Famous Among Top Surgeons in the 90s-Chapter 1982: Guidance
Even if their medical skills are not top-notch, the medical staff at the health center possess the technical ability to judge whether a patient is going to die.
"Don’t just stand there dumbfounded." Doctor Hu loudly commanded everyone on site to get moving, prohibiting anyone from standing in a daze. This was the crucial moment where medical staff had to fight desperately with Death God to save a life, "Quick, get the oxygen bag. You, squeeze it!"
Shen Xifei, who was suddenly pointed at by Doctor Hu, had originally been standing outside, waiting to assess the situation before doing anything.
"Are you coming in or not?" Doctor Hu hurriedly asked her again.
This Teacher Hu wasn’t blind! But why did his eyes seem to see deep into her soul, making her shiver. If she dared to remain motionless now, she could forget about staying at Beidou Third Hospital. With this thought, Shen Xifei braced herself and charged forward, knowing she had to fight for her future job position.
The small hospital had no ventilator. Only the oxygen bag could be used as a substitute, connected to oxygen. Shen Xifei squeezed the oxygen bag. The nurse struggled to find a vein for the patient to push adrenaline, finding it very difficult in the patient’s near-shock state.
Someone brought over the defibrillator, ready to perform CPR and defibrillation once the patient’s heartbeat stopped.
"Xie Wanying, do you know what you’re supposed to do?" Doctor Hu, increasingly unable to see people’s figures clearly, could only use his voice to locate Student Xie.
"Teacher, I’m performing left-sided uterine displacement on the patient." Xie Wanying replied, standing at the patient’s left side, her hands positioned at the lower right side of the uterus to cradle and lift it diagonally toward the upper left. 𝒇𝒓𝒆𝒆𝙬𝒆𝒃𝓷𝒐𝓿𝙚𝙡.𝒄𝓸𝒎
Upon hearing her response, Doctor Hu, regardless of any negative impression he had previously expressed about her, could only allow a satisfied curve to appear on his lips.
As a teacher and a superior, anyone loves a student or subordinate with excellent skills; thus, no need for extra words.
The health center staff were puzzled, as non-obstetrics professionals couldn’t immediately understand the usefulness of what Xie Wanying was doing.
Shen Xifei curled her lips, thinking to herself that Xie Wanying might be trying to compete for the obstetrics specialty, always being so familiar with obstetrics knowledge.
What Xie Wanying was doing, left-sided uterine displacement, is one of the recommended rescue measures in the CPR guidelines for pregnant women. After 20 weeks of pregnancy, the enlarged uterus can compress the pregnant woman’s inferior vena cava, pelvic veins, and abdominal aorta, reducing blood return to the heart. Uterine displacement helps relieve the uterus’ pressure on the inferior vena cava, increasing the blood return to the heart, improving cardiac output and circulation, and enhancing the chances of successful rescue.
Doctor Hu, unable to see the monitor’s numbers, continued to receive other’s data reports by ear. Upon hearing that the patient’s heart rate and blood pressure couldn’t be maintained, he decisively instructed the ER nurse: "Prepare for PMCS."
PMCS? The staff at the health center once again failed to remember this obstetrics term.
"Perimortem Cesarean Section," Doctor Hu informed them, with no hint of blame or sarcasm in his tone.
The health center’s foundation is weak, and it’s normal not to know this without an obstetrics specialist on site.
PMCS was introduced less than twenty years ago, referring to the cesarean section initiated after cardiopulmonary resuscitation starts.
Similar to the uterine displacement method, removing the fetus via cesarean section can instantly relieve uterine pressure, aiding in rescuing the mother’s life. Additionally, if the mother cannot be resuscitated and dies, the fetus’ life countdown begins with thirty minutes left.
