【1527】Not abdominal pain
Including passengers who may be sick, they accused the captain of making a big deal. People did not ask for landing and you wanted to land? It delayed my urgent trip.
People take planes to be fast. The delays caused by temporary landing of planes to passengers are much more serious than those of train cars.
What the flight attendant said was equivalent to warning Xie Wanying, and the judgment she made might affect the captain's decision.
Thinking of this, Xie Wanying kept her concentration, did what the doctor should do first, and carefully analyzed the patient's condition and made a clear diagnosis as soon as possible.
As mentioned above, without instrument examination, it is basically difficult for doctors to 100% differentiate and diagnose acute abdominal disease. At this time, the doctor uses abdominal palpation, not to immediately determine which organ in the patient's body is sick. Doctors in the hospital must prescribe each
How can I determine the examination by palpation alone? The first thing that can help the doctor through abdominal palpation is to check whether it is acute abdominal disease.
This is probably something that people inside and outside the industry have never thought of.
Abdominal pain is not necessarily an acute abdominal disease, but may be similar symptoms caused by other systemic diseases.
Xie Wanying followed Teacher Tan and quickly pressed several key areas of the patient's abdomen and found that the patient's abdomen was soft overall. After pressing, the patient did not have any tenderness or rebound pain, and there was no back pain in the radiation pain in the back.
This abdominal pain is not obvious at all, and it may not be abdominal pain.
In fact, when Xie Wanying came to the scene, she felt that it didn't seem like abdominal pain at first sight. If there was abdominal pain, the patient would at least cover her stomach with her hands, but this patient did not. So, she must first step.
Check if it is acute abdominal disease.
It is not an acute abdominal disease. Experienced doctors immediately check whether it is a cardiopulmonary disease and a cerebrovascular accident. These two types of diseases are the most common clinical critical and serious fatal diseases and must be dealt with immediately.
Observe the patient's breathing, touch the patient's pulse, and determine the patient's heart rate.
Seeing this, nurse Lu Xin walked back to the first class cabin to get a blood pressure meter and came back to take the patient's blood pressure, thinking that maybe she might need to carry another defibrillator to pull the patient's electrocardiogram.
Occasional symptoms of heart disease can manifest as acute abdominal disease, which confuses the audio-visual diagnosis of doctors with acute gastroenteritis.
There is no blood glucose meter on the plane, otherwise the patient can be measured for blood glucose. Students with light weight, hypoglycemia is also common. However, the patient's family said that the patient had eaten while waiting for the plane, and had no vomiting.
Digestion is unlikely to be hypoglycemia.
After the blood pressure meter was taken, the patient was measured for his blood pressure, which was 90/55mmHg, which was low, but he did not reach shock.
"Can she lie down flat?" The flight attendant asked Xie Wanying and the others about his opinion.
According to the experience of flight attendants, the most emergency patients they see on the plane, usually medical staff are asking to take measures to let the patient lie flat. Lying flat can undoubtedly be very good for patients with hypoglycemia and dizziness.
Improve these symptoms in patients.
For this reason, some flight attendants were ready to find a piece of floor on the machine to lay the cabin floor, so as to free up the patient to lie flat for treatment.
Xie Wanying didn't say that it was necessary. She looked at the patient's face and body shape carefully all the way. She could not make mistakes or speak lightly, otherwise the impact would be too great.
Chapter completed!