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    A group of people helped to 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 I heard that a doctor was here, and two old nurses opened the door and asked them to carry the wounded in.

    Although it is an outpatient clinic, it has a treatment room.  Some first aid items are available in case of emergencies.  Just in time to use it.

    "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 normal saline first?"

    "Yes, draw blood before the injection, so as not to be unable to draw out the blood later." Xie Wanying responded and looked 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.

    The patient¡¯s peripheral blood vessels have low systemic perfusion at this time, with 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 report 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 around 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 to Dongzi¡¯s mother¡¯s abdominal bleeding, Dongzi¡¯s internal bleeding in his head 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 come and 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 the peripheral veins of the limbs, where a tourniquet is placed on the peripheral veins of the extremities to allow the veins to fill and be exposed, i.e. rubber tubes or other bindings above the puncture point, there is obviously no such place for the injection of the external jugular vein to be tied up.  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.  (Remember the website address: www.hlnovel.com
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