Chapter 392: Chapter 392: Critical Illness Notification
Around nine o’clock, at the peak of alertness and busyness in the ergency departnt,
they had just finished dealing with the inpatients when they received a call from the ergency service dispatch, advising them to prepare for resuscitation. They were sending over a woman who attempted suicide with sleeping pills.
Chen Cang’s heart tensed up once again!
Chen Cang asked urgently, “How long ago?”
The ergency center responded, “At most five hours. The woman’s mother found her already unconscious, and her body was covered in wounds.”
After hanging up the phone, Chen Cang hurriedly arranged for the dialysis room. For patients poisoned by sleeping pills usually found within six to twelve hours of ingestion, it is essential to perform gastric lavage imdiately before the drugs are fully absorbed.
However, for those already in a coma and with anuria, it was critical to prepare for dialysis right away.
After that, Chen Cang quickly turned to the nurses Lele and Xiao Yan, “There’s a patient who attempted suicide with sleeping pills and is now unconscious and in critical condition. Prepare for gastric lavage.”
Lele went to prepare the items needed for gastric lavage, while Xiao Yan set about preparing the antidotes.
Both had been working in the ergency departnt for two to three years and had seen such cases at least ten tis before. They handled everything thodically, quickly, and orderly.
About three minutes later, an ambulance rushed to the ergency departnt entrance, and the accompanying doctor and driver hastily wheeled in a stretcher, followed by three people who appeared to be family mbers.
A woman in her fifties was crying so hard that her eyes were swollen, while a man of a similar age had a tense face, cold as frost, and his eyes filled with anger. Yet, he remained scarily silent, not uttering a single word.
Compared to them, the young man following the stretcher, who couldn’t have been more than seventeen or eighteen and was dressed in a school uniform, had a face full of anxiety and unease.
At this mont, Chen Cang could clearly see the patient: she was young, with pale skin, but… possibly an unhealthy, sickly pallor—the first impression the patient gave him.
The accompanying doctor then pulled Chen Cang aside to brief him on the patient’s condition.
“The situation is a bit complicated,”
said the accompanying doctor, a man in his forties, which made Chen Cang pause.
Chen Cang inquired, “What’s wrong?”
The doctor explained, “She has multiple wounds all over her body, a significant amount of bruising on the inside of her thigh, several open wounds, and quite a few muscle contusions. She’s anuric, be on the lookout for rhabdomyolysis, and get her tests done quickly, otherwise… there’s going to be trouble.”
After finishing, the middle-aged doctor saw Chen Cang, who appeared quite young, then added, “Be careful with the family’s emotions; the situation… is quite complex!”
Once everything was handed over to the nursing station, the distressed doctor promptly left.
The middle-aged woman rushed to the hospital and upon seeing Chen Cang, acted as if she’d found a lifeline.
She ran over and knelt down with a thump, tears streaming down her face!
“Please, I’m begging you, doctor, save my girl, she’s only 26!”
“I implore you, you must save her, she’s still young!”
Chen Cang had no ti to comfort the relatives. He quickly ordered Nurse Lele, “Take her to the resuscitation room, monitor vitals, draw blood for ergency tests…”
After giving instructions, Chen Cang turned to the middle-aged man, “Please take care of them; we need to begin resuscitation.”
The man nodded, “Yes, we appreciate your help, Doctor.”
While the man was speaking, Chen Cang noticed the redness around his teeth, likely from biting his gums until they bled. His eyes were also bloodshot, and it seed as though a deep anger simred within him, an anger he was forcefully keeping at bay with his rationality.
Seeing this, Chen Cang couldn’t help but feel a twitch in his eyelid.
That’s when the young man spun around and ran out, shouting, “Damn it, I’m going to kill you! If sothing happens to my sister because of what you did to her, I’ll murder your whole family!”
Seeing his reaction, the middle-aged man thundered, “Stop right there!”
The young man halted abruptly and turned, screaming, “The one on that bed is my sister!”
Hearing this, the older man beat his chest in anguished protest, “That’s my daughter!”
…
…
Inside the resuscitation room.
“Pupils dilated!”
“No reaction to light!”
“Absent reflexes!”
…
“Blood pressure 60/30 mmHg! And it’s still dropping!”
“Heart rate is speeding up! 120 beats per minute!”
At this mont, the results of the ergency blood tests also ca back!
When Chen Cang saw the creatine kinase levels, he was stunned for a mont, one hundred and ten thousand!
That’s too high!
With creatine kinase levels in the hundreds of thousands, blood dialysis preparations must be made as soon as possible.
Thinking this, Chen Cang hurriedly called the dialysis room to prepare the items needed for blood dialysis.
While examining the girl, Chen Cang pried open her mouth.
But at the mont her mouth opened!
A strong dicinal sll wafted out, and Chen Cang’s heart sank. How many had she taken?
At least thirty to fifty pills.
The scent of sleeping pills hit him hard; Chen Cang had seen many dication-induced suicide attempts, but… most were feigned attempts, taking ten or so pills just to scare people.
But to take thirty to fifty pills in one go, she truly was determined to end her life!
How could a girl in her mid-twenties be so resolute in such a grim resolve?
The patient’s condition suddenly turned critical.
On top of that, the multiple contusions on her body had caused rhabdomyolysis, which could easily lead to acute renal failure and hyperkalemia.
And at this ti, the patient’s condition was very unstable.
Her blood pressure continued to drop, with systolic around 60 and diastolic approaching 30!
Chen Cang’s expression changed, and he imdiately administered a dopamine push, pumping in 210 milligrams of dopamine, causing the blood pressure to slowly rise again, and the heart rate began to decrease, reaching about 100 beats per minute.
The entire resuscitation room was filled with a tense atmosphere!
Lele was performing gastric lavage, and Xiao Yan was assisting.
But still…
Despite such efforts, Chen Cang still couldn’t guarantee that the patient would pull through.
Because, the sheer amount of sleeping pill poisoning was already dangerous enough to threaten life.
Now add to that the rhabdomyolysis and hyperkalemia…
So many symptoms!
Combined together!
There was only one conclusion: the patient… was in critical condition.
The most critical issue was that the patient’s will to live seed not very strong.
Sotis, ergency departnts really see everything.
The will to live is indeed a real thing.
Perhaps it cannot be detected by modern instrunts.
But…
Chen Cang had really seen such people in the ergency departnt.
Like that man impaled by a steel rod; if it were most people, the likelihood of death would be high.
But that strong man toughed it out.
Maybe his will was filled with his entire family!
Maybe his determination was tougher than steel.
But with those intending suicide, it’s hard to say.
They say dicine doctors do not deal with death, and Buddha saves those who have fate with him.
In fact, another interpretation of “dicine doctors do not deal with death” is that they can treat those who do not wish to die; for soone resolute on dying, no dicine can cure them!
Many who seed beyond saving have been pulled through by this so-called will to live.
Chen Cang walked out with the critical condition notice, asking the family to sign the inford consent.
The woman curled up in a corner, weeping; the young boy shook with rage, typing sothing on his mobile phone; only the middle-aged man stood there, silent. Since smoking wasn’t allowed in the ergency room, he had a cigarette butt in his mouth that was chewed up, blood running down the butt, staining the cigarette red.
Chen Cang looked at the man. “Hello, this is… the critical condition notice. Let explain the situation to you.”
Upon hearing this, the man was montarily stunned, almost losing his balance!
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