Before reinforcements arrive, medical staff in the emergency department need to continue rescuing and treating the patients.
"Doctor Xie, would you like to take an X-ray?" asked the experienced nurse Yang.
This patient absolutely needs emergency surgery. X-ray, CT and other examinations are necessary to help the doctor determine the location of the steel bar in the victim's body and know how to operate.
The problem was that the patient's vital signs suddenly became unstable, so it was not appropriate to send him to the imaging department for examination. The medical staff first sent the patient to the emergency room.
Data from the ECG monitor showed that the victim had low blood pressure and a fast heart rate, and an obvious lack of blood volume.
I hurriedly asked the nurse to go to the blood bank to get some blood.
On the other hand, the patient only had one intravenous access, which was previously opened by Dr. Liu and his team. In the patient's current condition, two intravenous accesses must be opened to maintain blood pressure. However, in such a state of near shock and low blood volume, the peripheral veins must have shrunk, and the nurse could not open the vein.
According to the cases mentioned before, we may try to puncture the internal and external jugular veins or the subclavian vein to establish central venous infusion. However, the injured person today is special. When he fell from mid-air, the clavicle of his neck was injured, which is a contraindication for the above-mentioned venous puncture. The subclavian vein and internal jugular vein are deep vein catheters, and peripheral veins can be selected clinically.
What if the peripheral venous nurse cannot find a vein? The surgeon has to take over and perform phlebotomy.
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The fact that blood vessels cannot be found does not mean that they have “disappeared”. Blood vessels always exist in the human body. Blood vessels filled with blood allow medical staff to feel the pulsation through the skin and then perform puncture. Now that the blood vessels are deflated and cannot be felt, the only way to find them is to cut open the skin.
The preferred venous incision vessel in clinical practice is the great saphenous vein.
The general direction of the great saphenous vein in the human body is as follows: starting from the inner side of the dorsum of the foot, going up along the inside of the ankle, reaching the inner side of the calf and thigh, and finally merging into the femoral vein.
Based on the direction of this blood vessel, the doctor can choose to cut the great saphenous vein at the medial malleolus or the femoral saphenous vein. Without much thought, the doctor knows that the medial malleolus is the preferred location because it is easier to operate.
"Perform an incision on the great saphenous vein at the medial malleolus." Xie Wanying gave the order.
Nurse Yang and Guo Zihao, who were present, hurriedly brought the items needed for the incision.
Every second counts in rescuing a patient in shock, and everyone is working hard.
The door of the emergency room was closed. The medical staff were busy rescuing the patient at this moment, and there was no one guarding the emergency room outside. Anyway, the emergency patients would shout loudly for doctors and nurses.
Someone could easily take advantage of this moment and quietly walk into the emergency department through the gate security check without being noticed.
The two people who got out of the taxi and pulled the suitcases did exactly that. They waited for Xie Wanying and the others to bring the patient inside, and then followed them to the entrance of the Guozhi Emergency Department lobby.
The light from the emergency room door shone down, clearly showing the appearance of the two people. They were two young men. One of them was wearing a yellow sweater, and like a curious baby, he kept looking around in the emergency room.
The other person was wearing a blue and white sports jacket, holding his briefcase in his arms like a pillow, and taking a nap while sitting on the suitcase.
Who wouldn't want to sleep in the middle of the night? This is probably what the sleepy person is thinking.
The man in the yellow sweater didn't want his companion to think so. He pushed his companion's shoulder and said, "Hey, Zhiyuan, wake up and sneak in to take a look."
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