【893】Special specialties for infants and young children
"You have to go with me." When Zhu Huicang left, he took Yao Jie away to help.
The two of them hurried back to the minibus to find first-aid supplies before crossing over. Dai Nanhui, who was following them, turned back to Chang Jiawei: "Doctor Chang."
"If you have a fracture, call me, right?" Knowing that most people have fractures in car accidents, Chang Jiawei answered without raising his head, "You have to finish one before you can pick up the next one. You go first."
Seeing this, Dai Nanhui had to go back to chase other teachers.
"Don't worry, help your mother get it done before you leave." Chang Jiawei looked up at Wengui who was a little panicked when the doctor left, and called Qiu Ruiyun next door, "They have all left, come and help me."
Fracture fixation requires the assistance of many people. Qiu Ruiyun went over and patted Xie Wanying's shoulder as a signal.
Xie Wanying received the instructions from her seniors, raised her head and responded in a low voice: "Yes, Teacher Qiu." She will probably be the only one left here to help Teacher Nie treat the injured, and the other seniors will probably have to leave.
As if he didn't know what was going on around him, Nie Jiamin carefully completed the physical examination of the little child, with a gentle face as he was thinking about the problem calmly.
Teacher Nie’s attentiveness to the children is amazing. Xie Wanying thought.
Finally, Nie Jiamin noticed something and turned to ask her: "Do you have a central venous puncture catheter?"
"Yes, I brought it. Teacher Nie." Xie Wanying answered quickly.
"Do you know which vein to choose?" Nie Jiamin asked.
I know that the teacher wants to give advice. For central venous puncture, there are three commonly used clinical channels to choose from. Xie Wanying thought for a moment and said: "If there is no accident in infants and young children, the internal jugular vein is the first choice. Because the subclavian vein in infants and young children is larger than the jugular vein."
The internal vein is thin, so the success rate of subclavian puncture is relatively low. The femoral vein can easily cause venous thrombosis, which will affect the development of the lower limbs of infants and young children, so it is not the first choice."
In response to her quick answer, Nie Jiamin nodded and asked again: "Have you ever done it?"
She answered well, indicating that she might have done this kind of operation. The teacher's guess had some basis. But this time Xie Wanying was a little nervous.
Children under three years old belong to a special age group, called infants, and any medical operation on infants and young children is much more difficult than that on adults. She happened to be exposed to infant patients for the first time.
To be honest, the boy she helped Teacher Ren rescue last time was much older than this. The injection was: "Only the external jugular vein was injected, Teacher."
"Aren't you confident?" Nie Jiamin's quiet black eyes seemed to reveal a glimmer of light at her hesitation, and he was chewing the Chinese words when he spoke. Look carefully, there is a little smile in his eyes.
In the past, she was too confident and the teacher would not have such an expression. Xie Wanying took a deep breath.
“Don’t be afraid.” Nie Jiamin suddenly encouraged her, “There is a first time for everything. Children may be very small and make you feel scared, but you need to try.”
The teacher is right, we cannot say that patients are afraid because they are young.
Xie Wanying's voice replied calmly: "Yes, Teacher Nie, I am confident that I can do it well."
A good answer. Nie Jiamin nodded her chin and continued to encourage her: "It doesn't matter, you do it."
Xie Wanying suspected that if she had been too confident just now, Teacher Nie might have stopped her from doing it.
Each teacher's style is completely different. I only spent about one day with Teacher Nie, and I am really different from Teacher Tan, Senior Brother Tao and others in every aspect.