When a doctor opened a plug-in

Lao Yang has been driving an emergency car for a lifetime, from Jinbei Grace to Mercedes-Benz 416. The changes in the car have also witnessed the development of EMSS in Yangyang City over the years.

This time, Yang Kai’s Mercedes-Benz 214 is full of power, has a top speed of 200 kilometers per hour, and also consumes considerable fuel.

This kind of car is not cheap at all. A Mercedes-Benz series of original ambulances cost more than 1.4 million, which is still standard!

Of course, it is definitely not only the price of the car, but also includes oxygen supply equipment, air disinfection cycle support, ECG monitoring, ventilator, defibrillator... these professional equipment.

Generally speaking, those who can make ambulances are not necessarily luxury manufacturers, but they are basically reliable. The domestic Jinbei is also considered an old brand.

But... the defects of the Mercedes-Benz 216 are also obvious, the shock absorption is average, and the rescue in the city is very awkward!

But walking on this mountain road gave Chen Cang the feeling that he was a little floating...

Mercedes-Benz's performance is completely inexhaustible, and even the steering and flexibility are not as good as the domestic Jinbei.

This kind of rescue by walking on the mountain road is actually very powerful for the ambulance driver!

It's okay for Xiaolin to sit in the co-pilot, while Chen Cang sits in the back compartment. After getting off, he feels his feet are a little vacant.

The dean of the Nanqiao Township Health Center was already waiting at the door, and when he saw Chen Cang and the others coming down, he looked happy and hurriedly greeted him!

"Experts are good!" The dean was very enthusiastic, and Chen Cang was still a little uncomfortable with each expert.

After some greetings, he walked directly inside.

The development of the township hospitals here is not bad, the four-story inpatient building looks a lot like that.

Chen Cang followed the dean upstairs, while Lao Yang turned the car around and made preparations to carry it.

Generally, if he and Chen Cang are visiting, he will follow behind to help. Lao Yang doesn't like to intervene in such a situation where there is no shortage of manpower.

Xiao Lin cleverly carried the rescue box and followed Chen Cang closely.

After several years of work in the emergency department, Kobayashi's ability is not just a nurse. To be honest, Kobayashi's rescue ability may be higher than that of the dean.

On the second floor is the Department of Cardiology, after the group entered the ward.

Chen Cang finally saw the patient, a seventy-one-year-old lady. She was lying on the bed, the bed was shaken up, her breathing was short of breath, and she kept breathing!

But the sleepy eyes have been closed, and the slightly rough and rapid breathing sounds don't know if it is snoring or what is going on.

With oxygen tubes in his nostrils, his face was pale and painful!

At first glance, Chen Cang felt that things seemed not as simple as they thought!

Thinking of this, Chen Cang first thought of the possibility of heart failure.

In elderly patients with acute myocardial infarction, acute heart failure may occur during the attack.

The tube bed doctor is a young man whose grade is not as good as Chen Cang, but depending on his greasiness, his working hours should not be short.

However, Chen Cang naturally did not need to demand too much from others. After all, to be honest, there are not many young people who can come to the hospital now, so what else can they have?

Chen Cang originally wanted to ask about the situation, but after thinking about it, he first walked to the old man's bed, opened the quilt, and looked at his legs and feet.

The family member is a rural woman who should be a daughter-in-law, but she waits on her side very well.

Generally speaking, patients with right heart failure will have edema, but the elderly have no signs, no leg swelling, and no signs of edema on the face.

Chen Cang saw the old man sitting and breathing, but at first he didn't feel like a patient with right heart failure.

It's like a typical left heart failure, after all, it is typical to have difficulty breathing, sitting and breathing.

Chen Cang did not continue to check. At this time, the old man opened his eyes and saw Chen Cang smile.

This is an old lady who smiles very kindly, kind-looking.

Looking at the old man, Chen Cang couldn't help but ask a few simple questions first, such as how old he was and whether he was sleeping well.

The old man’s answer was clear.

Chen Cang also nodded secretly, with a clear consciousness, normal thinking, and a clear sense of consciousness. This was a lot of relief.

Only then did Chen Cang continue to inquire about the medical history.

I suddenly had a heart attack seven days ago and I was sent to the hospital in time. Yesterday morning, I started to have breathing difficulties. I was able to lie down. I was only comfortable lying halfway. However, I felt chest tightness and shortness of breath all night, and I couldn’t fall asleep at all. The whole person looks restless, a little anxious!

Chen Cang first comforted the old man, and then asked his family members to greet the old man to lie down.

Chen Cang picked up the stethoscope and started auscultation!

The typical systolic murmur can be heard at the apex of the heart, and there are also wet rales at the bottom of both lungs!

Chen Cang frowned suddenly!

its not right?

Isn't this a sign of heart failure?

In the beginning, according to the description of the elderly and the expressions of the family members, all signs were developing towards left heart failure.

But after Chen Cang listened, although he couldn't rule it out,...this should not be the main reason!

Thinking of this, Chen Cang asked Xiaolin to measure blood pressure and blood oxygen.

"Blood pressure 12080mmHg!"

"Heart rate 100 beats per minute!"

"Spo2 95!"

Chen Cang looked at the old man: "Have you ever had a heart attack before? Or high blood pressure..."

The old man shook his head.

The daughter-in-law on the side also said: "The old man's body was always very tough before, and he gave birth to five sons and two girls!"

Chen Cang was stunned. There were seven brothers and sisters, although they could not prove anything, but...this body should also be good!

Thinking of this, Chen Cang turned and looked at the bedside doctor: "Give me the medical records."

The doctor in charge is also very cooperative: "Okay, OK, wait a minute!"

It didn't take long before he walked over with the medical record folder.

Chen Cang saw that there were seven or eight electrocardiograms, and they did it every day. When he was admitted to the hospital, two of them were typical ST-segment arched elevations and typical acute myocardial infarction waveforms.

But... In the next few days, I took an ECG every day. Although the chest pain was relieved, the patient's st-segment did not fall back.

What's the situation?

Now if you can't make a clear diagnosis, you will definitely not be on the road!

At this time, the old man's children also came. Five men came in. Chen Cang turned around and looked at the tall men, suddenly felt that this was also the pride of a mother.

"Doctor, hurry up and send ammonium yang," the older man said.

Chen Cang shook his head: "Wait a minute, now the old man is in an unstable condition and the journey is far away. I am worried that something is wrong. I must stabilize my symptoms. At the very least, the diagnosis must be clear!"

When the family members heard Chen Cang's words, they stopped talking.

In the eyes of the villagers, the experts in the provincial capital of other people's provinces are definitely right, but they are still unwilling to be smart.

On the contrary, the kind of half-knowledge that picks up Baidu's weapon to attack the doctor is even more troublesome!

At this time, Chen Cang placed his hand at the strongest point of the apex, and continued to feel it. Is there a tremor?!

This signal immediately made Chen Cang a little overjoyed!