No matter how poor their medical skills are, the medical staff in the health center have the technical level to judge whether the patient will die.
"Don't just stand there." Doctor Hu shouted loudly for everyone at the scene to move and not to just stand there in a daze. Now is the time when medical staff are trying to seize the last moment and fight the god of death to save his life. "Quick, the upper respiratory bag. You go and squeeze it!"
Shen Xifei, who was suddenly pointed at by Dr. Hu, was standing outside to wait and see what happened.
"Are you coming in or not?" Doctor Hu asked her again.
Isn’t Teacher Hu going blind? The pair of eyes looking at her seemed to see through the depths of her soul and made her shudder. If she dares not move now, she will forget about staying in Beidu San. Thinking of this, Shen Xifei rushed forward with gritted teeth, determined to fight for her future job.
The small hospital had no ventilators. I can only use a breathing bag instead of a ventilator and connect to oxygen. Shen Xifei pinched the breathing bag. It was difficult for the nurse to puncture an intravenous channel to inject epinephrine into the patient because she couldn't find the patient's blood vessels. After all, the patient was on the verge of shock.
Someone pushed a defibrillator over, ready to perform CPR and defibrillation immediately if the patient's heart stopped beating.
"Xie Wanying, do you know what to do?" Doctor Hu could no longer see the figure clearly and could only use his voice to find Xie.
"Teacher, I am doing left-side advancement on the patient's uterus." Xie Wanying replied, while she was standing on the patient's left side, placing her hands on the lower right side of the uterus, holding the uterus towards herself and pulling it toward the upper left side.
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When Dr. Hu heard her answer, no matter what bad things he had said to her before, he could only reveal a satisfied smile at the corner of his mouth.
Whether it is a teacher or a boss, everyone prefers student subordinates with excellent professional abilities, so there is no need to waste time and effort.
The people at the health center were confused when they heard this, and those who were not obstetricians and gynecologists could not imagine what the purpose of Xie Wanying's doing was.
Shen Xifei curled her lips and thought to herself, this Xie Wanying might be trying to steal her job in obstetrics and gynecology. Why is she so familiar with the professional knowledge of obstetrics and gynecology?
The left uterine advancement performed by Xie Wanying is one of the rescue measures recommended by the cardiopulmonary resuscitation guidelines for pregnant women. After a pregnant woman is pregnant for more than 20 weeks, the enlarged uterus will compress the inferior vena cava, pelvic cavity and abdominal aorta of the pregnant woman, resulting in a decrease in the amount of blood returning to the heart. Pushing the uterus helps to reduce the pressure of the pregnant woman's uterus on the inferior vena cava, increase the amount of blood returning to the heart, improve cardiac output and blood circulation, and increase the chance of successful rescue.
Dr. Hu, who couldn't see the numbers on the monitor clearly, continued to receive data reported by others by ear. When he heard that the patient's heart rate and blood pressure could not be maintained, he decisively instructed the nurse in the emergency room: "Get ready for PMCS."
PMCS? Once again, the people at the health center failed to remember this obstetrics and gynecology term.
"Peri-mortality cesarean section," Dr. Hu told them, without any blame or sarcasm in his tone.
The health center has a poor infrastructure and there are no obstetricians and gynecologists on site. It is normal not to know this.
PMCS was proposed not long ago, less than twenty years ago, and refers to cesarean section initiated after cardiopulmonary resuscitation.
Similar to the uterine advancement method, after the fetus is removed by cesarean section, the pressure on the uterus can be instantly relieved, which is beneficial for saving the life of the pregnant woman. Secondly, if the pregnant woman dies and cannot be rescued, the life of the fetus will enter a countdown of thirty minutes.
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