Chapter 3799: [3799] Lower sword
Chapter 3799 [3799] under the knife
Only by experiencing it personally can she empathize with her. At this moment, she can double the feeling of brother Tao and Cao brother standing on the operating table when she saved her, and she can also feel that the fairy brother hopes that the patient will die. Even if there is nothing he can do, he must pretend to be a fairy in front of the students. The thick and bitter heart.
Being a teacher in front of students is equivalent to being a god, and the image cannot be collapsed first. Even if you panic to the point where you have no confidence, the parasympathetic nerves must fight on their own to maintain the excitement of the sympathetic nerves, like a warrior blowing a horn to keep rushing forward.
You can’t look back, you can’t think forward and backward, you will let yourself fall into the mud and you can’t get out and you can’t move forward. Once unable to move forward, it means standing by and watching the patient die.
Fortunately, her social experience before her rebirth and her valuable experience with many big bosses and teachers after her rebirth made her very clear about what she should do at this moment.
If you want to become an independent doctor, you must pass this level.
Xie Wanying is not the only one who will face such a challenge tonight. Clinical doctors all the time, whether they are big men or not, are all facing challenges every day.
Well, Zhang Shuping, don’t think that you are the only one who encounters such a scary clinical accident.
The ocean of medical knowledge is vast and majestic. It is impossible for the biggest doctor to learn all about medicine. Therefore, for young doctors, the probation period may be terribly long compared to other professions, but there is absolutely no guarantee that they can learn all the skills before officially taking up the job.
You said that today's sudden cases requiring intrathoracic cardiac compression are rare in clinical practice.
What should I do if I don’t have the opportunity to learn from the teacher during the internship. As Mr. Zhang told them at the beginning, work hard, only patients are your best teachers.
Steady, Xie Wanying quickly reached out to the nurse beside her: "Scalpel."
The nurse immediately handed the scalpel to her palm.
One knife down, this time it is not the opening in the middle of the sternum. Because it is not necessary, the center of the sternum is opened to ensure the best surgical field of view, so that the doctor can carefully and comprehensively examine and repair the structure of the heart. But this time it is an emergency operation, the purpose is not to perform complex operations on the patient's heart, but to resuscitate the heart, just find a place on the human body to allow the doctor's hand to reach the heart.
The purpose of surgery is different, and the surgical route is different accordingly.
To allow the doctor's hand to reach the heart in the fastest and most convenient way, the surgical path can refer to the minimally invasive cardiac surgery path mentioned before, and open an opening in the intercostal space. Opening of the sternum is avoided, again to shorten operative time.
The accurate conventional incision position is to make an arc-shaped incision from the left substernal edge of the left **** to the anterior axillary line in the left fourth intercostal space. Cases like this can even be unsterilized in very urgent cases, because the heart stopped directly is far more dangerous than the situation of Brother Gangluo. As I have said several times before, the golden rescue time of the heart is only a few minutes.
Fast, as fast as possible.
Be fast while being precise, otherwise, time is wasted rather than shortened.
It is not difficult to find the opening of the fourth intercostal space. This anatomical position is not difficult to identify, and any surgeon can open it. The main problem is that the doctor's hands are not familiar with how to enter the surgical incision to find the heart after the opening.
This involves professional knowledge and professional experience.
(end of this chapter)
