"No big deal," Shim Youhuan replied to Doctor You, "I guess some important person is coming to our hospital for treatment, and the two leaders are discussing the medical records."

"Don’t you think it’s possibly about the hospital buying some new equipment, or expanding some services, or even raising or lowering our salaries?" Doctor You’s indignant tone hinted at everyone wanting better benefits quickly.

"The more you think, the less you have," Shim Youhuan told his colleague, suggesting that it’s better not to daydream. It’s like when you’re not thinking about it, the leaders unexpectedly drop a big gift on you.

Senior Brother Shim was too good at joking, and his style of humor was completely different from Senior Zhu’s. Senior Brother Shim was a 100% carefree optimist, with a kind of humorous outlook on life, unlike Senior Zhu. Xie Wanying thought to herself.

"Whose medical record is she studying so intently?" Doctor You asked, having long been curious about the newcomer sitting there reviewing medical records.

Not revealing the junior sister’s private matters, Shim Youhuan got up. It was about time to see how the preparation below was going. Seeing this, Xie Wanying put away her cousin’s medical records and followed her senior brother to the control room.

Several doctors in surgical gowns and lead aprons were busy in the operating room. Doctor Chen, who was older, was guiding the two younger ones on-site: "Teacher Shim said the patient needs to undergo IABP. The femoral artery puncture is the first choice."

Femoral artery puncture is the preferred entry route for cardiovascular interventional procedures. This had been mentioned before. It looks easier than the radial artery due to its size and is considered a fundamental skill for cardiovascular interventional surgeons. However, for novice medical students and young doctors, mastering this basic skill isn’t easy.

As the saying goes, everything is difficult at the beginning.

Unlike the radial artery, the femoral artery is deeper and harder to palpate. That said, as the main artery of the lower limb, commonly used clinically for emergency compression hemostasis and puncture spots, the femoral artery is fairly easy to locate. Like when Xie Wanying saved the elderly man upon starting school, finding the femoral artery wasn’t hard; the difficulty lay in stabilizing it. Normally, unless the patient’s situation is exceptionally unusual, the femoral artery can be palpated distinctly at the superficial midpoint of the groin.

Doctor Yang, wearing gloves, pressed the patient’s right groin area with her middle finger and thumb. After a long time of feeling around, she seemed unable to find it.

Cardiogenic shock in a patient involves a state of systemic low perfusion, causing decreased arterial blood output from the heart, naturally weakening arterial pulsation, with no exception for the femoral artery.

Clinically, it’s common not to feel a patient’s vessels. Nurses face this, as do others, as difficulty in venous and arterial puncture skyrockets in such shock patients. Anatomy as a foundational discipline for all medical branches becomes critically necessary, especially in times like these.

Think of anatomy. It doesn’t matter if you can’t feel it; recall the anatomical diagram of the femoral artery, and perform a completely blind puncture. 𝗳𝚛𝗲𝕖𝕨𝕖𝗯𝚗𝚘𝕧𝕖𝗹.𝗰𝗼𝕞

Doctor Yang had considered this approach but had never tried it, feeling a moment of panic.

"Make a decision quickly," Doctor Chen urged her, watching her operation.

Rushing over, the teacher offered practice opportunities; unlike others, one must strive hard. Doctor Yang cheered herself up internally.

The patient’s current condition was relatively stable, and the teacher, aiming to nurture future generations, would allow the student continued attempts. Doctor Chen consecutively provided guidance: "Think carefully before acting, avoid puncturing the vein, and first apply some anesthetic."