Why would the nurse trust the judgment of his fellow interns? Li Qian's head was a little fried, he couldn't figure it out.
"Has the doctor come down??"
"Have you urged me?"
"It's over, it's over -"
"Urge them, I called them several times!! I urged them as if they were dying -"
"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 extremely 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 -"? This woman must have been frightened crazy and hugging her leg for dear life! Luo Yanfen couldn't get rid of it. Looking at the curve on the monitor getting more and more wrong, her face turned green for a moment, and then she turned pale: 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?"
"Did your heart stop?"
"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, looked back 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 the nurse had brought 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, tore open the outer packaging, and pulled out the needle.
On the treatment tray in the car were half-prepared pericardiocentesis supplies that the nurse had just listened to as she spoke, as well as disposable puncture needles with outer packaging. Tear off the outer packaging and take out the puncture needle, put on the syringe without the needle, pull open a small section of the syringe lever, and then hold a sterilized cotton ball between the ends of your little finger and 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 edge, 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 is unconscious and cannot sit or half-sit and can only lie down. 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 way.
After clearing her thoughts, Xie Wanying looked at the patient's chest. In her mind, she thought of the patient's rapidly beating heart, which was almost suffocating due to the pressure in the pericardial fluid. The patient's situation is consistent with the principle that the patient with pneumothorax was about to suffocate last time. 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.
tie! Insert the needle slowly, not in a hurry at this time, but accurately. Insert the needle at an angle of 15 to 20 degrees to the abdominal wall. Generally, three to five centimeters is enough for thin patients, but everything depends on how the needle tip feels after it enters.
