When a doctor opened a plug-in

At this time, in the rescue room, all eight rescue beds were full of patients!

One by one lying on the bed and moaning constantly!

"Doctor help!"

"Doctor... I'm so uncomfortable, my head hurts!"

"Where am I...help me, I'm dying, why can't I see anything!"

As soon as he entered the rescue room, there were bursts of wailing, low and weak.

Zhang Shu saw Li Baoshan coming in and hurriedly greeted him: "Director, you are here!"

Li Baoshan asked anxiously: "What's the situation?"

Zhang Shu said with a serious face: "The situation...is not optimistic!"

"After a detailed examination, these poisoned patients have tachycardia, even with varying degrees of myocarditis, ST segment abnormalities, and some severe renal failure. Three of these patients have varying degrees of optophagous congestion and optophasic injection. Retinal edema, accompanied by visual field defects! And severe metabolic acidosis!"

After Li Baoshan listened, his heart was cold, and all signs were approaching an answer!

Li Baoshan: "Methanol poisoning?"

Zhang Shu nodded: "Well! Methanol is poisoned, and several of them are severely poisoned!"

Li Baoshan turned around and started to examine the patient: "Give me the test form."

The doctor on the side handed over the medical records, and Li Baoshan became more and more worried!

About ten minutes later, Li Baoshan checked each patient next to him and said, "Did you have the gastric lavage? What medicine did you use later?"

Zhang Shu nodded: "Everyone has washed! 1% sodium bicarbonate is used. After washing, 250ml 4% sodium bicarbonate is used to correct acidosis by intravenous drip, and dexamethasone is added to 250ml of 20% mannitol. Plus 10mg intravenous drip to prevent and treat cerebral edema."

"But... six of the patients are in a more dangerous condition and may need dialysis. The hemodialysis room has now been sent, but I am worried about these 3 and 7 beds. They are now in a shallow coma.

Li Baoshan: "Let me ask other hospitals if the dialysis machine is available!"

After speaking, Li Baoshan picked up the phone and started contacting: "Lao Chen, I, Li Baoshan, is there any dialysis machine in your hospital idle? No! Okay, that's it..."

I made four or five calls, but several hospitals that can do dialysis are now using it!

How to do?

Li Baoshan was a little worried, and suddenly he remembered something.

"Didn't the hospital just buy a few peritoneal dialysis machines?"

He thought of this and directly picked up the phone and dialed the number of Dean Hao, the superintendent in charge: "Dean Hao, I, Li Baoshan, can the current peritoneal dialysis machine in our hospital work? The poisoned patient is too serious and must undergo dialysis , But now hemodialysis is now full, and patients can’t afford to delay!"

Hao Xuliang sighed: "I got the peritoneal dialysis machine back, and it can be used. I tried it, but it hasn't been used officially, and the doctors have also been sent out for training."

Hearing this, Li Baoshan looked at Zhang Shu while holding the phone, and asked, "Will you do peritoneal dialysis?"

Zhang Shu blushed for a while and shook his head: "I have only seen others do it, but I haven't done it myself."

Hao Xuliang's voice sounded: "Baoshan, don't worry, or you can ask other hospitals if there are any more people, and send two."

Li Baoshan said: "I just called another hospital and they are all busy now. There are a lot of people poisoned this time."

"How about this! Dean Hao, I'll try it. Although I haven't studied specifically, I've seen a lot of them. Should I try to see if I can do it?"

When Hao Xuliang heard this, he was shocked: "Don't mess around, Baoshan! Dialysis, were you kidding me? You have to ask your family to sign it! Who is responsible for the problem!"

For a while, the room fell into silence!

Everyone is entangled!

Li Baoshan even felt a sense of powerlessness in his heart!

What is the hate less when the book is used?

This feeling is most obvious when studying medicine!

When a living patient is in front of you, but you find that you are not good enough to provide effective diagnosis and treatment for the patient, this sense of powerlessness and frustration is unparalleled at any time.

Therefore, the real study of medical students is not during the university and graduate studies or even the doctoral period, but during the clinical period!

Although Chen Cang has never gone to graduate school, his clinical ability is not worse than those of graduate students!

After all, the clinic is the best teacher!

How to do?

The students on the side were almost crying.

After finally finding a peritoneal dialysis machine, no one would use it!

Li Baoshan's hand holding the phone is exposed, his eyebrows are tight, what should I do!How to do!

Hearing Li Baoshan's silence, Hao Xuliang couldn't help but say: "Baoshan, I really don't let you use it, but I consider it for you. You are an old doctor and understand these truths better than I am. I am not letting you use it. In this way, if you can find someone who can perform peritoneal dialysis, I will bear the responsibility for you!"

Li Baoshan was silent!

Where can I find someone who knows peritoneal dialysis?

Peritoneal dialysis technology only emerged in the 1990s, and the world only accepted this technology in the 1990s!

Not long after it was introduced into China, many hospitals still did not popularize peritoneal dialysis technology!

Peritoneal dialysis is generally used in the nephrology department to treat uremia, renal failure and other diseases.

However, peritoneal dialysis can also be used to treat severe patients with methanol poisoning, and dialysis has an intuitive effect!

Moreover, there is a big difference between peritoneal dialysis and hemodialysis!

That is, the risk of peritoneal dialysis is greater!

Peritoneal dialysis is prone to infection and cause peritonitis. In the course of peritoneal dialysis treatment, patients are easily exposed to gastrointestinal inflammation, catheter-related infections, and iatrogenic operations. Acute intra-abdominal infection caused by pathogens invading the abdominal cavity Inflammation.

So, this is different from infusion injection!

You will be!

No, no!

At this time, Chen Cang suddenly said: "Director, I will do peritoneal dialysis!"

Chen Cang's voice was not loud, but like thunder, he attracted everyone's attention in the quiet rescue room!

Li Baoshan turned around, eyes full of eagerness, as if he had seen a savior!

"what did you say?"

Chen Cang said slowly: "I said I will be on peritoneal dialysis."

Li Baoshan looked like a torch: "Are you sure?"

Chen Cang: "I'm sure!"

Li Baoshan turned around and picked up the phone, and said to Hao Xuliang, "Dean Hao, I have found someone who can perform peritoneal dialysis!"

Hao Xuliang heard: "Wait for me! I will go downstairs and I will take you to the dialysis room."

Hanging up, everyone looked at Chen Cang, their eyes full of incredible!

Because Chen Cang is just an ordinary inconspicuous little doctor, a temporary worker, and in a large hospital like the Second Hospital of the Province, he can't stand up to any storm or attraction.

Zhang Shu was a little uneasy. She looked at Chen Cang: "Xiao Chen, how sure are you when this is not a joke?"

Chen Cang: "One hundred percent!"

Li Baoshan: "Good!"