Only personal experience can make one feel the same. At this moment, she can feel doubly the feeling of standing on the operating table when Senior Brothers Tao and Cao saved her. She can also feel the deep sadness of the godly brother who watched the patient die and had to pretend to be cool in front of his students even though he was powerless to do anything.
Being a teacher in front of students is like being a god, and your image must not collapse no matter what. Even if you are panicking and have no confidence, the parasympathetic nervous system must fight on its own to maintain the excitement of the sympathetic nervous system, like a warrior blowing a horn and rushing forward without stopping.
Don't look back, don't think about the past and the future, otherwise you will get stuck in the quagmire and unable to get out and move forward. If we cannot move forward, it means standing by and watching the patient die.
Fortunately, the social experience before her rebirth and the valuable experience of following many big teachers after her rebirth made her very clear about what she should do at this moment.
If you want to become an independent doctor, you must pass this hurdle.
Xie Wanying is not the only one who will face such a challenge tonight. Doctors who are in clinical practice all the time every day are facing challenges, whether they are big shots or not.
Well, so, Zhang Shuping, don't think that you are the only fledgling who will encounter this seemingly terrifying clinical accident.
The ocean of medical knowledge is vast and boundless. Even the most senior doctors cannot learn and master all of medicine even if they study till old age. Therefore, for young doctors, the internship period may be extremely long compared to other professions, but there is absolutely no guarantee that they can learn all the skills before officially taking up the job.
You said that sudden cases requiring intrathoracic cardiac compression like today's are rare in clinical practice.
...
...
What should I do if I don’t have the opportunity to learn from the teacher during the internship period? Just as Boss Zhang told them at the beginning, work hard, and your patients are your best teachers.
After calming herself down, Xie Wanying quickly reached out to the nurse beside her: "Scalpel."
The nurse immediately handed the scalpel to her.
With one cut, the hole was not right in the middle of the sternum. Because it is unnecessary, the middle opening of the sternum is to ensure the best surgical field of view, allowing the doctor to carefully and comprehensively examine and repair the structure of the heart. This was an emergency surgery, and the purpose was not to perform complicated surgery on the patient's heart, but only to resuscitate the heart. All that was needed was to make an incision in the human body so that the doctor's hand could reach the heart.
The surgical purpose is different, and the surgical path is different.
In order to allow the doctor's hands to reach the heart as quickly and conveniently as possible, the surgical route can refer to the previously mentioned minimally invasive cardiac surgery route and make an incision in the intercostal space. Avoiding opening the sternum is also intended to shorten the operation time.
The correct and conventional incision position is in the fourth intercostal space on the left side, and an arc-shaped incision is made from the left edge of the sternum under the left * to the anterior axillary line. In extremely urgent cases like this one, disinfection may not even be necessary, because a cardiac arrest is far more dangerous than Brother Gangluo's situation. I have said it many times before: the golden time for rescuing the heart is only a few minutes.
Fast, as fast as possible.
Be fast and precise at the same time, otherwise you're wasting time instead of saving time.
It is not difficult to locate the opening of the fourth intercostal space. This anatomical position is not difficult to identify and any surgeon can open it. The main problem is whether the doctor's hands are familiar with how to enter the surgical incision to find the heart after the opening.
This involves professional knowledge and professional experience.
Continue read on readnovelmtl.com
