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Ti, 9:35 PM!
Chen Cang looked at the pregnant woman at this mont, his brows furrowed, because he realized that there might be other factors involved with the pregnant woman!
What does that an?
Actually, the process of delivering a baby is not difficult!
The hardest part is dealing with the various unexpected situations that arise during delivery!
At that ti, there were no drugs like oxytocin in Chen Cang's car to help induce labor.
Therefore, the entire delivery process that Chen Cang was engaged in was extrely dangerous.
Just then, the beeping alarm of the heart monitor started sounding, Chen Cang's face changed, and he cursed under his breath, fearing the worst had co!
"Dr. Chen, the blood pressure is only 90/50mmHg!"
"The heartbeat is slowing down!"
"The patient is breathing rapidly and is having difficulty breathing, the oxygen saturation is only at 85%!"
Chen Cang's brows furrowed tightly, sweat pouring out continuously on his forehead.
Obstetrics is actually one of the most dangerous departnts, the level of danger is no less than that of ergency care, and even considering disputes between doctors and patients and the personal safety of dical staff, obstetrics is truly a high-risk profession!
Bad luck doesn't just an losing two lives with a single corpse, but even risking one's own life!
The pregnant woman suddenly began to choke, her breathing beca rapid, and she grew restless and agitated.
Then she developed difficulty breathing, cyanosis, convulsions, and coma, her pulse was rapid yet weak, and her blood pressure dropped. After seeing this, Chen Cang's face changed instantly, knowing that if it continued like this, she would eventually go into shock.
Suddenly, Chen Cang's face changed again, and a term appeared in his mind!
"Amniotic fluid embolism?!"
Thinking of this, Chen Cang felt terrified, the more he thought about it, the more wrong it seed. The patient was entering shock, and Chen Cang kept thinking!
At that mont, Chen Cang looked up at the ti:
9:40!
He couldn't delay any longer, once amniotic fluid embolism sets in, not to ntion giving birth, even the woman herself... might not survive!
Chen Cang looked at the mother and child in danger, then bowed his head and suddenly noticed a large amount of uterine bleeding that was not clotting!
Chen Cang suddenly thought of a possibility!
Early signs of DIC!
Ti was truly like sand in an hourglass, slipping through Chen Cang's fingers!
Another minute passed!
Chen Cang took a deep breath to calm himself, knowing he could hesitate no longer, as any further delay would leave no hope!
"Xiaolin, prepare heparin, 30mg with saline, for intravenous injection!"
At that mont, the ergency vehicle had no equipnt to provide any substantial diagnostic thods for the two, blood tests couldn't be carried out, and the necessary dical equipnt was not available.
After Xiaolin administered the heparin slowly, Chen Cang's mind raced with thoughts of how to combat the shock!
Just then, the patient spat out a mouthful of phlegm.
Chen Cang looked closely: pink frothy sputum!
Pulmonary edema?!
Thinking this, Chen Cang swiftly said, "Xiaolin, prepare for tracheal intubation!"
Xiaolin's face changed, and he began to search for the intubation equipnt.
Chen Cang and Xiaolin were both caught up in a frantic flurry of activity.
"Fluid resuscitation! Replenish blood volu!"
"Atropine!"
At that mont, the woman suddenly woke up with a loud wail, "It hurts so much! I'm dying from the pain!"
Chen Cang turned to ask, "What do we have for pain relief?"
Xiaolin quickly searched, "Pethidine, morphine..."
Chen Cang's face brightened, "Administer 50-100mg of pethidine intramuscularly!"
...
...
Just like that, another five minutes passed!
The ti was now focused at 9:46 PM.
Chen Cang quickly started preparing for delivery.
Without the aid of oxytocin and considering that the woman was having an unexpected labor, the risk was extrely high.
Thus, the whole process was incredibly difficult.
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The fetal position was incorrect, which made the delivery even more difficult!
Witnessing such a complex and challenging delivery caused Xiao Lin's scalp to tingle.
She had never imagined that one day she would be helping a patient give birth in an ambulance.
At this mont, Chen Cang was dragging the child's foot with his left hand, thinking to himself, thankfully it's foot-first; if it were breech, that would be a big problem.
Generally speaking, which part of the fetus cos out first depends on the fetal position at the ti.
Chen Cang supported his elbow on the hip bone, with his right fingers together, supporting the pubic symphysis by pushing upwards and forwards during contractions!
During the short break between contractions, when he relaxed his right hand a little, Chen Cang suddenly felt the other leg!
What a pleasant surprise!
At this ti, catching the other foot was more thrilling and exciting than winning a Maserati in a lottery!
However, even under the effects of pethidine, the pregnant woman still grimaced in unbearable pain.
But she seed to be aware of the situation she was facing, didn't dare to move carelessly, clenched her teeth and gripped the steel bed fra with bulging veins on her hands.
Seeing the pregnant woman regain consciousness, Chen Cang imdiately felt delighted, "Breathe out! Keep breathing out hard!"
At this mont, the child's buttocks were about to appear, which required strong efforts!
With his left hand assisting to correctly position and externally rotate the fetus, and as about a third of the abdon had been delivered, the umbilical cord suddenly ca into view.
Chen Cang beca even more cautious!
With his right hand continuously protecting the perineum until both shoulders were delivered, his left hand rotated along the fetal neck...
The whole process was heart-stopping for Xiao Lin. It was too...too thrilling.
She guessed it was probably the first and possibly the only ti in her life she would experience this!
Just at that mont, the child finally ca out!
Chen Cang couldn't help being excited inside!
"Xiao Lin, prepare the quick-dry towel!"
Xiao Lin, seeing the child, was also overjoyed. The feeling was truly magical, even more surprising than during surgery!
It was as if...
It was like hitting the jackpot.
Chen Cang, with the heel of his hand supporting the fetal neck, caught the lower limbs with his right hand from the buttocks, lifting by the ankles, carefully laid the fetus's head downwards on the towel placed above.
The entire process went surprisingly smooth. Chen Cang had never imagined that one day his hands would deliver a child!
It was an unthinkable thing.
However, the sense of accomplishnt from delivering a child far surpassed that of performing orthopedic surgeries!
It was truly magical.
At that mont, Chen Cang suddenly felt an epiphany, he thought that being an obstetrician was the perfect fit for him.
The more Chen Cang thought about it, the more excited he got!
But just then, Chen Cang suddenly noticed a very serious problem.
The newborn wasn't breathing!
Suction!
"Xiao Lin, do we have a suction device?"
Xiao Lin shook her head, "No!"
What to do now?
It was necessary to insert a suction tube into the throat to clear the liquid from the child's airway.
What to do?
Right at that mont, Xiao Lin suddenly took an IV bag, simply modified it by cutting off both ends!
"Doctor Chen, will this work?"
Chen Cang nodded, "It will work!"
At this mont, Chen Cang suddenly realized that things were not so simple.
The child was unable to breathe during delivery!
If this induced neonatal asphyxia, it would be horrific.
It required urgent attention.
But the syringe couldn't be inserted, there was no way to perform suction, what to do?
During this intense mont!
Xiao Lin put her own makeshift "suction device" into her mouth.
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