In the end, including the passengers who may be sick, they accused the captain of making a fuss out of a molehill. They didn't ask for landing and you wanted to land? It delayed my anxious trip.
People fly because they want to be fast. The delay caused to passengers by a temporary landing of an airplane is much more serious than that of a train or bus.
What the flight attendant said was equivalent to a warning to Xie Wanying, and her judgment may affect the captain's decision.
Thinking of this, Xie Wanying stayed focused and did what a doctor should do first, carefully analyzing the patient's condition and making a clear diagnosis as soon as possible.
As mentioned above, without instrument examination, it is basically difficult for doctors to 100% identify and diagnose acute abdomen. At this time, doctors can palpate the abdomen, which does not mean that they can immediately determine which organ in the patient's body is affected. In the hospital, doctors have to prescribe various
This kind of examination is a step-by-step investigation. How can it be determined by palpation alone? The first thing that can help the doctor through abdominal palpation is to preliminarily check whether it is an acute abdomen.
This is probably something that people inside and outside the industry have never thought of.
Abdominal pain is not necessarily an acute abdomen, but may be similar symptoms caused by other diseases throughout the body.
Xie Wanying followed Teacher Tan's example and quickly pressed on several key areas of the patient's abdomen. She found that the patient's abdomen was soft as a whole. When pressed, the patient did not have any tenderness or rebound pain, and there was no radiating pain or pulling pain in the back.
This abdominal pain is not obvious at all and may not be abdominal pain at all.
In fact, when she arrived at the scene, Xie Wanying felt that the patient did not have abdominal pain at first sight. If she had abdominal pain, the patient would at least cover her stomach with her hands, but this patient did not. Therefore, her first step must be
Check whether it is an acute abdomen.
If it is not an acute abdomen, experienced doctors will immediately check whether it is cardiopulmonary disease or 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, feel 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 the blood pressure monitor, and came back to measure the patient's blood pressure. She thought that she might need to bring a defibrillator to do the patient's electrocardiogram.
Occasional symptoms of heart disease may manifest as acute abdomen, which may confuse the doctor's judgment along with acute gastroenteritis.
There is no blood glucose meter on the plane, otherwise the patient can be tested for blood sugar. Hypoglycemia is also common for such underweight students. However, the patient’s family said that the patient ate while waiting for the flight and did not vomit.
Diarrhea is unlikely to be due to hypoglycemia.
After the sphygmomanometer was obtained, the patient's blood pressure was measured. The blood pressure was 90/55mmHg, which was low, but not in a state of shock.
"Can you let her lie down flat?" The flight attendant asked Xie Wanying and the others for their opinions.
According to the experience of flight attendants, the most common emergency patients they see on the plane are usually asked by medical staff to ask the patient to lie down. Lying down is undoubtedly a good solution for patients with hypoglycemia and dizziness.
Improve these symptoms of patients.
For this reason, some flight attendants were prepared to find a piece of ground on the plane with blankets and lay it on the cabin floor to make room for the patient to lie down for treatment.
Xie Wanying did not say that it was necessary. She carefully observed the patient's face and body with her eyes. She could not make mistakes in judgment or speak lightly, otherwise the impact would be too great.
A passenger in the back seat murmured, dissatisfied with her seemingly slow response, and said, "Is she okay? Is she really a doctor?"
