Including passengers who may be sick, who ended up accusing the captain of making a fuss. You landed when no one asked you to? You delayed my urgent trip.

People take planes for speed. The delay caused by an unscheduled landing of a plane is much more serious than that of a train or bus.

What the flight attendant said was equivalent to a warning to Xie Wanying that her judgment might affect the captain's decision.

Thinking of this, Xie Wanying stayed focused, doing what a doctor should do first, carefully analyzing the patient's condition and making a clear diagnosis as soon as possible.

As mentioned above, without instrument examination, it is basically difficult for doctors to identify and diagnose acute abdomen with 100%. At this time, doctors cannot immediately determine which organ in the patient's body is sick through abdominal palpation. In the hospital, doctors have to issue various examination forms to check step by step. How can they determine it by palpation alone? The first thing that abdominal palpation can help doctors is to preliminarily check whether it is an acute abdomen.

This is probably something that people inside and outside the industry have never thought of.

Abdominal pain is not necessarily an acute abdomen, it may be similar symptoms caused by other systemic diseases.

Xie Wanying followed Teacher Tan's example and quickly pressed several key areas on the patient's abdomen, and found that the patient's abdomen was soft as a whole. The patient did not feel any tenderness or rebound pain, and there was no radiating pain or referred pain in the back.

This abdominal pain is not obvious at all, it may not even be abdominal pain.

...

...

In fact, when Xie Wanying saw the patient at the scene, she didn't think it was abdominal pain. If it was abdominal pain, the patient would at least hold his stomach tightly with his hands, but this patient didn't do that. So, her first step must be to check whether it was acute abdomen.

If it is not an acute abdomen, experienced doctors will immediately check whether it is a cardiopulmonary disease or a cerebrovascular accident. These two types of diseases are the most common critical and fatal diseases in clinical practice and must be treated immediately.

Observe the patient's breathing, feel the patient's pulse, and determine the patient's heart rate.

Upon seeing this, nurse Lu Xin walked back to the first class cabin to get a blood pressure monitor, and came back to measure the patient's blood pressure. She thought that she might need to bring a defibrillator to do an electrocardiogram on the patient.

Occasionally, heart disease symptoms may manifest as acute abdomen, which together with acute gastroenteritis can confuse the doctor's judgment.

There was no blood glucose meter on the plane, otherwise the patient's blood sugar level could have been measured. Hypoglycemia is also common for underweight students like this. However, the patient's family said that the patient had eaten while waiting for the flight, and did not vomit or have diarrhea, so it was unlikely that he had hypoglycemia.

After the sphygmomanometer was brought out, the patient's blood pressure was measured and it was 90/55 mmHg, which was a bit low, but not in shock.

"Can you let her lie down flat?" the flight attendant asked Xie Wanying and the others for their opinions.

According to the experience of flight attendants, the most common emergency patients they see on the plane are usually asked to lie down by medical staff. Lying down can undoubtedly improve the symptoms of patients with hypoglycemia and dizziness.

To this end, some flight attendants were prepared to take blankets and spread them on the cabin floor to make room for the patient to lie down for treatment.

Xie Wanying didn't say it was absolutely necessary. She carefully observed the patient's face and body shape all the time. She couldn't make any mistakes and couldn't speak lightly, otherwise the impact would be too great.

A passenger in the back seat grumbled, dissatisfied with her seemingly slow response, and asked, "Is she okay? Is she really a doctor?"