Chapter 1982 [1982] Guidance
No matter how bad the medical skills are, there are some medical staff in the health center who are skilled in judging whether a patient will die.
"Don't be stupid." Dr. Hu shouted loudly to all the people on the scene to move, and no one was allowed to stand still. Now is the time for the medical staff to seize the last moment and fight death desperately, "Quickly, put on the breathing airbag. You squeeze it!"
Shen Xifei, who was suddenly pointed at by Dr. Hu, was standing outside to see the situation before talking.
"Are you coming in or not!" Dr. Hu asked her sharply again.
Isn't Teacher Hu about to go blind? Why did the eyes looking at her seem to see through the depths of her soul, which made her tremble. If she dares not move now, don't even think about staying in Beidusan. Thinking of this, Shen Xifei bit the bullet and rushed forward, fighting hard for her future employment.
Small hospitals do not have ventilators. You can only use a breathing air bag instead of a ventilator and connect to oxygen. Shen Xifei squeezed the breathing airbag. It is very difficult for the nurse to puncture an intravenous channel for the patient to push epinephrine intravenously, and the patient's blood vessel cannot be found. After all, the patient is on the verge of shock.
Someone pushed a defibrillator, ready to give CPR and defibrillation immediately when the patient's heart stopped.
"Xie Wanying, do you know what to do?" Dr. Hu, who was increasingly unable to see clearly, could only use his voice to find classmate Xie.
"Teacher, I'm moving the patient's uterus to the left side." Xie Wanying replied, she was standing on the left side of the patient, with her hands on the lower right side of the uterus towards herself, holding the uterus and pulling it up to the left side .
When Dr. Hu heard her answer, no matter what bad impression he had said to her before, at this moment, the corners of his mouth could only show a satisfied arc.
Whether it's the teacher or the boss, everyone loves the student's subordinates with excellent business ability, so it doesn't take much talking.
The people present at the health center were dumbfounded. For a moment, they couldn't think of the use of Xie Wanying's actions.
Shen Xifei pursed her lips, thinking to herself, this Xie Wanying might compete with her for the job in obstetrics and gynecology, why is she always so familiar with the professional knowledge of obstetrics and gynecology.
The left uterine push performed by Xie Wanying is one of the rescue measures recommended by the guidelines for cardiopulmonary resuscitation for pregnant women. After a pregnant woman is pregnant for more than 20 weeks, the enlarged uterus will compress the inferior vena cava, pelvic vein, abdominal aorta, and reduce the return of blood to the heart. Pushing the uterus can help reduce the pressure of the pregnant woman's uterus on the inferior vena cava, increase the amount of blood returned to the heart, improve cardiac output and blood circulation, and strive for the chance of successful rescue.
Dr. Hu, who couldn't see the numbers on the monitor clearly, continued to receive the data reported by others with his ears. When he heard that the patient's heart rate and blood pressure could not be maintained, he decisively gave instructions to the nurses in the emergency room: "Get ready for PMCS."
PMCS? A group of people in the hospital failed to remember this obstetrics and gynecology term again.
"Cesarean section during the peri-mortem period." Dr. Hu told them, without blame or sarcasm in his tone.
The foundation of the health center is poor, and there is no obstetrician and gynecologist on site, so it is normal not to know.
PMCS has not been proposed for long, less than two decades, and refers to cesarean deliveries initiated after cardiopulmonary resuscitation.
Similar to the uterine push method, after the fetus is taken out by cesarean section, the compression of the uterus can be instantly relieved to save the life of the pregnant woman. Secondly, if the pregnant woman dies after being rescued, the life of the fetus will enter a countdown of 30 minutes.