Chapter 44 - Mission - 10,000 Family Life Buddhas

At the same time, a mechanically cold female voice came, not answering Zheng Ren's cry, but announcing a mission.

[Emergency task: Wanjiasheng Buddha.

Task content: Complete the rescue work of large-scale food poisoning in the emergency department.

Mission reward: For every successful rescue of 100 patients, you will get 300 skill points, 1 silver treasure chest, and 30,000 experience points.

Mission time: 1 day. 】

The system, which has always been generous, was even more generous this time, and directly gave Zheng Ren the task of stunned. Zheng Ren couldn't believe that the reward was so generous. Zheng Ren didn't know what could be opened from the silver treasure chest. Just 300 skills and 30,000 experience points is enough.

But... Zheng Ren scolded secretly, there is no femoral vein dissection in the system mall.

Are you kidding me? Zheng Ren is manic.

Every minute, or even a second, of delay can lead to the death of the patient.

Suddenly, Zheng Renfu, who was in a manic state, had a thought in his mind, the beginning of the interventional operation, wasn't it just arterial puncture?

Now what I have to do is deep vein puncture, although different, but the principle is similar.

give it a try?

There was no time to think about it, Zheng Ren clicked the time to buy the interventional surgery, and found that there were options. The first option was deep vein and deep artery puncture.

He chose the puncture surgery without hesitation, and Zheng Ren was no longer stingy in terms of time, and directly replaced all the 14,076 experience points he had accumulated and was reluctant to spend into the training time for the surgery.

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

The operating room of the system rose from the ground, and Zheng Ren entered. He didn't dare to delay for a second. He took a deep breath, calmed down, and started the training camp.

...

...

Another car of patients was pulled over, in the same serious condition, in a state of toxic shock.

When the patient was deduced to the door of the emergency room, Director Pan had just cut the skin of the first patient, and was carefully separating the subcutaneous tissue, looking for signs that might be the femoral vein.

"Deep vein puncture bag, ready to be sterilized." Zheng Ren "woke up", his voice a little hoarse.

"Push in a flat car, hurry up!"

The patient was transported to the rescue bed at the fastest speed, and Zheng Ren started the operation.

The patient is placed in the supine position with the head lowered and the feet high, and the feet of the bed are raised about 15 to 25 degrees to increase the venous pressure and fill the veins.

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

Zheng Ren ripped off the patient's shirt with such strength that it gave a wild feeling. A 500ml water bottle was placed directly between the patient's two shoulder blades. The patient was relatively thin, and Zheng Ren chose a soft bottle of normal saline.

The purpose is to expand the thorax, droop the shoulders, and elevate the middle of the clavicle, thereby bringing the subclavian vein close to the clavicle; to separate the subclavian vein from the apex of the lung.

Zheng Ren then turned the patient's face toward himself, thereby reducing the angle between the subclavian vein and the internal jugular vein, and making the catheter easier to move toward the superior vena cava.

"Okay, the next patient is ready first." Zheng Ren wanted to say loudly, but he didn't expect that his voice was hoarse, and only a few nurses around him could barely hear it.

"Okay!" the nurses replied.

This position is very well placed, the purpose is clear, and it is not difficult to achieve.

Wearing gloves, Zheng Ren has a needle in his hand, and he is ready to start after selecting the puncture point.

Zheng Ren did not follow what was written in the textbook. The puncture point was 1-2 cm below the midpoint of the clavicle, the needle tip was directed towards the ipsilateral sternoclavicular joint, and the needle insertion angle was horizontal for deep vein puncture.

The puncture point he chose was in the subclavian thoracic triangle, that is, when the lateral side of the midclavicular line below the clavicle, and any point away from the clavicle was taken.

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

Is Mr. Zheng busy? Why is the puncture point selected incorrectly?

He was in the process of first aid, and Zheng Ren's hand speed was very steady and fast, so it was too late to remind him. They could only stare at Zheng Ren's hand and watch Zheng Ren's left hand press up.

Zheng Ren used his left thumb to press down the skin, and when the height reached the same level as the intercostal space, he marked the lower edge of the thumb horizontally, released his thumb, and made a horizontal puncture directly at this point.

This is the experience summed up by Zheng Ren based on thousands of literatures on subclavian arteriovenous puncture and his own practice during the system training.

During the training of the system operation, all the experimental subjects were placed in front of Zheng Ren, and they were done slowly at first, about three minutes. The later stage is getting faster and faster, until there is an experimental body in the last tens of seconds.

During the training, Zheng Ren performed 452 deep vein punctures in 234.6 minutes.

This number of cases may be slightly lower than that of emergency physicians and ICU physicians in some large hospitals, but it is impossible for Zheng Ren to complete it in one breath. All of them were deep vein punctures of subjects with high difficulty, low blood pressure and low blood volume.

The difficulty is high and the harvest is great, Zheng Ren is fully qualified to be among the top ranks of puncture technology in the country.

No one else has the opportunity to perform hundreds of difficult punctures, and only the system space can provide this condition.

One needle, see blood!

The operation was not in line with the routine, but the effect was particularly obvious. Several senior nurses around Zheng Ren were stunned.

Such a difficult puncture, why can't it be done every five minutes? Repeated puncturing, repeated probing, repeated searching, and finally, it was like a chance to enter the vein, and it took five minutes to be considered a master.

But how long did it take Mr. Zheng? Not counting the time for the body position, it's only 2 minutes? No, definitely not two minutes, just one minute... Maybe less than one minute, I blinked my eyes and saw the venous blood returning.

"Join the drip, with Meilan." Zheng Ren held the deep vein puncture tube in his hand. Seeing that no one continued to the next step, his voice became higher.

I really can't shout. The anxiety just caused the body to secrete a lot of adrenaline and dopamine, which caused the whole person to be in an abnormal state of excitement, and the voice was completely dull.

"Oh oh oh." The old nurse standing beside 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 and gastric lavage." Zheng Ren instructed.

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

The hospital is like this, if you can do it, there will be countless people listening to you. If you can't do it, no matter how you beep, it's useless.

Ask the nurse to add medicine and position the patient.

Zheng Ren picked up the needle and thread in the puncture kit and started fixing the deep vein puncture needle.

It's like the general in the barracks gave orders, and the generals took orders, without a trace of delay.

After sewing a patient, Zheng Ren felt relieved when he watched the sugar water and Meilan solution dripping from the dripping pot in a line.

The next patient was already in position, Zheng Ren took off the sterile gloves, wiped his hands with alcohol gel, opened the next puncture bag, put on the sterile gloves, and began to continue the operation.

Thanks to Xu Haidong 1975, very leisurely 7 for the reward, asking for tickets late at night, please give me the remaining tickets, trouble.