Hold the above-mentioned position with the middle finger of your left hand firmly, and hold the needle in your right hand. Remember to insert the needle at an angle of 15 to 30 degrees along the direction of the blood vessel. The best choice for the needle insertion point is the line connecting the midpoint of the patient's mandible and the upper edge of the clavicle.
One point.
This is what is written in the textbook, but it greatly tests the eyesight of the injection person. People who do not have great eyesight can rely on experience. This is the first time for Xie Wanying to puncture this kind of external jugular vein. She can only think that it is much easier than the subclavian vein.
At least it was a blood vessel that could be seen and touched. This gave her the courage to try, and there were two old nurse teachers and Teacher Ren beside her.
Her eyes were focused on the estimated puncture point. The puncture needle she held was inserted parallel to the angle she had designed. The needle should be inserted quickly into the skin to reduce the patient's pain. After entering the blood vessel, the blood return was correct, and the movement should be gentle and steady.
The steel needle was withdrawn at the right time and the hose was left behind. The assisting old nurse hurriedly helped her apply a dressing and fix the needle wing. She drew some blood with a syringe and sent it for testing before hanging up the normal saline. It was like a line to maintain the patient.
The lifeline supply channel has been established, allowing everyone to calm down a little first.
Regarding her successful puncture, the old nurses didn't know it was her first time and said, "I can tell you are a veteran at giving injections." It was as if they had forgotten that Xie Wanying had just said that she was just a student.
On Dongzi's side, Ren Chongda called and contacted his old classmate Cao Yong.
Neurosurgery takes a long time, and it was already one o'clock in the afternoon when Cao Yong got off the operating table. Huang Zhilei and other assistants did not get off the stage, but were doing finishing work on the operating table. Cao Yong walked out of the operation first and accepted the call for help from Ren Chongda.
"What's going on?" Cao Yong asked.
"In a boy about five years old with acute cerebral herniation, his pupils shrank at first and are now likely to expand. I'm worried that he won't be able to survive without drainage," said Ren Chongda.
"Which hospital are you in? Are you in the emergency room in our hospital?"
"Definitely not! We asked you to come down directly from our hospital."
"So which hospital are you in now?"
"Outpatient building. There was a car accident patient on the road. The ambulance didn't come for a long time, maybe the road was blocked. We moved the patient to a nearby outpatient building first. There should be something we can use here."
"You didn't take the CT scan?"
"No, the person is unconscious."
"You are not me. Do you think you dare to attack me without taking CT scan?"
The old classmate's soul questioning made Ren Chongda touch his forehead with his hand. His palms were covered with beads of sweat. It could be anxiety, or it could be fear and fear. Whether the patient was alive or dead was in his palm at this moment.
It's inside. It's just that he hasn't been a clinician for a long time, and he hasn't been exposed to clinical practice for a long time. He is afraid that his skills are rusty, which makes him feel uneasy.
Not hearing the response from his old classmate opposite, Cao Yong thought to himself that if it was a junior sister, she would definitely answer him right now: Try, no matter what, you must try for the life of the patient!
Junior sister Yingying is the first rookie he has ever seen who is not afraid of tigers even after giving birth. Because of this, all the teachers and seniors always worry about her. Her approach of always going all out is rare in the medical circle. It is rare.
, but it’s not impossible. It’s not that doctors don’t want to do it, but that most doctors don’t have the technical ability.
Indeed, if you don’t try, the patient will die. In this case, can the doctor choose not to do it because of the difficulty of the actual operation, just to avoid his own risks and thus shirk his responsibility?
