Xu Yourong "appropriately" exaggerated the degree of poisoning of some pilots. In fact, Zhao Bo only fell into coma about 20 minutes after being admitted to the hospital. But considering that he had been thoroughly cleaned and kept away from the toxin environment when he was admitted,
In fact, the judgment of ten minutes is not necessarily wrong.
Xu Yourong's expression didn't change. She did not lie. At most, she just didn't make it clear that she had guessed the time of coma.
Secretary Chen put down his pen, covered his eyes with his hands, slowly rubbed his sour eyes, and sighed, "Fortunately...fortunately."
Under severe weather conditions, a serious series of car accidents occurred on the highway, resulting in many injuries and seven people being poisoned. This is already a very serious safety accident. If the rescue helicopter had an accident during the transfer, the consequences would be unimaginable. What penalties may be imposed?
It’s not even within the scope of Secretary Chen’s consideration. The plane fell from the sky, and now it’s close to the lunch rush. Who knows how many innocent people will be killed and injured!
Secretary Chen opened his eyes, looked at Sun Lien in front of him and said solemnly, "Well done!"
Sun Lien was stunned.
"Although I don't understand medicine, I also know that doctors should be more capable the longer they have worked." Secretary Chen seemed to be a little freed from his fantasy, and he began to ask about Xu Yourong's situation with great interest. "
You are a doctor of medicine who has returned from studying abroad, and you are also a student of Dean Liu. Why do you study with Dr. Sun, who was trained by the institute? "
Xu Yourong's expression remained unchanged, "Because I think it is necessary."
"Xiao Sun has two brushes." Secretary Chen nodded, then pondered for a while, and said to Sun Li'en, "You are the first to take preventive measures. But I am also very concerned about the situation of the four firefighters.
How are they doing?"
"Dr. Sun went to the pharmaceutical factory to help coordinate the rescue drugs." Xu Yourong continued, "I have been staying in the rescue room. I have a better understanding of the situation of the four firefighters. Let me tell you."
"In addition to the obvious symptoms of organophosphorus poisoning, the two firefighters brought by the helicopter also suffered from severe hypothermia. We estimate that the firefighting uniforms of the two were damaged during the emergency decontamination of them at the scene.
"Xu Yourong introduced, "The condition of the other two is better. Currently they only have symptoms of organophosphorus inhalation poisoning. But their vital signs are still stable. One person has symptoms of generalized muscle rigidity and respiratory failure. We gave him medical treatment.
Symptomatic treatment."
Secretary Chen shook his head, "I don't understand this kind of thing. I just want to know whether the lives of these four people have been saved. If not, when can they be saved?"
This kind of statement is actually a bit unreasonable, but Sun Lien can completely understand Secretary Chen's worries and concerns. He pondered for a moment and said, "The main problem we face now is that there is no large-dose atropine injection. The new alternative Changtonin
There is no inventory at all. Mr. Shen of the Second Pharmaceutical Factory has given us great support. More than fifty boxes of atropine have been moved to the pharmacy. As long as the ampoules are knocked fast enough, the lives of these four firefighters can be said to be
About 80% of it has been saved.”
Saving 80% of his life was not just nonsense by Sun Lien. There are two main causes of death from organophosphorus poisoning. One is muscarinic symptoms, which are caused by stimulation of the parasympathetic nervous system, resulting in smooth muscle spasm and increased glandular secretion, which may lead to pulmonary edema and respiratory obstruction.
Nicotine-like symptoms can cause respiratory paralysis and cardiac arrhythmia. Symptomatic treatment in the emergency department and the "atropinization" caused by large amounts of atropine injection can effectively prevent the occurrence and further spread of these two symptoms. Even if it cannot
After the disease is completely relieved, doctors can still fight it by opening advanced airways, ventilator support, and more than fifty arrhythmia drugs.
The reason why the 20% probability was deducted is because the four firefighters may have neurological damage and multiple organ failure that have not yet shown.
Although this situation is relatively rare, organophosphate poisoning may indeed cause damage to the nervous system. When the damage occurs to the terminal nerves, the condition will manifest as partial limb paralysis. But if it manifests in the parasympathetic or sympathetic nervous system, then This will lead to irreversible respiratory failure. The system that is supposed to control breathing cannot effectively conduct signals. Unless the patient relies on a ventilator, the patient will not be able to breathe effectively.
The parasympathetic nerves also control the body's visceral activities, gastrointestinal motility, liver work, and even heartbeat. If there is damage here, eventually the body's major organs will completely shut down.
It can be said that there is only one ultimate goal in the rescue process of organophosphorus poisoning, which is to avoid damage to various organs and nervous system by supporting the human body system and preventing damage to cholinergic nerves.
After listening to Sun Lien's explanation, Secretary Chen was silent for a moment and suddenly asked, "Have you met Mr. Shen from the Second Pharmaceutical Factory?"
"I've seen it." Sun Lien nodded, and after a moment's hesitation he continued, "Her daughter was admitted to the hospital yesterday due to an acute illness, and I was responsible for the treatment. Doctor Xu performed her first exploratory surgery."
"Why can't we produce a batch of large doses right away..." Secretary Chen hesitated, and District Chief Ouyang Hua beside him reminded him in a low voice, "Atropine."
"Yes, where is atropine?" Secretary Chen asked, "I majored in automation in college. Although it has nothing to do with pharmacy, if I just adjust the production dosage, it should be completed quickly, right?"
The middle-aged man who had been silent next to him whispered, "Changing the production line may have a very serious impact and loss on the company."
"You can't just put human lives aside just to make money, right?" Secretary Chen was a little angry, but he also understood that what he said was a bit nonsense. He waved his hand and sighed, "No matter what, it's still hard work for you guys. Already."
"Actually..." Sun Lien suddenly said, "Maybe I can have a chat with Mr. Shen. Maybe they can provide a batch of raw materials."
Atropine itself is actually a white or colorless crystalline substance that is easily soluble in water. Although there are many important processes in pharmaceutical factory production, at the end of the day, they are just dissolving the pharmaceutical raw materials and then aseptic filling. .
Sun Lien's suggestion was tantamount to moving the atropine production workshop into the hospital. The atropine raw material would be dissolved directly in the hospital to produce the much-needed large-dose drug to meet the urgent need.
Xu Yourong suddenly became anxious. She tugged Sun Lien's clothes hard, her eyebrows raised, "Are you crazy?"