MTL - Live Surgical Broadcast

At the same time, the female chilling female voice came, not to answer Zheng Ren’s cry, but to issue a task.

[Emergency mission: Wanjiasheng Buddha.

Task content: Rescue the large-scale food poisoning in the emergency department.

Mission Reward: Each successful rescue of 100 patients will receive 300 skill points, 1 silver treasure chest, and an experience value of 30000 points.

Mission time: 1 day. 】

The generous system, this time more generous, directly gave the task of letting Zheng Ren stunned. The rewarding and generous let Zheng Ren can't believe what the silver treasure chest can open, Zheng Ren does not know. It’s enough to have 300 skills and 30,000 experience points.

However, Zheng Ren secretly said that there is no surgery for femoral vein dissection in the system mall.

Is this special to make me play? Zheng Ren is arrogant.

Every minute or even a second can cause a patient's death.

Suddenly, Zheng Renfu, who is in the arrogance, has a thought in his mind. The beginning of the intervention is not the arterial puncture?

What I have to do now is deep venipuncture, although different, but the principle is similar.

Give it a try?

No time to consider, Zheng Ren selected the intervention time to buy, found that there are options, the first option is deep vein, deep artery puncture.

He did not hesitate to choose a puncture operation. At the time, Zheng Ren was no longer stingy. He directly exchanged 14076 points of experience that he could not bear to spend on the training time.

234.6 minutes, less than 4 hours, this is Zheng Ren all the time.

The operating room of the system rose from the ground, Zheng Ren entered, did not dare to delay for a second, take a deep breath, calm down and start training.

......

......

Another patient was pulled over and the condition was as severe as a toxic shock.

When the patient was deduced at the door of the emergency room, Director Pan had just cut the skin of the first patient and was carefully separating the subcutaneous tissue to look for signs of possible femoral veins.

"Deep vein puncture bag, ready to disinfect." Zheng Ren "wake up", the voice is a little hoarse.

"Advance to a flat car, fast!"

The patient was transported to the rescue bed as quickly as possible, and Zheng Ren began to operate.

The patient was placed flat, the head was low and the foot was raised, and the bed was raised about 15 to 25 degrees to increase the venous pressure to fill the vein.

This is to ensure that the pressure in the vein is higher than the atmospheric pressure, so that the risk of air embolism is less likely to occur during deep vein puncture.

Zheng Ren tears open the patient's shirt, so powerful, giving a wild feeling. A 500ml water bottle was placed directly between the shoulders of the patient. The patient was thinner and Zheng Ren chose the normal saline solution of the soft bottle.

The purpose is to expand the thorax, the shoulders droop, and the middle part of the clavicle is raised, so that the subclavian vein is close to the clavicle; the subclavian vein is separated from the lung tip.

Zheng Ren then turns the patient's face toward himself, in order to reduce the angle between the subclavian vein and the internal jugular vein, so that the catheter is easy to go toward the superior vena cava.

"Looking good, the next patient will be in the first position." Zheng Ren wants to say loudly, but did not expect the scorpion to be dumb, only a few nurses around him barely heard.

"Good!" the nurses replied.

This position is very good, the purpose is clear, it is not difficult to do.

Wearing gloves, Zheng Ren is in the hand, choose the puncture point and prepare to start.

Zheng Ren did not follow the textbook, taking 1~2cm of the midpoint of the clavicle as the puncture point, the direction of the needle tip pointing to the ipsilateral sternosacral joint, and the needle insertion angle was horizontal.

The puncture point he chose was chosen in the lower thoracic triangle region of the clavicle, that is, the outer side of the midline of the subclavian clavicle.

The nurses have also seen subclavian vein puncture, but the patient's blood pressure is not so low, the rescue is not so urgent.

Is this Zheng busy? How is the puncture point selected incorrectly?

Being in the first aid, and Zheng Ren’s hand speed is very stable, very quickly, there is no time to remind. They can only watch Zheng Ren’s hand and watch Zheng Ren’s left hand press.

Zheng Ren used his left thumb to lower the skin, down to the same level as the intercostal space. At the lower edge of the thumb, mark it horizontally, loosen the thumb, and puncture directly at this point.

This is in the system training, Zheng Ren based on thousands of articles on the subclavian arteriovenous puncture plus his own practice summed up the experience.

In the systematic surgery training, all the experimental bodies were placed in front of Zheng Ren, and the beginning was slower, about three minutes. The later period is getting faster and faster until the last few tens of seconds of an experimental body.

In the training process, Zheng Ren used 423 cases of deep vein puncture for 234.6 minutes.

This number of cases may be slightly lower than that of some large hospital emergency doctors and ICU doctors, but it is impossible to stand up with Zheng Ren. All of them are deep venous punctures of high-difficult hypotension and low blood volume.

With high difficulty and great harvest, Zheng Ren is fully qualified to be among the top performers in puncture technology.

Others have no chance to do hundreds of difficult punctures, and only system space can provide this condition.

A needle, see the blood!

Not in line with the normal operation, the effect is particularly obvious. Several senior nurses around Zheng Ren have stunned ~www.~ This kind of difficulty puncture, how can it not be five minutes? Repeated puncture, repeated trials, repeated search, and finally like the luck, only into the veins, using five minutes is considered a master.

But how long has Zheng used? Not counting the time of the position, it is 2 minutes? No, there is absolutely no two minutes, that is, 1 minute... Maybe 1 minute is not there, I took a look at my eyes and I have seen venous return.

"Contact, drop with Meilan." Zheng Ren holding a deep vein puncture tube in his hand, see no one continues to the next step, the sound will be higher.

It is really not shouting, just anxious emotions let the body secrete a lot of adrenaline and dopamine, causing the whole person to be in an abnormal state of excitement, the sound is completely dumb.

"Oh oh." The old nurse standing next to Zheng Ren woke up from the shock and immediately connected the deep vein puncture tube to the infusion tube.

"Open the maximum amount, after the infusion is completed, continue to give empty sugar, gastric lavage." Zheng Renxi.

"Yes!" The senior nurses who were temporarily transferred from several different departments immediately answered.

This is the hospital. If you can do it, there will be countless people listening to you. Can't do it, it's useless to let you know what to do.

Let the nurses add medicine and give the patient a position.

Zheng Ren picked up the needle thread in the puncture kit and began to fix the deep vein puncture needle.

Like the military camp, the generals ordered that the public will lead the life without a trace of delay.

After sewing a patient, watching the syrup and the Meilan solution line up in a drip pot, Zheng Ren has some peace of mind.

The next patient has already placed his position. Zheng Ren took off the sterile gloves, rubbed his hands with alcohol gel, opened the next puncture bag, put on sterile gloves, and began the operation.