The two-handed method is to place both hands on the heart and apply pressure. It is used in cases where the doctor's hands are too small compared to the patient's heart, so only one hand can be used.
The sternum compression method is to put your fingers behind the ventricle and push the ventricle toward the sternum, which is a labor-saving method. Today's patient has a sternum injury and is obviously not suitable.
To sum up, Dr. Xie used a single-handed approach.
The surgeon's hands reaching into the chest cavity to press the heart are invisible to outsiders.
Others can only make judgments by observing the values on the ECG monitor.
The chest compression should be 60 to 80 times per minute. The standard practice is to relax the heart immediately after squeezing it. Do not pinch the heart with the end of your fingers. Such a fast frequency, and requiring the doctor to operate with one hand, is not easier than chest compression at all and is very laborious.
An untrained person would probably feel like his hands are going to break after doing this for a while.
Chest compression does not mean not to perform artificial respiration. I saw another nurse helping to press the breathing bag at the bedside, waiting for the anesthesiologist to come down to help with tracheal intubation. I can only say that the accident came too fast.
Dong, dong, dong. Finally, Dr. Tang from the anesthesiology department came down to the emergency room again in a hurry, carrying the anesthesiology tool box. When he stretched out his hand to pull open the curtain separating the emergency bed, Dr. Tang shouted, "Whose doctor's patient is this?"
...
...
Then Dr. Tang looked at the chest compression being performed in front of him, his eyes widened: "Dr. Xie?!"
This new female disciple of Boss Zhang is incredible. Facing one emergency patient after another, each one more critical and dangerous than the other, it seems like one purgatory after another is verifying whether Boss Zhang's female disciple has the ability to be a real boss.
"Is it pressed up?" Doctor Tang turned his head and looked at the instrument screen.
Zhang Shuping and the nurse did not dare to express their opinions after seeing it before, after all, they did not quite understand it.
At this time, the heart rate curve on the ECG monitor is definitely not the patient's autonomous heart rate, but the heart rate pressed by the doctor. It can therefore roughly reflect the doctor's hand speed and pressure.
"Doctor Xie is quite powerful." Knowing that this job is very strenuous for a female doctor, Doctor Tang commented.
Then, as an experienced anesthesiologist, Dr. Tang placed his hand on the patient's pulse to feel the pulse, and then used a flashlight to observe the patient's pupils: "Hmm, not bad, not bad, there is hope."
"The myocardial tension has increased. Give me 1 ml of 0.1% epinephrine." Surgeon Xie gave the medical order.
The surgeon can know the patient's heart condition best by feeling the patient's heart.
Without waiting for the nurse to prepare the medicine temporarily, the experienced Dr. Tang was even faster. He found the adrenaline and prepared it for her in seconds, and handed the syringe to her: "Here, thank you, chief surgeon."
Xie Wanying, concentrating on the operation, took the syringe directly without even looking at who it belonged to, and then inserted the syringe needle tip into the patient's left ventricular cavity at the speed of lightning and thunder.
Boom, boom. Boom.
The instrument showed that the patient's heart rate had increased.
Dr. Tang’s mouth shrank: Awesome.
The most wonderful moment when saving lives is always here, when the patient seems to be back to life in an instant. Dr. Tang knows that only a real boss can have a series of accurate judgments and accurate medical measures to bring the patient back to life.
Looking back, the young surgeon Xie remained calm the entire time and did not even forget that he was guiding a student: Well, only the real big guys can be so calm and composed in the face of adversity.
"Come, stretch out your hand and touch your heart." Teacher Xie said to Zhang Shuping.
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