Doctors with inconvenient legs and feet want to prevent patients from “slipping”

As I was about to get off work, I suddenly received preparations for emergency surgery.

Dr. Liu, who normally prepared the necessary drugs for anesthesia, received a urging call. On the other end of the phone, the patient’s condition and emergency were described in languages ​​that laypeople could hardly understand.

At this point, one person’s strength is not enough. So, she immediately asked the director to come down to help. In such an emergency, there is no need to hold back the relationship between superiors and subordinates. As the director, he will not complain.

Two people are ready for general anesthesia in just two or three minutes. In addition, the medicines needed for rescue are readily available.

The waiting time in the operating room was torturous, so the director opened the monitoring at the door of the operating room and the corridor to check the situation.

As soon as the surveillance was called up, I saw a group of people rushing towards the operating room.

That formation is like an ancient chariot charge: a chariot with soldiers on both sides and behind. The difference is that the “chariot” at this time is not going to attack the city, but to fight for life with the god of death.

Looking carefully, it seems that there are more than patients in the car rushing in front. There was a nurse in the car.

At this time, someone will ask: Is the nurse in the car?

Yes. Yes, there was indeed a nurse in the car.

Looking carefully, the nurse is doing chest compressions hard and with high frequency.

Zooming in the camera, a colleague of the towed transfer vehicle did not forget to use a simple respirator to give the patient two mouths of “oxygen”.

Seeing the situation clearly, Dr. Liu and the director ran to the door.

At the door, the door to the operating room just opened.

At this point, no additional communication is required: Dr. Liu jumped over, replaced the nurse, and continued chest compressions. The key to rescue is that chest compressions cannot be stopped!

Into the operating room, while pushing the booster medicine, stop chest compressions to see how the patient’s circulation is.

I communicated with the surgical colleagues who came to the rescue and learned that the patient should have a ruptured spleen. If there is no active surgery, there is no chance of rescue. The chest compressions have not been stopped despite the cardiac arrest.

Push it to the operating room, and if the heartbeat recovers, the operation will be performed; if the heartbeat cannot recover, it means that there is no chance left for everyone.

During the communication, the electrocardiogram with the interference removed showed that the heart was beating again, but it was beating faster. Look at the pulse oxygen saturation, more than 90%. Judging from the waveform, the circulation is low perfusion!

The blood pressure came out immediately, 70/40.

Seeing this blood pressure, everyone turned to the anesthesiology department.

At this time, as long as the anesthesiologist says “no”, no one will object.

The director of the anesthesiology department said without thinking: Quick, pump up the vasopressor. You can intubate, I’ll watch the cycle!

In this way, while pushing the vasopressor, the anesthesia is performed.

Of course, for a patient who has fallen into a coma, it is not necessary to use much anesthetic. The main medication is analgesics, plus some sedatives.

In order to prevent pain from incision of the abdominal wall, two local anesthetics were specially given to the stage.

When the abdominal wall was opened, the blood in the abdominal cavity poured out at once.

In the anesthesiology department, immediately increase blood transfusion and blood pressure boosters.

After reaching in with a hand, the surgical director pinched the spleen blood vessels.

Seeing that the blood is no longer gushing out, the director of surgery said, you should step up the blood transfusion, I will hold the blood vessel first.

Seeing this, the Department of Anesthesiology silently praised the surgery.

After a while, my blood pressure rose to over 90.

Looking back at the underground attractor, it’s almost full. After removing the blood foam, there are more than 1,000 milliliters!

After that, with an order, the surgeon continued to operate.

The anesthesiology department is racing against time to transfuse blood and adjust the internal environment for patients.

When the spleen that had been split open was removed, everyone’s nervousness was finally relieved.

With the improvement of circulatory index, the department of anesthesiology gradually added various drugs. This is because the circulation is improved and the blood supply to the brain is adequate. No matter how light anesthesia is, the patient may become conscious.

When the last stitches were finished, the surgeons gathered around to check the various vital indicators on the monitor.

From the slight nods of their heads, it can be seen that they are also praising the Department of Anesthesiology.

However, after the patient was sent to the intensive care unit, everyone heard a distressing news: the nurse in charge of chest compressions in the ambulance car had a herniated lumbar disc, and the person has already I couldn’t stand up anymore and was sent to the orthopaedic hospital. Fortunately, there was no problem. The orthopaedic doctor’s treatment plan is to stay in bed for three months!

[Warm reminder] Please pay attention, here are a lot of professional medical science, to reveal the secrets of surgical anesthesia for you~