3629 【3629】Cut Off

Before the arrival of reinforcements, emergency medical staff need to continue to rescue and treat patients.

"Doctor Xie, do you want to push for an X-ray?" Nurse Yang, an experienced nurse, asked.

This patient needs emergency surgery 100%, and X-ray and CT examinations are necessary to help the doctor determine the position of the steel bar in the injured body and know how to cut it.

Question The vital signs of the injured suddenly became unstable, and it was not suitable to be sent to the imaging department for examination at this time. The medical staff sent the wounded to the first aid room of the emergency department.

The data on the ECG monitor showed that the injured person had low blood pressure and fast heart rate, and obvious hypovolemia.

I hurriedly asked the nurse to go to the blood bank to get the blood.

On the other hand, there was only one vein channel on the wounded, which was injected by Dr. Liu and the others before. In the current situation of the injured, two veins must be opened to maintain blood pressure. But in such a state of near-shock and low blood volume, the surrounding veins must have shriveled up, and the nurses could not touch the veins.

According to the previous cases, it may be possible to try to puncture the internal and external jugular vein or subclavian vein to establish central venous infusion. Today, however, this injured person is quite special. When falling from mid-air, the neck and collarbone are injured, which is a contraindication for the above-mentioned venipuncture. Speaking of it, the subclavian vein and the internal jugular vein belong to the deep vein catheterization, and the peripheral vein can be selected clinically.

What should the peripheral vein nurse do if he can't find the blood vessel? It can only be replaced by a surgeon to perform a phlebotomy.

Blood vessels cannot be found. "Disappearing" is not really disappearing. Blood vessels always exist in the human body. Blood vessels filled with blood can allow medical staff to feel the pulse through the skin and then puncture. Now that the blood vessels are deflated, they can only be found after cutting the skin.

The clinically preferred phlebotomy is the great saphenous vein.

The general direction of the great saphenous vein in the human body is like this. It starts from the inner side of the dorsum of the foot, goes up the inner side of the ankle, goes to the inner side of the calf and thigh, and finally merges into the femoral vein.

According to the direction of this blood vessel, the doctor can choose the great saphenous vein incision of the medial ankle or the great saphenous vein incision of the femora. You don't need to think too much about it. If you can choose the inner ankle, the first choice is the inner ankle position, which is easy to start with.

"Incision of the great saphenous vein at the medial ankle." Xie Wanying ordered.

Nurse Yang and Guo Zihao who were present hurriedly brought the items needed for the incision.

The rescue of shock patients is a race against time, and everyone is immersed in their work.

The emergency room door is closed. At this moment, the medical staff are all busy participating in rescuing patients, and the emergency room outside is equivalent to being unguarded. Anyway, patients in the emergency department will call for doctors and nurses loudly.

Someone can take advantage of this moment and just arrange for Cha Jing to walk into the emergency department quietly through the gate security, without anyone noticing.

The two people who got out of the taxi to pull the suitcase did exactly that. After Xie Wanying and the others sent the patient inside, they walked to the entrance of the hall of the emergency department of Guozhi.

The lights at the door of the emergency room shone down, clearly reflecting the appearance of these two people. See are two young people. One of them was wearing a yellow sweater, like a curious baby, poking his head out and looking around in the emergency room.

The other, wearing a blue and white sports coat, sat on the suitcase and dozed off with his arms around his briefcase like a sleeping pillow.

In the middle of the night, who wouldn't want to sleep. That's probably what dozed off people think.

The man in the yellow sweater didn't let his companion think so, he pushed his shoulder with his hand and said, "Hey, Zhiyuan, wake up, sneak in and have a look."