Doctor Started a Plug-in

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Chen Cang is very worried now!

What he worried about was not knowing how long Patient could persist at this time, whether he could reach Hospital.

After all, pericardial puncture…

correct!

Chen Cang suddenly remembered that he had a pericardial skill pack.

[Pericardial Skill Pack: After opening, you can choose to obtain a pericardial skill. 】

Chen Cang clenched the teeth, quickly chose [pericardial puncture].

To be honest, Chen Cang feels that he can’t do it without learning this skill.

After all, there are various pericardial operations in the pericardial skill pack, including pericardiotomy, pericardial repair, etc…

these all are Tertiary Grade Surgery.

In contrast, pericardial puncture is just a Level 2 puncture operation.

Although it is more complicated than chest puncture and abdominal puncture…these four punctures are more complicated, but they are also puncture skills after all.

But… the situation is urgent, Chen Cang has no time to hesitate and choose to study directly!

[Ding! Congratulations, have you learned pericardial puncture, did you start training? 】

Chen Cang was hesitant at this moment, he chose to enter directly!

Compared with chest puncture, the biggest danger of pericardial puncture is that if accidentally puncture enters the heart chamber, this is a big trouble!

After all, the pericardium is not as thick as expected!

The heart is not as strong as expected.

Maybe…this needle went in, instead of alleviating the patient’s condition, it worsened the symptoms and even led to death.

Chen Cang changed in front of him and instantly appeared in the familiar Operation Theatre.

After entering the training space, start continuously simulating, learning, and mastering the applicable symptoms of pericardial puncture and the conditions of pericardial puncture…

Continuous training, puncture under ultrasound positioning… assisted puncture… puncture under ECG monitoring…

Until the end, Chen Cang began to wear blindly.

This is the most critical step!

It is to use a puncture needle for pericardial puncture without any auxiliary equipment.

After all, this situation is very obvious on the scene, there is nothing, only to wear blindly!

Time went by one minute and one second, and Chen Cang was continuously skillful.

However, after all, it was not 100%.

This made Chen Cang very confused.

Puncture training is very comprehensive.

It even includes emergency management conditions for pericardial puncture.

For example, pericardial effusion does not require immediate surgery, but has an accurate scoring standard, some require emergency puncture, and some need to complete the puncture within 12 to 48 hours.

Not all pericardial effusions are as early as possible.

In the virtual space, Chen Cang continuously learns and popularizes techniques and knowledge about pericardial effusion and pericardial puncture.

Soon, the training time is up.

This was the first time Chen Cang felt that the special training time was so short.

He really wants to learn this technique to perfection, and practice the “blind wear” success rate to 100%. In this way, he can treat the patient better and more accurately.

It is a pity that things often go against expectations…

quickly……

After Chen Cang withdrew from the virtual space, a prompt sounded.

[Ding! Pericardial puncture: Master Level; special effects: precision; 2. safety. 】

2 special effects are very important to Chen Cang.

These are also the two directions that Chen Cang is constantly practicing in the virtual space.

First, it is necessary to ensure the precise location of the pericardial puncture, and secondly to ensure absolute safety during the puncture.

……

At this moment, only less than a second was spent outside.

This second is very short, but for the Patient at this time, it may be the distance between life and death.

Chen Cang quickly used the knowledge he learned to judge the situation of the Patient.

Old Liu saw Chen Cang hesitating, and quickly said: “Doctor Chen, hurry up! Go to Hospital, let’s talk later when we arrive!?”

Chen Cang shook his head: “It’s too late. Patient’s situation is very critical. Too much fluid in the pericardial cavity has seriously affected blood circulation. If you don’t draw it out, it is estimated that you can’t reach Hospital!

Even in the emergency department, who knows what the situation is, now he needs to do pericardial puncture surgery! “

Old Liu shook his head as soon as he heard Chen Cang’s words!

This Little Chen is too impulsive.

Old Liu has been a 20 driver for 120 years and is very familiar with this situation.

What is pericardial puncture?

He naturally knew what was going on.

But it is precisely because of understanding that he is more worried.

What are the conditions on site?

Nothing!

No CT effect, no ECG positioning, no ECG monitoring!

What do you do?

Do it blindly? !

Don’t think that the drivers of the 120 ambulance are only drivers. They have seen less life and death than Doctors, and there are not many rescues they have seen, so after hearing Chen Cang say this, they suddenly restless.

“Little Chen, can’t you really go to Hospital?” The driver, Liu, was still a little worried.

Chen Cang nodded: “Unable to persevere, the heartbeat is getting weaker and weaker at this time. If you wait until you go to Provincial Second Hospital, you may be gone!”

At this time, no fluid is discharged, and the load on the heart is so heavy. No matter what method you use, there is no way.

Relieving heart compression is the only glimmer of survival of the Patient.

However, due to the limitations of the patient’s condition, it is impossible to locate the puncture and explore the structure of the heart. What should I do?

Without ultrasound positioning, it is entirely possible to rely on the doctor’s feel and experience. It is very likely that the puncture will fail or even worsen, and because the cause of the bleeding is unknown, and the internal damage to the heart is not known, will the rupture of the heart lead to bleeding after the puncture? ? Or will it lead to ineffective puncture catheterization, or even accelerate Patient’s death?

Is it possible to use traditional emergency thoracotomy to detect hemostasis time?

This is not a problem that is not allowed, but the conditions are simply not available!

It’s too late!

A bunch of difficult questions lay in front of Chen Cang, and Patient’s life was dying, and he couldn’t allow him to think about it for a second time, and the chance of regaining his life from the death was fleeting, this time only!

Urgent pericardial puncture catheterization!

Chen Cang made up his mind and decided that he must fight against time to rescue a glimmer of survival.

If the Patient does not perform pericardial puncture, let alone rescue can be successful, simply cannot reach Hospital.

Not to mention checking and understanding what went wrong.

The pericardial puncture cannula can quickly solve the life-threatening first test of pericardial tamponade, which is also a crucial step in winning time for subsequent rescue.

Chen Cang opened the rescue box, there was no pericardial puncture needle, but there was a thoracic puncture needle.

Can be used.

Old Liu looked restless and looked at Chen Cang: “Doctor Chen…you want to…”

“Blind wear?”

Chen Cang nodded, not blindly worn at this time, are there other methods there?

No!

It must be passed on.

After cutting the clothes and disinfecting, Chen Cang started his own operation.

Chen Cang now suddenly hopes that his eyes can see through, how good is that?

When you puncture yourself for nothing else, you can have a more chance of success!

perturbed!

disturbed!

All emotions pervaded Chen Cang’s heart.

There is only one chance.

Chen Cang took a deep breath, the puncture needle slowly and deeply, he wanted to feel the touch of touch, the feeling of breakthrough pericardium.

Chen Cang moved slowly.

Everyone around didn’t dare to say anything.

Old Liu is completely motionless, and does not dare to bother.

Whispered in my heart.

Has he seen this blind wear?

Seen!

But all the fucking failures!

His mother’s.

Thinking of this, old Liu was afraid for a while.

Following Chen Cang cautiously, I was afraid that something might happen.

This Little Chen… is so brave!

The sultry environment makes people breathless.

Chen Cang felt cold sweat behind him!

But 10000000, don’t get into trouble.

Suddenly, Chen Cang’s hands felt a sense of emptiness from the puncture needle, and after he felt it, he quickly stopped.

His dexterous hands made him react very quickly.

Chen Cang said to old Liu: “Help me pump a little, I will see what liquid.”

Old Liu quickly nodded: “How much?”

Chen Cang shook his head: “You try a few milliliters first, let me see what happens.”

After Chen Cang said it again, he took the head again: “I will do it myself.”

Old Liu smiled embarrassedly, somewhat sorry.

Chen Cang doesn’t mind either, other people’s old Liu is not a Doctor, and he is also skillful in drawing back, but don’t pump too hard, it will pump to the heart…

Chen Cang pulled back slowly, without resistance.

not worried……

After 5 ml came out, Chen Cang saw that it was all blood.

Suddenly complexion changed.

This is not good news.

Broken blood vessels? Or a broken heart?

All this is possible.

Chen Cang continued to smoke.

He felt the resistance from the syringe and pulled away slowly.

After pumping about 100ml, Chen Cang did not dare to pump it again.

Pull out the puncture needle, pick up the stethoscope to start auscultation, and feel that the heart sound has recovered, and the heart beats gradually.

Chen Cang was immediately excited.

Successful!

The pericardial puncture was successful.

Chen Cang felt the gradual recovery of the Patient lifeform sign, and was very happy.

At least Patient walked out of the 1st Step!

In other words, it killed the first boss who prevented the patient from successfully treating him!

Fill the pericardium!

However, this does not mean that the Patient is out of danger.

Because the cause of the minimum pericardial effusion has not been clarified, the next step must be sent to Hospital for the next rescue.

“Old Liu, prepare to get on the car and go to Hospital!”

Upon hearing this, old Liu immediately understood what was happening and quickly lifted the stretcher with Chen Cang cautiously, and moved towards the 120 emergency vehicle.

……