Font
Large
Medium
Small
Night
Prev Index    Favorite Next

【579】shock

A group of people helped lift the hug and transferred the injured woman and child to the outpatient building first. The other injured people were rescued after the firefighters broke down and rescued them. At the outpatient building, it is almost noon, and the doctors who came out of the outpatient department left, leaving only two old nurses on duty. No wonder they couldn't find a doctor to help after the car accident.

Now I heard that there was a doctor here, two old nurses opened the door and asked them to carry the injured in.

Although it is an outpatient clinic, it has a treatment room. Some first aid items are available in case of emergency. They are just ready to be used.

"Take a blood pressure measurement."

"Get the injection first. You'll lose blood."

After arguing with each other, the two old nurses asked the doctor: "Do you have to take the injection and put the saline solution first?"

"Yes, draw blood before the injection so that the blood won't be drawn out later." Xie Wanying responded, looking at the counselor at the same time.

Ren Chongda did not refute her words and expressed that he agreed with her instructions.

The old nurses went to get blood draw and injection tools. The treatment car quickly pushed over and drew blood draws and injections for children and women.

The two injured were all bleeding, symptoms of hypotension, and it was difficult to find an injection for blood vessels. The two old nurses squinted their presbyopia and tried hard to find the patient's blood vessels. They were old and retreated to the second line, so they were arranged to work in such an outpatient clinic. There were almost zero opportunities for such rescue on weekdays.

"No, I can't get it, doctor." The nurse reported.

At this time, the patient's peripheral blood vessels are low in systemic perfusion, less arterial blood output, less venous blood flow, and the blood vessels are shriveled and shrinking. The first choice should be central venous puncture, such as the subclavian venous puncture performed by Xie Wanying last time. The problem is that there may not be such puncture needles in the outpatient building.

When she heard the nurse report this situation, Xie Wanying had expected it. She turned the patient's head and the external jugular vein was slightly full. She turned around and asked the counselor: "Teacher Ren, let's take her the external jugular vein?"

"Okay." Ren Chongda didn't need to think too much, so he left it to her for treatment. Now he was anxious to see how to solve the boy's acute brain hernia.

Compared with Dongzi's mother's abdominal bleeding, Dongzi's internal bleeding is more urgent, and there is less time left to the doctor. Abdominal bleeding will not compress the patient's fatal physiological organs in a short period of time, and vital signs can be slightly maintained through rehydration. Different from acute cerebral hernia, continuous heavy bleeding can quickly form a cerebral hematoma and squeeze it into the patient's life center brain stem, and the patient will undoubtedly die.

Seeing the counselor's appearance, Xie Wanying knew that she had to give Dongzi's mother an injection as soon as possible. The counselor would definitely need her help later. The two old nurses said they agreed with her idea when they heard that she was going to get an external jugular vein, but they had poor eyesight and asked her: "Can you get a test?"

"I am a medical student and learned to get injections with a nurse." Xie Wanying said.

"You'll fight."

The indulgent needle was taken over and quickly expanded the scope of disinfection around the conventional puncture point. One of the old nurses placed a small soft pillow on the patient's shoulder and raised his shoulder.

In different places than to apply the peripheral veins of the limbs, in order to fill the veins, the peripheral veins of the limbs use tourniquets, that is, above the rubber tube or other binding puncture points. The external jugular vein is obviously not bound to the injector. The person who receives the injection can only press one end of the external jugular vein with his fingers on the clavicle to make the puncture as full as possible. The injection part seems to be full and easy to get the injection.

Xie Wanying put on gloves on both hands.

-------------------

Thank you for your support!!! Good night, dear~
Chapter completed!
Prev Index    Favorite Next