The stretcher was carried into the emergency room, and after they came to her, Guo Fu asked, "What's going on?"
Who in Sanya doesn’t know this number two person in the health center, an elite among female nurses?” A health worker accompanying him quickly said: “Food poisoning.”
"What did you eat?" Guo Fushu walked away and waved, "Quick, put it on stage 1!"
"I ate mushrooms," one of the health workers said.
Poisonous mushroom poisoning. Guo Fu thought, this is the most common type of food poisoning in the local area. No matter how many health education classes are given to the workers, no matter how many deaths there have been in the past, mushrooms in the mountains and forests are always full of fun for the workers.
It's tempting. Sometimes someone eats it.
"Have you brought the sample?"
"Bring it here," the health worker opened a lunch box used by workers, which contained a gray pile of cooked mushroom fragments. She pointed to a few workers behind her with bad expressions, "They also ate it,
But the symptoms are not serious, just feeling weak and having stomachache..."
"Stomachache, diarrhea, vomiting?"
"Yes!" the health worker panicked, "They ate it last night, I don't know when they got it." The female health worker was so frightened that her face turned pale, "I really didn't see it..."
She has seen cases of death from poisonous mushrooms and is fully aware of the serious consequences. The most important thing is that if such a serious fatal accident occurs in the squadron she is responsible for, she will have to be sent back to Lingao to attend a "study class" organized by the Ministry of Health.
.The status of "study classes" in the minds of naturalized people and indigenous people is now second only to "labor camps".
"Don't be anxious." Guo Fu comforted her and asked the nurses on duty in the emergency room, "Quickly, go ask Dr. He. All the nurses on duty will come over if they are okay!"
Guo Fu asked those who had symptoms but were not serious to sit down on the benches against the wall first, while she dealt with the seriously ill patients lying on the treatment table first.
The patient's overalls were stained with vomit, and there were traces of watery feces on his pants, giving off a foul odor.
"Quickly, help him take off his clothes!" Guo Fu ordered the third-stage nurse while wiping her hands with alcohol. The female health worker who sent the patient was afraid that she would be harmed if something happened, so she quickly said: "I'm here."
"Okay, the scissors are in drawer No. 5." Guo Fu said as she opened the lunch box brought by the female health worker. She poured the mushroom fragments into an enamel plate and pulled them with tweezers. The Ministry of Health had printed a lithographed book "Hainan Island"
"Illustrated Book of Common Poisonous Animals and Plants", which not only has white drawings, but also detailed descriptions of shapes and colors - because Lingao's printing industry is temporarily unable to carry out large-scale color printing of photos - this book is not only included in training materials, but also is included in all health
A must-have reference book for institutions. Guo Fu put a lot of effort into this book, but the shapes and colors of the cut and cooked mushrooms changed. She could only reluctantly think that they were probably porcini mushrooms.
"How much did you eat?" Guo Fu asked.
"I heard they said there was a lunch box," the female health worker said. "Others didn't eat much. This person worked the middle shift and worked three hours of overtime after get off work, missing the supper time. When he returned to the dormitory and saw boiled mushrooms, he
I ate a lot of the rest, probably half of it."
"When did you find out?" Guo Fu asked.
"Just now," the female health worker was frightened, "I went to the squadron dormitory to check the hygiene, and they took him out and said he had fainted - I really didn't know they were secretly cooking mushrooms to eat in the dormitory!" she cried.
He stood up and said, "This is going to kill me!"
"Don't cry!" Guo Fu quickly stopped her and asked, "How long will it take to faint?"
"It's been almost an hour now."
Guo Fu made some calculations in her mind. The middle shift got off work at 12 midnight. This person ate mushrooms at about 3 o'clock. The whistle has just blown at 7 o'clock. According to the description in the medical book, the incubation period of boletus is 10
minutes to 2 hours. Judging from the fact that he started to show symptoms before 6 o'clock, the incubation period has already been 3 hours, so it is not boletus... But the book says: There are a few cases that can incubate for 6 hours.
This made her a little unsure.
"Are there any fresh samples?" she asked, giving up hope.
"No, I went to their dormitory to look for it after I found out about the poisoning..."
She lifted the patient's eyelids and shined a miniature flashlight on his eyes. His eyeballs moved very flexibly and he made a ***** sound.
"what is his name?"
"Jiang Dashan."
Guo Fu leaned over the patient and said directly into his ear: "Jiang Dashan, can you hear me? Jiang Dashan!"
His eyes moved slowly in her direction and nodded slightly.
"May I have your name?"
"Ginger... big... mountain..."
The degree of his reaction was enough to prove that the nervous system was not damaged - this should be gastroenteritis-type mushroom poisoning, which is the mildest type of mushroom poisoning. However, although some mushroom poisoning also shows gastroenteritis-type symptoms, it will be accompanied by
Organ damage. However, the incubation period of this type is generally more than 10 hours, and the vomiting and diarrhea are not serious. She thinks her judgment should be correct.
She told the nurse on duty, Shi Jiemei:
"Prepare intubation, saline solution and straws," Guo Fu ordered, and then ordered, "For those who are leaning against the wall, give them medicine to induce vomiting!"
The time for gastric emptying is about 4 to 6 hours. Foods with high protein content such as mushrooms stay in the stomach for a longer time. It is not too late for gastric lavage now. As for the other few people, it is a bit late to induce vomiting, so they may be able to do it.
A little effect - their symptoms are not serious anyway, and adding laxatives should be enough.
"I'll go right away!" Shi Jiemei quickly went to get the medicine and equipment - she was the best among the third-generation students: from the fact that she was named Dr. Shi, she knew that Dr. Shi favored her.
Shi Jiemei not only studies hard and has a strong understanding, but also has a figure and appearance that is evaluated according to the "Comprehensive Standards for Office Maid Evaluation (1630 Edition)" and scored 175 points, which is an A-level level.
"Give them magnesium sulfate after vomiting!" Guo Fu warned from behind.
Magnesium sulfate heptahydrate is a chemical used in medicine as a detumescent, vasodilator and laxative. Lingao's magnesium sulfate is manufactured in the bittern factory of Majiao Saltworks. Guo Fu gave them sulfate
Magnesium is mainly used as a cathartic to encourage patients to empty their intestines as quickly as possible.
"I know, there is also rehydration to correct dehydration and electrolyte imbalance -" Shi Jiemei came out from the other end of the corridor in a deliberately high tone.
Guo Fu nodded helplessly: "Yes, we need to rehydrate." Although she is about the same age as Shi Jiemei, she has been homeless for a long time and is more mature than others in dealing with people.
After all the instruments were prepared, Guo Fu opened the patient's mouth and inserted a gag, removed a tube, and deftly inserted it into his throat and into his stomach. A nurse then handed Guo Fu a tube.
A glass jar filled with physiological saline. Guo Fu poured part of the saline into the funnel at the top of the cannula.
After filling half of the solution, she waited for a moment for the solution to flow into her stomach, and then took the straw to absorb the salt water. She squeezed the sucked liquid into a basin, and then continued to clean the remains of the mushrooms in this way. Third
When she sucked it up for the first time, she found dusty food fragments. She cleaned the patient's stomach cavity again and again, and gradually sucked out all the food residue. She felt that the patient was out of danger.
"0.5ml atropine subcutaneous injection, once every 6 hours! Intravenous injection of 5% gs solution and normal saline!"
Injecting atropine is used to relieve gastrointestinal symptoms such as abdominal pain and diarrhea. After Shi Jiemei injected atropine, she quickly inserted the infusion needle. It was easy to inject normal saline and glucose intravenously into the patient to prevent dehydration and correct electrolyte balance. At the same time, Guo Fu observed
The patient's heart rate, pulse and chest sounds.
Guo Fu felt that the patient had regained a little strength, so she helped him sit up.
"100 grams of activated carbon, mixed with water and taken orally."
Jiang Dashan then drank a cup of activated charcoal. He didn't want to drink the strange black water and coughed up some, but he was forced to drink it anyway. Activated charcoal water not only prevents toxins from entering the patient's body, but also digests part of it that has been absorbed.
Next, Guo Fu checked his blood pressure, pulse and respiration, and also checked his vision and reactions. She kept talking to him and confirmed that all his nerve reflexes were normal - although his answers were weak.
Then she turned back to deal with the mild patients: these people had been induced to vomit and have catharsis, and all of them were so exhausted that they were slumped on the hospital bed and could not speak. Shi Jiemei had already distributed oral glucose saline to them according to the doctor's instructions.
The mixed solution is used to replenish body fluids and restore electrolyte balance - Shi Niaoren asked everyone at the Ministry of Health work meeting to try not to use infusion treatment unless absolutely necessary. This is not only for the purpose of saving equipment, but also for
Avoid the many dangers that may arise during infusion.
Seeing that everything was on track, Guo Fu sat down and started writing the medical record. The female hygienist came to the table uneasily.
"Is everything okay?"
"It should be fine." Guo Fu said, continuing to write the medical record with a dip pen, "I want to write a report on this matter..."
The female hygienist almost said in a pleading tone: "I beg you to be so talented in writing and say a few kind words for me in front of Dr. He... I don't want to be sent back to Lingao to study class."
"It's not a major liability accident if no one died." Guo Fu comforted her and said, "Besides, they secretly picked mushrooms to eat, so they are also responsible. Your responsibility is not big."
"Thank you, thank you..." The female health worker almost knelt down and kowtowed. Of course, this is not allowed under the Lingao system. The female health worker's fear is not unreasonable: the salary level of a health worker is much higher than that of ordinary workers.
I went to a study class: I had no personal freedom for several months, and my salary was only a small amount of living expenses. This was a terrible blow to many working families.