A group of people helped to carry the injured woman and child to the outpatient building first. The other injured would be rescued after the firefighters broke into the building. At the outpatient building, it was almost noon, and the doctors who came to see the patients had left, leaving only two old nurses on duty. No wonder there were no doctors to help after the car accident.
Now hearing that a doctor was present, the two old nurses opened the door and let them carry the wounded in.
Although it is an outpatient clinic, it has a treatment room. There are some first aid items in case of emergency. I just happened to use them.
"Get a blood pressure monitor."
"Let's give you the injection first. You're losing blood."
After arguing with each other for a while, the two old nurses asked the doctor: "Should we give him an injection and hang up saline solution first?"
"Yes, draw blood before the injection to avoid being unable to draw blood later." Xie Wanying responded and glanced at the counselor.
Ren Chongda did not refute her words, which showed that he agreed with her instructions.
The old nurses went to get the tools for drawing blood and giving injections. The treatment cart quickly came over to draw blood and give injections to the children and women.
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The two injured were both bleeding and had symptoms of hypotension. It was difficult to find blood vessels and inject needles. The two old nurses squinted their presbyopic eyes and tried hard to find the patient's blood vessels. They were old and retired, so they were arranged to work in such an outpatient clinic. On weekdays, the chance of encountering such a rescue is almost zero.
"No, I can't get the shot, doctor," the nurse reported.
At this time, the patient's peripheral blood vessels have low systemic perfusion, low arterial blood output and low venous blood return, and the blood vessels are shrunken and contracted. The first choice should be central venous puncture, such as the subclavian vein puncture that Xie Wanying did last time. The problem is that the outpatient building may not have such a puncture needle.
When Xie Wanying heard the nurse report this situation, she had expected it. She turned the patient's head and saw that the external jugular vein was slightly full. She turned back and asked the counselor: "Teacher Ren, should we puncture her external jugular vein?"
"Okay." Ren Chongda didn't need to think too much and let her handle it. Now he was anxious to see how to solve the boy's acute brain herniation.
Compared with Dongzi's mother's abdominal bleeding, Dongzi's internal bleeding in the head was more urgent, leaving doctors less time. Abdominal bleeding will not compress the patient's vital organs in a short period of time, and vital signs can be slightly maintained through fluid replacement. Acute brain herniation is different. Continuous massive bleeding quickly forms a cerebral hematoma that squeezes the patient's vital center, the brain stem, and the patient is doomed to die.
Seeing the counselor's look, Xie Wanying knew that she had to give Dongzi's mother an injection as soon as possible, because the counselor would definitely need her help later. When the two old nurses heard that she wanted to inject the external jugular vein, they both agreed with her idea, but their eyesight was not very good, so they asked her: "Can you do it?"
"I'm a medical student and I learned how to give injections from a nurse," said Xie Wanying.
"You come and fight."
The indwelling needle was taken over and quickly disinfected around the regular puncture point. One of the old nurses put a small soft pillow under the patient's shoulder to raise the lower shoulder.
Unlike the puncture of the peripheral veins of the limbs, where a tourniquet (rubber tube or other binding above the puncture point is used to make the veins full and visible, there is obviously no such place for the injector to bind when injecting the external jugular vein. The injector can only use his fingers to press one end of the external jugular vein on the clavicle to make the punctured section as full as possible so that the needle can be inserted.
Xie Wanying put on gloves on both hands.
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