A group of people helped to carry and carry the injured woman and child to the outpatient building first. The other injured people would wait until the firefighters rescued them. Over at the outpatient building, it was almost noon, and the doctor who came to the outpatient clinic had left.
There are only two old nurses on duty. No wonder no doctor could be found to help after the car accident here.
Now that I heard that there were doctors there, two old nurses opened the door and asked them to carry the wounded in.
Although it is an outpatient clinic, there is a treatment room. There are some first aid items in case of emergencies. They are just in time.
"Get a blood pressure meter to measure your blood pressure."
"Let's get the injection first. I'm losing blood."
After the two old nurses argued with each other for a while, they asked Doctor Xiang: "Should we give the injection and the saline solution first?"
"Yes, draw blood before the injection, in case the blood cannot be drawn out later." Xie Wanying responded, and at the same time looked at the counselor.
Ren Chongda did not refute her words, indicating that he agreed with her instructions.
The old nurses went to get blood drawing and injection tools. The treatment cart quickly rolled over to draw blood and give injections to children and women.
The two wounded were all suffering from blood loss, hypotension, and had poor blood vessels. It was difficult to find injections. The two old nurses squinted their presbyopic eyes and tried hard to find the patients' blood vessels. They were so old that they were relegated to the second line, so they were placed in such a place.
I work in an outpatient clinic. The chance of encountering this kind of rescue on weekdays is almost zero.
"No, we can't give it, doctor." the nurse reported.
At this time, the patient's peripheral blood vessels have low systemic perfusion, there is little arterial blood output and little venous blood return, and the blood vessels are shrunken and shrunk. The first choice should be central venous puncture, such as the subclavian vein puncture done by Xie Wanying last time. The problem is that the outpatient building may not have this
puncture needle.
When she heard the nurse reporting this situation, Xie Wanying had already expected it. She turned the patient's head and saw that the external jugular vein was slightly full. She turned back and asked the counselor: "Teacher Ren, shall we tie her external jugular vein?"
"Okay." Ren Chongda didn't need to think too much and left it to her. Now he was anxious to see how to solve the boy's acute cerebral herniation.
Compared with Dongzi's mother's abdominal bleeding, Dongzi's internal bleeding was more urgent, leaving less time for the doctor. Abdominal bleeding will not compress the patient's fatal physiological organs in a short time, and the vital signs can be slightly maintained through rehydration. Acute cerebral infarction
Hernia is different. Sustained massive bleeding quickly forms a cerebral hematoma and squeezes the patient's vital center, the brainstem, and the patient will undoubtedly die.
Seeing the counselor's appearance, Xie Wanying knew that she had to inject Dongzi's mother as soon as possible. The counselor would definitely need her help later. When the two old nurses heard that she wanted to inject the external jugular vein, they both agreed with her idea, but she
My eyesight is not very good, so I asked her: "Can you fight?"
"I am a medical student and learned injections from a nurse," Xie Wanying said.
"You come and fight."
He took the indwelling needle and quickly sterilized the area around the regular puncture point. One of the old nurses placed a small soft pillow under the patient's shoulders to elevate his shoulders.
Unlike injecting the peripheral veins of the limbs, where a tourniquet, that is, a rubber tube or other binding above the puncture point is used to fill the peripheral veins of the limbs and expose them, obviously there is no such place for the injector to bind the external jugular vein. The injector can only
Use your fingers to press one end of the external jugular vein on the clavicle so that the punctured section appears as full as possible before placing the needle.