Doctors, nurses and stretchers came quickly.
Seeing the sleeping patient, the 120 emergency doctor asked, "is he the patient?"
"Yes, now I suspect alcoholic hypoglycemia." Wu Mian sat in a chair, his back slightly tilted back, and his legs looked a little longer.
"Er..." the 120 emergency doctor was stunned. He looked at the patient carefully and thought it was ordinary drunkenness.
"Who are you?" 120 emergency doctors asked the same question as middle-aged men, an ultimate philosophical question.
"You don''t need who I am. I''ve reminded you of the things you need to sit. Now it''s 23 minutes since he lost consciousness. If you pull him back to the hospital, it will take at least another 30 minutes. Hypoglycemic encephalopathy will lead to... Without explanation, you can bear all the consequences, whatever you want."
Wu Mian looked at the badge of 120 emergency doctors and said.
"..." the 120 emergency doctor was stunned and forcibly defended, "when you get on the bus, you can give glucose + vitamin C."
"What if intracerebral hemorrhage?" asked Wu Mian, "don''t you give mannitol? What''s the use of you slowly giving some sugar? What if you give it quickly, which will increase blood pressure and aggravate intracerebral hemorrhage? Now in this case, can you rule out subarachnoid hemorrhage?"
"..." 120 the emergency doctor was completely speechless.
A few words and guesses from the young man opposite blocked all the roads completely.
And he said to bear all the consequences and directly hit the weakness of 120 emergency doctors. Wu Mian, a senior industry insider, knows what doctors fear most and is right in the word.
The emergency doctor has no idea to save his face. If the patient has any problems, he can''t afford to go. Besides, the young man has said everything like this. If something happens, he can''t run away.
If you follow good advice, then measure your blood sugar. On the contrary, there are many cases of seeing a doctor in Baidu, the family members of patients in the hospital. Doctors have long formed a habit, not bad for this case.
"First measure the blood sugar at your fingertips," said the 120 emergency doctor.
The little nurse took out the blood glucose meter and began to perform the operation. Wu Mian and his colleagues stand together and listen to who... It seems that there is no need to think more. Besides, just measuring blood glucose at the fingertips is not a large-scale operation.
Soon, a drop of blood dropped on the instrument.
Didi''s alarm came from the instrument in the nurse''s hand. 120 emergency doctors looked at the probe and found that the blood glucose at the fingertips was 1.23mmoll.
The emergency doctor was stunned. What''s the matter? Unexpectedly, it''s really alcoholic hypoglycemia!
This situation is rare, and it is difficult to encounter one case in a year.
"Get in the car and give 50ml high sugar." Wu Mian stood up and took the chair aside. "The fastest time to go back and correct the hypoglycemia will not leave any sequelae."
In a trance, the emergency doctor did what Wu Mian said, carried the patient back to the ambulance and injected 50ml of 50% glucose intravenously.
In less than 2 minutes, the patient took a deep breath and then spit it out. The smell of alcohol in the carriage was diffuse, making doctors and nurses feel drunk.
Seeing that the patient was all right, the 120 emergency doctor breathed a sigh of relief.
He was surprised that what the young man had just said was right, but his self-esteem was strongly hit. How can I be worse than a passer-by?
Seeing that the patient can speak, it should be no problem. 120 emergency doctors picked up their mobile phone, opened the website and began to search for the concept of alcoholic hypoglycemia.
There were many entries. He clicked one at random and looked at it carefully.
Alcohol can inhibit the synthesis of liver glycogen. Ethanol is oxidized into acetaldehyde and acetic acid in the liver, and a large amount of coenzyme I is oxidized and reduced to reduced coenzyme I, resulting in the reduction of coenzyme I, so that lactic acid, glycerol and amino acids in the blood can not be changed into glucose through the process of gluconeogenesis, the generation of blood glucose is reduced, and the blood glucose is reduced.
After drinking, the body''s adrenergic nerve excitation and cortisol function are enhanced, excessive energy is consumed, glucose catabolism is accelerated, and the blood glucose level in plasma is decreased.
The emergency doctor breathed a sigh after reading it.
He comes from a class II class B hospital around. Generally, drunken patients stay in the emergency room and give some sugar and salt water, and at most give naloxone and other patients to wake up.
If you have severe vomiting, you may check a blood routine and serum ions for fear of concurrent ion disorder. But the patient in front of him just slept soundly. Even if he was sent to the hospital, he should not take blood for test.
As for blood sugar, it belongs to "excessive medical treatment" and will not be checked at all.
In recent years, doctors'' indiscriminate examination has become an extremely heavy pressure of public opinion. Unless there is consideration, they will not do too much examination.
Recalling the situation at that time, 120 emergency doctors felt guilty.
that was close.
He looked at the patient and breathed.
"Brother Yang, who was that man just now?" the little nurse asked.
"I don''t know," said the 120 emergency doctor. "It''s easy to hear what he said. It''s estimated that he''s from a hospital. No, he''s too young. It''s estimated that he''s a guipeisheng."
"Don''t be bullshit, can GUI Peisheng have such a big atmosphere?" the little nurse said contemptuously, "you were ignorant at that time."
"No, I''m afraid of doctor-patient disputes," said the 120 emergency doctor.
"I knew he was right. Your level is half a bottle of oil, banging back and forth." the little nurse naturally stood on Wu Mian''s side and said, "brother Yang, how do you say hypoglycemia."
"Ask so many questions," said the 120 emergency doctor unhappily.
"When I entered the hotel just now, I saw a pair of long legs against the light. They are long and straight. I really want to touch them."
“……”
"If it weren''t for the urgent rescue, I would have asked him for a contact information." the little nurse said, "I thought he would follow, but I pushed the patient into the car. I looked back and found no one at all."
"Who knows," said the 120 emergency doctor, "or maybe it''s a regulation student who doesn''t know the heaven and earth and comes out to talk nonsense after learning something at school."
"Cut! Our hospital can''t accept several patients with alcoholism any day? I''ll give medical advice if I see too much. It''s sugar, saline, vitamin C and naloxone. If you vomit badly, give some antiemetic drugs. When did you check your blood sugar?"
In a word, the 120 emergency doctors were speechless.
Recalling the situation at that time, it is not easy to say that it is alcoholic hypoglycemia without any instrument and examination. Although he also said cerebral hemorrhage, 120 emergency doctors knew it was scaring themselves.
Weird, where the hell are the young people?
"Brother Yang, if you go back to the hospital and see him later, tell me." the little nurse said with a light in her eyes. "I think he has a feeling that no matter what can be done at first sight."
"You are the color," said the 120 emergency doctor sour.
"Yes, what''s the matter!" the little nurse said with staring eyes.