"Nothing, I guess." Shin Youhuan replied to Doctor You, "I think some important person is coming to our hospital for treatment, and the two leaders are discussing the medical records."
"Don't you think that our hospital might want to buy some equipment, or expand some business, or raise or lower our salaries?" If Dr. You was indignant and argued with him, everyone wants to improve their benefits as soon as possible.
"The more you think about something, the less you will get it." Shen Youhuan told his colleagues that it is better to think less about the things that fools dream about. It is better not to think about it when the boss suddenly gives you a big gift package.
Senior Brother Shen is really good at joking, and his humor style is completely different from Senior Brother Zhu's. Senior Brother Shen is 100% carefree and optimistic, and he has a sense of joking that sees through the world, but Senior Brother Zhu is not like that. Xie Wanying thought to herself.
"Whose medical records is she studying carefully?" asked Dr. You, who had long been curious about the newcomer sitting there flipping through medical records early in the morning.
Without talking about the private affairs of the junior sister, Shen Youhuan stood up. It was almost time to go over and see how the people below were preparing. Seeing this, Xie Wanying put away her cousin's medical records and went to the control room with her senior brother.
Several doctors in surgical gowns and lead suits were busy in the operating room. Among them, Dr. Chen was the older one, and he gave instructions to the two younger ones: "Teacher Shen said that the patient needs IABP. Femoral artery puncture is the first choice."
Femoral artery puncture is the preferred approach for cardiovascular interventional surgery, as mentioned before. It is thicker than the radial artery and seems easier to puncture, and it is a basic skill for cardiovascular interventional surgeons. However, it is not easy for medical students and young doctors who have just started to master this basic skill.
As the saying goes, the beginning is always the hardest.
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Unlike the radial artery, the femoral artery is deep and not as easy to feel as the radial artery. That being said, as the main artery of the lower limbs of the human body, the femoral artery is easier to feel in the place where first aid compression hemostasis and puncture are commonly used in clinical practice. For example, the old man that Xie Wanying rescued when she first entered school, it was not difficult to feel the femoral artery, but it was difficult to fix it. Under normal circumstances, even if the patient is not in a very special situation, the femoral artery pulsation can be felt at the superficial position of the midpoint of the groin.
Doctor Yang wore gloves and pressed the skin with her middle finger and thumb at the groin of the patient's right thigh. After feeling for a long time, she seemed to be unable to find it.
The patient's cardiogenic shock is a condition of systemic hypoperfusion. The amount of arterial blood pumped by the heart is reduced, and the arterial pulsation naturally weakens. The femoral artery is no exception and will be affected.
In clinical practice, it is often the case that the patient's blood vessels cannot be felt, such as when a nurse is giving an injection. Whenever a patient is in shock, the difficulty of puncturing the artery and vein will be increased. It is very necessary to take anatomy as the basis of all branches of medicine, especially at this time.
Think about anatomy. It doesn't matter if you can't feel it, just recall the anatomy of the femoral artery and puncture it completely blindly.
It’s not that Dr. Yang hadn’t thought about this, but he hadn’t tried it, so he felt a little nervous.
"Make a decision quickly." Doctor Chen, who was watching her operation from the opposite side, urged her.
I rushed here as fast as I could. The teacher gave me a chance to practice. I had to work hard to be different from others. Dr. Yang encouraged himself in his heart.
The patient's condition is relatively stable now, and the teacher will give the student the opportunity to continue trying in order to train future generations. Dr. Chen gave instructions one after another: "Think carefully before you proceed, don't pierce the vein, and give anesthesia first."
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