At the same time, a cold, robotic female voice was heard. It was not a response to Zheng Ren's shouts, but a mission announcement.
[Emergency Mission: Buddha is Born to All.
[Mission Details: Complete the rescue of large-scale food poisoning in the emergency department.
[Mission Reward: 300 skill points, 1 silver chest, and 30,000 experience points for every 100 patients successfully rescued.
[Mission Time: 1 day.]
The System, which had always been generous, was even more generous this time, giving Zheng Ren a mission that left him dumbfounded. The reward was so generous that Zheng Ren could not believe it. He had no idea what the silver chest would contain. Just 300 Skill Points and 30,000 EXP would be enough for him.
However … Zheng Ren cursed inwardly. There was no femoral venipuncture in the System Shop.
Are you f * cking kidding me? Zheng Ren was furious.
Every minute, or even second, delayed could lead to the patient's death.
Suddenly, a thought flashed through Zheng Ren's mind. Wasn't arterial cannulation the start of interventional surgery?
What he was going to do now was deep venipuncture. Although it was different, the principle was similar.
Should he give it a try?
There was no time to think. Zheng Ren clicked on the interventional surgery time purchase and found that the first option was deep venipuncture and arterial cannulation.
Zheng Ren chose the cannulation without hesitation. He was not stingy in terms of time and directly exchanged 14,076 experience points that he was reluctant to spend for surgical intensive training time.
234.6 minutes, less than four hours. That was all the time Zheng Ren had.
The System's operating theater rose from the ground and Zheng Ren entered without delay. He took a deep breath, calmed his mind, and began the intensive training.
…
…
Another carload of patients was brought over. Their conditions were equally serious and they were in a state of toxic shock.
When the patients were brought to the emergency room entrance, Old Chief Physician Pan had just cut open the first patient's skin and was carefully separating the subcutaneous tissue to look for signs of a femoral vein.
"Deep venipuncture kit, prepare to disinfect," Zheng Ren 'woke' up, his voice a little hoarse.
"Bring in a stretcher trolley, quick!"
The patient was moved to the rescue bed as quickly as possible and Zheng Ren began the procedure.
The patient was lying on his back with his head low and feet high. The foot of the bed was raised by about 15 to 25 degrees to increase venous pressure and fill the veins.
This was to ensure that the pressure in the veins was higher than atmospheric pressure so that the risk of air embolism during deep venipuncture could be reduced.
Zheng Ren tore off the patient's shirt with such force that it gave off a wild feeling. He placed a 500ml water bottle between the patient's shoulder blades. The patient was relatively thin, so he chose a soft bottle of normal saline.
The object is to widen the thoracic cage, drop the shoulders, and elevate the middle of the clavicle, thereby bringing the subclavian vein close to the clavicle, and separating it from the apex of the lungs.
Next, Zheng Ren turned the patient's face toward himself to reduce the angle between the subclavian vein and the internal jugular vein so that the catheter could easily move toward the superior vena cava.
"Done. Next patient, get into position," Wang Yao said. Zheng Ren wanted to raise his voice, but his throat was already hoarse. Only a few nurses beside him could barely hear him.
"Okay!" the nurses replied.
This position was very easy to position, and the goal was clear. It was not difficult to do it.
After putting on the gloves, Zheng Ren had a needle in his hand. He chose the puncture point and was ready to start.
Zheng Ren did not follow the textbook's instructions, which was to use the puncture point one to two centimeters below the middle of the clavicle, with the needle pointing at the same side of the sternoclavicular joint and the needle entering at a horizontal angle.
The puncture point he chose was the subclavian thoracic triangle, which was outside the midline of the clavicle, and a random point away from the subclavicle.
The nurses had seen subclavian venipuncture before, but the patient's blood pressure was not this low, and the resuscitation was not as urgent.
Was Chief Zheng so busy that he had lost his mind? Why did he choose the wrong puncture point?
Zheng Ren's hand was steady and fast, and there was no time to remind them. They could only stare at Zheng Ren's hand and watch helplessly as Zheng Ren's left hand pressed down.
Zheng Ren used his left thumb to press down on the skin until it was at the same level as the intercostal space. Then, he made a horizontal puncture at the lower edge of his thumb.
This was the result of Zheng Ren's own experience in the System's intensive training based on thousands of articles on subclavian venipuncture and his own practice.
During the System's intensive training, all the test subjects appeared in front of Zheng Ren in their positions. At first, the procedure was a little slow, taking about three minutes. Later, it became faster and faster, until one test subject was completed in less than ten seconds.
During the intensive training, Zheng Ren used 234.6 minutes to perform 452 deep venipunctures.
This number might be slightly lower than that of the emergency department and ICU doctors in some large hospitals, but Zheng Ren had completed all of them in one go. They were all high-difficulty deep venipunctures with low blood pressure and low blood volume.
The difficulty was high, but the rewards were high. Zheng Ren was fully qualified to be ranked among the best in the country.
Others did not have the opportunity to perform hundreds of high-difficulty venipunctures. Only the System could provide such a condition.
One needle, blood!
It was an unconventional operation, but the effect was very obvious. The senior nurses beside Zheng Ren were stunned.
How could such a difficult puncture not take five minutes? Repeated punctures, repeated probing, repeated searching, and finally, as if by luck, entered the vein. Anyone who could do it in five minutes would be considered an expert.
But how long did Chief Zheng take? Not including the time it took to adjust the position, it was two minutes? No, definitely not two minutes. One minute … Maybe less than one minute. In the blink of an eye, the venous flow was already visible.
"Connect the intravenous drip and add methylene blue." Zheng Ren raised his voice when he saw that no one was continuing with the venipuncture.
He could not shout. His anxiety had caused his body to secrete a large amount of adrenaline and dopamine, causing his entire body to be in an abnormal state of excitement. His voice was completely muted.
"Oh, oh, oh." The senior nurse beside Zheng Ren recovered from the shock and immediately connected the venipuncture to the infusion tube.
"Set the maximum volume. After the infusion, continue to empty the glucose and gastric lavage," Zheng Ren instructed.
"Yes!" Several senior nurses who had been temporarily transferred from different departments answered immediately.
This was the way of the hospital. If you could do it, countless people would listen to you. If you could not do it, no matter how much you yelled, it would be useless.
He asked the nurses to add the medicine and position the patient.
Zheng Ren picked up the needle and thread from the puncture kit and began to fix the venipuncture needle.
Like a general in the military camp giving orders, there was no hesitation.
After suturing a patient, Zheng Ren watched the sugar water and methylene blue solution drip into the drip pot in a line. Only then did he feel relieved.
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