Why would the nurse trust the judgment of his intern classmate? Li Qi'an's head was a little blown, and he couldn't figure it out.
"Is the doctor down yet?"
"Did you urge it?"
"I said it's coming down—"
"I urged them. I called them several times! I urged them like hell—"
"Where's Dr. Jin?!"
"Someone said Dr. King was over there, so I ran to find her—"
Beep, beep, beep, the ECG monitor sounded a series of alarms.
A Tao's mother, who was holding Luo Yanfen's hand, raised her head: "What happened? What's that sound? Yanfen?!"
...
...
Luo Yanfen looked at the red alarm on the ECG monitor and said anxiously, "Let me go, Auntie!"
"I won't let you go, please save your uncle, please save him——"
"No, if you don't let me go, how can I save people?!"
"My husband, please save him——"
Could it be that this woman had gone mad with fear, holding onto her legs tightly? Luo Yanfen couldn't get away, and when she saw the curve on the monitor becoming increasingly wrong, her face turned pale, and then she said, "Is this the end?" !
Not sure what happened, the nurse and Li Qi'an who were guarding the patient's bed looked back at the monitor: "What's going on? Did the patient have cardiac arrest?"
"Has the heart stopped?"
"Doing CPR—"
"Bring the defibrillator—"
Xie Wanying quickly felt the patient's pulse: "No, it's a strange pulse——"
"Yingying, what do you mean?" Li Qian'an turned around and looked at her when he heard her voice, while the nurses around him went to pull the defibrillator.
"No, no, what we need to do now is puncture!" Xie Wanying shouted, "It's almost too late——"
She pushed aside the defibrillator that the nurse had brought. She rushed to the treatment cart on the other side, opened the drawer under the treatment cart, and took out a 5 ml disposable syringe, tore open the outer packaging, and pulled out the needle.
On the treatment tray in the car, there were the pericardial puncture supplies that the nurse had just prepared, including a disposable puncture needle in an outer package. She tore off the outer package and took out the puncture needle, put on a syringe without a needle, pulled open a small section of the syringe's pull rod, and then clamped a sterilized cotton ball with the end of her little finger and ring finger.
The people around her looked at her series of quick movements like a hurricane in amazement.
Hiss, she pulled open the clothes on the victim's upper body, and her fingers quickly touched the intersection of the xiphoid process and the left costal arch, about 2 cm below, and quickly rubbed a circle here with the sterilized cotton ball.
The words from a medical paper flashed through my mind. The patient was in an unconscious state and could not sit or half sit, but could only lie flat. In this case, the needle had to be inserted at a very small angle, which was half the angle of 30 degrees in the textbook.
After clearing her mind, Xie Wanying looked at the patient's chest. In her mind, the patient's heart was beating very fast, and he was almost suffocated by the blood in the pericardium. The patient's situation was the same as the last time the pneumothorax patient was almost suffocated. The respiratory and heart organs were compressed by the blood gas, and their physiological activities were about to stop.
If this pressure is not relieved quickly, the patient's organs will be compressed to death.
It was really too late. The heart rate on the monitor was trembling.
Insert the needle slowly. Don't rush at this time. Be accurate. Insert the needle at an angle of 15 to 20 degrees to the abdominal wall. For thin patients, a depth of three to five centimeters is generally enough. However, everything depends on how the needle tip feels after entering.
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