Chapter 3629        【3629】Cut open

Before the reinforcements arrived, the medical staff of the emergency department needed to continue to rescue and deal with the patients.

"Doctor Xie, do you push me to take X-rays?" asked the experienced Nurse Yang.

This patient needs emergency surgery 100%. X-ray CT and other examinations are necessary to help the doctor determine the position of the steel bar in the injured person's body and know how to apply the surgery.

The problem was that the injured person's vital signs suddenly became unstable, and it was not suitable to be sent to the imaging department for examination. The medical staff sent the injured person to the emergency department first.

Data on the ECG monitor show that the injured person has a low blood pressure and a fast heart rate, which is obvious that the blood volume is insufficient.

I hurriedly asked the nurse to go to the blood bank to get the blood.

On the other hand, there is only one venous channel on the injured person, which was given by Dr. Liu and others before. In the current situation of the injured person, two venous channels must be opened to maintain blood pressure. However, in this state of almost shock, the blood volume is low, and the surrounding veins will inevitably be shriveled, and the nurse cannot get the vein.

According to the cases mentioned before, you may try to puncture the internal and external jugular veins or the subclavian vein to establish central vein infusion. However, today the injured person is special. When falling from mid-air, the part of the neck clavicle is affected, which is the taboo for venous puncture mentioned above. In other words, subclavian vein, the internal jugular vein of the subclavian vein belongs to deep vein cannulation, and clinically, the peripheral vein can be picked.

What should I do if the peripheral vein nurse cannot find the blood vessel? The surgeon can only take the place of the battle and perform a vein incision.

The blood vessels cannot be found and "disappeared" does not really disappear. The blood vessels always exist in the human body. Blood-filled blood vessels can allow medical personnel to feel the pulse through the skin and then puncture. Now the blood vessels are deflated and cannot be touched. Only after cutting the skin, I can search.

The preferred venous blood vessel in clinical practice is the saphenous vein.

The general direction of the saphenous vein in the human body is like this: Starting from the inner side of the dorsum of the foot, walking upward along the ankle, to the inner side of the calf and thigh, and finally into the femoral vein.

According to the direction of this blood vessel, doctors can choose to incision of the saphenous vein in the medial ankle or incision of the saphenous vein. Without thinking too much, you will know that the position of the inner ankle is the first choice for the inner ankle, so it is easy to start.

"Does a large saphenous vein in the medial ankle." Xie Wanying ordered.

Nurse Yang and Guo Zihao present hurriedly brought the items needed for the incision.

Rescue patients in shock is a matter of time and every time they work hard.

The door of the emergency room is closed. The medical staff are busy participating in the rescue of patients at this moment. The emergency room outside is equivalent to no one guarding it. Anyway, the emergency room will be heard by the doctor and nurse again.

Someone can take advantage of this moment and just go to the emergency department quietly through the door protection arrangements, no one noticed it.

The two people who got out of the taxi to pull their suitcases did this. When Xie Wanying and the others took the patient inside, they followed him to the entrance of the Guozhi Emergency Department Hall.

The lights at the door of the emergency room clearly reflected the appearance of the two of them. They saw that they were two young men. One of them was wearing a yellow sweater, like a curious baby, and he stretched his head and kept looking around in the emergency room.

The other man wore a blue and white sports jacket, put his hands on his briefcase, as if he was holding a sleeping pillow, and sat on his suitcase and was dozing.

At the middle of the night, who wouldn't want to sleep? This is probably what the dozing person thinks.
Chapter completed!