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Chapter 3629 [3629] Cutting

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    Before reinforcements arrive, emergency department medical staff need to continue rescuing and treating patients.

    "Doctor Xie, do you want me to have an X-ray?" asked the experienced nurse Yang.

    This patient 100% needs emergency surgery. X-ray, CT and other examinations are necessary to help the doctor determine the position of the steel bar in the injured body and know how to perform the operation.

    The problem is that the injured person's vital signs suddenly become unstable, and it is not suitable to send him to the imaging department for examination at this time.  The medical staff sent the injured to the emergency room first.

    The data on the ECG monitor showed that the injured had low blood pressure, fast heart rate, and obvious blood volume deficiency.

    He hurriedly asked the nurse to go to the blood bank to get blood.  On the other hand, there is only one intravenous channel on the injured person, which was opened by Dr. Liu and others before.  In the current situation of the injured person, two intravenous channels must be opened to maintain blood pressure.  But in such a state of almost shock,

    With low blood volume, the surrounding veins must have shriveled up and the nurse cannot inject a vein.  According to the cases mentioned before, it may be possible to try to puncture the internal and external jugular veins or the subclavian vein to establish central venous infusion.  However, the injured person today is special.  The clavicle of the neck was injured when falling from mid-air.

    , is a taboo for the above-mentioned venipuncture.  It is said that the subclavian vein and internal jugular vein are deep vein catheterizations, and peripheral veins can be selected clinically.

    What should the peripheral venous nurse do if she cannot find the blood vessel?  The only option is for the surgeon to step in and perform the phlebotomy.  Blood vessels cannot be found and "disappear". They do not really disappear. Blood vessels always exist in the human body.  There are blood-filled blood vessels that allow medical staff to feel the pulse through the skin and then perform puncture. Now the blood vessels are deflated and cannot be touched, so they can only

    After incising the skin, I went to find it.

    The preferred blood vessel for phlebotomy in clinical practice is the great saphenous vein.

    The general direction of the great saphenous vein in the human body is as follows: it starts from the inside of the dorsum of the foot, goes up along the inside of the ankle, goes to the inside of the calf and thigh, and finally joins the femoral vein.

    Based on the direction of this blood vessel, the doctor can choose to incise the great saphenous vein at the medial malleolus or the great saphenous vein at the thigh.  You don¡¯t need to think too much to know that you can choose the medial malleolus, which is the preferred medial malleolus position, so it¡¯s easy to start.

    "Do an incision on the great saphenous vein at the medial malleolus." Xie Wanying ordered.

    Nurse Yang and Guo Zihao who were present hurriedly brought the items needed for the incision.

    Every second counts when rescuing patients in shock, and everyone is working hard.

    The door to the emergency room is closed.  The medical staff are busy rescuing patients at this moment, and the emergency room outside is almost unattended.  Anyway, when they come to the emergency room again, patients will shout for doctors and nurses.

    Someone could take advantage of this moment and just go through the security check at the gate and quietly walk into the emergency department without anyone noticing.

    The two people who got out of the taxi to pull the suitcase did exactly this. After Xie Wanying and the others sent the patient inside, they followed them to the entrance of the Guozhi Emergency Department lobby.

    The lights at the door of the emergency room shone down, clearly reflecting the appearance of these two people.  I saw two young people.  One of them was wearing a yellow sweater, like a curious baby, stretching his head and looking around inside the emergency room.

    The other person put on a blue and white sports coat, hugged the briefcase with both hands like a sleeping pillow, and sat on the suitcase to take a nap.

    Who wouldn¡¯t want to sleep in the middle of the night?  This is probably what the dozing person thinks.  The man in the yellow sweater didn't think so, so he pushed his shoulder and said, "Hey, Zhiyuan, wake up, sneak in and take a look." (Remember this site's website address: www.hlnovel.com
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