However, the patient's blood pressure dropped slightly.
When the latest systolic blood pressure value was 86, Geng hurriedly measured the patient's blood pressure again to check to avoid making a wrong measurement.
There were two clanging sounds inside the car.
Geng Yongzhe turned around and saw Xie bending over to pull out the first aid kit. He couldn't help but say, "Yingying, be careful."
I was afraid that she would hurt her hand. The space inside the car is limited and she might hurt herself if she was not careful while doing any operation.
"It's okay." Without even raising her head, Xie Wanying pulled out the first aid kit under the seat of the ambulance and quickly opened the lid.
There are usually a few bags of sugar and salt inside. Take out all the **, pick up the bandage and pull out the bandage head to tie up these bags of rehydration bags. Obviously, this is to make a pressure device similar to a hot water bottle.
Geng Yongzhe reacted upon seeing this and hurriedly moved the quilt covering the patient's abdomen.
The gauze covering the wound of the injured person did not bleed much, so it was not the incision that was bleeding. On the contrary, the waterproof cloth under the patient was magnified by the blood. It was the (homonymous with "yin") "cause" bleeding.
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After a normal delivery, whether it is natural or cesarean section, lochia will be discharged, which is normal postpartum vaginal bleeding. The amount of normal lochia is very small, like the amount of menstrual bleeding. If the amount of bleeding exceeds the normal amount, it is postpartum hemorrhage.
There are many reasons for postpartum hemorrhage. Since this was a post-cesarean section patient, and the operation was performed by Director San of Beidu himself, it is unlikely that the cause was the residual embryonic disc in the uterus and the inadequate hemostasis and closure of the abdominal cavity. The only possible cause was uterine atony, the most common cause of postpartum hemorrhage. As for the very rare amniotic fluid embolism, which is something that no clinician would want to think about, of course, it must be taken into consideration.
If the amount of bleeding is not excessive and is caused by uterine atony, oxytocin can be given intravenously during clinical practice.
The obstetricians at Beidu No. 3 are experts who are cautious and will not use these measures beyond the scope. Oxytocin has both good and bad effects, and the more you give it, the better. The famous amniotic fluid embolism may be caused in part by too strong uterine contractions. Taking oxytocin for prevention may just create new risk points.
Now it is possible to give oxytocin, but the teacher is not here and cannot prescribe it. The two students and the nurses do not have the right to prescribe medicine, so they can only take other measures to stop bleeding. Another common non-drug treatment for postpartum hemorrhage in clinical practice is to press a sandbag on the abdomen. Similar to prescribing oxytocin, there is no clinical data to support that pressing a sandbag is beneficial to the parturient when the parturient has no positive symptoms or disease tendency, so the three doctors in Beidu did not need to press a sandbag on this parturient after the operation.
The clinical teachers were experienced and thought that half an hour on the road would not be a big problem, and if there was anything, they could handle it at Fangze. But they did not expect that the journey would take more than half an hour, but 40 minutes. It might be because of the bumpy road and the weather, the patient had some postpartum bleeding.
What happened to the road ahead? Why was it so congested today that it exceeded the teachers’ expectations?
The nurse sitting in the passenger seat hurriedly opened the door and got out of the car. She ran to the front to ask what happened, then ran back to the car to tell everyone what happened: "There was another car accident after the first one, so the road is blocked."
Don't complain about traffic police. A traffic police comrade was hit by the second car accident while directing traffic evacuation and was seriously injured. Now his life is in danger. The medical staff who rushed to the scene are rescuing the injured.
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