"Is nothing wrong?" Shen Youhuan answered Dr. You, "I guess some important person is coming to our hospital for treatment. The two leaders are discussing medical records."
"You don't want to think that our hospital may need to buy some equipment, or expand its business, or raise or lower our salary." If Dr. You was filled with indignation and argued with him, everyone would want to increase the benefits as soon as possible.
"The more you think about something, the less likely it will be." Shen Youhuan told his colleagues that it is better to think less about things that are just a dream. It is better to have the boss suddenly drop a big gift package when you don't think about it.
Senior Brother Shen is very good at joking, and his humor style is completely different from that of Senior Brother Zhu. Senior Brother Shen is 100% happy-go-lucky, and has the ability to see through the jokes in the world, but Senior Brother Zhu is not. Xie Wanying thought to herself.
"Whose medical records is she studying carefully?" Dr. You asked, already curious about how the newcomer was sitting there flipping through medical records early in the morning.
Putting aside the junior sister's personal matters, Shen Youhuan stood up. It was almost time to go over and see how the people below were preparing. Seeing this, Xie Wanying put away her cousin's medical records and went to the control room with her senior brother.
Several doctors wearing surgical gowns and lead suits were busy in the operating room. Among them, Dr. Chen was older and guided the two younger ones below: "Teacher Shen said that the patient needs IABP. Femoral artery puncture is the first choice.
.”
Femoral artery puncture is the preferred approach for cardiovascular interventional surgery. This has been mentioned before. It is thicker than the radial artery and seems easier to penetrate. It is a basic skill for cardiovascular interventional surgeons. It is only for new medical students and young doctors.
, it is not easy to practice this basic skill well.
As the saying goes, everything is difficult at the beginning.
Unlike the radial artery, the femoral artery is deep and less easy to touch than the radial artery. That being said, as the main artery of the lower limbs of the human body, the femoral artery is a commonly used clinical emergency compression hemostasis and puncture site. The femoral artery is easier to touch.
Just like the old man who Xie Wanying saved when she first entered school, it is not difficult to touch the femoral artery, but the difficulty lies in how to fix it. Under normal circumstances, even if the patient is not in a very special situation, the femoral artery is superficially located in the middle of the groin.
Obvious femoral artery pulse can be palpated at this location.
Dr. Yang put on gloves and pressed the skin with her middle finger and thumb on the patient's right thigh and groin. After touching for a long time, she felt like she couldn't find it.
The patient's cardiogenic shock is a condition of systemic hypoperfusion. The arterial blood pumped out by the heart is reduced, and the arterial pulse naturally weakens. The femoral artery is no exception and will be affected.
In clinical practice, it is often the case that the patient's blood vessels cannot be touched, such as when a nurse is giving an injection. As long as the patient is in shock, the difficulty of puncturing the arteries and veins will be increased. In medicine, it is necessary to regard anatomy as the basis of all branches.
, especially at this time.
Think about anatomy. It doesn't matter if you can't feel it. Recall the anatomy diagram of the femoral artery and complete the blind puncture.
It's not that Dr. Yang hasn't thought of this, but he's just panicked because he hasn't tried it before.
"Decide quickly." Dr. Chen, who was watching her operation opposite, urged her.
After rushing over with all his strength, the teacher gave him a chance to practice his hand skills. Unlike others, he had to work hard. Dr. Yang encouraged himself in his heart.
The patient's current condition is relatively stable. In order to train future generations, the teacher will give the students the opportunity to continue trying. Dr. Chen successively issued instructions: "Think carefully before proceeding. Don't penetrate the vein. Give an anesthetic first."
