Chapter 3799 [3799] Under the Knife
Only personal experience can empathize with her. At this moment, she can double feel the feeling of standing on the operating table when Senior Brother Tao and Senior Brother Cao saved her when she was a child. She can also feel that the fairy brother is expecting the patient to die, even if he can't do anything, he must pretend to be cool in front of the students. The thick and bitter heart.
Being a teacher in front of students is equivalent to being a god, and the image cannot be collapsed first. Even if you panic to the point where you have no confidence, the parasympathetic nerves must fight on their own to maintain the excitement of the sympathetic nerves, like a warrior blowing a horn to keep rushing forward.
You can't look back, you can't think forward and backward, you will let yourself fall into the mud and you can't get out and you can't move forward. Once unable to move forward, it means standing by and watching the patient die.
Fortunately, the social experience before rebirth and the valuable experience with many big bosses and teachers after rebirth made her very clear about what she should do at this moment.
If you want to become an independent doctor, you must pass this level.
Xie Wanying is not the only one who will face such a challenge tonight. All clinical doctors, whether they are big bosses or not, are facing challenges every day.
Well, so classmate Zhang Shuping, don’t think that you are the only chick who will encounter this kind of clinical accident that seems very scary.
The ocean of medical knowledge is vast and majestic. It is impossible for even the best doctors to learn all about medicine. Therefore, for young doctors, the internship period may be extremely long compared to other professions, but there is absolutely no guarantee that they will learn all the skills before officially taking up the job.
You said that sudden cases like today that require intrathoracic cardiac compression are rare in clinical practice.
What should I do if I didn’t have the opportunity to learn from the teacher during my internship? Just as Mr. Zhang told them at the beginning, work hard, only patients are your best teachers.
Keeping her composure, Xie Wanying quickly reached out to the nurse beside her: "Scalpel."
The nurse immediately handed the scalpel to her hand.
The knife went down, and this time the opening was not in the middle of the sternum. Because it is not necessary, the center of the sternum is opened to ensure the best surgical field, so that the doctor can carefully and comprehensively examine and repair the structure of the heart. This time it was an emergency operation. The purpose was not to perform complicated surgery on the patient's heart, but to resuscitate the heart. It only needed to find a place to dig a hole in the human body so that the doctor's hands could reach the heart.
The purpose of surgery is different, and the surgical path is different.
In order to allow the doctor's hands to reach the heart in the fastest and most convenient way, the surgical path can refer to the minimally invasive cardiac surgery path mentioned before, and open an opening in the intercostal space. Avoid opening the sternum, also to shorten the operation time.
The accurate and conventional location of the incision is in the fourth intercostal space on the left side, and an arc-shaped incision is made from the left edge of the sternum under the left nipple to the front axillary line. When a case like this is very urgent, disinfection may not even be necessary, because a direct cardiac arrest is far more dangerous than the situation of Brother Gangluo. It has been said many times before that the golden rescue time of the heart is only a few minutes.
Quick, as fast as possible.
Be fast and precise at the same time, otherwise, it will not shorten the time but waste it.
It is not difficult to locate the opening of the fourth intercostal space. This anatomical location is not difficult to identify and any surgeon can open it. The main problem is that after the opening, the doctor's hands are not familiar with how to enter the surgical incision to find the heart.
This involves professional knowledge and professional experience.