"It's nothing," Shen Youhuan replied to Dr. You, "I guess some important person is coming to our hospital for treatment. The two leaders are discussing medical records."
"You don't want to think that our hospital may need to buy some equipment, or expand its business, or raise or lower our salary." If Dr. You was filled with indignation and argued with him, everyone would want to increase the benefits as soon as possible.
"The more you think about something, the less likely it will be." Shen Youhuan told his colleagues that it is better to think less about things that are just a dream. It would be better if the leader suddenly dropped a big gift package when I didn't expect it.
Senior Brother Shen is very good at joking, and his humor style is completely different from that of Senior Brother Zhu. Senior Brother Shen is a 100% happy-go-lucky person who can see through the jokes in the world, but Senior Brother Zhu is not. Xie Wanying thought to herself.
"Whose medical records is she studying carefully?" Dr. You asked, already curious about how the newcomer was sitting there flipping through medical records early in the morning.
Shen Youhuan stood up without talking about junior sister's personal matters. It's almost time, it's time to go over and see how the people below are preparing. Seeing this, Xie Wanying put away her eldest cousin's medical records and went to the control room with her senior brother.
Several doctors wearing surgical gowns and lead suits are busy in the operating room. Among them, Dr. Chen was older and guided the following two younger ones on the spot: "Teacher Shen said that what the patient needs to do is iabp. Femoral artery puncture is the first choice."
Femoral artery puncture is the preferred approach for cardiovascular interventional surgery, as I have said before. It is thicker than the radial artery and seems to be easy to penetrate, which is a basic skill for cardiovascular interventional surgeons. However, for new medical students and young doctors, it is not easy to master this basic skill.
As the saying goes, everything is difficult at the beginning.
Unlike the radial artery, the femoral artery is deep and less easy to feel than the radial artery. That being said, as the main artery of the lower limbs of the human body, the femoral artery is a commonly used clinical place for first-aid compression to stop bleeding and puncture, and it is relatively easy to feel. Just like the old man that Xie Wanying saved when she first entered school, it was not difficult to touch the femoral artery, but the difficulty was how to fix it. Under normal circumstances, even if the patient has no special circumstances, an obvious femoral artery pulse can be felt superficially at the midpoint of the groin.
Dr. Yang wore gloves and pressed the skin with his middle finger and thumb on the patient's right thigh and groin. After searching for a long time, she felt like she couldn't find it.
The patient¡¯s cardiogenic shock is a condition of systemic hypoperfusion. The arterial blood pumped out by the heart is reduced, and the arterial pulse naturally weakens. The femoral artery is no exception.
¡°In clinical practice, it is often the case that the patient¡¯s blood vessels cannot be touched, such as when a nurse is giving an injection. As long as a patient with such shock is encountered, the difficulty of puncturing the arteries and veins will be increased as much as possible. It is necessary in medicine to regard anatomy as the basis of all branches, especially at times like this.
Think about anatomy. It doesn't matter if you can't feel it. Recall the anatomy diagram of the femoral artery and complete the blind puncture.
It¡¯s not that Dr. Yang didn¡¯t think of this, but he just didn¡¯t try it, so he felt a little panicked.
¡°Decide quickly.¡± Dr. Chen, who was watching her operation opposite, urged her.
?????????????????????????????????????????????????????????: The teacher gives me a chance to practice my hand skills. Unlike others, I have to work hard. Dr. Yang encouraged himself mentally.
The patient¡¯s current condition is relatively stable, and the teacher will give students the opportunity to continue trying in order to train future generations. Dr. Chen issued instructions one after another: "Think carefully before proceeding. Don't penetrate the vein. Inject an anesthetic first." (Remember the website address: www.hlnovel.com