Emergency physicians often need to help patients whose lives are seriously threatening. But not every patient values their own life as much as the doctors do. Suicidal and drug-abusing patients are sent to the emergency room almost every few days.
Almost every patient who commits suicide will regret it to the point of no return. Due to the lack of universal psychological intervention and treatment institutions, they will almost always go to a dead end because of things that may not seem like a big deal to ordinary people.
During the time when Sun Lien was working in the emergency room, he saw two poor people who attempted suicide and were sent to the hospital. Both were women and young. Fortunately, most urban women committed suicide by taking overdose of medication, and they were found
It was still very early, so he was saved after emergency gastric lavage. After leaving a tear and countless words of regret, the two of them were discharged from the hospital to welcome a lucky new life.
As for patients who abuse drugs or even take drugs... to put it harshly, except for a few poor people with psychological problems, most of them are self-inflicted.
Due to the special characteristics of the group, drug addicts often share needles and other habits. One is a group with a high incidence of blood infectious diseases. The five infectious diseases that are commonly treated in domestic hospitals are basically considered to be common diseases in this group. AIDS, syphilis, gonorrhea,
Hepatitis A, Hepatitis B. If you have two of these five diseases at the same time, you can basically be sure that you are at least a "special working group". If you have three, there is more than an 80% chance that you are a drug addict.
Sun Lien looked at the skinny man lying on the rescue bed in front of him, and was a little distracted. Sun Lien had also seen drug addicts, but it was the first time he had seen someone addicted to this extent.
"Xu Muyang, male, 31 years old, had Cassib's sarcoma, secondary syphilis, gonorrheal proctitis, hepatitis A, hepatitis B, and overdose of diacetomorphine."
Sun Lien blinked. He really felt from the bottom of his heart that there might be something wrong with the status bar. But this line of text always hung quietly on Xu Muyang's head, which seemed a bit ironic.
Diacetatemorphine, also known as heroin. It is an acetylated derivative of morphine. Its effects and applications are similar to those of morphine, but its analgesic effect is stronger than that of morphine. It is easy to produce hallucinations and a stronger sense of euphoria after taking the drug. It is characterized by its rapid onset of effect.
, lasting period of time, and its inhibitory effect on the central nervous system is more than ten times that of morphine.
That is to say, diamorphine dependents use drugs more frequently and in larger amounts than traditional drug dependents. This makes diamorphine dependents more likely to suffer from respiratory depression than traditional drug dependents.
Xu Muyang is like this now. The dose of diacetomorphine he used obviously exceeded the "safe" dosage. The strong central nervous system depressant effect caused his breathing and heartbeat to be completely absent when he was sent to the hospital. His pupils were dilated, about 6mm in diameter, and
Insensitive to light reflection, severe cyanosis all over the body, and a large amount of white fine foamy secretions in the mouth and nose.
The doctors in the rescue room performed emergency rescue operations on him. In addition to suctioning to clear the airway, chest compressions, mask-type non-invasive positive pressure assisted breathing and other symptomatic measures were used. During the rescue, Yuan Pingan, who was responsible for directing the rescue, paid attention
The patient showed special signs and numerous pinholes on both arms. After rescuing for two minutes and injecting 1 mg of epinephrine intravenously, Xu Muyang's heartbeat recovered. But he still could not breathe on his own, and finally an additional 0.8 mg of epinephrine was added urgently.
He was given naloxone and switched to a tracheal intubation ventilator to assist breathing. Three minutes later, Xu Muyang resumed spontaneous breathing. His blood oxygen saturation increased from 90% to 95%.
After another dose of naloxone, Yuan Pingan went to pay attention to other patients. Sun Lien came to Zhou Jun to sign a thick stack of cases. After entering the emergency room, the first thing he noticed was
This Xu Muyang has a long list of statuses hanging on his head.
"Li'en, are you here?" Yuan Pingan was sweating. Today's emergency room was as busy as ever. But seeing Sun Li'en coming, he still waved to Sun Li'en happily. On Sunday night, he and Sun Li'en
After chatting for a while, Sun Lien assured him that there would be no problem in introducing his girlfriend to the Fourth Central Hospital. As long as the director agreed and the association was willing to let her go, everything would be fine.
"Brother Yuan..." Sun Lien put a bunch of cases in his hand next to the duty desk, took two quick steps, walked to Yuan Pingan, and asked in a low voice, "What's going on with the patient in bed 3?"
"Oh, that one?" Yuan Ping'an glanced at bed 3, confirmed that Sun Lien was talking about Xu Muyang, then shook his head and said, "Naloxone has been pushed, so he may have overdosed."
"To be so thin, you must have been smoking for a long time, right?" Sun Lien was not too worried about Xu Muyang's life. The survival period of drug addicts who are full of all five poisons is basically calculated in months, so it is too late to worry.
He tried hard to guide Yuan Pingan to pay attention to the infection management of medical staff, "Have you done the five infectious diseases?"
"You've got to the point." Yuan Ping'an's eyes lit up. After looking around to make sure there were no irrelevant people, he whispered, "Have you ever seen an Internet writer with all the five poisons?"
"Internet... Internet writer?" Sun Lien was stunned. His first reaction was that these four words were probably a joking name for a certain syndrome.
"He just writes online novels." Yuan Pingan said with a smile, "The family members who sent him here said that they were worried that the patient's sudden collapse was due to symptoms caused by long-term Internet use."
Sun Lien was speechless for a while before asking, "Can Internet writers... make money by writing novels? No wonder I'm so thin..."
"Writing novels is a dead end." Yuan Pingan shook his head and said, "But he should be pretty good. I heard from his family that he is somewhat famous and has written two fine books." He glanced at Xu Muyang again, shook his head and said,
"But depending on the situation, he probably used the little money he earned from writing novels as drug money."
Considering that he also has gonorrhea proctitis, Sun Lien strongly suspects that Xu Muyang may have other sources of income besides being an online writer. However, since he has been confirmed to be a drug addict, as long as Xu Muyang's vital signs return to stable
, then they should be transferred to a compulsory drug detoxification institution or a specialized infectious disease hospital for treatment. If you want to go to a specialized infectious disease hospital for treatment, you are more likely to go to a specialized infectious disease hospital for treatment. Drug addicts with all five poisons, even if they do not relapse in the future, can
The chance of surviving for more than six months is no more than 20%. If such a person is sent to a compulsory drug rehabilitation institution, it is estimated that he will die of illness in it soon.
"Have you called the police?" Sun Li'en asked. The procedures for handling these special patients are fixed. But seeing Yuan Pingan's busy feet, Sun Li'en was really worried that he would forget this incident. What if this person waits for a while?
If you run away after regaining consciousness, there will be trouble.
"Report it. Officer Wu has already reported the situation to his colleagues. It is estimated that someone will come in about ten minutes." Yuan Pingan nodded. In fact, he really didn't know that the Fourth Central Hospital encountered this kind of situation.
Regarding the handling process of the situation, he originally planned to call the police himself.
Sun Lien put a bunch of case records in Zhou Jun's office. Zhou Jun needed to attend two regular meetings today and was currently in the conference room. Fortunately, the case records did not need to be signed immediately, so he sent another WeChat message to Zhou Jun.
Sun Lien walked out of the office again and walked towards the door of the emergency room.
When passing by the third bed, Sun Lien suddenly heard some strange noises. He turned around and saw that Xu Muyang, who was lying on the bed, gradually opened his eyes. Because he had regained stable spontaneous breathing, the auxiliary breathing tube in his throat had just been removed.
Lose.
"Doctor Yuan, the patient is awake." Sun Lien shouted in the direction of Yuan Pingan. Then he grabbed the restraint device next to the bed and rushed over. Patients who have been injected with naloxone after overdose will suffer from severe withdrawal.
The withdrawal reaction of long-term drug users will be very severe. Sure enough, after Sun Lien tied Xu Muyang's hands, he began to struggle violently.
"Restraint... Oh, it's okay, just tie your feet." Yuan Pingan obviously also knew the consequences of using naloxone on drug addicts. He originally planned to call Xiao Guo, the strongest person in the rescue room, to come and help, but now
It seems that Sun Lien has tied the other party's hands, so there is basically no need to worry that the patient may break free and fall from the bed, or hurt other medical staff.
After completing the restraint work, Sun Lien felt a cold sweat break out from his head. Fortunately, he just went to Zhou Jun's office to put some cases, and fortunately, he walked out of the office after sending the WeChat message. At this time
If it were earlier, he would have missed Xu Muyang's waking moment and the best time to restrain him. If it was later, he would have happened to pass by Xu Muyang when he was struggling most intensely. By then, this drug addict would have damaged his brain.
The guy might just prick him again with the needle that was stuck in his body.
Fortunately, this guy was tied up, and Sun Lien felt scared. Even though his limbs were firmly tied to the bed, Xu Muyang was still struggling desperately. The force was so strong that the pure steel core guardrail made bursts of noise.
There was a crunching sound in his teeth. After struggling for a while, he gradually accepted the reality and slowly calmed down.
"Please," Xu Muyang shouted from the bed, "Please loosen this belt, it hurts me."
"If you didn't take drugs, we wouldn't have tied you up with a belt." Yuan Pingan had no intention of being accommodating to Xu Muyang's request.
Xu Muyang panted heavily on the bed for a while like an exhausted dead dog, and then counterattacked, "What do you know! I am an artist. What happened to artists taking drugs? Without those things, how could I have inspiration!"
"I personally don't want to discuss the relationship between art and drugs with you at all, because they have no connection at all." Yuan Pingan glanced at the cardiopulmonary monitor next to the bed, "As for your inspiration, if you don't have inspiration, then don't think about it.
You're a writer now. You can go out and find a good job and you won't starve to death."