(Thanks to Lao Huang for the motivational monthly ticket.)
This al was quite enjoyable, and Liu Banxia ate very happily.
Once back at the ergency center, Liu Banxia directly took over from Qi Wentai and the others. It's ti for them to have lunch; it's been a long ti since Qi Wentai had such an early lunch.
At this mont, Liu Banxia's phone rang, showing a ssage from Xu Yino.
Upon opening it, good heavens, his beloved wife is standing in the middle with a big belly, Xu Yino and Liu Yiqing are on either side, next to them is a BMW car being tidied up.
These girls have plotted together, it seems they planned this with Qiaoqiao long ago. As for Qiaoqiao, she didn't say a word to him about it.
But it doesn't matter, Qiaoqiao is smiling happily, relishing the success of her prank. Let her enjoy it; with Xu Yino and Liu Yiqing accompanying her, it's fine.
"Ah... finally done with this wave of work, hopefully, the afternoon will be more relaxed." Huang Bo walked over at this point.
"Hang in there a bit longer, once they return from lunch, you'll get so relief." Liu Banxia said with a smile.
"Especially you three who just arrived, make sure to adjust your schedules. Otherwise, the work intensity might beco overwhelming for your bodies."
The three ntioned are new trainees; they will spend three years here, which isn't easy.
The three of them are young and facing the deputy director of the ergency center now, appearing sowhat shy.
But that's okay, there's plenty of ti, teaching will happen gradually.
"Director Liu, just got a call, three people suffering from heatstroke are being sent our way." The dispatch nurse called out.
"Heatstroke, huh? Prepare for routine treatnt." Liu Banxia said.
Huang Bo nodded and began to prepare.
This routine treatnt involves cooling, hydration, and electrolyte adjustnt - a basic set. With the hot weather, cases of heatstroke occasionally happen.
It would be an exaggeration to say it occurs every day, but there are generally two to three cases weekly.
After waiting a while, the ambulance arrived.
"Body temperature 41 degrees, unconscious. Blood pressure 100/170, pulse 120. Undertook basic cooling and oxygen therapy in the ambulance, assessed as severe." The paradic pushing the patient down stated.
Liu Banxia furrowed his brow, "The patient has leg twitching symptoms, Huang Bo, initiate a rapid response. Blood test, biochemistry, liver and kidney function, ice saline, ice mat cooling, then send to ICU."
"Okay." Huang Bo responded and rushed the patient's stretcher towards the ergency room.
Heatstroke can escalate into heat illness, which is extrely dangerous, looking at the patient's current condition, liver and kidney damage might be possible. If not treated promptly, it may be life-threatening.
"Body temperature 39, blood pressure 90/150, pulse 110." At this mont, the paradic from the second ambulance also pushed a patient down.
"Li Hao, routine treatnt." Liu Banxia said.
"Alright, follow to Ergency Room 2." Li Hao called out, also pushing the patient's examination bed away.
"Body temperature 39 degrees, blood pressure 80/120, pulse 100. After oxygen therapy and fluid replenishnt in the ambulance, the condition improved." The paradic from the third ambulance said.
"This one has no serious issue, just cooling and fluid replenishnt will do. Su Wenhao can take them." Liu Banxia said.
Su Wenhao nodded and directly pushed the examination bed away.
"Judging by their clothing, together, right?" Liu Banxia asked.
"Folks from a moving company, after moving, they sat inside the truck's cargo section. When they reached the destination, all three fainted." The paradic said with a bitter smile.
"Ah... moving is exhausting enough, they were trapped in the truck compartnt, not surprising they ended up like this. Didn't their company's leader co?" Liu Banxia asked.
"Said they'd co over later, need to sort out vehicles there, and arrange for staff to continue the moving job." The paradic replied.
"Their families are also on their way here; the truck driver helped coordinate for them. The first patient's condition wasn't this severe initially; it's truly too dangerous."
Liu Banxia nodded and walked into Ergency Room 1.
"Teacher Liu, operations are mostly complete, should we transfer to ICU now?" Huang Bo asked.
"Yes, otherwise, his life might not be saved." Liu Banxia replied.
Huang Bo nodded and directly pushed the patient out.
"How's it going here?" After reaching Ergency Room 2, Liu Banxia asked.
"Temperature has dropped a bit, but need to wait for blood test results to see if there's liver or kidney damage." Li Hao replied.
Liu Banxia nodded, "Focus on cooling and fluid replenishnt for now."
Approaching the examination bed, the third patient has the mildest condition among them.
"How are you feeling now?" Liu Banxia asked.
"Still a bit hot, a bit dizzy," the patient said.
"Don't worry, we're helping you cool down too. Your symptoms are mild, so cooling and fluid replacent should be enough. Do you have contact information for the first patient's family? You need to tell them to co quickly," Liu Banxia said.
"What happened? Is Old Geng not doing well?"
Hearing Liu Banxia's words, this patient asked sowhat excitedly.
"Judging from his current symptoms, it's severe heatstroke, and he could be in danger at any mont. We've already sent him to the ICU for treatnt," Liu Banxia said.
"But it's also because he was brought in on ti that the chances of saving him are relatively high. However, the costs in the ICU will be higher, including your treatnt fees. You need to figure out a solution too."
"When you've recovered a bit more, you should also contact your company. With this kind of weather and operation, although I don't know your work policies, it's still sothing that happened during work."
The patient nodded.
"Did another critical patient co in at noon? Zhang Zhiyuan had just taken a few bites and ran back, saying we just sent soone over," Shi Lei and the others returned at this ti.
"There was a heat illness case, the body temperature reached 41 degrees Celsius, and there were convulsions," Liu Banxia said.
"They are workers from a moving company, and logically they should have experience in this area. Why didn't they pay more attention and do a better job cooling off?"
"Carelessness, I guess. Usually, it's high-temperature workshops or people doing outdoor sports who might suffer heat illness. Even construction sites have paid great attention to protection in this aspect in recent years," Shi Lei said.
"The sumr weather in recent years has repeatedly broken records. You'll be going to the marathon site later, right? You should be more careful; I estimate there will be quite a few cases of heatstroke."
Liu Banxia nodded. After treating these three today, he's no longer so relaxed.
The marathon isn't easy to run either; every year, there are so cases of heatstroke. Who knows what the weather will be like on that day? If it's cooler, everyone can be a bit more at ease.
After waiting a while longer, the examination report for the first patient ca out.
"Send him to the ICU, this guy might really need a few days," Liu Banxia said after reviewing it.
"Exactly, heat illness combined with liver and kidney damage, electrolyte imbalance, and lactic acidosis," Shi Lei said.
"I estimate it will take at least five or six days, even thinking positively, and we don't know if the prior high temperatures caused brain damage."
Often people think with heatstroke, resting in a ventilated, cool place and drinking so water is enough. In reality, that's only suitable for mild heatstroke patients. If it's more severe, they must be taken to the hospital.
If you handle it improperly, it can easily escalate from moderate heatstroke to severe heatstroke, known as heat illness. It can be fatal; if brought in late, it may lose rescue value.
As for the recent patient, after being sent to the ICU, he needed a series of cooling asures. Every possible thod must be used, such as ice saline infusion, ice saline enema, ice saline bladder irrigation, and other interventions.
Moreover, his body needs regulation, so CCRT is necessary to protect his kidneys. There's also a need to protect his liver, regulate electrolytes, and alleviate acidosis.
This patient's bodily functions were already imbalanced to a very dangerous level.
Because the essence of heat illness is the elevation of core temperature, affecting all organs and systems in the body — a comprehensive impact.
Any organ or system malfunction is dangerous, let alone this internal high heat.
The upcoming hour will be crucial in cooling down the temperature. If it's not cooled down, other asures, while effective, rely maintain stability.
As ti progresses, the patient's condition will worsen.
The second patient is relatively lucky, not needing to go to the ICU. Though there's so kidney damage, it's not severe, adjustnts can be made in the ward, just need careful observation.
After waiting a bit longer, a group of people rushed in from outside.
They correspond to the three patients, relatives arranging things, and for the critical patient, they explained the situation and brought up the cost issues.
Others might think bringing up dical expenses at a ti like this seems cold-hearted. But this is necessary because it involves subsequent treatnt issues.
Maintenance versus full-scale treatnt are two different concepts, with different costs involved. Regardless of each family's discussion with the moving company, he can only ask the relatives for dical fees.
Now holding a critical condition notification in hand, it's uncertain if there will be another one.
"Sigh... finally done, quite exhausting," Liu Banxia said.
"I'll never get used to it; this ti will cost quite a bit," Qi Wentai said.
"Indeed, I just asked, the temperature is lowering very slowly, ice saline enema and bladder irrigation have already been done," Liu Banxia said.
"Luckily, you were here; otherwise, I would need to seek approval," Qi Wentai said.
"Don't worry, you can make decisions in such situations next ti to avoid delays. As for other conditions, finish all necessary operations first," Liu Banxia said.
Responsibility is always present; a mont's slip, and you might be tripped by it.
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