Hearing Tian Zhen's call, Zhao Heng immediately put down the medical records in his hand and came to where Tian Zhen was standing.

"Dr. Zhao, look, I've already placed a gastric tube for her, but the tube is full of medicine and food. This doesn't seem like it's been washed out."

Tian Zhen said to Zhao Heng.

"Hmm."

Zhao Heng nodded. Upon checking, indeed the contents aspirated from the gastric tube were all undigested food and white medicines.

This?

Didn't the medical records say the stomach had been washed? Why is there still so much undigested food and medicine residue in the stomach?

"Are you sure the stomach was washed at the previous hospital?"

Zhao Heng asked the girl's sister.

"It was washed. I saw the gastric tube being inserted."

The girl's sister said somewhat anxiously.

"Did anything come out after the washing?"

Zhao Heng continued asking.

"I don't think so."

The girl's sister thought for a moment and said uncertainly.

Hearing this, Zhao Heng had a very bad conjecture in his heart. He first examined the girl lying on the transport bed.

[Bilateral pupils 5mm, sluggish light reflex, burn marks from defibrillation on the chest, likely shocked twice, heart rate 120 beats/min, blood pressure 120/80mmHg, respiration 20 breaths/min, oxygen saturation 95% (oxygen concentration 40%), mechanical ventilation A/C mode]

Zhao Heng silently went over the examination results in his mind.

After the examination, Zhao Heng signaled for Tian Zhen to continue with the tracheal intubation.

In no time, Tian Zhen skillfully completed the tracheal intubation and pressed the suction device.

However, Zhao Heng's expression soon turned extremely grave.

Because he saw that what was suctioned from the tracheal intubation was all blood clots.

Moreover, there was no cough with the suction, and what came out were all fresh red blood clots!

Such an abnormal situation directly confirmed Zhao Heng's suspicion.

"Dr. Zhao, the patient's blood pressure has dropped to 60/40mmHg!"

Just then, Tian Zhen's voice rang out again.

"Open two lines of fluid resuscitation!"

Zhao Heng said without hesitation.

This is shock!

Zhao Heng immediately judged.

At this moment, the emergency resident physician Liu Meng, who had just finished her tasks, appeared beside Zhao Heng somehow.

"Dr. Zhao, how is it going?"

The emergency resident physician Liu Meng asked.

She had just finished dealing with another emergency patient and hurried over to Zhao Heng's side. It seemed Liu Meng was quite concerned about the girl's rescue situation.

"She just went into shock, her pupils react sluggishly to light, and I suspect the stomach was not washed at the local hospital, the prognosis may be very poor."

Zhao Heng said concisely with a grave expression.

"Huh? The stomach wasn't washed? Then what was washed?"

The emergency resident physician Liu Meng was dumbfounded; she thought after the girl had taken the medicine, her stomach was washed at the previous hospital, so the situation should have been much better than she imagined; however, things were worse than expected.

"Not sure yet, but you see, the tracheal intubation is pulling out all blood clots."

Zhao Heng slightly shook his head and said.

"This? Could it be that the gastric tube was misplaced into the trachea?!"

Liu Meng voiced a fundamentally impossible guess; she couldn't believe an emergency doctor at a hospital would make such a mistake.

"Obviously, that's what happened now."

Zhao Heng sighed and said.

It was the first time he'd seen such a situation, leaving him at a loss for words.

"Doctor, will my sister be all right?"

At this moment, the girl's sister, already somewhat dazed, anxiously asked.

If something happened to her sister, she didn't know how their parents, still away on a business trip, could endure such terrible news.

"We will do our best to resuscitate her. Has she shown any suicidal behavior or tendencies before? Has she ever had any similar drug overdose experiences?"

Zhao Heng could only ask earnestly.

The girl came from a small city, in such a place, a 14-year-old girl probably couldn't buy poison; at most, it's some kind of sedative drugs. Most drug overdoses are like this.

Though that was what Zhao Heng thought, the exact situation could only be determined after pharmacological toxicology tests, but the current situation couldn't wait at least a day for those results.

"She's been fine recently, just a bit upset after being scolded by the teacher once. She wouldn't even talk to me."

The girl's sister tried hard to think and said.

"Do you have sedative drugs at home?"

Zhao Heng pondered and asked. The girl was only 14, and even if she went out to buy sleeping pills, no pharmacy would risk selling them illegally, so the medication must have come from home.

"My mother has depression and has been taking medication."

The girl's sister thought for a moment and said somewhat uncertainly.

Just then, the girl suddenly opened her eyes and abruptly sat up, appearing extremely agitated and restless, trying to pull out the gastric and tracheal tubes.

Seeing this, everyone around was almost scared out of their wits.

Zhao Heng quickly restrained the girl and said to Tian Zhen, "Push Flumazenil immediately!"

"Okay!"

Tian Zhen nodded and quickly found a dose of Flumazenil to inject into the girl.

However, after the injection, the girl appeared extremely agitated and restless.

This scene further confirmed Zhao Heng's judgment─this was an overdose of central nervous system sedatives, causing neurological reactions, specifically hyper-responsiveness, known as agitation and restlessness, a highly dangerous condition due to central nervous system impact.

"Push Midazolam next!"

Zhao Heng continued.

Quickly, Tian Zhen responded, found a dose of Midazolam, and administered it intravenously. After the Midazolam injection, the girl finally calmed down, closed her eyes, and slipped back into a comatose state.

"Doctor..."

At this moment, the girl's sister was already in shock, not knowing what to do or say.

"Could you please go over the rescue process at the local hospital in detail again?"

Zhao Heng wiped some sweat and asked the girl's sister.

This was the first time he encountered such a situation. Although it was almost certain that it was a sedative overdose, Zhao Heng still couldn't believe the local hospital misplaced the gastric tube into the trachea.

"It happened around one o'clock. I found her convulsing, took her to the hospital, then they intubated and washed her stomach."

The girl's sister thought carefully and said.

"Are you sure they intubated before washing?"

Zhao Heng continued questioning.

"Yes, I saw the doctors and nurses intubate."

The girl's sister said affirmatively.

"I see."

Zhao Heng nodded. Now he could be sure that the gastric tube was indeed misplaced into the trachea; otherwise, there wouldn't still be food and medication residue in the stomach, nor would the trachea be washing out blood clots.

This wasn't gastric lavage; it was a pulmonary lavage through the gastric tube!

Zhao Heng was momentarily speechless.

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