novelslam Chapter 478
Chapter 478
Chapter 478
“My baby is one year old and 5 months old. My mother just burned a pot of water, put it on a stool and then forgot to pour it, but the baby saw it, grabbed it, and turned it over…”
“Your legs are hot, right? Are you wearing pants?”
“wore……”
“How long has it been hot?”
“It’s been four or five minutes…”
“Is it big?”
“It’s very big, my thighs and calves are scalded…”
The female classmate continued to cry.
After all, the child is the heart, and even a slight bump will be very sad, let alone being burned.
However, the baby cries louder and is still struggling.
Lin Feng became serious: “Okay, calm down, I said, listen, and then do it!”
“Okay, okay!” The female classmate cried and nodded quickly.
“First of all, take the baby to cold water right away! Now, right away!”
“Okay!”
“Remember, it’s cold water, don’t use ice, ice will cause the blood vessels of the wound to shrink violently, which is not conducive to the recovery of the wound!”
“Okay…”
“Also, pay attention to not too strong water power, it will also harm the skin!”
Soon, Lin Feng heard the sound of the faucet flushing.
At this time, the female classmate’s cries finally calmed down. With Lin Feng’s command, the family finally won’t panic like a headless fly.
And the female classmate is very lucky. Just now, my mother said that the bruises are usually ice, and she thinks that she should also be able to apply ice for burns.
Fortunately, I called Lin Feng to find out. Otherwise, if the ice pack hurts the baby, it would be really a big trouble.
Take cold water…
The baby is crying and struggling…
Lin Feng: “Next, flushing for more than 5 minutes…80% of burn injuries are caused by waste heat, so we must continue to rinse with cold water to remove the remaining heat…”
Female classmate: “Thank you Lin Feng, thank you…”
Lin Feng: “Don’t rush to thank you. Just now you said that the baby wears pants, so the pants must be cut off. Don’t hurt the skin, don’t rub the skin, be sure to cut it carefully in cold water… …If there is really no way, just wait for the medical staff to come and do this…have you called 120?”
Female classmate: “I hit it, I hit 120 at the first time.”
Lin Feng: “Good.”
Then continue to tell:
“If you can cut off the pants, after washing for 10 minutes, wrap the wound with clean gauze to avoid environmental pollution… The rest is to be sent to the hospital…”
“Okay, thank you, Lin Feng…”
The female classmate thanked again and again.
After Lin Feng said ‘you’re welcome’, he ended the call.
…
After hanging up the phone, Lin Feng came to the clinic.
Start a new day of medical consultation.
The first patient,
Headache!
A male patient, probably in his 30s, walked in with his wife.
It seems that there is nothing wrong with the patient man…
“Doctor Lin, help me see my husband…”
“sit down……”
At this time, Lin Feng was a little puzzled.
In the emergency department, you must come to the hospital in a hurry if you are in a more urgent condition.
Generally, the patients ranked first in the emergency department are those with more serious illnesses and more urgent conditions.
And the man in front of him,
In his 30s, he looks strong and has a headache…not to be ranked first, right?
“Did the triage nurse just ask you anything?”
The patient’s wife replied: “I asked if we had a fever and why we had a headache… By the way, we also measured our blood pressure…”
Lin Feng caught the point at once.
The triage nurses usually take the temperature at most when they have a high fever, and they rarely take the blood pressure of the patient.
“Is there anything wrong with blood pressure?”
“Blood pressure 198/120…”
Lin Feng: “……………………”
This blood pressure is very high!
Moreover, this patient has such a high blood pressure at such a young age, which is too abnormal.
“What are your symptoms now?”
“Headache…” the patient man replied.
“How painful? Are there any other symptoms besides headache? Fever?”
“It’s a bit painful, no fever, no other problems…”
“What is high blood pressure? How many years? Have you taken the medicine? Is it regular?”
“Some half a year ago, they have been taking medicine and changed several medicines, but the results are average, but they all insist on taking medicine…”
“What kind of medicine are you taking now?”
“Nifedipine sustained-release tablets…”
Lin Feng nodded.
“Xiaoru, take his blood pressure…”
soon,
The blood pressure came out: 199/115mmHg.
This is very tall!
“When did you take the antihypertensive medicine?”
“I ate it when I came, now it’s about half an hour…”
Lin Feng frowned suddenly.
There is no effect after taking antihypertensive drugs?
its not right!
It feels a bit problematic here.
However, according to the current information, high blood pressure + headache…
What is the easiest thing to think of?
·Cerebral hemorrhage!
·Cerebral infarction!
Lin Feng needs to investigate these two items first.
“Are there weakness in hands and feet? Or unsteady or skewed walking?”
“No……”
“Take a look at me…”
“Ah~~~”
Lin Feng pondered.
The patient’s response to himself is quick and clear, which is different from the performance of cerebral infarction and cerebral hemorrhage.
In addition, the typical symptoms of cerebral infarction and cerebral hemorrhage are disorder of limb movement and language disorder, but the patient does not, not only does not have fatigue, disorder, the tongue is centered and impartial, and the tongue is fluent.
so,
It is highly likely that there is a problem with the brain.
but,
To be on the safe side, a brain CT is still needed!
“Apart from the headache, is there any heart discomfort?”
High blood pressure makes it easy for the heart to pump blood quickly (the blood pressure is high and it is difficult to move, so the heart needs to increase the power to pump the blood out), the heart is overloaded, and it should be uncomfortable.
“It’s really tight…”
“Make an electrocardiogram…”
“How much is an ECG? Why do I need an ECG?”
The male patient looked alert, as if Lin Feng wanted to hack his money.
Lin Feng is impatient: “You have chest tightness. Naturally, you need to have an ECG insurance to see if there is a problem with your heart…”
At this time, the wife quickly apologized and said: “Do it, do it now… Dr. Lin is embarrassed, he just can’t bear to spend 130 dollars, after all, the family is too nervous with money.”
On the electrocardiogram.
Came out soon.
· ECG results: everything is normal.
Lin Feng breathed a sigh of relief.
“Go and be a “CT”…”
Then Lin Feng explained why CT is needed.
The male patient was furious: “I knew it would be uncomfortable for you doctors to come to the hospital without spending 1,000 yuan… I just have a headache, and what kind of CT do I have to do! Isn’t it just a scam?”
“Shut up for me!!” The wife next to her cursed directly, feeling that her husband was ashamed of her.
“Dr. Lin, we did the CT!” His wife categorically cut the line.
“Okay, I’ll bill you…”
…
Half an hour later,
The couple came back with CT results.
· Brain CT results: everything is normal…
Lin Feng was puzzled.
The male patient did not yell: “I’ll just say, it must be okay…and a lot of money was wasted…”
Lin Feng also wondered.
Seeing this male patient yelling all the time, Lin Feng also felt angry.
“Am I a doctor or are you a doctor? You are so good, what are you doing in the hospital?”
“Hey, do you dare to talk back? You are a doctor who dare to talk back, not afraid that I will complain to you…Ouch…”
Just when the male patient is excited…
Sudden,
He clutched his heart and cried out in pain.
Lin Feng was surprised.
The wife panicked: “Husband, what’s the matter with you?”
The male patient took a few breaths: “I… I have a pain in my chest…”
..