My Medical Skills Give Me Experience Points Chapter 1475 - 592: Solving Difficult Cases in the ICU—Blood Vomiting and Bloody Bowel Movements
Previously on My Medical Skills Give Me Experience Points...
Director Tang Fei spoke, and naturally, the department’s experts could only fully cooperate.
Outstanding leaders often possess strong cohesion and charisma.
Even knowing that Director Tang Fei had taken on a hot potato, everyone still rushed to the hospital to prepare for a tough battle as soon as they received the news.
Zhou Can finished seeing the last patient and prepared to check again on the critically ill child who almost died because of the mother’s mismanagement during a severe cold.
Although after a series of rescue measures, the child’s vital signs have temporarily stabilized, there is still a significant risk of death.
Just as he stepped out of the consultation room, Director Tang Fei’s call came through.
She asked him not to leave work yet, as a critically ill child who was vomiting blood would be sent over soon.
Zhou Can is a sharp weapon in Pediatric, dealing with complex cases, especially in diagnosing difficult cases and rescuing critical patients. He is highly proficient in most surgeries, including high-tech surgeries like thoracic surgery.
One could say that with Zhou Can, Director Tang Fei’s confidence in handling this hot potato greatly increased.
Director Tang spoke, and Zhou Can naturally would not refuse.
While the patient had not arrived yet, he decided to grab something to eat and then check on the recently rescued child in the ward.
He wolfed down two pieces of bread and drank a glass of milk.
His starving stomach finally felt a bit more comfortable.
He rushed to the ward and from afar heard the nurses explaining things to the child’s mother.
"Is there a problem?"
Zhou Can approached the bedside and asked kindly.
Honestly, he had no goodwill towards these problematic moms.
No matter how much they love their children, their constant questioning of the medical staff’s treatments and even sneaky actions during treatment are incredibly foolish.
"Dr. Zhou, you came just in time. My son’s fever is 41 degrees, why aren’t you giving him fever-reducing medication, but instead using a bunch of antiviral, antibacterial, anti-inflammatory, and calming medicines?"
The child’s mother was clearly hindering the nurse from administering medication.
Zhou Can noticed the child’s face was turning cyanotic again, and his breathing was abnormally rapid.
Upon careful examination, he discovered three buttons on the child’s clothes were undone, a noticeable scent of alcohol emanating from them. A suspicious bottle containing alcohol was placed by the bedside, and a wet towel was in the mother’s hand.
"Did you just use a wet towel to cool your child down?"
Zhou Can answered with a question.
"Yes! The nurse and the ward doctor disagreed with using fever-reducing medication for my son, saying that they were following medical guidelines. However, I’ve heard many experts say that when a child’s fever exceeds 39.5 degrees, it is easy to damage the brain and lead to excessive energy consumption, causing organ failure. The experts also said to use ice cubes, alcohol, wet towels to physically cool down areas like the armpits, neck, and groin. They said physical cooling has no side effects and is safer than medication..."
The mother spoke more ’professionally’ than Zhou Can.
"Don’t use any more medication now. Quickly measure the child’s heart rate and respiration, then check the oxygen saturation on the fingers."
Clinically, measuring blood oxygen saturation is most easily done by checking the fingers.
Using a finger pulse oximeter can measure it.
The data is relatively accurate.
"Heart rate 195 beats per minute, respiration 61 times per minute, oxygen saturation 91%."
The nurse reported to Zhou Can after measuring.
"I’m afraid your child’s life is at great risk!"
Zhou Can directly faced the family member and spoke severely.
"Ah... didn’t you say after your rescue efforts that my child’s vital signs have temporarily stabilized?" The mother panicked.
"Yes. Your child previously stabilized after the rescue, but you used alcohol to lower the child’s temperature. Because the child is still small, with strong skin absorption ability, they are now showing signs of alcohol poisoning. Additionally, you stopped our nurse from administering medication, causing a dual fatal impairment to the child. You should quickly take your child to those experts for treatment! We are no longer able to help here."
Zhou Can really wanted to scold the female family member.
But he restrained himself.
Medical conflicts must be avoided.
After hearing, the mother was completely panicked and fearfully said, "What, what do I do? I heard that alcohol can quickly lower the temperature with better effects than water, why has my child got alcohol poisoning?"
"Hurry up and process the transfer procedures! I will personally help you with them!"
Zhou Can had an indifferent expression.
The nurse stood silently by, but judging from her expression, she felt gratified.
No nurse likes to deal with such problematic moms.
The work is already challenging enough, and time and energy must be spent extensively explaining things to such family members. Whoever deals with them would be irritated.
What’s more dangerous is that these family members easily make sneaky moves.
For instance, when giving the patient an IV, some medications must be dripped slowly. Family members, frustrated with waiting, simply think that as long as the medicine enters the body, it’s fine. So they secretly adjust the IV, and medication meant to be dripped over four hours ends up being finished in half an hour by the family members.
In this situation, if the patient’s health worsens or death occurs, who is responsible?
As long as the patient dies or faces issues, the family is guaranteed to cause a big scene at the hospital, seeking compensation and justice.
Afterward, they would scold, claiming incompetence.
Zhou Can firmly insisted on the child’s transfer precisely because this mother was too dangerous.
"Dr. Zhou, I know I’ve made mistakes, please save my son..."