The call was from Simu. Tao Le just glanced at it and declined the call directly.
She had taken out the disposable thoracentesis kit a long time ago and now took it apart for spare use.
Shi Youjie directed Xie Baoshu to place the patient in a recumbent position, and then consciously started to attack Tao Le.
But after seeing Tao Le disinfect his chest and complete local infiltration anesthesia with 1% procaine, he started to worry again.
There is no other reason. The puncture site is not elsewhere, but the heart!
Normally, ultrasound should be done in advance to determine the size and location of the liquid level segment, and the largest and closest part to the body surface should be selected as the puncture point. .
To be on the safe side, ECG monitoring should be done throughout the puncture process so that the position can be adjusted in a timely manner - at least this was the case for the many punctures he had done before during the rescue.
But in the current environment, even the most basic sterile conditions cannot be guaranteed, so what kind of imaging support can we expect?
Shi Youjie's eyes fell on Tao Le's face involuntarily, but he saw that her expression was calm and calm, without any hint of worry.
She placed the middle finger of her left hand across the patient's chest and tapped gently from bottom to top, from outside to inside. Her movements were neither light nor heavy, neither urgent nor slow.
Seeing this scene, it was normal for Xie Baoshu, a layman, not to understand at all, but Shi Youjie was knowledgeable.
Only because of this, there was a big wave in his heart.
Just now, he suggested that Tao Le perform the pericardiocentesis. It was out of desperation that he subconsciously relied on and trusted Mr. Tao, who had taught him acupuncture for many years.
In fact, as soon as the truth came out, he regretted it a little.
Because although pericardiocentesis also uses needles, it has nothing to do with acupuncture or traditional Chinese medicine.
Teacher Tao is still just a new recruit in Western medicine!
This thought was tumbling in his heart endlessly, and the words "Let me do it" were already on his lips and he was about to say them out.
Just at this moment, he saw Tao Le's percussion movements.
This action seems to have no technical content, it is ordinary and can be done by one person.
But he could guess what she was doing.
Without any instruments, highly experienced cardiac surgery experts can use percussion to find out the specific changes in the heart dullness boundary, thereby determining the location of pericardial effusion and determining the puncture site!
Although he had never seen this kind of thing before, he had heard of it!
Director Han from the Cardiac Surgery Department of Beijing's Third Hospital has done it many times and is so experienced that he can probably figure it out with his eyes closed.
But that was Director Han Guangyuan, who was also a well-known brand of cardiac surgery at the Third Hospital of Beijing. His accomplishments in cardiac surgery could not be compared to Tao Le's.
While he was still sighing, he saw that Tao Le had finished the percussion, holding the puncture needle in his right hand, and inserted it without hesitation.
The puncture needle is placed between the left side of the xiphoid process and the costal cartilage arch. The needle tip is at a 45-degree angle to the skin and enters upward slowly.
Suddenly, a sense of disappointment was transmitted to Tao Le's hand through the needle, indicating that she had penetrated the pericardium on the other side and entered the pericardial cavity.
Tao Le stopped, fixed the needle, and started suctioning.
Bright red bloody liquid slowly flowed out along the rubber drainage tube.
Is this a success? Shi Youjie's elevated heart instantly relaxed.
Pericardiocentesis is inherently difficult to succeed in one attempt. There are many people who have tried it twice or three times in clinical settings, not to mention that it is done outside the hospital and is a purely blind puncture.
So he was already prepared to help Teacher Tao try again.
But it turns out that he thought too much.
It is indeed Teacher Tao. Not only is the level of Chinese medicine so high, but also the clinical practice of Western medicine is so outstanding!
He was thinking this in his mind, but his eyes were still paying close attention to the progress of the drainage.
The technique and speed of suction are very important. If it is too fast, it will cause mediastinal swing, acute heart dilation, acute pulmonary edema and other related symptoms.
What Tao Le did was just right, peaceful and stable, very much like her.
After sucking about 50ML of liquid, Tao Le stopped.
Shi Youjie noticed it immediately and immediately clamped the rubber tube.
This is his main responsibility as an assistant, to prevent air from entering the pericardial cavity, causing blood return and pumping problems in the heart, and thus death after blood circulation failure.
Seeing Shi Youjie's actions, Tao Le nodded slightly in affirmation, which made him feel sweet in his heart.
Hey, it seems like I have returned to the time when I was taught by the meticulous Teacher Tao, without any disobedience at all.
Tao Le just conducted special training on puncture. This was the reward she received after performing a thoracentesis for the Tibetan who rescued the deer.
After practicing for a long time and seeing countless puncture patients with serious problems, the patient in front of her, who was completely unremarkable, would not cause any fluctuations in her at all.
After pulling out the puncture needle and fixing the wound with gauze and tape, the golden finger prompt appeared.
[Complete a pericardiocentesis, which took 1 minute and 30 seconds and increased health by 25 points. Evaluation: Excellent. 】
Probably because she had already passed the puncture practice, she did not receive any reward for the pericardiocentesis she completed independently this time.
The interface dimmed and another prompt box appeared:
[Whether to repair left ventricular contusion. Number of treatments required: 2 times, each time increasing health value by 10 points. whether. 】
【yes. 】
[Start repair of left ventricular contusion. Countdown to 2 minutes, 119 seconds, 118 seconds.]
[The treatment is completed and the patient's health value is increased by 10 points. 】
Tao Le saw that the small wound on the left ventricle had become almost invisible, and then he breathed a sigh of relief and pulled out the filiform needle used to stop the bleeding.
"The blood pressure has gone up, it's 95/60!" Xie Baoshu measured his blood pressure again and said excitedly.
Tao Le nodded. The patient's health value has also been increased to 42 points, and his life is already guaranteed.
I thought that if there were no major problems, the injured would be able to carry themselves to the hospital and wait for further treatment.
Nowadays, there are many famous doctors from Beijing and City in charge of the Cardiac Surgery Department of Sasa Central Hospital, so it is not that difficult to cure him.
She thought for a moment, then looked at Shi and Xie who were standing next to her and said, "I will take care of this patient. You go and help the other lightly injured people to debridement and bandage first."
"Okay." The two turned around and saw that except for the other two injured people in the car in front and a few enthusiastic passers-by, other people were climbing up the sloping mountain wall. It looked like they would be able to climb up soon. Back to the winding road.
Seeing this scene, the three people not only didn't think much about it, but were actually a little relieved.
"If you can crawl, it won't be a big problem." Shi Youjie sighed: "I'm really afraid that one of them will suffer internal injuries."
Xie Baoshu echoed: "Indeed, there is no testing equipment now, so I am afraid that it may appear fine on the surface, but in fact, the spleen is ruptured elsewhere."
"Don't worry, they don't have those problems." Tao Le said: "This is also a blessing among misfortunes."
