that step by himself, there were all kinds of things, and it was hard to tell what it was like.

But there is one thing that Chen Jue has deeply realized that the so-called benevolence of a doctor is first of all a heart.

The author has something to say: That’s all for this week’s update. Tomorrow, the author has to sort out housework while typing, so I won’t update the article. Forgive me, readers!

PS: I logged into the background today and found that the income of articles has increased a lot, and the click-through rate has also increased. The author is so happy!Dear╭(╯3╰)╮Everyone!Thank you for your support!