Chapter 3800         【3800】Three Situations

Holding the surgical hook, Zhang Shuping carefully helped Teacher Xie pull the surgical incision, and held his breath with the emergency nurse who was assisting him.

I only remember the textbook said that if the angle is wrong and you want to touch the pericardium immediately, it may encounter obstacles or be awkward to operate, and the external pericardium is unsuccessful, then you need to disconnect the third and fourth ribs for internal pericardium pressing.

Yes. By then, it would be even more deceased.

The best is that it is a success in performance. Zhang Shuping felt that the heat he exhaled was about to burn himself to death.

This situation is really a hot potato for him and Teacher Xie.

I can't help but don't think about saving you, but the success rate of this kind of dead horse is too low.

This is also why external heart compression is commonly recommended in clinical practice while internal heart compression is extremely rare.

According to medical statistics, there is no advantage in the success rate of heart compression in chest compared with heart compression in chest. Therefore, there are special prerequisites for doctors to do heart compression in chest. For example, if you have seen it in the first child,

Patients with open chest surgery retained the chest cavity and were suddenly rescued after surgery.

Swish, Xie Zhuan's right hand wearing gloves penetrated into the scalpel.

She had never done this kind of surgery independently, but she must have done the heart compression in her chest, otherwise she would never dare to say anything. I remember the one that was placed by the immortal brother when she was a child, which made her crazy

Do a heart pressure on the little baby with bare hands.

Thanks to the immortal brother for leaving her all kinds of painful experiences and lessons with such "cruel and ruthless" coaches.

After carefully touching the patient's heart, Xie Wanying confirmed: it was a pause.

After having such a worse experience, her mentality is undoubtedly stable now.

After touching the patient's heart wrapped in the pericardium, the first step is not to press, but to further clarify the diagnosis: the patient's heart stops beating completely, or is it just because the heart beats weakly, that is, the heart beats weakly and has no strength, or is it fibrillation in the ventricular?

If the heartbeat is weak, you should use 0.1% adrenaline or 10% calcium chloride in the heart cavity to stimulate the myocardium and then do heart compression. At the same time, a doctor's advice is issued to allow the nurse to inject dopamine and other drugs into the intravenous channels to help maintain blood pressure.

If it is ventricular fibrillation, it is not necessary to do defibrillation immediately. Instead, after a certain period of time, the heart pressure is done, it is time to wait until the myocardial tone improves before doing defibrillation. It can be seen that the most professional medical cardiac compression technique is not as simple as teaching laymen on-site rescue on-site in front of the hospital.

For single compression, you must cooperate with emergency treatment and other precise first aid measures.

What doctors need to do is to perform routine procedures step by step and follow the valuable clinical experience left to the younger generation by countless medical predecessors.

Is it scary to complete arrest? It seems to be the worst in the above three situations. But no matter which situation is for a doctor, unless the heart completely returns to normal beating, no one is necessarily good. The patient's heart is

The situation is changing rapidly, and the three situations may change with each other.

The right hand wearing gloves immediately proceed to the pressing posture.

There are three methods for heart compression in the chest, one-handed and two-handed methods and compression of the sternum.

The single-handed method is to touch the front of the patient's heart with the thumb and the orchid, and place the other four fingers behind the patient's heart with the purpose of pressing the left and right ventricles evenly, vigorously and rhythmically.
Chapter completed!