WHEN THE DOCTOR USES A HACK

Chapter 715: Chapter 715: Hidden Quest

Just as Chen Cang was about to question the man, suddenly a notification sound appeared within Chen Cang’s mind!

[Ding! Hidden mission triggered: The First Ring of Truth: Save Yu Yi!

Behind Yu Yi hides clues to some special matters, please investigate thoroughly.

Substantial rewards will be granted upon final completion of the mission, current progress: 1%.]

Chen Cang was instantly stunned.

Truth?

What truth?

Clues to special matters hidden behind Yu Yi?

Chen Cang was bewildered by the sudden onslaught of linked tasks from the system.

However, now was not the time to be perplexed—the patient’s vital signs were extremely unstable, it wasn’t the time to dwell on this.

Yet, what made Chen Cang curious was that this man who claimed to be a manager was actually Yu Yi’s father?

Chen Cang nodded, and at that moment, Lele brought over the notification form.

Yu Yingcai’s hand trembled as he signed, “Director Chen, is it really as serious as you say?”

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Chen Cang nodded gravely, “It seems to be even more serious, the diagnosis is unclear, and the patient’s vital signs are unstable; we cannot even complete the checks. We have already requested a consultation with the hospital’s specialists, but… given the special circumstances, you still need to sign.”

After Chen Cang finished speaking, Yu Yingcai did not hesitate and decisively signed the form.

At that moment, Chen Cang asked, “Does Yu Yi have any habitual illnesses?”

Yu Yingcai shook his head, “No serious illnesses, just some discomfort in the throat from occupational hazards, but it’s been going on for four or five years now.”

Chen Cang nodded, then asked another more pressing question, “Is there a history of drug abuse?”

Yu Yingcai was startled by the question and said with a serious expression, “No! Absolutely not! I resigned personally to become her manager just because I was worried she might pick up bad habits from this industry.”

Chen Cang nodded.

After asking a few more questions, he returned to the resuscitation room.

Shi Na had just completed the ECG.

Chen Cang took it and looked.

He frowned immediately, this ECG was very atypical, basically unremarkable; it couldn’t be used as a basis for diagnosis.

Chen Cang took a deep breath, calming himself down.

Emergency physicians should always keep their thoughts calm, to analyze all the clues coldly and rationally.

The onset was sudden, with unexplained pallor, difficulty breathing, coughing up blood, and even fainting!

Typical convulsions don’t necessarily indicate epilepsy!

It could also be a symptom of cerebral hypoxia…

What could cause a sudden fainting?

Chen Cang went through the possibilities in his mind, one by one!

Orthostatic hypotension? Hypertensive encephalopathy? Blood pressure was completely normal, only lowered recently, and that was due to pericardial effusion, so these were ruled out immediately!

Arrhythmia, myocardial infarction? ECG was normal, so essentially ruled out!

Cerebral arteriosclerosis? Cerebral hemorrhage? Vasovagal syncope?

If it was one of these three possibilities, cerebral hemorrhage would be the most dangerous, cerebral arteriosclerosis probably not so severe, but there was no time for examination now.

Chen Cang stood up, took out a flashlight, and checked the eyes for light reflex!

Signs of meningeal irritation…

All negative!

Cerebrovascular accidents were basically ruled out!

At that moment, the answer was almost at hand.

Aortic stenosis?

Aortic dissection?

Or possibly… acute pulmonary embolism?

Thinking of this, Chen Cang’s face changed at once.

If it was any of these three diseases, life could be at risk at any moment!

However, just at that moment, Chen Cang suddenly had an epiphany.

It’s very likely acute pulmonary embolism!

The young patient developed symptoms: fainting, hemoptysis, pleural effusion, pericardial effusion, accompanied by difficulty breathing…

And furthermore, this respiratory distress was sudden!

At this thought, Chen Cang’s face changed instantly.

If acute pulmonary embolism is suspected, the first step is to perform a clinical probability assessment!

Chen Cang quickly picked up the stethoscope and continued to complete related examinations, hearing a faint diastolic gallop rhythm and an accentuated second heart sound in the pulmonary artery!

With that, the likelihood of a pulmonary embolism shot up to over sixty percent!

If a definitive diagnosis is needed, a step-by-step examination to rule out other possibilities must be conducted!

But now, the question was whether the patient could even endure proceeding to angiography.

If it wasn’t performed now, it would be even more troublesome!

What to do?

Because the onset of pulmonary embolism is rapid, emergency treatment must be carried out immediately, followed by anticoagulant therapy, and surgical treatment if necessary!

At that moment, the door to the resuscitation room suddenly opened, and Chen Cang turned around to see several department heads rushing in.

Li Baoshan, Qin Xiaoyuan, Tao Zi, Niu Tianfu and others walked in!

That morning, there was an annual meeting in the neighboring province, and they had set off early, only just now returning.

After entering, Qin Xiaoyuan directly asked, “Chen, what’s the situation?”

Chen Cang was about to speak when suddenly the patient’s breathing became even more intense.

The patient’s face turned cyanotic, and he was in a state of breathlessness.

The cardiac monitor started to beep alarmingly once again.

Qin Xiaoyuan’s expression changed, and he hurried forward, assessed the patient’s vital signs, and immediately said, “Intubate the trachea!”

Taken aback, Chen Cang immediately got up and began to prepare!

At this juncture, why would this situation arise?

Chen Cang was baffled!

Meanwhile, Qin Xiaoyuan turned to Lele and ordered, “Prepare 15 mg dexamethasone for intramuscular injection, and 1 mg epinephrine for intramuscular injection!”

Chen Cang didn’t say much out loud, but inside, he was taken aback: This… is this for an allergic reaction?

When did the patient have an allergy?

At that moment, the laryngoscope was ready, and Chen Cang, without further ado, prepared to intubate!

And it was then that he suddenly noticed allergic rashes appearing at the pharyngeal area!

Hoarseness and even swelling of the larynx had begun to appear!

This way, it was only a matter of time before the upper respiratory tract would be completely obstructed!

Suddenly, Chen Cang’s scalp tingled with alarm!

What kind of patient was this?

If it wasn’t for Dean Qin’s timely arrival, Chen Cang wondered… how long it would have taken him to react?

That’s emergency medicine for you; one must always be ready for resuscitation.

Now, the patient was highly suspected to have a pulmonary embolism, already experiencing syncope. If an allergic reaction occurred, causing the respiratory tract to become abnormal, the mortality rate could rise to over ninety percent!

After urgent treatment, about three minutes later, the patient’s breathing stabilized.

Chen Cang looked at Qin Xiaoyuan with some admiration and felt a sense of awe inside.

Perhaps, this is what an expert looks like?

At that time, Qin Xiaoyuan asked Chen Cang, “What happened?”

Chen Cang then briefed him on Yu Yi’s condition.

In conclusion, he said, “I now highly suspect it’s a pulmonary embolism!”

Qin Xiaoyuan picked up the stethoscope to check, then looked at the ECG for a moment in silence, and nodded, saying,

“If you also consider the allergic rashes that just appeared, the likelihood is as high as ninety percent!”

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