Liu Maqiao walked quickly to the Department of Neurology, and was greeted by Deputy Director Liu Jianxin, who was also the deputy chief doctor. "Hurry, we have encountered a group of thorny family members. Director Zhao has no choice but to deal with them."
Entering the intensive care unit, Dr. Zou was already making preparations.
The patient not only suffered a cerebral hemorrhage, but also suffered a severe scalp contusion. Dr. Zou was in a hurry, trying to stop the bleeding.
The scalp is extremely rich in blood vessels. It would be difficult for a physician to use ligation in addition to bandaging to stop bleeding.
"I'll do it."
Liu Muqiao is full of confidence. He has already done it once, and the second case is out of the question.
He applied iodophor on his hands, took the instruments from Dr. Zou, and began to clear the inventory.
He fell so hard that his skull was probably lacerated, and he hadn't had time to see the CT scan.
What's even worse is that the injured area happens to be the site where the needle will be punctured. In such a severely contaminated wound, the needle must not be inserted.
This is common sense and the intuition of a master aseptic operator. You must not insert a needle from here.
There is a lot of sediment in the wound, and it is also some black smelly mud. Once the aerobic and anaerobic bacteria inside are brought into the skull, the infection will be fatal.
This cannot be done in a hurry, but must be done carefully. All the sludge must be removed without leaving any trace.
However, time is very tight and the patient's cerebral hemorrhage is serious. Dr. Zou has already prepared a defibrillator.
Today, it is Liu Jianxin who is directing the first aid. This is our first cooperation.
Zhao Yilin is dealing with his family.
The attitude of this group of family members is very bad. Maybe there is some hidden medical trouble inside. They keep asking the hospital to ensure the safety of the patients, otherwise they will be transferred to another hospital.
Logically speaking, since they made such a request, Zhao Yilin should let them transfer to another hospital.
However, conscience does not allow it!
Zhao Yilin has been a doctor all his life and has seen countless scenes. He cannot just ignore death.
The patient will definitely die if transferred to another hospital. Even if he is transferred to the nearest provincial hospital, it will take half an hour. Not counting the time at the beginning and end, it adds up to more than an hour.
Besides, it’s so critical, how can you bother with it? Moving and bumping are fatal.
Therefore, he stayed to work with the patients' families.
However, the hostility of the patient's family members is very strong, and they are threatening to destroy the hospital if they don't save the patient.
Although Zhao Yilin was angry, he still tried to restrain himself. He had no choice but to do so. He was a medical staff and he was an ordinary citizen who was ignorant of medicine.
In the intensive care unit, just as Liu Miqiao was quickly suturing the patient until the last minute, the patient's breathing and heartbeat stopped.
Doctor Zou was the first to rush forward, and as soon as he drew his heavy weapon, "Bang!" his heartbeat resumed.
"Lidocaine, dexamethasone, mannitol, soda..." Liu Jianxin decisively gave the oral doctor's orders.
Who gives formal medical advice when saving lives? Every minute and second is precious.
The nurse repeated it, and the medicines in her hand were already prepared, and it only took more than a minute to complete the entire execution of the doctor's order.
This is called well-trained.
Even if you are not a well-trained nurse, you cannot enter the intensive care unit.
Of course, entering the intensive care unit is not a very pleasant choice. Although the bonus is slightly higher, the time sacrificed is not equal at all.
Generally speaking, if you can persist for more than three years, you are a typical female man, and you are hardworking enough.
Liu Muqiao could only watch, but he was almost blank about rescuing patients, and his actual ability in this area was almost zero.
Therefore, he could only watch the excitement.
"It's time to start." Liu Jianxin still had some doubts about Liu Miqiao's puncture skills. After all, he had only heard about it and had not seen it with his own eyes. He had to add a question, "Are you really good at it?"
"It's hard to say." Liu Maqiao said.
"Hard to say?" Liu Jianxin's heart sank.
"Don't believe him!" Dr. Zou said loudly, "This guy is the best at showing off. He can do anything."
Liu Jianxin is still confused. An intern can do everything, but he is still an intern!
He said: "Really?"
Liu Muqiao was really not pretending. He was in trouble with this patient. After watching the film for a long time, he couldn't pinpoint the location where the needle was inserted.
Although Liu Miqiao was able to get a clear three-dimensional picture after watching the CT film, except for the hematoma and main structures, Liu Miqiao could not distinguish the various tissues and structures.
Just like walking, you know the road, but you may not necessarily know the flowers and plants on the roadside.
The traditional injection site is the safest. It is a safe way to puncture the basal ganglia, thalamus, and ventricle. Now we cannot take this way. Other ways that are not clinically selected are not often chosen because they are.
Risk.
The risk lies in the possibility of encountering arterial and venous blood vessels, as well as nerve nuclei, important nerve fibers passing by, or the center itself.
In other words, Liu Muqiao is not only a puncture expert, but he is definitely not a qualified doctor in neurology.
"Come and help me see if I can insert the needle from this place?" Liu Muqiao asked.
The site he chose was the temporal lobe.
Liu Jianxin came closer and compared the CT pictures, but he couldn't be sure. He had never tried inserting a needle from here.
Dr. Zou looked on and couldn't stand it.
Pretend!
You pretend!
Liu Xinjian, do you believe him too?
"I'm not sure either." Liu Jianxin told the truth.
"Then I'll give it a try. If I encounter a blood vessel, I'll stop." Liu Miqiao said.
"You stop when you encounter a blood vessel?"
Liu Jianxin thought he heard it wrong. Who can feel blood vessels? The dura mater can be felt, is hard, and has obvious resistance, while blood vessels are not significantly different from other tissues.
"Can you feel it?"
"Yes. Arteries are flexible and undulating, vein walls are tense, and there is a slight flushing sensation when blood flows."
"You...are so powerful?"
Unbelievable!
Liu Jianxin felt that it would be impossible to reach this level in his lifetime.
"Haha, haha." Dr. Zou laughed fiercely on the side.
"What are you laughing at?"
"He'll show off when I tell him! I've seen enough that he can do anything. Just ignore him and let him do it. Don't waste time."
Liu Jianxin nodded doubtfully, "Then try puncture. Just don't puncture the blood vessels. Everything else doesn't matter."
Liu Muqiao began to prepare for the operation, while Liu Jianxin watched on the side, smacking his lips. He had seen such a skilled person, but he had never seen such a skilled person. He had never done tens of thousands of surgeries, how could he reach this level?
Liu Muqiao quickly entered the piercing process.
However, it was different from every previous piercing. He concentrated on it, gently and slowly, his ears seemed to be listening, and he pushed forward millimeter by millimeter, and sometimes stopped.
He was feeling with his hands and listening with his ears. He could feel the nerve fibers being punctured, he could feel the blood vessels passing by, and he could feel the nerve fibers passing through.
Suddenly failed.
Yes, we’ve reached the hematoma site.
He took a long breath and succeeded.
Pull out the needle core and blood spurts out.
"Let's just use a needle. This is not a good place to insert a needle."
"Can it be flushed? Such a big hematoma." Liu Jianxin asked.
"Be patient and use more time." Liu Miqiao suggested.
"Okay, I'll listen to you." Liu Jianxin said.
"He just likes to hear this sentence." Dr. Zou is exposing Liu Miqiao's conspiracy again.
However, Liu Muqiao really had no conspiracy, but he was too lazy to explain.
The patient has not yet passed the critical period, and his heart and breathing may stop at any time.
Dr. Zou's hand is always within one meter of the defibrillator. This is an important weapon to scare away black and white. Since yesterday, four patients have been saved.
Made history.
Normally, there are not many opportunities for defibrillators to be used. During the year, they are basically in charge and backup. If they occasionally appear, most of the time they are used for comfort.
Rarely appear more than ten times a year.
If one or two out of ten times can be saved, it is considered a good result.
This refers to a defibrillator.
Antai Hospital does not have defibrillators prepared in every ward. They are kept in normal use. There are about fifteen defibrillators in the whole hospital.
The doorbell rang.
Opening the door, Xiang Lifang came in.
It can be seen from her expression that she is in a bad mood.
Being diagnosed with hyperthyroidism is indeed not good news.
She glanced at the intensive care unit and frowned several times.
Zhao Yilin also came in.
"Liu Muqiao, you participated in the consultation in our department this afternoon. Professor Hao specifically mentioned you, as well as Sima Linyi from the Provincial Hospital. He was invited by his family."
"Sima Lin Yi?" Liu Jianxin exclaimed softly.
Sima Linyi is the most disliked person in the neurology department of Antai Hospital. He is very unfriendly to Antai.
Zhao Yilin was constantly ridiculed by him.
This chapter has been completed!