I took a 25-year-old girl who drank paraquat, came to the hospital three hours later to wash her stomach and jumped in with her cell phone.
I didn’t start to get scared until I realized I was dying.
The night that happened, I was on night shift at ICU, and I got a call from E.R., and I went to a meeting.
He said there was a girl who drank pesticides and committed suicide.
Guangzhou is a big city, and I’ve seen two cases of pesticide suicide. That’s the third time.
I went to E.R., I saw the patient, my parents were there.
It’s not small in terms of age, but it’s so small that I just started thinking she wasn’t 18.
Life signs are still stable, and I’m just a little upset.
The emergency doctor told me that the patient had been drinking pesticides three hours earlier, and then had oral burns, oral ulcer and abdominal pain.
Patients have just washed their stomachs, and they use more than 10,000 milligrams of gastric fluid.
Stomach washing is the most critical for pesticide poisoning patients, and the pesticides that are not absorbed in their stomachs should be washed out.
Stomach washes and emergency doctors inject activated carbon from the stomach tube, which absorbs toxins and further reduces absorption.
Excretion and urinants were also used.
The way to get the toxin out was used anyway.
“What kind of pesticide did she drink? I asked the emergency doctor.
The emergency doctor hasn’t answered me yet. The patient’s mother couldn’t wait to answer.
What kind of pesticide is grass speed? I’ve never heard of it.
The emergency doctor whispered to me that it was paraquat, also called the grass. We just checked and confirmed the bottle.
Paraquat?
God, I hear the name paraquat. It’s not good for everyone.
I’ve only seen paraquat poisoning once in years at ICU.
That was five years ago, a middle-aged man had a fight with his wife and drank paraquat, and then the whole thing went down.
Before he died, he was taken home, followed up by a telephone call, and less than half a day later.
Without respirator support, the patient ‘ s lungs had been fibrogenic and could not be exchanged for oxygen, and he was held alive.
Didn’t expect me to meet paraquat again today.
The difference is, this is a 25-year-old flower girl.
“How much? I asked the patient’s mother the first question.
This is also a crucial issue.
There’s a chance for survival. Of course it’s a very small case.
Usually, the patient has actually reached the fatality level. Even if many say that the entrance is still not swallowed, they have absorbed much, and may even have died.
It’s a lot to drink. Don’t look at the patient now, it’ll be a good time.
“It’s half a bottle, but it’s a lot of it. It’s hard to estimate. The emergency doctor told me.
Paraquat is very irritating, and skin contact can be burned, more intense than alcohol in the mouth, and it is normal to spit it out, but it may be partially in the stomach.
That’s terrible.
I’m looking at the numbers on the patient’s EKG, and I can’t help myself.
I now know why the emergency doctors are so nervous, why they wash their stomachs so hard, they inject activated carbon into their stomachs, and they use derelicts and urine.
“Why are you so confused to drink this? I asked the patient’s mother.
The patient’s mother told me, with her eyes red, that she had an argument with her daughter, that she had a hard sex, that she grabbed the family’s pesticides and drank them.
What I don’t understand is how big cities like Guangzhou can still have pesticides in their homes or paraquat.
I later learned that the parents were in business, made some money, lived in a villa, had grass in front of the door and that the mother had brought herbicide (the paraquat) from the countryside.
In all, it was used twice, once last month, and again tonight, by her own daughter.
Upon completion of the information, the emergency doctor told me that this would not be the case.
Patients suffer from a per minute decompression, especially of the lungs, and need to go to the respirator at any time, even ECMO, and must go to ICU.
As soon as that sentence came out, the mother fell down on her knees and begged us to save her daughter.
It scares us. Help her up. The nurse moved to her chair. Everyone was afraid she would faint.
The emergency doctor told her that he had been drinking paraquat and had not seen him alive. No one can do anything but do what they want.
The patient ‘ s father also ran away, saying that he would do everything he could if he had a chance.
I say that there are very few pesticides that pray only to be fed by a patient, and there is still a chance, but even more is difficult.
I say this to give them hope, give them hope, and give them hope.
I can’t be sure now, but I remember experts coming to see each other (that’s the patient five years ago) saying that when there’s a low level of miscalculation, there’s still hope.
If the amount is over, most of it is not; if it is large, it will surely die, and soon.
I have a little faith in what experts say. She’s really too young to regret this time.
But I was wrong.
When I went to see the patient in the rescue room, she was still high with the nurse, not unlike the person who drank the pesticide, and the abdominal pain estimate was reduced.
I told her that for the moment, there was a need for an ICU custody to prevent any subsequent damage to the dirty-body function.
Yes, I’m just saying that the dirty organs are damaged, not that they’re failing, that they’re afraid of scaring her.
Because we agreed not to tell the patient the worst of the situation for the time being, lest she can’t take it.
She doesn’t even look at me. She doesn’t want to go to ICU. She dies in E.R.
I’m standing there, and I shouldn’t say anything from now on. It’s not what I thought.
I thought she’d cry for my help.
She probably doesn’t know what she’s about to face.
I thought I’d been drinking a common pesticide and I’d have nothing to do with my stomach.
She also complained to me that it was too much trouble for her to go to the bathroom if she was not moving.
I say it’s a good thing you can still pull urine now, which means your kidney function’s fine.
She thinks I’m scaring her.
No one scared her, except for the moment when they didn’t tell her about the dangers of paraquat.
But anyway, I have to live with ICU, and I can’t go home in the short term.
It was further stated that the patient had only agreed to stay with ICU, but that conditions had been imposed to bring a mobile phone in.
I’m crying.
We, ICUs, have always been closed management, never bringing a patient a cell phone in.
In fact, the vast majority of patients are unconscious and have no use for cell phones.
But this young girl is still alive, drinking paraquat, but in the short term she looks like she’s in a good state of mind. Without a cell phone, she might not be able to stay.
Well, I promised her.
Before going to ICU, she asked me if there’s anything good to put on, or I can’t eat.
She said it was easy.
I told her it was a pesticide irritation that damaged the mucous membrane and had no good medicine but time.
What can I do?
I have repeatedly told my family that paraquat poisoning is clear, that most people are dead when they drink paraquat, that a few survive, that it may have been a fake drug, that it may have been associated with less, and that it has to do with a complete and timely stomach wash, and that there are no special effects.
Yes, no special effects. I re-emphasize.
They face each other and say that the weeding at home is very effective and cannot be a fake.
I took a breath of cool air.
Although there are no special effects, we cannot afford to watch patients get worse without doing something.
“We’re going to pour blood tonight, right now, right now. I’ll tell them.
They don’t know what a blood flow is, but if it helps, they do it.
The idea of blood flow is really very simple: to give the patient a shot first, to take the veins out, to go over the outside.
The machine contains adsorbents that are adsorbent to blood-borne toxins or drugs, and then retransmits the blood back to the patient, again and again.
It’s called blood flow.
They seem to understand nods, and now they can’t hear them.
I did the paperwork and I went straight into the ICT ward.
I also called the director, who meant, as I did, that the patient should be given blood flow as soon as possible.
Even at night, without waiting until the next morning, an hour earlier might be an additional opportunity.
Hormones are also used. Hormones are the best anti-inflammation drug, and paraquat absorbs it, which can cause acute inflammation.
Hormones can work at this time, but hormones can have a lot of side effects, and I told the parents.
“Dr. Lee, let us sign what you have to sign, where you have to sign. I’m a godless man now. “The patient’s father cried to me.
He had just called a number of doctors and friends, and everyone heard his daughter drink paraquat and her heart is cold.
It’s just like the doctor at the emergency department said.
Home unlucky. He told me with red eyes. And then he blames his wife for a hundred thousand dollars.
It became clear to me that the patient wanted to ask her mother for hundreds of thousands of dollars to invest in the business, that she refused to do so and that she was afraid of losing because she had failed several times before.
It may have been a tragedy when something bad was said and something was said.
The most painful now is not her mother.
That night, I gave the patient a shot, and the blood flow went up.
Several nurses have been told it was paraquat poisoning, regretting that they were so young they couldn’t think of it.
I’ll let you talk about it as much as possible, so keep your voice down and don’t talk too much to the patient, so as not to burden her psychologically.
You can just tell your family.
In the middle of the night, the nurse called me and said the patient had another stomach pain.
I think life signs are good, i.e. stomach pains are high, and it is estimated that toxins still seriously affect digestive tracts.
At this point, the gastrointestinal mucous membranes had been damaged, but the pain had just been reduced because emergency medical treatment had been temporarily blocked.
I gave her a shot of painkillers.
She suddenly asked me if it was really hopeless.
“How come all the intoxication is heavy, it’s certainly troublesome, it’s light, it’s good. You see, the blood pressure rate is good now. I’m sorry.
I comforted her, and I wondered which nurse had leaked to let the patient know.
“Don’t lie to me. I read an article on the Internet that says that, no matter how much you drink, you’ll die if you just take a sip. I’m sorry.
Her lips were shaking, but her voice was calm, and that was just like before.
I just remembered that she came in with a cell phone and could go online.
“There is no complete belief in what is on the Internet, and some are lying, and others are talking for some purpose, or whether they have to look at the real clinical environment. I’m sorry.
I tried to ease her inner fear.
The more she panics, the less she can do for our treatment.
She cried and said she wanted to see her mother.
I told her to stop thinking and tell her it was 3:00 a.m. and if she called her parents, it would scare them and they would think something serious had happened.
“Doctor, how long can I live? Tell me the truth. I’m sorry.
I’ll never forget her eyes.
Fear, anguish, regret, helplessness, pain… both.
How can we give up before the battle begins?
I scolded her on purpose:
“Younger patients like you don’t drink much, books say it’s curable, okay, what are you worried about?
“We may have more patients in a couple of days, and we may have to get you out of here without enough bed.
“You’re now the smallest patient of ours, and you see which patient is not wearing a respirator, and you can breathe freely.
“You’re in close custody of the ICU, which doesn’t mean you’re dying. I’m sorry.
My words seem to have helped, and she’s a little less emotional, so I’ll see her tomorrow.
The following day, the director came to visit the patient and immediately contacted the more powerful expert in the industry, asking him to come and see if there were any better ways to use it as soon as possible to save the girl.
The director also learned the lesson, as I said five years ago, the patient died after having had a relatively high amount of alcohol and had not been treated in a timely manner.
The patient is in our hands, and we hope to use all the useful tricks in the first place.
The expert came and said that that was all that could be done, with a first-time stomach wash and leaking urine, and then blood flow, hormonal and cyclophosphorous (an immunosuppressant), plus antioxidants, and a large dose.
The other is treatment for the disease, prevention of infection, nothing special.
There are really no special effects.
“The most important thing to see if the patient survives is to see how much she drinks in her stomach. I’m sorry.
“As to what this small amount is, it is based on the weight of the patient. If it’s more than that, it’s probably harder, and if it’s bigger, it’s just gonna wait. I’m sorry.
The expert is quite straightforward.
“It’s really up to heaven. The blogger says:
“This thing’s been banned for a long time, and we don’t know how the patient bought it, but we have to check it out. The only thing the patient knows is that this thing has a strong weeding, and it’s a tough one. I’m sorry.
I also brought the words of the expert consultation to the patient ‘ s family, who heard it and cried again, and when it was over, the patient ‘ s mother asked me if I wanted to get a magician in there and wondered if we would allow it.
I say no, that it’s not helping to cure the disease, it’s affecting other patients and our work.
That day I arranged for the parents of the patient to go into ICU and meet the patient.
When we met, the patient got out of control and cried.
The mother and the daughter hugged each other, comforting each other.
The results of the blood withdrawals reviewed in the afternoon and the breakdown of the patient ‘ s liver and kidney function indicators indicate that the inflammation has affected the liver and kidneys and that the liver and kidney function has been impaired.
I don’t feel like it.
According to expert consultations, blood flow is done twice a day for three consecutive days.
The amount of hormones has also increased, and it is hoped that it will work.
If the disease is not contained, the various organs of the patient ‘ s body will collapse.
However, I still have some hope because of the patient ‘ s persistent pulmonary condition and the absence of visible coughing, dysentery and breathing difficulties.
After all, most patients die from respiratory failure, which means that there may still be opportunities if there is no respiratory failure and no serious lung fibrosis.
But I’m sweating in my hands with a bedside chest in the afternoon.
The results show that the patient’s double-side lung has begun to white, suggesting an increase in inflammation within the lung.
The bedkeeper asked me three times a day, Dr. Lee, whether she could survive.
I said that if she died, she was not the saddest, the saddest was her parents, the whitehead sent the brunette, not to mention her only child.
I can’t imagine that day coming.
I’ve been at ICU for a while, I’ve seen so many lives apart, and I can’t accept the tragedy of white-haired black-haired people.
I must avoid this tragedy.
I heard her coughing so hard as she was nearing work.
This sound, it just makes my heart speak of my voice.
The nurse came to me and said the patient was bored and breathing.
The worst thing could happen.
I ran to her bed, and she had a bit of anaerobics on her lips, a high heart rate, high blood pressure, and a 90% blood oxygen saturation.
It’s still holding.
Her mouth ulcer is much stronger at this time, and she is not too clear, but she can hear it.
She said she wanted oxygen. She didn’t think it was enough.
I said no. You’re not good for oxygen for a while.
She’s a little angry. She says she’s running out of oxygen.
She had just taken blood, an arterial oxygen pressure and around 60 mm/Hg (normal 90-100), but experts and directors had told her that the patient was less likely to take oxygen, which could exacerbate lung damage.
But if it’s really a lack of oxygen, like the oxygen pressure is below 40mmHg, you can give her oxygen.
If she didn’t take oxygen, she’d really die, so she didn’t care if it aggravated the lung damage.
I insist, for the time being, I can’t take oxygen, calm down and breathe slowly.
The nurse was there too.
But it didn’t work. She’s getting restless.
And then madly pull out the pipe on you, saying these damn ants.
This sudden change scared everyone here.
The other colleagues came to help hold her.
“She’s crazy!” An intern nurse backed away and said that.
She’s not crazy. She’s hallucinating. Paraquat poisoning itself affects all the organs of the body, and the central nervous system is no exception. If the inflammation reaches the brain, naturally there are signs of irritation, hallucinations, etc.
In addition, we’ve used a relatively large dose of hormone over the last two days, and hormones themselves can exacerbate mental symptoms.
“Come on, give her a Valium. I told the nurse.
“Let’s get her under control before we rip out all the blood flow pipes. I’m sorry.
Valium needles, also known as Dixican injection, are a fast-acting sedative.
However, a patient with a severe oxygen deficiency such as her is highly likely to be respirated with sedatives, and the lack of oxygen at the end is further exacerbated, followed by a life-threatening situation and an improbable heart rate.
The nurse took the pills and checked with me again.
Push, I took a hard-on to get Dr. Frepe ready for the tube and the respirator.
There’s no way to do it, but the air pipe is in the breathing machine. If you don’t get on, the needle goes down, the patient may not even be breathing.
The director came and agreed to think about illusions, saying that for the present, it was the only way.
We’ve been dead for days.
The chief’s eyebrows are locked, and I’m afraid it’s going to slide.
I was going to wait for the sedatives to look at the blood oxygen, and if I breathed well, the blood oxygen would hold, I wouldn’t be able to breathe.
After all, the experts said that oxygen and air-respirator prep would not help her.
I couldn’t, but after the sedative went down, she was quiet and her blood oxygen started to drop.
“Put it in. The director closed his eyes and left.
I quickly plugged the patient into the gas tube and connected the respirator.
When the respirator begins to ventilate into the patient ‘ s trachea, the oxygen saturation is slow to rise, at 92 per cent, and is no longer available.
My back is wet.
The family was called to come and told about the situation, stating that the situation had worsened and that the situation had not been prepared well, and that it might not be able to last.
The respirator’s got a lot of support, still a lot of oxygen.
The patient’s parents cried and asked me if there was a human lung in your hospital.
It’s not about the money anymore.
The progress of the patient ‘ s condition and the loss of multi-organ function are not a single lung.
Even if artificial lung (ECMO) was used to alleviate the problem of oxygen deficiency, lung disease could not be prevented and the lung was fibrogenic step by step.
In general, the lungs are getting hard enough to trade for oxygen, which is the horror of paraquat.
The other organs are also being swallowed up step by step, and artificial lungs are not helping.
“Doctor, I strongly ask that we enter into a legal matter and do a legal matter for our only daughter, for a short period of 10 minutes, without prejudice to your work. “The patient’s mother begged me with tears.
I hesitated.
Well, I’ll call the chief. Hospitals have never done anything like that.
They saw me agree. Thank you very much.
But I just agreed to apply to the director, who may not.
We health workers are atheists, and we don’t usually care, but now we’re going to get into our territory and do all these crooked things.
I told the director everything.
The director lamented and said that it was a wish.
Otherwise, if the patient dies and if any moths come up, it’s really hard to say that we’ve obstructed their daughter.
When they got permission, they went to the Master overnight.
When they entered the ward, they saw their daughters, whose eyes were closed and they were lying still, and they were crying so long that they could not help but feel sad.
The Master’s got himself into this.
If this thing can live, it’s the biggest insult to us.
Of course I can’t say that to my family, but it’s internal.
Since we don’t have a better way to do this, it doesn’t seem to be too much to ask.
The next day, the last expert came back, and this time the director invited him personally, at no cost to his family, purely by way of friendship. The expert said that it would be a long time before we could see it.
The only thing that’s alive is a lung transplant. Throw out the patient’s own rotten lungs. Get a new one.
However, not to mention the difficulty of waiting for the pulmonary source, there is still a chance that the patient will survive until the day when there is a pulmonary source.
It’s a multi-organ failure, I’m afraid.
It seems that the patient had a lot to drink in the first place, which was definitely not a small amount, and that he had to wait for several hours for an emergency stomach-washing, which delayed some effort. Do your best.
The expert’s gone.
A sense of weakness came to us, remembering a few days ago when I told my family that there was still a chance, and that it was so optimistic now, as long as there was little or no chance.
After all, there’s no way to judge how much the patient drank into his stomach, and it took another three hours at home to get to the emergency. Why didn’t he come to the hospital to wash his stomach when he drank the pesticide?
The parents of the patients also repented, saying that they were not aware of the problem at the time, and that their daughters threw up a lot as soon as they drank and thought they were okay.
And why would she come to the hospital? Then it was a tummy pain.
They kept asking me if the patient had improved. He also said that it would be very difficult for the wizard to bring him here because of the many connections he had.
I can’t bear to denigrate them again, after all.
I can only say that, at the moment, there seems to be no improvement and that all the indicators are falling, which is not a good thing.
Be prepared for the worst.
And that makes them even more helpless.
No, that is our experience and objective fact.
I can comfort the patient, but I can’t comfort the family all the time. Otherwise, if the patient deteriorates, there will be a dispute, and the family will ask you, why did the patient die when you said there was hope?
What we’re worried about has happened.
During the same night, the patient ‘ s breathing difficulties increased.
With a breathing machine, her breathing was still too fast.
And blood oxygen saturation dropped at a fast rate of 85%.
Dr. Frepe here is nervous, asking me if she’s going to die, if she can delay it.
I told him that the ECMO was expensive and usually used only for patients with a chance of survival, such as an outbreak of cardiacitis, which was serious in the short term, but had a chance to survive.
Like this serious paraquat poisoning, although the patient is young and we pity her, it’s not for the ECMO because she’s not good except for her lungs.
And we don’t see the possibility of recovery, and what good would it do to make her suffer, to increase the burden on her family?
I’m talking about assessing the patient’s condition, why he’s breathing badly, and he’s losing his blood.
First I wonder if it’s an air chest.
After all, the patient’s lungs are very fibrogenic, and the lungs are very hard, and our breathing machines are always breathing, and with little attention, the gas can break through the lung tissue and turn it into a pneumatic chest.
This type of patient with a respirator is a disaster if it happens to his chest.
But I still seem to be symmetrical, and I can’t pass the test.
“Beautifully, make a pelvis by the bed, and if it’s an aerobic chest, you have to do a cavity cavity-closed flow immediately and drain the gas out. I said:
It’s like that.
Patient’s left lung is broken, air chest.
It’s a lot worse, and it’s raining all night.
I called my family and said that the patient had a breath chest and a broken lung, and that it was necessary to have a chest piercing, to release the gas in the chest and to relieve the lung pressure in order to alleviate the oxygen deficiency. If not addressed in a timely manner, they die as a result of acute oxygen deficiency.
The nurse called me, the patient’s heart is slow!
I scolded a rough mouth and said, “Come quickly and hang up.”
The heart rate is slow, it’s about to stop.
The patient’s own pulmonary fibrosis, combined with the aerobic chest, has a serious lack of oxygen, has no oxygen and all organs are subject to a strike, beginning with the heart.
If oxygen shortages were not addressed, it would not be helpful to use any more life-saving drugs.
The life-saving medication was not in place, EK custody began to alert the police and the heart rate fell to 0 per cent.
Several of us put pressure on the patient’s chest.
Still pushing adrenaline.
But it didn’t work.
The second-line doctor is here, and there was some confusion when we pressed it outside the chest and stabbed it in the chest.
The piercing needle is inserted, but the heart beats 0 times/min.
The patient had a tumultuous body, he was not moving, and his pupils were scattered.
The patient’s parents came and cried out in front of the ICT door and asked me if I could be saved.
I let go and said I’d done my best.
It’s the last thing I’ve ever said since I was a doctor, but I have to say it.
They crashed.
Because of the special condition of the patient, and because of the black hairs sent by the white-haired, and fear of any accident, I informed the gross class, which sent someone to assist in the death process.
Yes, the patient died.
For a short period of more than a week, she did jump in alive, then she left the world crying out of the heart and heart of her parents.
In the end, we failed to save this young patient who fought with his parents and drank paraquat.
That’s what the emergency doctor said.
There must be something alive, but it should be lucky, little drink, and be treated in a timely and effective manner, otherwise there would be no way for the Big Rose.
All right, guys, let’s go. Otherwise, it’s too late to repent.
Cope Class: How can you save yourself by drinking pesticides?
What do you do with paraquat?
The oral inflammation, oral, edible mucous mucous ulcer, nausea, vomiting, abdominal pain, diarrhoea and even vomiting of blood, and liver and kidney failure in the case of severe cases.
The lung can also be affected, and the most severe change, with chest pains, hairs, breathing difficulties, and a large number of oralists, who may have severe lung damage within 24 hours and die within days.
Ingestion is low and can last for days or weeks, but lung failure can also occur later.
Paraquat poisoning also affects the nervous system, as it appears in the text, with hallucinations and ants on the arm.
In any case, the whole body is affected by paraquat poisoning.
How can you save yourself if you have mistreated a pesticide?
Whatever the pesticide is, the first step is to throw up at once, either by slitting the throat or by any other means, and it is important to find a way to spit out what it is.
Then you go to the hospital for emergency care as soon as possible, and the doctor arranges for you to wash your stomach, which is done by pouring a large amount of gastric fluid into your stomach, mixing it with it, then pumping it out, then pump it out with a large amount of gastric fluid, so that you can cycle and wash your stomach many times until it is washed clean.
But normally it’s not 100% clean, because the longer we get to the hospital, the longer we get, the more we absorb, the worse it gets. So we stress the importance of getting to the hospital as soon as possible for stomach washing. Case number: YX11 ARVWlz5
I don’t know.
Keep your eyes on the road.
