Why would the nurse trust the judgment of his intern classmate? Li Qi'an's head exploded, he couldn't figure it out.
"Did the doctor come down?"
"Have you urged me yet?"
"It's down, it's down—"
"Urgent, I called several times!! Urge them like a death-"
"Where's Doctor Jin?!"
"Someone said Dr. Kim was over there, I ran to find her—"
Beep beep, beep beep, there was a continuous alarm sound on the ECG monitor.
A Tao's mother, who was holding Luo Yanfen's hand, raised her head: "What happened, what's the sound? Yanfen?!"
Luo Yanfen looked at the red alarm on the ECG monitor and was so anxious that she said, "Let go of me, auntie!"
"I won't let you go, you save your uncle, please save him—"
"No, if you don't let me go, how can I save people!!"
"My husband, you save him—"? Could it be that this woman has been frightened crazy, and she is hugging her leg desperately! Luo Yanfen couldn't get rid of it, and seeing the curve on the monitor getting more and more wrong, her face turned blue, then turned pale: Is it going to be over now? !
Not knowing what happened, the nurse and Li Qi'an who were guarding the patient's bed looked back at the monitor: "What's going on? Has the patient's heart stopped?"
"Has your heart stopped?"
"Do heart compressions—"
"Bring the defibrillator—"
Xie Wanying's hand quickly touched the patient's pulse: "No, it's a strange pulse—"
"Yingying, what do you mean?" Li Qi'an, who heard her voice, looked back at her, and the nurses around went to pull the defibrillator.
"No, no, what needs to be done now is to puncture!" Xie Wanying yelled, "It's too late—"
The defibrillator brought by the nurse was pushed aside by her. She rushed to the treatment cart on the other side, opened the drawer under the treatment cart, snapped out a 5ml disposable syringe, tore off the outer packaging, and pulled out the needle.
On the treatment tray in the car, there are half of the pericardiocentesis supplies that the nurse just prepared after listening to her talk, and there are disposable puncture needles with outer packaging. Tear off the outer package and take out the puncture needle, put on the syringe without a needle, pull a short section of the syringe's lever, and then clamp a sterile cotton ball at the end of the little finger and ring finger.
The people next to her watched in amazement as she made a series of rapid movements like a hurricane.
Hissing, she pulled off the clothes on the upper body of the injured, and quickly touched the xiphoid process with her fingers below the junction of the left costal arch, about 2 cm away, and quickly wiped the sterile cotton ball around here.
Which medical paper flashed in my mind said that the patient is in a state of unconsciousness and cannot sit or half sit and can only lie flat. In this case, the needle must be inserted horizontally at a very small angle, which is smaller than the 30-degree angle in the textbook. to half.
After clarifying her thoughts, Xie Wanying looked at the patient's chest with her eyes, and the patient's beating heart appeared in her mind, being pressed by the fluid in the pericardium, she was about to suffocate. The patient's situation is consistent with the principle that the pneumothorax patient was about to suffocate last time. Breathing heartbeat organs are oppressed by liquid gas, and they will stop their physiological activities.
If this oppression is not relieved quickly, the patient's organs will be oppressed to death.
It was too late, the heart rate on the monitor was vibrating.
tie! Insert the needle slowly, let alone rush at this time, and be precise. Insert the needle at an angle of 15 to 20 degrees to the abdominal wall. Generally, a depth of 3 to 5 cm is enough for thin patients, but everything depends on the feeling of the needle tip after entering.