Munden's condition is very poor. Even if he is in the fourth hospital, he will have to be sent to the ICU for follow-up treatment immediately. However, for the medical team, the situation is a bit difficult.

As part of the medical project supporting Politanvia, the medical team also carried a batch of relatively "advanced" medical equipment this time, including three cardiopulmonary monitors, ventilators, dialysis machines and other equipment. However, this batch is not the main aid equipment - they have to assume the role of "teaching aids", demonstrate to local doctors during the use of the medical team, and allow them to accumulate enough experience and technology.

It is precisely because of this that the number of life monitoring and support equipment carried by the medical team is very limited. Originally, 20 doctors had to be installed in the tertiary hospitals, and all of them were not enough to fill in the critical care medicine department. So everyone didn't think there was any problem at the beginning.

Until Sun Lien came... the situation suddenly became different.

The necessary equipment for critical care medicine, which was originally quite abundant, suddenly was not enough. The medical team had two dialysers and one cardiopulmonary monitor to use, but after the old wizard who was injured in a serious car accident was taken into treatment, the cardiopulmonary monitor was occupied, and there was one dialyser left, and the ventilator was gone. The medical team originally had only two ventilators, one special anesthesia ventilator was placed in the operating room for surgery, and the other was given to the girl who was undergoing liver transplantation. The old wizard also needed the support of the ventilator, and the one he used was moved out of the operating room.

Manten's condition is not very good. Liu Tangchun knows very well that if he really has hypoglycemia encephalopathy and rhabdomyolysis, the treatment process of intensive care will take at least ten days - hypoglycemia encephalopathy is not very important, just supplement glucose in time. The real trouble is rhabdomyolysis.

Rhabdomyolysis will cause several serious harm to the patient. The first and most serious thing is the potassium released by a large number of dead muscle cells. The high blood potassium concentration will directly inhibit the patient's myocardial muscle, resulting in a decrease in the patient's myocardial tone. If this situation continues, arrhythmia may occur or even directly lead to cardiac arrest.

The concentration of blood potassium will also release acetylcholine, affecting the patient's vagus nerves - and may even have symptoms similar to organophosphorus poisoning. Hyperthermic potassium will also affect the patient's central nervous system, causing the patient to become confused or irritable.

In addition to hyperkalemia, rhabdomyolysis can also cause a large amount of myoglobin to be released into the blood. These proteins will hinder the work of the glomerulus and cause acute liver and kidney damage. Judging from the current situation, if this acute liver and kidney damage cannot be immediately acutely intervened and treated symptomatically, it will inevitably lead to acute liver and kidney failure.

At present, in this village, except for the injection of 10% calcium granule to combat the impact of hyperkalemia on the heart, the medical team can do very limited things. Whether it is to inhibit the excessive secretion of acetylcholine, correct metabolic acidosis caused by hyperkalemia, or to clear the myoglobin in the patient's blood to protect the liver and kidneys, these methods are not available to the medical team that patrols.

Whether the patient can tolerate metastasis on the road is not the first thing to consider from the current perspective. If Manteng is left here, he will die of arrhythmia or acute renal failure caused by hyperkalemia or acute renal failure from high blood potassium. Now for Liu Tangchun, the most priority should be whether the remaining medical resources can be treated after the patient is admitted and the critically ill patients who may be sent at any time.

To put it bluntly, if this worry is in China, it can be left to the patient's family to make a decision. After all, the treatment cost of ICU is extremely high, and even if the patient is transferred to the hospital in time, irreversible renal failure or even liver failure may occur. The subsequent treatment is so difficult and costly that a large number of families of poor patients can choose to give up.

But this is not in China, and Liu Tangchun represents not only the emergency department of the Fourth Central Hospital of Ningyuan City, Song'an Province. The medical team sent abroad represents China and the country. Liu Tangchun knows how heavy this weight is.

"We lack sufficient medical equipment now, and his condition is quite serious." Liu Tangchun pondered for a moment and made a decision. "It is not a big problem for the medical team to use the medical equipment first, but we have to consider sending it to the resident patients later."

Sun Lien was a little depressed when he listened, and he knew the medical team's family's assets. If he was admitted to Munden, it would take at least three precious life support and monitoring instruments, as well as the energy and time of a bed and at least two doctors. The medical team could not get rid of these medical resources, but if these resources and time were used on other patients, they would be able to save countless people.

Even if Liu Tangchun decides to give up this young man, everyone will not complain about it - at most they will just blame themselves, why are they not capable enough?

"We will transfer the patient to the garrison first. At least save his life first." Liu Tangchun continued, "and then contact Daishan Island immediately and ask them to send helicopters to transfer the patient and let him receive subsequent treatment on the Peace Ark."

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Liu Tangchun saved a broken family and a woman's future life with one sentence, but also brought a lot of trouble to the medical team, Daishan Island, and the Politanvia government and military.

The Daishan Island medical ship was sent by China to perform humanitarian rescue missions at the request of the Politanvia government. As the world's first large-scale special medical ship, the ship has very complete equipment. It is even more advanced and professional than some ordinary Grade A hospital equipment.

However, the helicopters equipped with advanced and professional medical ships are still the Z-8 basic helicopters developed in the mid-1970s. As a 13-ton general-purpose helicopter, the Z-8 on the Daishan Island has a range of about 800 kilometers.

However, Daishan Island is currently located at the estuary of the Lufuma River, with a straight-line distance of about 470 kilometers from the Qiji Camp. The helicopter itself is not enough to support it to fly back and forth. If this patient transfer mission is to be carried out, either the aircraft will be replenished at the Qiji Camp, or you must choose to land at a certain airport during the flight to replenish the fuel.

This is just a little trouble in the specific operation.

Although the Daishan Island is a medical ship, it still belongs to the naval sequence. It is naturally a military aircraft. Foreign military aircraft must fly into a sovereign state and perform humanitarian rescue missions in the country's airspace. This requires a very complicated and troublesome approval - and it also requires Politanvia to actively request aid and accepted by us before the approval process can begin. In short, there are many troubles.

But compared to a life, these troubles are just troubles.

Liu Tangchun's attitude is very firm, and the patient must be sent to the Daishan Island as soon as possible for follow-up treatment. The Daishan Island also clearly stated that he is willing to accept the patient - as long as the Boston is willing to provide corresponding assistance.

As soon as the vehicle carrying Munden arrived at the camp of the Seventh Bureau, Liu Tangchun took his translator and students to another car. Their destination was Port Melati. Director Liu had already informed the Politanvia authorities of the patients on the way to come and requested corresponding assistance. However, Director Liu, who had been in Africa for almost two years, knew how slow and inefficient the local administrative agencies were so exaggerated. So he decided to take people to watch every process and step in person.

Anyway, the medical team is very popular in Politanvia and is deeply loved by local residents. Comrade Liu feels that it is not a loss at all when using his own face to exchange for the hope of a patient's life.

In the camp, Sun Lien and Hu Jia were organizing further rescue and treatment for Manteng. His arterial blood gas examination was just released a few minutes ago, and the results were very bad.

The blood pH of Manten is 7.28, the partial pressure of carbon dioxide is 27.7 mmHg, the partial pressure of oxygen is 88.6 mmHg, the concentration of potassium ion is 5.53 mmol/L, the concentration of sodium ion is 144 mmol/L, the remaining alkali is -11.9 mmol/L, and the blood lactate is 8.4 mmol/L. The conventional blood results are not very optimistic, with leukocyte counts of 17.81×10^9/L, neutrophil counts of 7.88×10^9/L, erythrocyte counts of 3.71×10^12/L, and hemoglobin 121g/L.

What is even more worrying is his serum myoglobin and creatine kinase index. Among them, the serum myoglobin is greater than 12,000ng/ml, and the creatine kinase is as high as 3814U/L.

While directing the patient to inhaling oxygen, rehydrate a lot of fluids and maintaining water electrolytic balance, Sun Lien also used the alkalization urine technology learned from Xu Yourong before and liver protection treatment. On the other hand, he was also urging the test to improve routine urine tests as soon as possible - before performing kidney replacement treatment for the patient, he must at least first figure out how serious damage Manteng's kidneys have been.
Chapter completed!