When a doctor opened a plug-in

Chen Cang is worried now!

What he was worried about was that he didn't know how long the patient could last at this time and whether he could make it to the hospital.

After all, pericardiocentesis...

Yes indeed!

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

[Pericardium skill pack: After opening it, you can choose to obtain a pericardium skill.

Chen Cang gritted his teeth and quickly chose [pericardiocentesis].

To be honest, after learning this skill, Chen Cang felt that it was too bad.

After all, there are various pericardial surgeries in the pericardial skill pack, including pericardiotomy, pericardial repair, etc...

These are tertiary surgeries.

In contrast, pericardiocentesis is only a secondary puncture operation.

Although compared to thoracic puncture and abdominal puncture... these four major punctures are a bit more complicated, but after all, they are also puncture skills.

But... the situation is urgent, Chen Cang has no time to hesitate, so he chooses to study directly!

Ding!Congratulations, learn pericardiocentesis, do you start training?

Chen Cang could hesitate there at this moment, and he chose to enter directly!

Compared with thoracic puncture, the biggest danger is that if you accidentally puncture into the ventricle, it will be a big trouble!

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

The heart is not as strong as expected.

Perhaps... the injection of this needle not only did not relieve the patient's condition, but instead aggravated the symptoms and even led to death.

Chen Cang's face changed, and a familiar operating room appeared instantly.

After entering the training space, I began to simulate, learn, and master the applicable symptoms of pericardiocentesis, the conditions of pericardiocentesis...

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!

That is, the puncture needle is used for pericardiocentesis without any auxiliary equipment.

After all, this situation is obvious at the scene, there is nothing but blind wear!

As time passed by, Chen Cang also became more proficient.

However, after all, it was not 100%.

This left Chen Cang very bottomless.

Puncture training is very comprehensive.

It even includes emergency management conditions for pericardiocentesis.

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

Not all pericardial effusions are as early as possible.

In the virtual space, Chen Cang continues to learn and popularize the techniques and knowledge about pericardial effusion and pericardiocentesis.

Soon, the training time came.

This is 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 puncture" success rate to 100%, so that he can treat patients better and more accurately.

Unfortunately, things often backfire...

quickly……

After Chen Cang exited from the virtual space, a beep sounded.

Ding!Pericardiocentesis: master level; special effects: precision; 2. safety.

Two special effects are very important to Chen Cang.

These are also the two directions that Chen Cang continues to practice in the virtual space.

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

...

At this moment, 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 patient's condition.

Seeing Chen Cang's hesitation, Old Liu said quickly, "Doctor Chen, let's go! Take it to the hospital. Let's talk about it when we arrive!?"

Chen Cang shook his head: "It's too late. The patient is now in a critical condition. There is too much fluid in the pericardial cavity, which has seriously affected blood circulation. If it is not taken out, it is estimated that he will not be able to get to the hospital!

Even in the emergency department, who knows what the situation is, now he needs to have a pericardiocentesis operation!"

Old Liu Yi shook his head when he heard Chen Cang's words!

This little Chen was too impulsive.

Lao Liu has been a 120 driver for 20 years and understands this situation well.

What is a pericardiocentesis?

He naturally knew what was going on.

But it is precisely because of understanding that I am more worried.

What are the conditions on site?

Nothing!

There is no CT influence, no echo ECG positioning, and ECG monitoring is not available!

What do you do

Do it blindly?!

Don't think that the driver of the 120 ambulance is just the driver. They have seen life and death not less than the doctors, and they have seen many rescues. So after hearing Chen Cang say this, he suddenly became uneasy.

"Xiao Chen, really can't go to the hospital?" The driver Lao Liu was still a little worried.

Chen Cang nodded: "I can't hold on anymore. At this time, my heartbeat is getting weaker and weaker. If you really wait until you go to the Second Provincial Hospital, you might be gone!"

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

Relieving heart compression is the only first line of life for patients.

However, the current patient's condition is unable to perform puncture positioning and cardiac structure detection, what should I do?

If there is no ultrasound positioning, only relying on the doctor's hand feeling and experience, it is very likely that the puncture will fail or even aggravate the condition, and because the cause of the bleeding is unknown, the internal damage of the heart is not known. After the puncture, the bleeding will not stop due to the rupture of the heart ?Or will it make the puncture catheter ineffective, or even accelerate the death of the patient?

Is the time allowed for hemostasis if the traditional emergency thoracotomy is used?

This is not a question of permission, but the condition is simply not available!

Time is too late!

A bunch of thorny questions are in front of Chen Cang, and the patient's life is dying, and he cannot tolerate him to think twice. The chance of regaining his life from the god of death is fleeting, only this time!

Emergency pericardiocentesis catheterization!

Chen Cang made up his mind and decided that he must race against time to rescue the front line of life.

If the patient does not undergo pericardiocentesis, let alone whether the rescue is successful, they will not be able to get to the hospital at all.

Let alone check and understand what went wrong.

The pericardiocentesis catheter can quickly solve the first life-threatening level of pericardial tamponade, which is very important, and it is also a crucial step to gain 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 at Chen Cang with an uneasy expression, "Doctor Chen...you want to..."

"Blind wear?"

Chen Cang nodded, not blindly wearing it at this time, is there any other way there?

No!

It must be passed on.

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

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

Nothing else, when you puncture yourself, you have a better chance of success!

perturbed!

disturbed!

All emotions filled Chen Cang's heart.

There is only one chance.

Chen Cang took a deep breath, and the puncture needle slowly deepened. He wanted to feel the touch, the sense of frustration that broke through the pericardium.

Chen Cang moved forward slowly.

Everyone around did not dare to say anything.

Old Liu didn't even move, and didn't dare to bother.

Muttered in my heart.

Has he seen this kind of blind piercing?

Seen it!

But it was a fucking failure!

Damn it.

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

Following Chen Cang looked carefully, for fear that something might happen.

This Xiao Chen... is so bold!

The sultry environment is breathless.

But Chen Cang felt cold sweat behind him!

Don't have any trouble.

Suddenly, Chen Cang felt a sense of frustration from the puncture needle in both hands. After he felt it, he stopped quickly.

His dexterous hands made him react very quickly.

Chen Cang said to Lao Liu, "Help me pump a little, let me see what liquid."

Old Liu nodded quickly: "How much?"

Chen Cang shook his head: "You first try to draw a few milliliters, let me see what happens."

After Chen Cang said it again, he shook his head again: "I'll do it myself."

Old Liu smiled awkwardly, a little embarrassed.

Chen Cang doesn't mind, other people's old Liu is not a doctor, and the withdrawal is also skillful, but don't pump too hard, pump your heart...

Chen Cang withdrew slowly without resistance.

not worried……

After the five milliliters came out, Chen Cang saw that it was all blood.

His face suddenly changed.

This is not good news.

Broken blood vessel?Or a broken heart?

All of this is possible.

Chen Cang continued to smoke.

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

After smoking about 100ml, Chen Cang didn't dare to smoke anymore.

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

Chen Cang suddenly became excited.

It succeeded!

The pericardiocentesis was successful.

Chen Cang felt the gradual recovery of the patient's vital signs and was happy in his heart.

At least the patient has taken the first step!

In other words, it killed the first boss that hindered the successful treatment of the patient!

Pericardial tamponade!

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

Because the cause of the most basic pericardial effusion has not been clarified, I must rush to the hospital for the next step of rescue.

"Old Liu, prepare to be carried to the car and go to the hospital!"

When Old Liu heard this, he immediately understood what was going on, and he and Chen Cang cautiously lifted the stretcher to the 120 ambulance.

...