Chapter 1564 【1564】Unable to Touch
"It's okay." Shen Youhuan replied to Dr. You, "I guess some important person is coming to our hospital for treatment, and the two leaders are discussing the medical records."
"You don't think that maybe our hospital will buy some equipment, or expand some business, or give us a salary increase or a salary reduction." If Dr. You is filled with righteous indignation and argues with him, everyone wants to increase the benefits as soon as possible, okay?
"The more you think about things, the less you don't have them." Shen Youhuan told his colleagues that it is better to think less about the things that idiots dream about. It's better that when you don't want to, the leader suddenly throws down a big gift bag.
Brother Shen is too good at joking, and his humor style is completely different from that of Brother Zhu. Senior Brother Shen is a 100% happy-go-lucky optimist, with a joke that sees through the world, but Senior Brother Zhu is not. Xie Wanying thought to herself.
"Whose medical records is she studying seriously?" Dr. You asked, already curious about how the newcomer sat there early in the morning looking through the medical records.
Aside from talking about the junior sister's personal affairs, Shen Youhuan got up. The time is almost up, it's time to go and see how the people below are preparing. Seeing this, Xie Wanying put away her eldest cousin's medical records and followed her senior brother to the control room.
Several doctors in surgical gowns and lead suits were busy in the operating room. Among them, Dr. Chen was older, and he instructed the following two younger ones on the spot: "Mr. Shen said that what the patient needs to do is IABP. Femoral artery puncture is the first choice."
Femoral artery puncture is the preferred approach for cardiovascular interventional surgery, as mentioned before. It is thicker than the radial artery and looks easy to wear, which belongs to the basic skills of doctors in cardiovascular interventional surgery. It's just that it's not easy for new medical students and young doctors to practice this basic skill well.
As the saying goes, everything is difficult in the beginning.
Unlike the radial artery, the femoral artery is deeper and less palpable than the radial artery. That is to say, as the main artery of the lower limbs of the human body, the femoral artery is easier to feel in clinically used first aid compression to stop bleeding and puncture. Just like the uncle Xie Wanying rescued when she first entered school, it was not difficult to touch the femoral artery, but how to fix it was difficult. Under normal circumstances, even if it is a patient, as long as there are no special circumstances, obvious femoral artery pulse can be felt at the superficial position of the midpoint of the groin.
Dr. Yang, wearing gloves, pressed the skin with his middle finger and thumb on the groin at the base of the patient's right thigh. After touching for a long time, why did she feel that she couldn't find it.
The patient's cardiogenic shock belongs to the condition of systemic hypoperfusion. The arterial blood pumped out by the heart decreases, and the arterial pulse naturally weakens, and the femoral artery will be affected without exception.
Clinically, there are many cases where the patient's blood vessels cannot be touched, such as nurses giving injections. As long as they encounter such shock patients, the difficulty of puncturing the arteries and veins will be extremely high. It is necessary in medicine to regard anatomy as the basis of all sub-disciplines, especially at this time.
Consider anatomy. It doesn't matter if you can't feel it. Recall the anatomical diagram of the femoral artery and completely blindly penetrate it.
It's not that Dr. Yang didn't think of this, but because he hasn't tried it, he would panic twice.
"Make a decision quickly." Doctor Chen, who was staring at her operation, urged her.
I rushed over desperately, and the teacher gave me a chance to practice my mobile phone. I was different from others and had to work hard. Doctor Yang encouraged himself in his heart.
The patient's current situation is relatively stable, and the teacher will give students the opportunity to continue to try in order to cultivate future generations. Dr. Chen issued instructions one after another: "Think carefully before you start, don't go through the veins, give anesthesia first."