Previously, while working on the ship, the patient experienced sudden severe pain in the epigastric region, which gradually spread throughout the abdomen, nausea but could not vomit, and constipation. The patient was admitted to Tien Nu Island Infirmary (Truong Sa Island District, Khanh Hoa Province) with pain throughout the abdomen, diagnosed with infection, poisoning, and abdominal distension...
Immediately, the doctors consulted with Military Hospital 175 via the Telemedicine system, the diagnosis result was that the patient had peritonitis in the 18th hour, suspected to be due to perforated gastric ulcer, duodenal ulcer, lipid metabolism disorder, cirrhosis, hepatitis B virus, heart valve regurgitation, pancreatic cyst, kidney cyst, hemorrhoids. Therefore, the opinion of the Military Medical Department was asked for permission to transport the patient to Military Hospital 175 by air.
At exactly 5:50 p.m. on June 25, EC225 helicopter with registration number VN-8620 of the 18th Army Corps, captained by Lieutenant Colonel Nguyen Minh Tien, Deputy Director of the 18th Army Corps Training Center, and the Air Rescue Team of the 175th Military Hospital, took off from Tan Son Nhat Airport.
By 11pm the same day, the Emergency Team had reached the patient at Tien Nu Island. They assessed the patient's general condition, abdominal and respiratory status due to an abdominal infection suspected of perforation of the stomach and duodenum. The patient was given broad-spectrum antibiotics, placed a gastric tube, a urinary and rectal tube, and given emergency treatment on the spot to stabilize him before being transported to the plane.

According to Captain, Doctor Nguyen Van Nghia, for patients with suspected abdominal infections, perforation of hollow organs, and gas in the abdomen, air transport has the risk of increasing the condition of pneumoperitoneum and affecting the patient's breathing. During transport, patients are closely monitored for signs of infection, especially the respiratory and abdominal organs. In addition, the appropriate use of antibiotics to avoid the progression of abdominal infections is also very important.
“Although the flight was conducted during a long flight time, in harsh weather conditions, and had to land on Truong Sa Island to refuel, the flight crew of the 18th Army Corps and the air ambulance team transported the patient safely to the building of the Orthopedic Institute - Military Hospital 175. The patient was taken to the Emergency Department, quickly performed specific tests, and a hospital consultation was held to make a definitive diagnosis and perform surgery. At 9:30 a.m. on June 26, the surgery was successful,” Captain, Doctor Nguyen Van Nghia informed.
Source: https://www.sggp.org.vn/cap-cuu-hang-khong-dua-benh-nhan-bi-thung-tang-ve-dat-lien-an-toan-post801226.html
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