Chapter 580 【580】Remote Help
Press the above-mentioned position firmly with the middle finger of the left hand, and hold the needle with the right hand. Remember that the needle insertion angle is 15 to 30 degrees along the direction of the blood vessel. one part.
This is written in the textbook, but it greatly tests the eyesight of the injector. Those who don't have much vision can rely on experience. It was the first time for Xie Wanying to puncture this kind of external jugular vein. It can only be thought that it should be much easier than the subclavian vein, at least it is a blood vessel that can be seen and touched. So she gave her full courage to try, besides, there were two old nurse teachers and Teacher Ren by her side.
The eyes focused on the estimated puncture point, and the puncture needle in her hand was inserted in parallel according to the angle she designed. The skin insertion should be fast and reduce the pain of the patient. After entering the blood vessel, see that the blood return is correct, the movement should be gentle and steady, and the steel needle should be withdrawn in time to leave the hose. The assistant old nurse quickly helped her put on the dressing and fix the needle wing, drew some blood with a syringe, sent it for testing, and then hung it with normal saline. It is equivalent to the establishment of a supply channel to maintain the lifeline of patients, which can make everyone feel at ease.
For her successful puncture, the old nurses didn't know that it was her first time to do it, and said: "You can tell that you are a veteran of injections." As if, they forgot that Xie Wanying just said that she was just a student.
On Dongzi's side, Ren Chongda called his old classmate Cao Yong.
The neurosurgery operation took a long time, and Cao Yong had just stepped off the operating table, it was one o'clock at noon. Huang Zhilei and other assistants didn't leave the stage, they were doing finishing work on the operating table. Cao Yong walked out of the operating room first and accepted the call from Chongda for help.
"What's the situation?" Cao Yong asked.
"Acute cerebral herniation, the pupils of a boy around five years old narrowed first, and now they may expand. I am worried that he will not be able to survive without drainage." Ren Chongda said.
"Which hospital are you in? Are you in the emergency department of our hospital?"
"Definitely not! We called you down directly in our hospital."
"So which hospital are you in now?"
"Outpatient building. A patient in a car accident on the road. The ambulance hasn't come for a long time, maybe the road is blocked. First move the person to the nearby outpatient building. There should be something that can be used here."
"Is there no CT photo?"
"No, the person is unconscious."
"You are not me, do you think you dare to do it without CT scan?"
The soul-questioning voice of the old classmate made Ren Chongda touch his forehead. His palms were covered with beads of sweat. It may be anxiety, or it may be fear and fear. The moment of life or death of the patient is pinched in his palm. It's just that he hasn't been a clinician for a long time, and he hasn't been in touch with clinics for too long. He may be unfamiliar with his skills, which makes him feel uneasy.
He didn't hear the old classmate's reply, Cao Yong thought in his heart, if it was the younger junior sister, he would definitely answer him right now: Try, no matter what, it must be tried for the sake of the patient's life!
Younger junior sister Yingying is the first rookie he has ever seen who is not afraid of tigers when giving birth, because this makes all the teachers and seniors always sweat for her. The way she often goes all out is rare in medical circles. Rare, but not impossible. It's not that doctors don't want to do this, but most doctors don't have the technical strength.
Indeed, if you don't try, the patient will die. In this case, can doctors choose not to do it because of the difficulty of the operation, just to avoid their own risks and then shirk their responsibilities?