Chapter 1564 [1564] Untouchable
"It's okay." Shin Woo-hwan replied to Dr. You, "I guess so important person is coming to our hospital for treatnt, and the two leaders are discussing the dical records."
"You don't want to think that maybe our hospital will buy so equipnt, or expand so business, or give us a salary increase or decrease." If Dr. You were in a righteous indignation and quarreled with him, everyone would want to hurry up and increase welfare, okay?
"The more you think about things, the less you don't have." Shin Woo-hwan told his colleagues that it is better to think less about crazy things. It's better that when you don't want to, the leader suddenly smashes a big gift bag.
Senior Brother Shen is too good at joking, and his humorous style is completely different from that of Brother Zhu. Senior Brother Shen is a 100% happy-go-lucky, and he has a kind of joke that sees through the world, but Senior Brother Zhu is not. Xie Wanying thought to herself.
"Whose dical record is she seriously studying?" Dr. You asked, wondering how the newcor looked like sitting there in the morning and looking through the dical records.
Shin Woo-hwan stood up without talking about the little sister's private affairs. Ti is almost up, it's ti to go over and see how the people below are prepared. Seeing this, Xie Wanying put away her eldest cousin's dical records and went to the control room with her senior brother.
Several doctors in surgical gowns and lead suits were busy in the operating room. Among them, Dr. Chen was older and instructed the following two young people: "Mr. Shen said that what the patient needs to do is IABP. The first choice is femoral artery puncture."
Femoral artery puncture is the preferred approach for cardiovascular interventional procedures, as ntioned earlier. It seems to be easier to wear than the radial artery, which belongs to the basic skills of cardiovascular interventional surgeons. It's just that it's not easy for new dical students and young doctors to practice this basic skill well.
As the saying goes, the beginning of everything is difficult.
Unlike the radial artery, the femoral artery is deeper and less palpable than the radial artery. That is to say, as the main artery of the human lower limbs, the femoral artery is relatively easy to touch in the place where the first aid compression hemostasis and puncture are commonly used in clinical practice. For example, the uncle Xie Wanying rescued when she first entered the school, it is not difficult to feel the femoral artery, but how to fix it. Under normal circumstances, even if the patient is not very special, a distinct femoral pulse can be palpated in the superficial position of the midpoint of the groin.
Dr. Yang, wearing gloves, pressed the skin with the middle and thumb fingers at the groin at the base of the patient's right thigh. It's been a long ti since she felt that she couldn't find it.
The patient with cardiogenic shock is a condition of systemic hypoperfusion, the arterial blood pumped by the heart is reduced, and the arterial pulse naturally weakens, and 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 a nurse's injection. As long as a patient with such shock is encountered, the difficulty of puncturing the arteriovenous and veins will be desperately raised. It is necessary, especially at such tis, in dicine that anatomy be the basis of all sub-disciplines.
Think anatomy. It doesn't matter if you can't touch it, recall the anatomical map of the femoral artery and completely blindly pierce it.
It's not that Dr. Yang didn't think of this, but he didn't try it, and he would panic twice.
"Quickly decide." Dr. Chen, who was staring at her operation, urged her.
rushed over with all his might, and the teacher gave him a chance to practice his phone. Unlike others, he had to work hard. Dr. Yang encouraged himself in his heart.
The patient's condition is relatively stable now, and the teacher will give the students the opportunity to continue to try to cultivate future generations. Dr. Chen issued instructions one after another: "Think about it before you start, don't put it into the vein, and apply an anesthetic first."
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