Chapter 1982 [1982] Guidance

  No matter how bad the medical skills are, there are medical staff in the health center with the technical level of judging whether the patient will die or not.

   "Don't be stupid." Dr. Hu shouted loudly that everyone at the scene should move, not one by one. Now is the time for the medical staff to seize the last minute and desperately fight for their lives, "Quick, put on the breathing bag. You go to pinch!"

   Shen Xifei, who was suddenly pointed at by Dr. Hu, was standing outside to check the situation.

   "You can't come in!" Dr. Hu asked her again.

   Isn't Teacher Hu going blind? The eyes that looked at her seemed to see through the depths of her soul, which made her shudder. If she dares to move now, don't even think about staying in Beidu San. Thinking of this, Shen Xifei rushed forward bravely, she had to fight for her future employment.

   Small hospitals do not have ventilators. You can only use a breathing bag instead of a ventilator and connect to oxygen. Shen Xifei squeezed the breathing bag. It is difficult for a nurse to puncture a patient with a venous channel to inject epinephrine, and the patient's blood vessels cannot be found. After all, the patient is on the verge of shock.

  Someone pushed a defibrillator and was going to do CPR and defibrillation immediately when the patient's heart stopped.

   "Xie Wanying, do you know what to do?" Dr. Hu, who became more and more unable to see the figure, could only use his voice to look for Xie.

"Teacher, I am pushing the patient's uterus on the left side." Xie Wanying replied, saying that she was standing on the left side of the patient, with her hands on the lower right side of the uterus, hugging and holding the uterus towards her and pulling the uterus to the upper left side .

  When Dr. Hu heard her answer, no matter what he said to her before, he could only show a satisfied arc at the corner of his mouth.

   is that the teacher is the boss, and everyone loves the students and subordinates who have excellent business ability. In this way, there is no need to spend a lot of words.

  The people present at the health center were stunned, non-obstetrics and gynecology majors could not think of the use of Xie Wanying doing this.

   Shen Xifei pouted, thinking to herself, this Xie Wanying is afraid that she is going to compete with her for a job in obstetrics and gynecology, why is she always so familiar with the business knowledge of obstetrics and gynecology.

   Xie Wanying's left uterine transfer is one of the rescue measures recommended by the guidelines for cardiopulmonary resuscitation of pregnant women. After more than 20 weeks of pregnancy, the enlarged uterus will compress the inferior vena cava, pelvic vein and abdominal aorta of pregnant women, resulting in reduced blood return to the heart. Pushing the uterus helps to reduce the oppression of the pregnant woman's uterus on the inferior vena cava, increase the blood return to the heart, improve the cardiac output and blood circulation, and strive for the success rate of rescue.

   Dr. Hu, who could not see the numbers on the monitor, continued to receive the data reported by others with his ears. When he heard that the patient's heart rate and blood pressure could not be maintained, he decisively instructed the nurse in the emergency room: "Get ready for PMCS."

  PMCS? A group of people in the hospital failed to remember this term in obstetrics and gynecology again.

   "Peri-death cesarean section." Dr. Hu told them, without reproach or sarcasm in his tone.

  The foundation of the health center is poor, and there is no specialist in obstetrics and gynecology on site, so I don’t know it’s normal.

  PMCS has not been proposed for a long time, less than twenty years, referring to cesarean section started after CPR.

   Similar to the uterine push method, after the cesarean section takes out the fetus, the pressure of the uterus can be instantly relieved, which is beneficial to save the life of the pregnant woman. Secondly, if the pregnant woman cannot be rescued and died, the life of the fetus will enter a 30-minute countdown.

   (end of this chapter)

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