Why would the nurse trust the judgment of his intern classmate? Li Qian's head was a bit fried and he couldn't figure it out.
“Has the doctor come down yet??”
"Have you urged me?"
"It's over, it's over -"
"Urgent, I called several times! I urged them like a life force——"
"Where's Dr. Kim?!"
"Someone said Dr. Jin was over there. I ran to find her——"
Beep beep, beep beep, the ECG monitor sounded a continuous alarm sound.
Atao's mother, who was holding Luo Yanfen's hand, raised her head: "What happened? What was the sound? Yanfen?!"
Luo Yanfen looked at the red alarm on the ECG monitor and was so anxious: "Let me go, Auntie!"
"I won't let you go, please save your uncle, please save him——"
"No, if you don't let me go, how can I save people!!"
"My husband, please save him -"? Could this woman have been frightened out of her mind? Luo Yanfen couldn't get rid of her legs. Luo Yanfen couldn't get rid of her. The curve on the monitor was getting more and more wrong, and her face turned blue.
He paused for a moment, then screamed: Is it going to be over now?!
Not sure what happened, the nurse and Li Qian who were guarding the patient's bed looked back at the monitor: "What's going on? Has the patient's heart stopped?"
"Has your heart stopped?"
"Do heart compressions——"
"Bring the defibrillator-"
Xie Wanying's hand quickly touched the patient's pulse: "No, it's a strange pulse——"
"Yingying, what do you mean?" Li Qian, who heard her voice, turned back to look at her, while the nurses around him went to pull out the defibrillator.
"No, no, what we need to do now is puncture!" Xie Wanying shouted, "It's almost too late -"
The defibrillator pulled by the nurse was pushed aside by her. She rushed to the treatment cart on the other side, opened the drawer under the treatment cart, took out a 5 ml disposable syringe, and tore open the outer cover.
Pack and remove the needle.
On the treatment tray in the car were half-prepared pericardiocentesis supplies that the nurse had just listened to her words. There was also a disposable puncture needle with an outer packaging. I tore off the outer packaging and took out the puncture needle, put on the syringe without the needle, and pulled it open.
Use a small piece of the syringe's lever, and then hold a sterilized cotton ball between your little finger and the end of your ring finger.
The people nearby looked at her rapid movements like a hurricane in shock.
Hiss, she pulled open the clothes on the injured person's upper body with her hands, and quickly touched the xiphoid process with her fingers under the junction of the left costal arch, about 2 centimeters away, and quickly wiped the area with a sterile cotton ball.
What medical paper flashed in my mind said that the patient was unconscious and could not sit or sit half-sitting and could only lie on his back. In this case, the needle must be inserted at a very small angle, which is smaller than the 30-degree angle in the textbook.
to half.
After clearing her mind, Xie Wanying looked at the patient's chest, and in her mind she imagined the patient's rapidly beating heart, which was being pressed by the fluid in the pericardium and that he was about to suffocate. The patient's situation was consistent with the last time the pneumothorax patient was about to suffocate.
.The respiratory and heartbeat organs are compressed by liquid gas and are about to stop physiological activities.
If this compression is not relieved quickly, the patient's organs will be compressed to death.
It was too late, the heart rate on the monitor was trembling.
Insert! Insert the needle slowly. Don't rush at this time. Be precise and insert the needle at an angle of 15 to 20 degrees to the abdominal wall. Generally, a depth of three to five centimeters is enough for thin patients, but everything depends on the feeling after the needle tip enters.