1758 Really fainted
120 emergency call. In general, it was the local 120 emergency command center who would send vehicles to rescue according to the distance.
There were also patients ‘family members who strongly requested to specify which hospital’s vehicle was in.
However, this was something that people who were familiar with the process would do. If there were strong requests, especially strong ones, the command center would pinch their nose and accept it.
After all, no one wanted to cause trouble. It was not worth it to be complained about because of this.
Soon, the 912 emergency department received a call. He was on a house call, and the location was quite far away.
Zhou Litao picked up the first aid kit and got into the car with the nurse. He didn’t forget to tell his family to call him if there was an emergency.
“Chief Zhou, why are you following us?” The nurse from the emergency department asked.
“Boss Zheng said that there was a patient who fainted after eating. Now, he’s even fainting after eating steamed buns.” Zhou Litao’s heart felt like it was being scratched by a kitten’s claws. He couldn’t wait to teleport to the patient.
The nurse was stunned.
If he fainted after eating, wouldn’t that person have starved to death? Did he have to do an intravenous infusion every day?
However, without eating, without the process of chewing, was there any meaning to life?
The 120 ambulance drove all the way to the designated location. Before the car even stopped, Zhou Litao jumped out of the car and ran in with a first aid kit.
“Director Zhou, wait a moment.” The nurse shouted from behind.
“You’re not in a hurry. I’ll go in and take a look. ” Zhou Litao’s figure had already disappeared.
When he entered the house, Zhou Litao saw Zheng Ren chatting with a spirited old man. They were happy and harmonious, and there were no signs of a patient.
“Chief Zhou, you’re here.” Zheng Ren saw that Zhou Litao had arrived and said with a smile.
“Yes, boss Zheng. Where is the patient?” Zhou Litao asked.
“Since you’re here, we’ll start the test. Don’t be nervous, old man. You just need to perform a few movements to make a clear diagnosis.” Zheng Ren said.
The old man sitting on the sofa nodded.
“Old man, I have to emphasize once again that the experiment should actually be done in the hospital.” Zheng Ren said seriously,”our conditions here are limited. I can only try my best to ensure your safety.”
“Boss Zheng, to be honest, I don’t believe that I’ll faint if I lean sideways. If that’s the case, I think I’d be dead by now. ” The old man smiled.”As long as you don’t go to the hospital, anything is fine. I’ve been bored these few days, so I’ll play with you to relieve my boredom. “
Zhou Litao was speechless, was there such a way to relieve boredom?
A simple tilting test bench had been prepared. It was just a solid wooden board that could be pried manually to maintain the tilt. As for the old man’s safety, with Zheng Ren and Su Yun present, he would try his best not to let him get injured.
“Swallow 400 μ g of nitroglycerin under the tongue.” Zheng Ren passed the medicine box to the old man.
The old man chuckled and seemed to have no problems at all. Just by looking at his appearance and expression, it didn’t seem like he had threatened everyone with bread to “commit suicide” an hour ago.
“General manager Zhou, have you brought the ECG monitor?” Zheng Ren asked.
“……”
Who would carry the electrocardiography of the car when they were carrying patients? Zhou Litao sighed, put down the first aid kit, and went back to get the ECG monitor.
He brought the machine over and tied the ribbon around his wrist. He turned on the machine and measured the patient’s blood pressure in a sitting position.
110/75mmhG, no problem at all.
After taking the nitroglycerine, the old man stood on the wooden board. His family members moved a corner, so Zheng Ren and Su Yun supported him gently to prevent him from falling.
“You call this an experiment?” The old man chuckled and said,”not at all.”
He was very relaxed, and Luan Yingjie didn’t think it was a big deal. It was like a child playing house, simply making a fuss.
The patient’s heart was tilted to 70 degrees, and in less than ten seconds, the electrocardiogram started to give off a crazy number of alerts.
The electrocardiography showed that the patient had heart rate at the border, frequent venomous premature beats, and venomous heart beats!
His blood pressure started to drop rapidly.
100……90……70……50……
The high pressure had already dropped to shock blood pressure, and Zhou Litao was dumbfounded.
He had only learned about the tilt experiment, but he had never seen it with his own eyes. Who in the emergency department would do a slant test for no reason?
This time, he had really opened his eyes.
“Dopamine, quick!” Zheng Ren and Su Yun immediately supported the old man and laid him flat on the ground. They set up an intravenous channel and started injecting dopamine into his body.
Luan Yingjie was anxious. Why was a good person going to die?
He did not know what the inclined experiment was. However, the numbers on the electrocardiogram told him that his father was on the verge of death.
This was something he had never expected!
He had seen the medicine box. It was definitely nitroglycerin. Would this kind of medicine kill a person if they swallowed it? It definitely wouldn ‘t.
Would it kill a person to tilt their body 70°?
If that was the case, the amusement park would be closed.
Why did the combination of the two make his old man look like he couldn’t make it?
MD!
“What are you guys doing!” Luan Yingjie fell into a state of chaos and roared.
Zheng Ren ignored him. Luan Yingjie came up and wanted to push Zheng Ren away, but Su Yun turned around and kicked Luan Yingjie’s thigh. This guy lost his ability to move.
“Don’t mess around, we’re in the middle of emergency treatment. ” Su Yun wasn’t in a hurry as she smiled and said.
There was only the booster drug. The other first aid drugs in the first aid kit were not used. Zheng Ren was half – squatting and half – kneeling beside the old man, ready to rescue him at any time. However, the blood pressure continued to drop, and he did not do anything to it.
Zhou Litao was dumbfounded.
Shouldn’t the patient be carried to the ambulance and sent to the hospital?
His blood pressure had dropped below 40 mmhgs. Was he really fine?
As time passed, his blood pressure finally “rebounded” when it dropped to 37.5MMH, and it started to rise.
His heart rate also gradually stabilized.
“The tilt test triggered by ingesting 400 μ g of nitroglycerin under the tongue caused the patient to faint and have low blood pressure for five minutes. The lowest blood pressure was 37.5/29.2 MMH, and the heart rate was 75 bhp. No cardiac arrest was observed during the tilted experiment. “
Zheng Ren calmly relayed the situation. Zhou Litao vaguely felt that he had returned to the ward and the Department Director was making ward rounds with confidence.
He subconsciously took out a pen and a piece of paper from his shirt pocket to jot down Zheng Ren’s words.
“Aiyo, what a good sleep.” Soon, his blood pressure recovered, and the old man regained consciousness.
He sat up from the ground, stretched his back, and muttered.
“Are you dreaming?” “I’m dreaming about eating bread,”Su Yun laughed.
“Uh …” The old man finally remembered what had happened before he “fell asleep.”
It seemed like two doctors were playing a game with him.
What experiment? why did I faint?
He looked around in a daze. The housekeepers were all standing in the corner like quails. Her son was lying on the ground, hugging his leg, as if he was injured.
“What happened?” The old man asked.
He had no memory of what had happened when he was unconscious.
……
[Note: the source of this case is Kelvin shenqwoei Siew, Maw Pin Tan, Ida Normiha Hilmi & Alexandr loch.&] Swallow syncope: a case report and review of literature. BMC Cardiovasc Disord. 2019 Aug 7 。