Chapter 1758

120 emergency telephone. Generally, people from the local 120 emergency command center send vehicles for rescue according to the distance.

There are also strong demands from patients' families to specify which hospital vehicles.

But these are all things done by people who are familiar with the process. They strongly demand, especially strongly, that the command center will recognize it with a nose.

After all, no one wants to get into trouble. There's no need to be complained about such a thing.

Soon, the 912 emergency department received a call and made a visit. It was far away.

Zhou Litao picked up the first-aid kit and got on the car with the nurse. He didn't forget to ask his family to call himself in case of emergency and critical illness.

"President Zhou, why are you following?" Asked the little nurse in the emergency room.

"Boss Zheng said there was a patient who fainted after eating and now has begun to eat steamed bread." Zhou Litao felt like a kitten claw scratching in his heart. He couldn't wait to blink in front of the patient.

"..." the nurse was stunned.

If you eat, you'll faint. Isn't that man starved to death? Do you want intravenous infusion every day?

But do not eat, there is no chewing process, is life still meaningful?

The 120 ambulance drove all the way to the designated place. Before the car stopped steadily, Zhou Litao jumped out of the car and ran in with the first aid kit.

"President Zhou, wait a minute." The nurse shouted in the back.

"Don't worry, I'll go first." Zhou Litao's figure has disappeared.

After entering the house, Zhou Litao saw that Zheng Ren was chatting with a hale and hearty old man. He was happy and had no sign of a patient.

"Mr. Zhou, here we are." When Zheng Ren saw Zhou Litao arrive, he said with a smile.

"Well, boss Zheng, where is the patient?" Asked Zhou Litao.

"When you come, let's start the experiment. Don't be nervous, old man. You can make a clear diagnosis by doing a few actions." Zheng Rendao.

The old man sitting on the sofa nodded.

"Old man, once again, the experiment should be done in the hospital." Zheng Ren said seriously, "we have limited conditions here. I can only try my best to ensure your life safety."

"Boss Zheng, to tell you the truth, I don't believe I will faint if I lean. If so, I think I would have died." The old man said with a smile, "as long as you don't go to the hospital, it's all right. These days are also very boring. Playing with you is regarded as a relief."

Zhou Litao is speechless. Is there such a way to relieve the boredom?

The simple tilt test-bed is ready, just a solid wooden board. Pry it manually to keep it tilted. As for the safety of the old man, Zheng Renhe and Su Yun were present and tried not to let him get hurt.

"Sublingual 400" μ G nitroglycerin. " Zheng Ren handed the medicine box to the old man.

The old man smiled and seemed to have no problem at all. Just looking at his appearance and expression, he couldn't feel it at all. He threatened everyone with "suicide" with bread an hour ago.

"President Zhou, did you carry the ECG monitor?" Zheng Ren asked.

“……”

Car ECG monitoring, how can I carry it when lifting patients? Zhou Litao sighed, put down the first aid kit and went back to carry ECG monitoring.

Pick up the machine, tie the cuff, turn on the machine, and measure the blood pressure in a sitting position first.

110 / 75mmhg, no problem at all.

Taking nitroglycerin, the old man stood on the board. The family pried a corner, and Zheng Ren and Su Yun gently held him to avoid falling.

"This is also called experiment?" The old man said with a smile, "I don't feel at all."

He is very relaxed. Luan Yingjie doesn't feel anything. It's like a child's house. It's just mischief.

Tilt 70 °, less than 10 seconds, ECG monitoring began to give a crazy alarm.

ECG showed that the patient had borderline rhythm, frequent ventricular premature beats and ventricular tachycardia!

Blood pressure began to drop madly from normal.

100……90……70……50……

The high pressure had dropped to shock blood pressure, and Zhou Litao was silly.

Tilt test is just learned, but I have never seen it with my own eyes. Emergency department, who's okay to do tilt test for patients?!

This time I really opened my eyes.

"Dopamine, come on!" Zheng Renhe and Su Yun immediately held the old man, lay flat on the ground, indwelling the venous channel, and began to calm down after pushing a dopamine.

Luan Yingjie is crazy. How can a good man die so soon?

What is a tilt test? He doesn't know. But the most obvious number on ECG monitoring told him that his father was on the verge of death.

This is what he never expected!

He looked at the medicine box. It must be nitroglycerin. Will this medicine kill people if it is taken under the tongue? Definitely not.

Will the body roll 70 ° cause death?

In that case, the amusement parks will be closed.

How can the two be combined, and the old man of his own family can't see it?

MD！

"What are you doing!" Luan Yingjie fell into chaos and roared.

Zheng Ren ignored him. Luan Yingjie came up to pull Zheng Ren away. Su Yun turned around and kicked Luan Yingjie at the root of his thigh. The goods directly lost their ability to move.

"Don't make trouble, first aid." Su Yun was not in a hurry and said with a smile.

Only booster drugs, other first-aid drugs in the first-aid kit did not move, Zheng Ren squatted and knelt beside the old man, ready to rescue at any time. But his blood pressure continued to drop, but he didn't do anything.

Zhou Litao looked silly.

Shouldn't the patient be carried to the 120 ambulance and sent to the hospital?

Blood pressure has dropped below 40mmhg. Is it really all right?

With the passage of time, when the blood pressure dropped to 37.5mmhg, it finally "hit the bottom and rebounded" and began to rise all the way.

The heart rate also gradually stabilized.

"Sublingual 400" μ G nitroglycerin induced tilt table test, resulting in syncope and 5-minute hypotension. The lowest blood pressure was 37.5 / 29.2 mmHg and the heart rate was 75 bpm. No cardiac arrest was observed during the tilt table test. "

Zheng Ren dictates calmly. Zhou Litao feels in a trance that he has returned to the ward. The chief director is making rounds with confidence.

He subconsciously took out his pen, took a piece of paper in his coat pocket and recorded Zheng Ren's words.

"Ouch, I have a good sleep." Soon, the blood pressure recovered and the old man's consciousness recovered.

He sat up from the ground, stretched his waist and murmured.

"Did you dream?" Su Yun said with a smile, "dream of eating bread."

"Er..." the old man remembered what had happened before he fell asleep.

It seems that two doctors are playing games with themselves.

What experiment? Why did you faint?

He looked around in a trance. The nanny was standing in the corner, like a quail. His son lay on the ground, holding his leg, as if he had been hurt.

"What happened?" The old man asked in a trance.

He has no memory of what happened when he was in a coma.

……

Note: the source of the case is Kelvin shenq woei Siew, maw pin Tan, IDA normiha Hilmi & amp; amp; Alexander Loch. Swallow syncope: a case report and review of literature. BMC Cardiovasc Disord. 2019 Aug 7?。