Chapter 1757 Really Dizzy

The 120 emergency call, in general, people from the local 120 emergency command center dispatch vehicles for rescue according to the distance.

There are also cases where the patient's family members strongly request which hospital vehicle should be designated.

But this is all done by people who are familiar with the process. Strong demands, especially strong ones, the command center will pinch their noses to admit it.

After all, no one wants to cause trouble, no. If you are complained about this kind of thing, you can't do it.

Soon, the 912 emergency department received a call and made a visit, which was far away.

Zhou Litao picked up the first aid kit and got into the car with the nurse, not forgetting to instruct his family to call him in case of emergency.

"Mr. Zhou, what are you doing?" the nurse in the emergency department asked.

"Boss Zheng said that there was a patient who fainted after eating, and now he has started eating steamed buns and is in a coma." Zhou Litao felt like a kitten's paw was scratching in his heart, and he couldn't wait to teleport to the patient.

"..." The nurse was stunned.

If you eat something, you will fall into a coma. Isn't that person starved to death? Do you need intravenous fluids every day?

But without eating, without the process of chewing, is there any meaning in life?

The 120 ambulance drove all the way to the designated spot. Before the car stopped, Zhou Litao jumped out of the car and ran in with the first aid kit.

"Mr. Zhou, wait a minute." the nurse shouted from behind.

"Don't worry, I'll go take a look first." Zhou Litao's figure has disappeared.

Entering the room, Zhou Litao saw that Zheng Ren was chatting with a spirited old man, and he was happy and had no signs of being sick.

"Mr. Zhou, here we come." Zheng Ren said with a smile when he saw Zhou Litao arrived.

"Well, Boss Zheng, where is the patient?" Zhou Litao asked.

"When you come, we will start the test. Don't be nervous, old man. You can make a clear diagnosis by doing a few actions." Zheng Ren said.

The old man sitting on the sofa nodded.

"Old man, let me emphasize again that the test should be done in the hospital." Zheng Ren said seriously, "We have limited conditions here, I can only try my best to ensure the safety of your life."

"Boss Zheng, to be honest, I don't believe that my body is tilted and I will faint. If this is the case, I think I should have died a long time ago." The old man laughed, "As long as I don't go to the hospital, I will be fine. It's boring, play with you, it's just to relieve the boredom."

Zhou Litao is very speechless, is there such a relief?

The simple tilting test bench is ready, just a solid wooden board that is manually pryed and kept tilted. As for the safety of the old man, Zheng Ren and Su Yun were present, just try not to let him get hurt.

"Sublingually take 400 μg of nitroglycerin." Zheng Ren handed the medicine box to the old man.

The old man smiled and seemed to have no problem at all. Just by looking at his appearance and expression, he couldn't feel that he threatened everyone with bread to "suicide" an hour ago.

"Mr. Zhou, have you taken the ECG monitor?" Zheng Ren asked.

"..."

How can the on-board ECG monitor be carried when carrying the patient? Zhou Litao sighed, put down the first aid kit, and went back to carry the ECG monitor.

The machine was brought up, the cuff was tied, the machine was turned on, and the blood pressure in a sitting position was measured first.

110/75mmhG, no problem at all.

Taking nitroglycerin, the old man stood on the wooden board. The family members moved a corner, and Zheng Ren and Su Yun gently supported him to avoid falling.

"This is also called an experiment?" The old man said with a smile, "I don't feel it at all."

He was very relaxed, and Luan Yingjie didn't think there was anything, just like a child playing a house.

Tilt 70°, and in less than 10 seconds, the ECG monitor began to frantically alarm.

The electrocardiogram showed that the patient had junctional heart rhythm, frequent premature ventricular contractions, and ventricular tachycardia!

Blood pressure started to drop wildly from normal.

100…90…70…50…

The high pressure has dropped to shock blood pressure, and Zhou Litao is dumbfounded.

The tilt test is only learned, but never seen with my own eyes. Emergency department, who has nothing to do with tilt tests for patients? !

This time I really opened my eyes.

"Dopamine, hurry up!" Zheng Ren and Su Yun immediately supported the old man, lying flat on the ground, indwelling the venous channel, and after a dose of dopamine was injected, they started to rest.

Luan Yingjie was mad with anxiety, how could a good person die like this?

What a tilt test was, he didn't know. But the obvious numbers on the ECG monitor told him that his father was on the verge of death.

This is something he never imagined!

He looked at the medicine box, and it must be nitroglycerin. Will taking one tablet under the tongue kill a person? Certainly not.

Will a 70° body roll kill a person?

In that case, the amusement parks are closed.

How come the two are combined, and the old man of his own family can't see it anymore?

MD!

"What are you doing!" Luan Yingjie roared in confusion.

Zheng Ren ignored him, Luan Yingjie came up to push Zheng Ren away, Su Yun turned around and kicked Luan Yingjie's thigh, this guy lost his ability to move.

"Don't make trouble, it's first aid." Su Yun was not in a hurry and said with a smile.

Only the booster medicine, the other first aid medicine in the first aid kit did not move, Zheng Ren half squatted half kneeling beside the old man, ready to rescue at any time. But the blood pressure continued to drop, but he did not give any treatment.

Zhou Litao was dumbfounded.

Shouldn't the patient be carried to the 120 ambulance and sent to the hospital?

Blood pressure has dropped below 40mmhG, is it really okay?

Time passed by, and when the blood pressure dropped to 37.5mmhg, it finally "bottomed out" and began to rise all the way.

Heart rate also gradually stabilized.

"A tilt test provoked by sublingual nitroglycerin 400 μg resulted in syncope and a 5-minute hypotensive response. The lowest blood pressure was 37.5/29.2 mmHg, and the heart rate was 75 bpm. No cardiac arrest was observed during the tilt test."

Zheng Ren stated calmly, Zhou Litao felt in a trance that he had returned to the ward, and the chief director was making rounds with confidence.

He took out the pen subconsciously, took a piece of paper in his jacket pocket, and recorded Zheng Ren's words.

"Oh, I slept so well." Soon, the blood pressure recovered, and the old man's consciousness also recovered.

He sat up from the ground, stretched his waist, and muttered.

"Did you dream?" Su Yun smiled and said, "Dream of eating bread."

"Uh..." The old man then remembered what happened before he "fallen asleep".

It seems that two doctors are playing games with them.

What kind of experiment, why did you faint?

He looked around in a trance, and the nanny was standing in the corner like a quail. His son was lying on the ground, holding his leg, as if injured.

"What happened?" the old man asked in a trance.

He has no memory of what happened when he was in a coma just now.

...

Note: Case source Kelvin Shenq Woei Siew, Maw Pin Tan, Ida Normiha Hilmi & Alexander Loch. Swallow syncope: a case report and review of literature. BMC Cardiovasc Disord. 2019 Aug 7.