Tian Zhen acted quickly, and in no time, adrenaline and dopamine were administered to the patient.

Five minutes later.

The beeping alarm sound disappeared.

"Dr. Zhao, the patient's blood pressure is 100/50mmHg."

Tian Zhen said.

"Alright."

Zhao Heng nodded, breathing a sigh of relief. Including the time when the ambulance arrived at the scene, this was already the second time the elderly man experienced shock.

Although Zhao Heng now confirmed that the patient wasn't allergic to the cough syrup but rather to cefazolin, this information clearly didn't come to the patient's family when the ambulance was called.

In clinical practice, sometimes, it's like this; missing an important and critical piece of information can be fatal.

But if it were merely cefazolin allergy, during the initial emergency rescue, the emergency doctor had also treated it as an allergic shock. By now, it should have been under control and certainly wouldn't have led to a second shock like just now.

There must be more to this patient's condition than just shock!

Zhao Heng thought with certainty.

But what could the problem be?

Thinking about this, Zhao Heng looked at the patient lying on the transport bed, who had been resuscitated yet again, and stood before the old lady.

"Doctor, how is Old Ma? Will he be alright?"

The old lady asked anxiously, clearly at a loss.

"He has been resuscitated for now. Try to recall carefully if there was anything else he mentioned feeling unwell about this morning besides difficulty breathing and chest tightness?"

Zhao Heng asked.

"Anything else?"

The old lady tried hard to think but clearly couldn't recall anything. The memory of the elderly is not very good to begin with, let alone in such a panicked state.

"This is important. He's already experienced a second shock. If it happens again, it's highly possible that it could be life-threatening."

Zhao Heng said, seeing the old lady trying hard to recall.

At such times, unconventional methods must be used to give the old lady some stimulus; maybe she would remember.

"Doctor, I remember. When he woke up this morning, he said he felt a bit of heart palpitations, but I really can't remember anything else."

The old lady was on the verge of tears as she spoke with a sob.

"Heart palpitations?!"

Hearing these words, Zhao Heng's mind was immediately struck by a flash of lightning.

Of course! An elderly person with a history of hypertension could completely have an acute myocardial infarction triggered by allergic shock, adrenaline, and other factors!

Thinking of this, Zhao Heng immediately turned around and said to Tian Zhen, "Get an electrocardiogram and draw a blood sample to check cardiac enzymes and troponin."

"Okay."

Tian Zhen nodded without hesitation.

In a short while, after drawing the blood and having another nurse send it to the lab, Tian Zhen immediately brought over the bedside electrocardiogram machine and started doing the ECG for the patient.

The ECG paper slowly came out of the machine. With just one glance, Zhao Heng immediately realized the seriousness of the problem.

ST-segment elevation!

This is a very typical pattern of myocardial infarction!

"Quickly call the cardiac surgery department and request an urgent consultation, saying there's a patient with myocardial infarction here."

Zhao Heng said to Tian Zhen.

Tian Zhen immediately responded and ran to make the call.

Almost overlooked it!

As Tian Zhen went to call, Zhao Heng felt a cold sweat on his heart.

If he hadn't gone back to ask the old lady and discovered the hidden symptom of the patient's heart palpitations, he would have continued treating the patient for allergic shock, completely missing the myocardial infarction.

If the prime treatment window for the myocardial infarction was missed, the consequences would be unimaginable.

Thinking about this, Zhao Heng couldn't help but wipe off a cold sweat.

Before long, the on-duty attending cardiac surgeon, Jiang Rui, arrived.

And at this time, the expedited results for cardiac enzymes and troponin sent to the lab also came out.

Jiang Rui looked at the ECG, then at the cardiac enzyme and troponin results, and confidently said to Zhao Heng, "Dr. Zhao, your assessment is correct. This is an acute inferior wall myocardial infarction that requires immediate emergency intervention to open the coronary artery."

"Alright."

Zhao Heng breathed a sigh of relief and nodded.

It was so close, just a little bit more, and the patient's myocardial infarction wouldn't have been discovered.

If the myocardial infarction had not been identified, today would certainly have turned into a serious medical incident.

How close it was! Fortunately, he asked one more question.

Zhao Heng thought to himself.

No matter how skilled, there will be times of mistakes; caution must always be exercised!

"Doctor, how is Old Ma?"

The old lady, who had now calmed down, stood up and asked Zhao Heng and Jiang Rui.

"We can now confirm that the patient has a myocardial infarction and is in life-threatening danger. An immediate operation is necessary. This is Dr. Jiang from cardiac surgery, and he will be performing the operation."

Zhao Heng briefly explained.

"Yes, yes, Doctor, proceed with the surgery."

The old lady nodded repeatedly upon hearing this.

Next, Zhao Heng and Jiang Rui briefly informed the old lady about the surgery, signed the consent form, and the patient was transferred to cardiac surgery for preparation.

Only after the patient was transferred to the cardiac surgery did Zhao Heng truly relax.

"Dr. Zhao, that was close."

Tian Zhen said, still visibly shaken.

If not for Zhao Heng's timely discovery of the myocardial infarction in this patient, she and Zhao Heng would have faced a severe medical incident today.

Any serious medical incident is an extremely heavy, even devastating, blow for both doctors and nurses.

"Caution keeps the ship safe for a thousand years."

Zhao Heng murmured to himself.

He thought he was skilled enough, but faced with unexpected circumstances like today's, one could easily falter without even knowing why.

This patient initially came because of an allergy to a cough syrup. If it were any average doctor, they certainly would have treated it as an allergic shock.

A more cautious doctor might have discovered the patient took cefazolin, elevating the concern about the severity of the allergic shock.

But it would usually end there.

If they hadn't asked beyond the second layer about the patient's heart palpitations post waking, leading to the possibility of a myocardial infarction, and checked the ECG, cardiac enzymes, and troponin, the attending physician would have certainly stumbled because of this patient.

This is because continuously treating it as an allergic shock would miss the prime window for treating myocardial infarction. Once a cardiac arrest occurs due to the infarction, it would indeed be beyond saving!

"Terrifying."

Tian Zhen continued.

"Dr. Zhao, you're incredible. You managed to find this out."

After a pause, Tian Zhen looked at Zhao Heng with a deep admiration.

If you find any errors ( broken links, non-standard content, etc.. ), Please let us know < report chapter > so we can fix it as soon as possible.