The two-handed method is to put both hands on the heart and apply pressure. It is targeted at cases where the doctor's hands are too small compared to the patient's heart, so he can only use both hands at the same time.
The sternum compression method is to put your fingers behind the ventricle and push the ventricle toward the sternum, which is a labor-saving method. Today's patient has a damaged sternum and is obviously not suitable.
To sum up, Surgeon Xie adopts a single technique.
The surgeon's hand that reaches into the chest to compress the heart cannot be seen by outsiders.
Others can only make judgments by observing the values on the ECG monitoring equipment.
Intrachest heart compressions should reach 60 to 80 times per minute. The standard practice is to squeeze the heart and immediately relax it. Do not pinch the heart with the ends of your fingers. Such a high frequency and requiring the doctor to operate with one hand are not at all better than chest compressions.
It's easy to press externally, but it's very labor-intensive.
An untrained person might feel like his hand is about to break after doing it for a while.
Intrachest heart compression does not mean that artificial respiration is not performed. I saw that another nurse has been assisting in pressing the breathing air bag at the bedside, waiting for the anesthesiologist to come down to help before performing tracheal intubation. I can only say that the accident happened too quickly.
Boom, boom, boom, finally I saw Dr. Tang from the anesthesiology department once again hurriedly carrying the anesthesiology toolbox to the emergency room. When he stretched out his hand to open the curtain of the emergency bed, Dr. Tang shouted: "Which doctor's patient?"
Then, as an experienced anesthetist, Dr. Tang put his hand on the patient's pulse to feel for it, and then used a flashlight to observe the patient's pupils: "Hmm, not bad, not bad, there is hope."
Then Dr. Tang looked at the chest heart compression being performed in front of him, his eyes widened: "Doctor Xie?!"
"Doctor Xie is quite powerful." Dr. Tang commented knowing that her job was very strenuous for a female doctor.
"Is the pressure up?" Doctor Tang turned his head and looked at the instrument screen.
"The myocardial tension has increased, give me 0.1% epinephrine 1ml." Dr. Xie gave the doctor's order.
At this time, the heart rate curve on the ECG monitor must not be the patient's spontaneous heart rate, but the heart rate of the doctor's compression, which can roughly reflect the doctor's hand speed and pressure.
Zhang Shuping and the nurse didn't dare to comment after reading it before, because they didn't understand it well.
How the patient's heart is doing is best known by the surgeon who feels the patient's heart inside.
Before the nurse could prepare the medicine temporarily, the experienced Dr. Tang was even faster. He quickly found the epinephrine and mixed it for her. He handed the syringe to her: "Here, thank you, surgeon."
The new female apprentice that Mr. Zhang has accepted is incredible. She faces emergency patients one after another, each one more dangerous than the last. It seems that one after another is going to hell to verify whether Mr. Zhang’s female apprentice has the skills to be a real boss.
The instrument shows that the patient's heart rate has increased.
Boom, boom.
Xie Wanying, who was concentrating on the operation, directly took the syringe without looking at who it was, and then inserted the needle tip of the syringe into the patient's left ventricular cavity at the speed of lightning and thunder.
Dr. Tang’s mouth shrinks: Awesome.
The most wonderful moment when rescuing people in clinical practice is always here, when the patient seems to be brought back to life for a moment. Dr. Tang knows that only a true master can bring the patient back to life with a series of precise judgments and accurate medical measures.
Looking back, the young Doctor Xie was always very calm, and he did not even forget that he was leading a student: Well, only a real boss can laugh at the situation.
"Come here, stretch out your hand and touch your heart." Teacher Xie said to classmate Zhang Shuping.