Chapter 121 The tragedy caused by peanuts
When Lin Sanqi heard this, two possibilities immediately flashed in his mind. One was that peanuts fell into the trachea, causing respiratory obstruction?
Another possibility is an allergy caused by peanuts.
Nut allergy is a common allergic reaction and is not uncommon clinically.
However, there were already doctors conducting diagnosis and treatment at this time, and Lin Sanqi was also prepared to wait for other doctors to make a diagnosis before proceeding.
I saw the middle-aged doctor shaking his head while diagnosing his pulse:
"Trouble, this is wind syndrome. There is no medicine on the train now. This girl may be in bad luck."
The girl's parents became anxious when they heard this: "Doctor, what is wind syndrome? Why can't my daughter survive???"
Lin Sanqi explained from the side: "Wind syndrome, in our Western medicine terms, is an allergic disease. I think we already have anaphylactic shock at this time."
"Huh? What is anaphylactic shock?"
In an era when medicine was not widely available, people generally lacked basic medical knowledge. They could not understand whether it was rheumatism or allergies, and they did not know the consequences.
Lin Sanqi saw that the Chinese medicine doctor had finished diagnosing the pulse, so he quickly took out the blood pressure monitor from the first aid box and started measuring it.
TCM treatment relies on experience, while Western medicine treatment relies on a large number of auxiliary examinations.
Lin Sanqi checked the blood pressure, which was 60/40. Then he saw that the patient's face was getting paler and paler, his whole body was soaked, and his breathing was becoming more and more laborious.
The patient seemed a little agitated. He grabbed Lin Sanqi's hand next to him and squeezed it tightly. He was obviously asking for help from the outside world. It was as if he could hear her shouting "Help me, help me."
Lin Sanqi knew that this was a feeling of near-death. If it could not be dealt with in time, the little girl might stop breathing and heartbeat at any time, and her life was hanging by a thread.
The middle-aged doctor also saw the critical situation. He sighed lightly and explained to the parents of the girl next to him and the people around him:
"The so-called Fengjue refers to the sudden onset of wind poison in the human body, disrupting Qi and blood, causing yin and Yang to become erratic, and blocking the Qi mechanism. It manifests as chest tightness, palpitations, difficulty breathing, weak pulse in the extremities, itchy skin, and abnormal mental state."
Some people nearby were anxious: "Doctor, we don't understand. Just tell me how to treat this girl now. She is having trouble breathing."
The middle-aged doctor shook his head gently:
"It is difficult to treat. The patient will soon have airway obstruction, unable to breathe, and eventually suffocate to death. There are also brave seniors who will use scissors to cut open the throat to keep breathing. Unfortunately, we are on a train now, and there is no rescue at all. Equipment and Drugs ”
"Ah, my daughter~~~"
When the girl's parents heard this, they became anxious and began to cry loudly.
The onlookers also shouted pity, obviously they couldn't bear to watch the girl die.
Lin Sanqi did not give up at this time.
After he measured the heart rate, breathing and blood pressure, he directly pulled up the girl's sleeves and observed changes in the skin, regardless of gender. Then pull up the skirt, exposing two white thighs, and observe the skin condition of both lower limbs.
The girl's father became anxious when he saw it: "Comrade, you, how could you do such a thing to my daughter."
To an outsider, this young man seems to be taking advantage of the girl. Otherwise, you would just see a doctor. A traditional Chinese medicine doctor would just take a pulse. How could he lift up a girl's skirt?
Lin Sanqi explained:
"Comrade, don't be anxious. I now suspect that your daughter is allergic to peanuts. I need to observe the rash all over her body. Don't worry, I am from the Capital Hospital of Traditional Chinese Medicine. I am a professional rescuer and will try my best to treat your daughter."
After saying that, Lin Sanqi didn't look back and took out her work ID card to show everyone.
Because his subsequent first aid will definitely involve a lot of "indecent actions", he is afraid that his family members and onlookers will misunderstand him and push him away, thereby missing the best rescue time.
(When hospitals provide first aid, family members are often allowed to go out to prevent people from watching. One of the reasons is that they are afraid of causing unnecessary misunderstandings and complaints)
Lin Sanqi's work permit was red, with the words "Capital Hospital of Traditional Chinese Medicine" written on the cover, which frightened everyone.
For Chinese medicine, there is Kuanjie Hospital of Traditional Chinese Medicine, and for Western medicine, there is Union Hospital. These are top hospitals that are well-known across the country. Who dares to make irresponsible remarks?
Lin Sanqi saw that no one dared to question it and didn't care about what was indecent. He opened the girl's clothes and looked at her torso, and then she saw rubella clusters all over her body.
It was definitely anaphylactic shock.
At this moment, the girl lying on the ground was breathing very hard. She was breathing like a sigh. Her mouth opened and closed but there was no air in or out. At the same time, she began to lose consciousness. The hand that was holding Lin Sanqi slowly began to breathe. Relaxed.
The middle-aged doctor also squatted down quickly, and then shouted anxiously:
"Ah, it can't be done, it can't be done, people are going to die."
The girl's parents didn't care at this time. They just grabbed their daughter and started crying loudly. Many lesbians who were watching also began to wipe away their tears.
Lin Sanqi was pushed aside.
"Don't cry, don't cry. The patient is not dead yet. He still has a breath of life. You all get out of the way. Get out of the way quickly. We can still save him."
The girl's parents were stunned when they heard this. They forgot to cry and looked at the young doctor in front of them stupidly.
Lin Sanqi didn't care, pushed the girl's parents aside, took out a shot of epinephrine from the first aid box, opened the girl's skirt, and injected an injection under the outer skin of her thigh.
After the injection, Lin Sanqi threw the needle away, quickly inserted an intravenous needle on the back of the girl's hand, and then quickly injected the hormone injection intravenously. But the people nearby exclaimed:
"It's too late, it's too late, this girl is dead."
Lin Sanqi looked up and found that the girl had opened her mouth and was not breathing. She had closed her eyes and had no consciousness at all, and her face had turned gray.
When the middle-aged doctor checked his pulse, he shook his head repeatedly: "My pulse stopped, I'm dead. It's a pity, it's a pity..."
Before the girl's parents could cry out in mourning, they were stopped by Lin Sanqi: "Don't cry yet, there is still help, there is still help!"
People around immediately started talking: "How can we save people if they are already dead?"
"That's right, since the children are gone, why don't we bother?"
Lin Sanqi didn't listen to what the people around him said. He knew that when a person's heart and breathing stopped, there were actually 5 golden minutes to rescue him, not to mention that he had already used epinephrine and hormones.
There is another way, cardiopulmonary resuscitation!
So the train passengers were surprised to find that the young doctor from the Capital Hospital of Traditional Chinese Medicine suddenly crossed his hands and pressed directly on the girl's chest.
Everyone's eyes almost popped out.
This is the most sensitive place on a woman. Where can a strange man touch easily? What's more, this is in public.
Immediately, a person who looked like a cadre stood up and criticized: "Comrade, are you not suitable for this?"
Lin Sanqi was not angry, and explained while starting to press:
"Don't get me wrong, this is a medical rescue method called chest compression. Its purpose is to help the heart beat and maintain blood circulation. Please believe me, I am a professional doctor and will not do anything to harm the patient."< br>
The girl’s mother has a conservative mindset and was about to reach out to stop the young doctor from “violating” her daughter, but was dissuaded by the Chinese medicine doctor next to her:
"Sister, this little comrade is doing injections and compressions. It seems he is really capable. Since he said there is still hope, we have to fight for it even if there is a glimmer of hope."
The girl's father nodded heavily: "Yes, we have to believe in the doctor, he is saving our daughter."
When Lin Sanqi heard this, he felt relieved. As a medical student in 2023, rescuing people on the train still involves certain risks.
There was a case in 2019 where a patient suddenly fell ill on a train. An obstetrician and gynecologist acted bravely and stepped forward to rescue the patient.
As a result, the patient was rescued, but the obstetrician and gynecologist was charged with "illegal practice of medicine."
Because this doctor's medical practitioner registration information does not include "emergency specialty", his practice is beyond the scope of his practice, and his legal practice is illegal.
Saving people and rescuing an illegal medical practice made countless doctors feel very chilled after hearing this.
In another case, a passenger also needed first aid on the train, and a doctor also stepped forward.
As a result, after the passengers were out of danger, they were asked by the railway to provide a "licensed medical practitioner certificate."
This requirement is very insidious because it has two consequences.
1. If the doctor cannot provide a medical practitioner certificate, it is an illegal practice of medicine and he will be held legally responsible.
2. If a doctor can provide a medical practitioner certificate and the patient suffers from something wrong, then the doctor will have to bear all the blame.
For example, it is easy to break the patient's ribs during chest compressions. The family members will believe that the broken ribs punctured the heart and lungs and caused the patient's death, and demand that the doctor be held responsible and bear legal consequences.
(The above are all real cases)
So later there was a dispute among doctors, that is, if you encounter someone in public who needs first aid, should you save it or not?
At least half of the doctors answered that they would not save the patient. They had studied hard for so many years and did not want to lose their job or have their medical license revoked because of an accident.
This is exactly the same consequence as the Nanjing Peng Yu case.
Later, the country launched a new policy, saying that first aid does not require qualifications, and rescuers do not need to bear legal liability, etc.
Back on the train, in 1959, most people in China had not experienced the baptism of various drugs, and they were like a blank sheet of paper.
So after a few injections, the drug took effect quickly, and Lin Sanqi immediately performed cardiopulmonary resuscitation. Just one minute later, the girl suddenly moved.
"Cough cough cough~~~"
The girl suddenly coughed a few times, and then began to breathe suddenly, as if she wanted to suck all the air into her lungs.
Lin Sanqi was overjoyed when she saw it, and then shouted: "Everyone, step back and let the patients get some fresh air!"
When everyone in the carriage heard this, their jaws almost dropped to the ground in shock, and then they all took ten steps back.
The girl’s parents also took a few steps back to make room, crying and shouting:
"A miracle doctor~~~"
(End of chapter)