No matter how poor your medical skills are, there are medical staff in health centers who are not skilled in judging whether a patient will die.
"Don't be stupid." Dr. Hu shouted loudly, asking everyone at the scene to move and not to stand still. Now is the time for the medical staff to seize the last moment and fight for their lives. "Quickly, put on the breathing bag. You Go pinch it!”
Shen Xifei, who was suddenly pointed out by Doctor Hu, turned out to be standing outside to see what was going on.
"Are you coming in or not?" Dr. Hu asked her fiercely again.
Isn't this Teacher Hu going blind? The eyes looking at her seemed to see through the depths of her soul, which made her tremble. If she dares not to move now, she will never stay in Beito San Thinking of this, Shen Xifei rushed forward bravely, fighting for her future employment.
The small hospital did not have a ventilator. It could only use a breathing bag to replace the ventilator and connect it to oxygen. Shen Xifei held the breathing bag. It was difficult for the nurse to puncture a venous channel for the patient and give intravenous epinephrine intravenously. They could not find the patient's blood vessel. , after all, the patient is on the verge of shock.
Someone brought a defibrillator and prepared to perform CPR and defibrillation immediately when the patient's heart stopped.
"Xie Wanying, do you know what to do?" Dr. Hu, whose figure became increasingly unclear, could only use his voice to find Xie.
"Teacher, I am moving the patient's uterus to the left." Xie Wanying replied. She was standing on the left side of the patient, with her hands on the lower right side of the uterus, hugging and supporting the uterus toward herself, and lifting the uterus to the upper left side. .
When Dr. Hu heard her answer, no matter what bad impression he had said about her before, all he could do was smile with satisfaction at the corner of his mouth.
Be it a teacher or a boss, everyone loves students and subordinates with excellent professional abilities. In this way, there is no need to waste words.
People present at the health center were confused. Those who were not majoring in obstetrics and gynecology could not imagine the use of Xie Wanying's actions.
Shen Xifei curled her lips and thought to herself, this Xie Wanying was afraid that she would compete with her for the obstetrics and gynecology job. Why was she always so familiar with the business knowledge of obstetrics and gynecology?
The left uterine push performed by Xie Wanying is one of the rescue measures recommended by the cardiopulmonary resuscitation guidelines for pregnant women. After a pregnant woman is more than 20 weeks pregnant, the enlarging uterus will compress the inferior vena cava, pelvic veins, abdominal aorta, and reduce the amount of blood returned to the heart. Moving the uterus can help reduce the compression of the inferior vena cava by the pregnant woman's uterus, increase blood return to the heart, improve cardiac output and blood circulation, and increase the chance of successful rescue.
Dr. Hu, who could not see the numbers on the monitor clearly, continued to receive the data reported by others by ear. When he heard that the patient's heart rate and blood pressure could not be maintained, he decisively gave instructions to the nurse in the emergency room: "Get ready for PMCS."
pmcs? A group of people in the health center once again failed to remember this professional term in obstetrics and gynecology.
"Perimortem cesarean section." Dr. Hu told them, without any blame or ridicule in his tone.
The basics of the health center are poor and there are no obstetrics and gynecology specialists on site. I don’t know if this is normal.
PMCS was proposed not long ago, less than twenty years ago, and refers to cesarean section started after cardiopulmonary resuscitation.
Similar to the uterine pushing method, cesarean section can instantly relieve the compression of the uterus after removing the fetus, which is beneficial to saving the life of the pregnant woman. Secondly, if the pregnant woman dies without rescue, the life of the fetus will enter a countdown of thirty minutes.
