Returning to '90s, She Became Famous in Major Surgical Fields

Chapter 579 : Shock

A group of people helped carry the injured women and children to the outpatient building. The other injured will wait for the firefighters to rescue them after the demolition. In the outpatient building, it is now near noon, and the doctor who came out of the outpatient clinic has left, leaving only two old nurses on duty. No wonder there is no doctor here to help after a car accident.

   Now I heard that there was a doctor, and two old nurses opened the door and let them carry the wounded in.

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

   "Take a blood pressure measure."

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

   After arguing with each other, the two old nurses asked Doctor Xiang, "Should you put an injection and hang up the saline first?"

   "Yes, draw blood before the injection, so that you won't be able to draw blood later." Xie Wanying replied, looking at the counselor at the same time.

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

  The old nurses went to get blood and injection kits. The treatment cart was quickly pushed over to draw blood and give injections to children and women.

   The two wounded were all bleeding, with symptoms of hypotension, and the blood vessels were not easy to find needles. Two old nurses squinted their presbyopia, trying to find the patient's blood vessels. They will be arranged to work in such outpatient clinics only when they are old and retired. The chance of encountering this kind of rescue on weekdays is almost zero.

   "No, I can't hit you, doctor," the nurse reported.

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

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

   "Okay." Ren Chongda didn't need to think about it, he left it to her. Now he was anxious to see how to solve the boy's acute herniation.

   Compared with the abdominal bleeding of Fuyuko's mother, the internal bleeding of Fuyuko's head is more urgent, leaving less time for the doctor. Abdominal hemorrhage will not compress the patient's fatal physiological organs in a short time, and the vital signs can be slightly maintained by fluid replacement. Different from acute brain herniation, continuous massive hemorrhage quickly forms a cerebral hematoma and squeezes the brain stem of the patient's life center, and the patient will surely 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 punch the external jugular vein, they agreed with her idea, but their eyesight was not very good, so they asked her, "Can you punch it?"

   "I'm a medical student, and I learned injections from a nurse." Xie Wanying said.

   "You come to fight."

   Take the indwelling needle and quickly sterilize it in an enlarged area around the location of the conventional puncture point. One of the old nurses put a small soft pillow under the patient's shoulder to raise the shoulder.

   Different from the peripheral vein injection of the extremities, the peripheral vein of the limbs is covered with a tourniquet, that is, a rubber tube or other binding puncture point in order to expose the vein. The external jugular vein obviously does not have such a position to bind the injector. The person injecting the needle can only press the end of the external jugular vein with his finger on the clavicle to make the punctured section as full as possible to get the needle.

  Xie Wanying put on gloves on both hands.