Chapter 447: Filled with shit all the way
“Ronald, what do you need to prepare?”
Feng Zixuan didn’t say a word of greeting after meeting and went straight to the point.
"Civilestat sodium, is it available in the hospital?"
Feng Zixuan didn't know either, but people around him immediately went to check.
"Gastric lavage, drainage, hemofiltration, I'll tell you the specific content." Luo Hao said.
"Qilu plan?"
"Yeah."
Feng Zixuan showed no expression and took out his mobile phone to check the time.
“22 minutes left.”
The director of the emergency department led a team of people, carrying a first aid box in his hand, and an ECG monitor and related first aid equipment were placed on the flat car.
"Are you sure?"
"Look at the time, there should be a chance."
Feng Zixuan and Luo Hao are talking about completely different things, one is certainty, the other is Chance.
“Does our hospital have medical activated carbon?” Luo Hao asked.
Asked here, Luo Hao felt a little ashamed.
I rarely come to the emergency department of the First Hospital of the Medical University. I don’t know anything about emergency medicine here, and my eyes are dark.
"Yes." Feng Zixuan patted Luo Hao's shoulder. He also realized this and did not complain, but comforted Luo Hao.
"That's good."
There are already security guards maintaining order, using an empty space in the parking lot as a landing pad for helicopters.
The plane landing on the roof of the building is just an exaggeration in TV dramas. A huge cross is used as a mark, and the plane falls with a whine.
It is handsome, but daily maintenance and so on are problems, and it needs to be well planned when building the building. The most important thing is that there are very few patients who can use helicopters, and one trip to the provincial capital requires a big shock.
Ordinary people, even the big guys in the province, would be willing to pretend to be this cool when they have nothing to do. It’s completely meaningless.
It’s good to have a space in the parking lot.
Feng Zixuan looked at the time again, there were still 18 minutes left.
"Ronald, I have never seen anyone rescued from paraquat." Feng Zixuan sighed, "When I was in the emergency room at work, I met a young couple who had an argument and swore by drinking pesticide.
Here they come. The two of us were already fine. But when I saw the bottle of paraquat, my heart dropped to my heels."
" Oh," Luo Hao felt a little empty when he heard what Feng Zixuan said. , sighed.
"What kind of chemical substance are you talking about in paraquat, and why is it irreversible."
Feng Zixuan is talking about pulmonary fibrosis, Luo Hao knows.
There was still time, Luo Hao squinted and looked in the direction of Yilan County, "The chemical composition is 1.1'-dimethyl-4,4'bipyridyl cation."
"..."
Feng Zixuan understood everything, but he didn’t understand anything.
What is Luo Hao talking about.
“Although it can also be absorbed through the skin and respiratory tract, it is mainly absorbed into the bloodstream through the digestive tract.”
“The absorption rate of paraquat is not high, but the absorption speed is extremely fast, reaching the peak in 0.5-4h.
What’s worse is that paraquat is a small molecule;
What’s worse is that paraquat is a small molecule. Paraquat is basically not metabolized;
What’s worse is that paraquat will be absorbed by alveolar types I and II. It is actively absorbed by the skin and retained in the muscles. ”
“So the concentration of paraquat in the lungs can be 6-10 times higher than the plasma concentration, and the paraquat in the blood is stored in the muscles even after blood purification measures. It can also be released continuously, so it can still be detected and affect patients
This results in patients with severe paraquat poisoning usually having a clinical course of acute onset-recovery-rapid deterioration. "
"This thing is too fierce, isn't it forbidden to be used? How can I still buy it? "
Luo Hao murmured to himself, and Feng Zixuan thought of the father who gave medicine to his children.
That is a medicine for treating diseases. A technical secondary school student can do it himself after studying it for a period of time. Do it.
Paraquat is really useful in the fields. Although it cannot be sold, it is not difficult to make and you can just get it.
But this is just a casual thought. It is most likely that it is expired paraquat that was saved from the time when it was available.
"How much did the patient drink?" Feng Zixuan asked.
"It's 400ml."
"..." Feng Zixuan's heart felt cold to his heels again.
If it were a few milliliters, maybe it would help? There must be countless question marks about whether this can be saved.
Available in 400ml!
I'm afraid a cow may have died.
The patient is indeed awesome. The smell of paraquat is so irritating to his eyes that he can pour it directly into his mouth, hoping he blew it, and spit out most of it...
Even most of it is spit out. It's not even possible to spit it out.
"Ronaldo, what is the lethal dose?"
"Based on the classification of paraquat poisoning guidelines in 2020, an adult weighing 50kg should have a mild intake of no more than 1000mg, which is 1g.
The specification of paraquat commonly sold on the market was 200g/L , that is, 1ml contains 0 .2g.
The patient is male, and 5-10ml is considered a mild condition."
"Is there a guideline?" Feng Zixuan has no hope for the patient, even Luo Hao, who has repeatedly performed miracles. , Feng Zixuan thinks that he should be helpless now.
So Feng Zixuan focused on what Luo Hao just said.
There are guidelines on paraquat poisoning published in 2020. There are actually guidelines for this disease. Feng Zixuan is surprised.
But Luo Hao didn't answer Feng Zixuan's question. It didn't mean much to talk about it.
400ml, even if you drink half of it and spill half of it, it will be difficult for the patient to recover.
Damn it!
Luo Hao cursed in his heart.
But the system mission is still there, and there is no ambiguity like the patient is dying, which means there is still room for maneuver.
"Ronald, do you think it can be saved?" Feng Zixuan asked.
“For poisoning, the most important thing is the type, followed by the dose. Talking about dose without the type and talking about the type without the dose are both hooligans.”
“This patient is indeed... It’s difficult to save him,” Luo Hao told the truth.
Feng Zixuan originally wanted to hear a positive answer from Luo Hao, but Luo Hao was too honest. Why was he so sincere? He didn't know how to comfort himself.
The call was made directly to Dean Zhuang and the patient was picked up by helicopter. This was something that had never happened in the First Hospital of the Medical University in the past few years.
100%... no, 80% hope is fine, but listening to the tone of Luo Hao's words, it seems that there is not even a 30% possibility.
“In the past ten years, the success rate of treatment has been about half when the current dosage of paraquat is less than 50ml, which exceeds the survival rate of less than 50%. It does not mean that as long as you drink paraquat, you will die 100%.”< br>
“Qilu Hospital’s response to paraquat poisoning It is indeed unique, and the cure rate leads the country, but treatment of poisoning must be done early. Once the disease occurs, there is little point in turning around.”
“Let’s do what we can first, Qilu’s senior brother. The contact is complete and the patient is waiting for the video consultation.”
After Luo Hao said this, he fell silent, pursed his lips, and looked up in the direction of Yilan County.
The autumn air is crisp and the sky is blue, like a huge sapphire.
A few white clouds are floating in the sky, decorating the sky beautifully.
Ke Luohao had no intention of enjoying the beautiful scenery of autumn, all his thoughts were on how to get the patient back.
[As the saying goes, a man is a boy until he dies~~~]
"Hello, Professor Li."
"We are ready and we will start rescue operations when the helicopter arrives. For patients who have drunk paraquat, time is the most important thing."
There was a burst of vigorous cursing from the other side of the phone, and the cursing was particularly dirty.
Feng Zixuan pricked up his ears and listened carefully.
Luo Hao knew that Feng Zixuan also wanted to listen, so he simply put down his phone and turned on the speakerphone.
"The little kid didn't know what was going on. I asked him carefully and he said he drank 400 ml. But his dad knew the seriousness and kicked him into the manure pit as soon as possible."
"Manhole?!"
“There are fewer dry toilets in rural areas now. In rural areas... on the contrary It's an aqua toilet, and he was fed feces directly to induce vomiting. Damn it, his mind was full of feces soup, and he poured everything into his mouth! Let you drink it, let you drink it all! "
! "
!
Luo Hao and Feng Zixuan were stunned. What Professor Li said... was so graphic.
"There are big maggots in the manure pit. They say they can detoxify, but I don't think so. That thing is protein."
"Well, it should be induced to vomit." Luo Hao glanced at the system panel .
The patient who took 400 ml of paraquat orally is still on duty. It is probably related to the fact that the patient’s father directly pressed him next to the pit and used fecal water to induce vomiting.
"This is too cruel." Feng Zixuan said in a daze, "I have seen people in rural areas inducing vomiting. They were all using faeces on a broom to dig their throats. This guy was pressed directly into the manure pit... ”
Although Feng Zixuan was experienced in many battles, when he thought about that situation, his internal organs felt uncomfortable.
The main reason is that Feng Zixuan has been to the dry toilet, knows the smell, and has seen maggots in the dry toilet.
Vomiting~
Feng Zixuan felt nauseated in his heart.
"Okay!" Luo Hao was a little excited, "I told Qilu's senior brother."
"Professor Ronaldinho! Wait."
"What's wrong?"
"Drinking paraquat will help?"
"Now 100ml can hardly survive 24 hours. Come.
Generally, 1, 4, 7, and 14 days are the hurdles for 50ml or less.
Brother Che from Qilu said that there are many cases that start to get sick in about 2 weeks. It may be related to the large dosage of hormones at the beginning and the rapid reduction after that. It may also be related to the patient’s own immune system.
If it weren’t for you My brother pushed your nephew into a cesspit and used excrement water to induce vomiting. It should be hopeless. But now, it’s hard to say the dosage. We have to wait until the patient comes. "
"Whether it can be saved or not, we will try our best. "
" Ronaldinho, I know your doctor said that trying your best is just... that's enough. "Professor Li's voice was choked with sobs.
"That's not what he said. "Luo Hao interrupted Professor Li.
"The "Qilu Plan" of Dongshan University Qilu Hospital in the treatment of paraquat poisoning has achieved remarkable results.
From 2011 to 2014, 983 patients were treated and 649 were clinically cured, with a cure rate of 66%.
However, the cure rate of paraquat will be affected by the patient’s intake and concentration. The less you drink, the sooner you will arrive. The better the treatment, the greater the chance of being saved.”
“This is the cure rate more than ten years ago. Now as the functions of the machines get better and better, the cure rate is getting higher and higher.” It’s definitely because the patient took too much. Didn’t I just say that talking about toxicity without dosage is just a joke.”
“…”
"I don't know the vomiting effect of fecal water. I'll tell you when it comes. By the way, Professor Li, even if he can be rescued, which is very low probability, it will cost a lot of money."
"Just save it, I will "I have money." Professor Li said, "I contacted my friend and I will get a mortgage loan soon."
"Okay!" Luo Hao solved the last problem and looked at the system panel again.
It shouldn't be a big problem, there is at least a 60% probability of getting the person back.
"Ronald, I don't understand medical treatment, so I'll leave everything to you..."
"You have me, try your best." Luo Hao said briefly, and the two of them were speechless.
No matter how much you talk, it’s just rubbish and has no real meaning. Everything has to wait until the patient comes.
After hanging up the phone, Luo Hao tried to call Chen Yong again. Chen Yong’s phone had no signal before.
It was probably time to enter the city, and this time I dialed Chen Yong’s number.
“vomit vomit vomit~~~”
After the phone was connected, the sound of vomiting kept coming.
It sounds... a little weird, it doesn’t sound like a man’s voice, and there is also a cry in the sound of vomiting. "Hey, Luo Hao, we'll be there soon."
"How is the patient?"
"If he beeps again, I will take him out of the helicopter Throw it down." Chen Yong threatened.
This sentence was obviously not meant for Luo Hao, Luo Hao knew it in his heart.
"Pa~~~vomit vomit vomit~~~"
Strange noises kept coming.
"What's going on?" Luo Hao asked.
“See for yourself when it’s time. By the way, get ready to wash it off. Damn it, it’s covered in shit.”
"..."
Luo Hao was stunned.
Normally speaking, Chen Yong practices merit in the hospital and is considered a very good kind of doctor to patients, relatively kind.
Except when you are driving and have a particularly bad temper.
Available now.
Luo Hao suddenly realized that Chen Yong was not joking when he said he would throw the patient out of the helicopter, and all his patience had been worn away.
But Luo Hao understands.
The patient himself feels that making a mountain out of a molehill is an unreasonable practice.
Legend has it that almost all patients who took paraquat orally did not feel anything at first, talking and laughing, until it became increasingly difficult to breathe and they were suffocated to death.
But when they realized their mistake and actively cooperated with the treatment, it was already too late.
"Don't work so hard! Spit, snap~~~"
"I'm dead." Chen Yong roared angrily.
Feng Zixuan was also stunned, what happened?
If it were any other patient, Chen Yong’s attitude would be a complaint.
But this is the small boss of Luo Hao's medical team, and Chen Yong doesn't usually act like this.
Before Feng Zixuan could ask, Luo Hao saw a black spot flying closer and closer on the horizon.
Coming!
Luo Hao squinted his eyes and stared at the small black dots, going through the treatment process over and over in his mind.
The whole process must have been arduous, and the focus was on various points in time during the two weeks.
Taking a deep breath, Luo Hao stared at the helicopter.
Tutu tutu~~
The helicopter flew closer, and Luo Hao vaguely saw Chen Yong's strange posture, which was not a serious rescue posture.
Looking closer, Luo Hao saw Zhuang Yan dying, lying next to the helicopter, with her head halfway out, and Chen Yong seemed to be sitting on Zhuang Yan's back.
What is this posture? !
No, he was kneeling on Zhuang Yan's back, and next to Zhuang Yan was a man. He looked to be in his 20s and should be the patient.
He and Zhuang Yan were in the same position, with Chen Yong pressing his knees on their backs.
Is this a rescue? !
Luo Hao was stunned, this was to capture criminals.
Feng Zixuan’s expression turned extremely ugly when he saw Chen Yong kneeling on Zhuang Yan’s back.
As the helicopter descended lower and lower, Luo Hao couldn't laugh or cry.
Zhuang Yan had snot coming out of her nose. She had completely lost her previous delicate and rigorous intellectual style and was in a miserable state.
While vomiting, Zhuang Yan was crying. The faint cry she just heard was coming from Zhuang Yan.
And the patients around her...
are even more unsightly.
The man's head and face were covered with feces. Even from hundreds of meters away, Luo Hao could vaguely smell the sharp stench.
The stench seemed to have the function of breaking armor, and even faintly damaged Luo Hao's mental power.
What the hell is going on!
Luo Hao did not expect that the patient who took paraquat orally would come with feces all over his head and face.
There was saliva hanging from the corner of his mouth, and the color of the saliva was wrong. It was not white but the color of shit soup.
But all this is not all.
What Luo Hao never expected was that the real test had not yet appeared.
When the helicopter landed, even the director of the emergency department of the First Hospital of the Medical University, a veteran expert with many battles, was stunned and hesitated to step forward.
Even if the person is broken into countless pieces and the intestines are scattered all over the floor, the old director will not retreat.
But when he saw the patient covered in feces and still spraying feces, he still hesitated.
Luo Hao held the flat car with one hand and rushed up against the wind brought by the helicopter propeller.
"Luo Hao, what the hell kind of job is this!" Chen Yong cursed.
"..."
Just as Luo Hao was about to explain, the next second he saw something coming out of the patient's nostril.
White maggots with light yellow dots slowly crawled out of the patient's nose, with mucus and tears, as if his brain had been occupied by maggots.
Fuck me!
At this time, even Luo Hao was dumbfounded.
He was stunned for a moment, staring at the maggots twisting their fat bodies and crawling out of the patient's nostrils.
No wonder Zhuang Yan vomited until she lost her human form.
No wonder Chen Yong cursed and expressed his dissatisfaction strongly.
If it were him, he might not be able to do so well.
It seems that Chen Yong has reached his limit. At least Chen Yong showed strong waist and abdominal strength. While maintaining balance and suppressing the two people, he was still trying to feed the patient dung soup.
"Open your mouth!"
Chen Yong pushed hard on his knees, grabbed the man's hair with one hand, and scooped up a ladle of dung soup from his mouth with the other hand.
This scene made Luo Hao dumbfounded.
Although they used fecal soup to induce vomiting along the way, this was a life-saving move for the patient, but seeing it with your own eyes and imagining it are two completely different things.
"Brother Yong... vomit vomit vomit~~~" Zhuang Yan no longer had the energy to speak. She was lying on the helicopter, looking like she was dying.
Although the ladle of excrement water was not poured into Zhuang Yan's mouth, she was hurt more deeply than the patient.
Mental damage, physical damage, immune to various protections.
“Pah~~” Chen Yong slapped the man in the face directly, and then grabbed his hair again, “Your dad asked me to hit him casually, but you don’t drink it honestly, believe me or not. I’ll kill you!”
The patient vomited violently after half-filling and half-sprinkling a ladle of fecal water.
The white maggots were sprayed out directly.
There is a pungent smell of paraquat in the middle.
“Get in the car!” Luo Hao came to his senses and stepped forward to carry the patient.
Everyone hesitated for a moment. Luo Hao was the first to "wake up" and pulled the patient down.
The weird smell of paraquat + feces made Luo Hao unable to open his eyes.
The digitally enhanced five senses and six senses intensified all negative effects at this moment, making Luo Hao unbearable.
Is this a sin that humans suffer too?
But there was no other way, Luo Hao closed his eyes, tears streaming down his face.
Draging the person into the car, Luo Hao immediately felt that the patient wanted to get out of the car by himself. He was struggling and did not cooperate at all.
Damn it.
Patients with paraquat poisoning are troublesome. At the beginning, nothing happened and they didn't look like patients at all.
In the flash of lightning, Luo Hao imitated Chen Yong and slapped the patient on the face.
This should be Luo Hao's first time hitting someone, not counting his experiences in the United States.
Even Luo Hao never thought that one day he would do something to a patient.
"If you move again, I will hold you down and continue to feed you shit." Luo Hao said coldly.
Struggling patients seem to be more honest.
“The hospital’s sewage treatment station is full of fresh feces.”
“…”
“If you cooperate, I will use medical methods to lavage your stomach. , enema.”
“Woooooo~~~”
The patient's whimpers could be heard in Luo Hao's ears, and no normal person would refuse Luo Hao's words.
Luo Hao deeply regrets this.
In other words, knowing Professor Li, the current situation does not allow for delay, otherwise Luo Hao felt that he would not be so extreme.
The patients on the flat car still have to move.
“I’m giving you face, aren’t I!” Luo Hao was angry, opened his eyes, but closed them immediately the next second.
It's too harsh on the eyes.
Chen Yong is also a talented person. He was able to escort the patients all the way back and kept feeding the patients with fecal soup.
He is also considered capable of both literary and military skills.
"Woooooo~ I turn over~~I want to vomit, vomit~~~"
Luo Hao sighed, he was short-circuited by Xun's brain, and the patient should be in the prone position now , should not be in the supine position.
Aspiration, feces entering the respiratory tract, serious infection.
Sighing deeply again, Luo Hao hugged the patient and helped him turn over and lie on the flat car.
The patient had no time to thank him and began to vomit violently.
The stench of feces and the pungent smell of paraquat immediately filled the air.
"Send to ICU!" Feng Zixuan stood five steps away, directing the rescue.
Amidst the roar of the flat car, Luo Hao led the emergency department team straight to the ICU.
Feng Zixuan did not follow, but came to the helicopter and stretched out his hand to help Chen Yong down.
Chen Yong looked tough, but he was actually extremely embarrassed and weak.
"Thank you, Director Feng." Chen Yong thanked him, but the mask was covered with dirt.
Then the two dragged Zhuang Yan down.
Zhuang Yan lay on the ground like a seriously ill patient, her face pale.
Pull Zhuang Yan aside again. All the bones in her body seemed to have been taken away. She was limp and had no strength at all.
"Xiaozhuang, are you okay?"
"Uncle Feng, wuwuwu~~~" Zhuang Yan burst into tears, crying in grievance.
"I asked you not to go, and quickly find a place to take a bath. Director Feng, please help me contact you."
Chen Yong took off his mask and spat, "No one of us can contact you, that's it, no one is allowed in."
"Okay."
Feng Zixuan knew it and started to call. , and arranged for a nurse to watch Zhuang Yan to make sure she didn't fall while taking a shower, and then hurried to the ICU.
……
……
Note: 400 ml of paraquat came from a rescue operation at the Poison Treatment Center of Yangcheng No. 12 People’s Hospital.
Shitangzi comes from a patient I met who drank pesticides 16 years ago.
That day, I was still young and the emergency department was in a state of panic. I can still vividly recall it now.
(End of this chapter)