"Zhang Xing, go and bring the ventilator I brought back from China and give it to the patient. Yi Zewen, you and I will use surgical means to open the intravenous channel."

The main pathophysiological basis of burn shock is deep-induced body fluid loss, as well as abnormal cardiac function and vasomotor function.

A large amount of plasma-like body fluid leaks from blood vessels into wounds and tissue spaces, leading to a sharp decrease in effective circulating blood volume and microcirculation disorders, as well as functional disorders and structural damage to important tissues and organs.

Therefore, patients with severe burns need to inject a large amount of crystalloid solutions and colloid fluids quickly to implement fluid resuscitation, as well as antibiotics, high-energy nutrient solutions, life support drugs, etc. to maintain clinical treatment.

If you can't even find an intravenous channel, it's impossible to talk about rescue.

Chen Qi looked at the patient up and down. No wonder the nurse couldn't find a place to insert the needle. There were still some good pieces of flesh on the body, especially the severely burned hands and feet.

Then you can’t take the regular route.

"Chen Li, prepare a sterile puncture needle pack for me right away. Also, call all the young doctors over. Today I will teach you a few tricks that can save lives at critical moments."

As soon as I heard that Dean Chen was going to teach on-site, there was a roar, and doctors and nurses wearing surgical clothes and doing simple disinfection all gathered around.

"Yang Xiuxiu, Chen Li, and Yi Zewen and Zhang Xing, why do I focus on the four of you names? It's because you are members of my surgical team. Even if I am not here, your handling today is still very bad. I need to criticize you.

.

What should I do if I can’t find the superficial veins on my hands or feet? It’s simple. There are deep veins in the human body. The blood vessels are thicker and the flow is smoother, which is conducive to rehydration and drug administration. Watch and learn.

I'll do an external venipuncture first to show you."

Chen Qi selected 1/3 of the line between the midpoints of the upper edge of the mandible and clavicle as the puncture point. The left hand fixed the skin, and the right hand held the needle at an angle of 15° to the skin and inserted the needle at an angle.

Then stab the tube forward along the horizontal direction.

After returning, fix the puncture needle cannula on the left hand, pull out the puncture needle on the right hand, then quickly connect the catheter connector end with the guide wire to the puncture cannula, insert the catheter slowly, and remove the detachable

Connector.

Fix the catheter on the right, withdraw the puncture cannula from the end of the catheter on the left, and finally take out the guide wire and quickly connect the catheter to the infusion device.

Chen Qi explained while performing puncture, and then chose to demonstrate a deep venipuncture in the femoral vein and subclavian vein respectively.

In this way, three intravenous channels were quickly established, laying the solid foundation for rescuing the patient.

It is rare for young doctors and nurses in China to observe deep venipuncture at such a close range. They roughly understand the site selection, operation process, precautions, etc. The rest is a drill.

You can't be lazy in medicine, you can only practice constantly, and eventually practice makes perfect.

As a result, the intravenous channel was opened, but we encountered a very headache problem, that is, what kind of liquid should be infused? What is the dosage?

This involved a very complicated calculation formula, which almost caused Chen Qi to collapse...

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