Chapter 579 [579] Shock

A group of people helped to lift and carry the injured women and children to the outpatient building first. The rest of the injured will wait until the firefighters rescue them. On the other side of the outpatient building, it was approaching noon, and the doctors who came out of the clinic had left, leaving only two old nurses on duty. No wonder there was no doctor here to help after a car accident.

Now that they heard that there was a doctor, two old nurses opened the door and asked them to bring the wounded in.

Although it is an outpatient clinic, there are treatment rooms. Some first aid items are available in case you need them. Just about ready to use.

"Get a blood pressure gauge."

"Let's get an injection first. Blood loss."

After arguing with each other, the two old nurses asked the doctor, "Should I be injected with normal saline first?"

"Yes, draw blood before the injection, so that the blood won't come out later." Xie Wanying replied, looking at the counselor at the same time.

Ren Chongda did not refute her words, which meant that he agreed with her instructions.

The old nurses went to get blood and injection tools. The treatment cart quickly rolled over, drawing blood and giving injections to children and women.

The two wounded were bleeding, showing symptoms of hypotension, and it was difficult to find needles for blood vessels. Two old nurses squinted their presbyopic eyes and tried hard to find the patient's blood vessels. They are arranged to work in such outpatient clinics only when they are old and retreat to the second line. On weekdays, the chance of encountering this kind of rescue is almost zero.

"No, I can't get it, doctor." The nurse reported.

At this time, the patient's peripheral blood vessels belong to low systemic perfusion, less arterial blood output and less venous blood return, and the blood vessels are shriveled and shrunk. The first choice should be central vein puncture, such as the subclavian vein puncture performed by Xie Wanying last time. The problem is that outpatient buildings may not have such puncture needles.

When she heard the nurse report this situation, Xie Wanying had expected it, turned the patient's head, the external jugular vein was slightly full, and turned to the counselor: "Mr. Ren, shall we tie the external jugular vein for her?"

"Okay." Ren Chongda didn't need to think too much, and let her deal with it. Now he is anxious to see how to solve the boy's acute brain herniation.

Compared with the abdominal bleeding of Dongzi's mother, the internal bleeding of Dongzi's head was more urgent, leaving less time for the doctor. Abdominal bleeding will not compress the fatal physiological organs of the patient in a short period of time, and the vital signs can be slightly maintained through fluid replacement. Acute brain herniation is different, continuous massive bleeding quickly forms a cerebral hematoma and squeezes the brainstem of the patient's life center, and the patient will undoubtedly die.

Seeing the counselor's appearance, Xie Wanying knew that she had to give Dongzi's mother an injection as soon as possible, and the counselor would definitely need her help later. When the two old nurses heard that she wanted to have the external jugular vein injected, they agreed with her idea, but their eyesight was not very good, so they asked her, "Can you perform the operation?"

"I am a medical student, and I learned injections from nurses," Xie Wanying said.

"You come to fight."

Take the indwelling needle, and quickly disinfect the area around the conventional puncture point. One of the old nurses put a small soft pillow under the patient's shoulders to raise the shoulders.

Different from the injection of the peripheral vein of the extremities, in order to make the vein full and exposed, a tourniquet is used, that is, a rubber tube or other binding above the puncture point. Obviously, there is no such position for the injector to bind the injection of the external jugular vein. The person giving the injection can only press the end of the external jugular vein with his fingers on the clavicle to make the punctured section appear as full as possible before the needle is inserted.

Xie Wanying put on gloves on both hands.

Thank you for your support! ! ! good night dears~