A group of people helped carry and move the injured woman and child to the outpatient building first. The other injured people will wait until firefighters can rescue them after demolition. Over at the outpatient clinic building, it was almost noon. The doctors who came to the outpatient clinic had left, leaving only two old nurses on duty. No wonder there is no doctor available to help after a car accident here.
Now that I heard that a doctor was here, two old nurses opened the door and let them carry the wounded in.
Although it is an outpatient clinic, it does have treatment rooms. Some first aid items are available in case of emergencies. Just in time to use it.
"Get a blood pressure meter to check 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 saline solution first?"
"Yes, draw blood before the injection, in case the blood cannot be drawn out later." Xie Wanying responded, looking at the counselor at the same time.
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. A 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 poor blood vessels, making it difficult to find injections. Two old nurses squinted their presbyopic eyes and tried hard to find the patient's blood vessels. They are arranged to work in such outpatient clinics when they are older and have taken a back seat. 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, less arterial blood output and less venous blood return, and the blood vessels are shriveled 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 such a 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 is 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 period of time, and vital signs can be slightly maintained through fluid replenishment. Acute cerebral herniation 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 two old nurses heard that she wanted to inject an external jugular vein, they both agreed with her idea, but their eyesight was not very good, so they asked her, "Can you do it?"
"I am a medical student and learned injections from a nurse." Xie Wanying said.
"You fight."
Take the indwelling needle and quickly disinfect 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 peripheral veins in the limbs, where a tourniquet, that is, a rubber tube or other binding above the puncture point is used to fill the peripheral veins in the extremities to expose them, obviously there is no such place for the injection person to tie up the external jugular vein. The person giving the injection can only use his fingers to press one end of the external jugular vein on the clavicle to make the punctured section appear as full as possible before inserting the needle.
Xie Wanying put on gloves on both hands.
