After being fired, I became the light of medicine

Chapter 3 Blood Disease?

[The Blood Sorrow plot simulation ends. ]

[Completion: 5%. 】

[Reward: None.]

【Comment: Poor first aid.】

[This simulation has not been completed, and the ending has not been reached. ]

[Current energy value: 2 points]

Zhang Yang looked at the settlement subtitles in confusion. Why did it end?

It took him a while to react. He realized that the operation was over just as he discovered that the patient had fallen into a coma. Is it impossible to let the patient fall into a coma?
But how can we prevent the patient from falling into a coma?
Zhang Yang pondered, and soon his eyes fell on the settlement subtitles and noticed the evaluation column.

Botched first aid?

Could it be that……

Was it his first aid method that caused the patient to fall into a coma?
He recalled it carefully.

First of all, there must be no problem before contacting the patient.

After arriving at the patient's home and confirming that the patient was conscious, he hurriedly arranged a stretcher to carry the patient downstairs and then transferred him to the ambulance.

The whole process went very smoothly without any problems.

seem……

There's nothing wrong with this?
Zhang Yang was puzzled and had to recall the whole process in more detail again.

"First, when we first questioned the patient, we could confirm that although the patient was weak, he was still conscious and able to respond effectively..."

"Then I carried the patient down from the 7th floor and transferred him to the ambulance about three minutes later, and then..."

Ok?
Zhang Yang was stunned and suddenly realized that something was wrong!
It took three minutes to get from the seventh floor to the first floor and then transfer to the ambulance, and it was carrying a patient. Isn’t this too fast?

That's right!

He reacted.

The main symptom of the patient is headache. Although there are many diseases that cause headache, there is no doubt that brain disease is the most likely cause!

Anyone with first aid experience knows that patients with brain diseases must avoid violent shaking, because once the shaking is severe, it is very likely to cause the condition to worsen or even cause cerebral hemorrhage and coma!

But just now, when I was carrying the patient from the 7th floor to the 1st floor, I was only thinking about going faster and didn’t think about the problem of the bumpy stretcher at all!
That is,

The patient most likely has a brain disease. It was my improper transfer method that caused brain hemorrhage and eventually led to a coma!
Zhang Yang was completely clear.

So the correct approach is not to deliberately pursue speed, but to carry the patient down the stairs as smoothly as possible.

As long as there is no violent shaking, the patient's condition will not worsen, he will not fall into a coma, and the simulation will not end.

Correct!
That's it!

Thinking of this, Zhang Yang became a little excited and decided to enter the simulation again.

The emergency room was still bright and the strong smell of hydrogen peroxide was still there. But this time, when he saw Master Yang coming over, he was not surprised. Instead, he smiled and said:

"Master Yang, thank you for the iced black tea. 1L is indeed more cost-effective."

Master Yang was stunned for a moment, then smiled and placed the iced tea on the service counter.

After a while, a familiar call came from the intercom. He was familiar with the route and quickly arrived at the patient's home.

It was the same process. After confirming that the patient was mentally awake, he secured the patient on a stretcher and prepared to send him back to the hospital.

But this time he no longer pursued speed. Instead, he kept reminding the two stretcher bearers to go down the stairs slowly, try to stay steady, and not cause secondary injuries to the patient.

This method is indeed effective.

Five minutes later, three people carried the patient to the ambulance. The patient remained conscious and the simulation was not interrupted until the ambulance started to return.

Zhang Yang finally breathed a sigh of relief.

The return journey only takes ten minutes, and as long as the patient maintains his current condition, the task should be completed.

The ambulance sped along, and Ding Shishi methodically monitored the patient's condition. As they passed the traffic light intersection, they were only two or three minutes away from the hospital.

"Victory is just around the corner..."

But just as the words fell, Ding Shishi, who had been observing the patient, suddenly turned around and said anxiously:

"Doctor Zhang, something is wrong. The patient seems to be in a coma."

Zhang Yang's heart suddenly tightened and he stood up from his seat.

one look,
Oops!

The patient's condition is exactly the same as last time!
"Why is he still unconscious?"

Zhang Yang was caught off guard.

After the last simulation, he always thought that it was the violent shaking when he went downstairs that caused the patient to bleed and fall into a coma.

But this time, despite being so careful, he still had the same symptoms and fell into a coma? !

Could it be that the main cause of the coma was not himself?
what is that?
Beads of sweat broke out on Zhang Yang's forehead and his mind was working rapidly.

Could it be that the patient had already suffered a brain hemorrhage at home? Was it just because the amount of bleeding was small that he was able to remain conscious temporarily?

possible!
But he was still very confused.

The patient is only twenty years old and is not a high-risk group for cerebral hemorrhage. Normally, it is impossible for him to have a cerebral hemorrhage!

unless……

His eyes tightened, unless,

Congenital hypertension? !

He said anxiously:

"What's your blood pressure?"

"I just measured it, it's a little low. I'm measuring it again now, the high pressure is 76, the low pressure is 48."

“Why is it so low!”

Zhang Yang was stunned and couldn't believe it.

Generally speaking, most causes of cerebral hemorrhage are due to high blood pressure causing intracranial hypertension.

But now!
The patient in front of me not only does not have high blood pressure, but rather low blood pressure!
Does low blood pressure cause cerebral hemorrhage?

This is wrong!

"Doctor Zhang, what should we do now?"

At this moment, Ding Shishi on the side asked anxiously.

Zhang Yang suddenly broke out in a sweat. He didn't even know the cause of the patient's illness. What good solution could he have?

Fortunately, there are only two minutes left, so I quickly calmed down:
"We're going to the hospital soon. Let's give him an injection first and put him on saline solution first!"

"it is good!"

Ding Shishi hurriedly took out the cuff and tightened the patient's wrist, preparing for an intravenous injection.

Find the blood vessels,
disinfect,

Zhang Yang didn't dare to take his eyes off the patient. At this moment, as Ding Shishi lifted the patient's arm, he suddenly noticed a large bruise on the back of the patient's hand, and next to the bruise, there were a lot of red dots.

"and many more……"

Zhang Yang's eyes widened. What is this? !

Is this subcutaneous bleeding? !
As a second-level researcher at Beifeng Pharmaceutical, he has been imitating a drug called "Eltrombopag" for nearly a year.

This is a drug developed by GlaxoSmithKline in the UK, mainly used to treat blood diseases.

When he was imitating the drug, due to work needs, he carefully studied the clinical symptoms of various blood diseases, among which subcutaneous hemorrhage is the most prominent feature of blood diseases.

He immediately realized that the patient had some kind of blood disease? !
What is blood disease? !

Simply put, blood disease is an abnormality in the body's red blood cells, white blood cells and other hematopoietic functions.

For example, a normal person's blood contains 100 red blood cells and white blood cells in one unit, while a patient with blood disease may have only 10 or even a few!
This results in poor coagulation factors, which makes it extremely easy for blood vessel walls to rupture, causing subcutaneous bleeding and forming bruises.

In addition, due to the decrease in platelets and red blood cells, most blood patients suffer from severe anemia, and anemia can cause low blood pressure...

Low blood pressure!
Thinking of this,

Zhang Yang was startled and suddenly realized that all the contradictions just now were clearly connected at this moment.

That's right!

The 20-year-old patient is indeed not a high-risk group for cerebral hemorrhage!
The patient's hypotension is indeed not a typical symptom of cerebral hemorrhage!
but!

Blood disease yes!

Hypotension and intracranial hemorrhage are common clinical symptoms of blood diseases!
Considering that this simulation is called Blood Tragedy... that means the patient is most likely a blood disease patient? !
The real cause of his cerebral hemorrhage was not a brain disease, but a blood disease? !
leukemia?!

Zhang Yang took a few deep breaths of air, and just at that moment the ambulance arrived at the hospital in time.

He quickly pushed the stretcher into the emergency room and said hurriedly without waiting for his colleagues in the emergency department to ask:

"The patient has suffered a cerebral hemorrhage and has fallen into a coma."

"And I think it might be intracranial hemorrhage caused by blood disease!"

"Blood disease?"

The doctor who took over was slightly stunned, and then asked in confusion:
"How do you judge?"

"The patient had obvious subcutaneous bleeding on the back of his hand, which is a typical clinical symptom of blood disease."

The emergency doctor took the patient's hand, looked at it, and then put it back:
"Subcutaneous bleeding is not just a symptom of blood disease. There are many other reasons that may cause bleeding."

"But I've taken note of your suggestion. Go and take a rest first."

Zhang Yang was stunned for a moment and wanted to say something, but finally nodded and walked out of the emergency room.

After a moment, the picture became blurry and he returned to the void again.

(End of this chapter)