Chapter 1527: Not Abdominal Pain

The passenger suspected of being ill ended up accusing the captain of making a fuss over nothing. They didn’t even request to land, but you’re choosing to land? It’s delaying my urgent plans.

People fly for the sake of speed. An emergency landing of an airplane causes much more severe delays for travelers than trains or cars.

The words from the flight attendants were essentially a warning to Xie Wanying; her judgment may affect the captain’s decision.

Thinking of this, Xie Wanying stayed focused, first doing what a doctor should do: carefully analyzing the patient’s condition to make a clear diagnosis as soon as possible.

As mentioned above, without equipment examinations, it is fundamentally difficult for a doctor to ensure a 100% accurate diagnosis of an acute abdominal condition. At this moment, through abdominal palpation, a doctor can’t immediately determine which organ inside the patient is ill. In hospitals, doctors issue various examinations to investigate step by step; relying solely on palpation is not enough to confirm. Abdominal palpation primarily helps doctors conduct preliminary checks to see if it is an acute abdominal condition.

This is something probably never thought of by those inside and outside the industry.

Abdominal pain is not necessarily an acute abdominal condition; it could be similar symptoms caused by other systemic illnesses.

Xie Wanying followed Teacher Tan, swiftly pressing several key areas of the patient’s abdomen, finding the patient’s abdomen generally soft. Pressing down, the patient had no tenderness or rebound tenderness, nor any radiating or pulling pain.

This abdominal pain is completely unremarkable; it might not be abdominal pain at all.

Actually, upon arriving on the scene, Xie Wanying thought at first glance it didn’t seem like abdominal pain. If it were abdominal pain, the patient would at least be clutching some area of the abdomen tightly, but this patient was not. Therefore, her first step was definitely to rule out an acute abdominal condition.

If it’s not an acute abdominal condition, an experienced doctor would promptly investigate whether it’s heart and lung disease or cerebrovascular accidents. These two types of diseases are the most common life-threatening emergencies in clinical practice and must be treated immediately.

Observe the patient’s breathing, feel the patient’s pulse, to determine the patient’s heart rate.

Nurse Lu Xin saw and returned to the first-class cabin to fetch a sphygmomanometer, and came back to measure the patient’s blood pressure, thinking perhaps they might need to bring over a defibrillator to pull an ECG on the patient.

Cardiac disease symptoms can occasionally present as acute abdominal conditions, confounding the doctor’s judgment together with acute gastroenteritis.

There’s no blood glucose meter on the plane; otherwise, they could check the patient’s blood sugar level. For a light-weight student like this, low blood sugar is also a common occurrence. However, the patient’s family said the patient had eaten while waiting for the flight, hadn’t vomited or had diarrhea, making low blood sugar unlikely.

Once the sphygmomanometer was brought over, the blood pressure was measured for the patient: 90/55mmHg, relatively low, but not in shock.

"Should we have her lie flat?" The flight attendant asked Xie Wanying and her colleagues for their opinion.

Based on the flight attendants’ experience, in-flight emergency patients most often have medical personnel recommend measures that include lying flat. For patients with low blood sugar or dizziness, lying flat can undoubtedly improve their symptoms greatly.

Therefore, a flight attendant prepared to take a blanket and find a spot on the cabin floor to lay down a space for the patient to lie flat for treatment.

Without strongly suggesting this, Xie Wanying kept her eyes carefully observing the patient’s appearance and posture, striving to avoid any mistaken judgment or casual words, due to potentially large repercussions.

Passengers in the back began muttering, quite dissatisfied with her seemingly slow response as they said, "Is she capable? Is she really a doctor?"