YM778.TV Chapter 142: Venipuncture Catheterization! (Please Subscribe)
They bolted for the door!
Fortunately, the hospital wasn’t far away, and with everyone sprinting like it was a 100-meter dash, it took less than two and a half minutes to reach the hospital.
As soon as they entered the emergency room, they saw the on-duty emergency physician sweating profusely, holding a puncture kit and looking at the patient, at a loss for what to do, while Zhang Peng from general surgery was also frantically struggling to insert the catheter.
Five ambulances parked outside the emergency department, like harbingers of doom, their flashing lights counting down the time, reflecting the tick of the clock in everyone’s hearts.
Zhang Peng’s head was covered in sweat, “Dr. Wang, how’s it going over there?”
The emergency physician Wang Ke was also anxious, “It’s no use, I can’t get it in. The patient’s local tissue is too damaged, I simply can’t find a vein! Goddamnit… Where is it, damn it!”
The anxious Wang Ke had started to curse. They really couldn’t afford any delays; every second wasted was significant. The patient was in such a critical condition from the burn shock, the risk was too high.
The other doctors from the 120 emergency ambulances weren’t idling either, attempting deep venous catheterizations on the patient, but even they, who frequently performed such procedures, were at a loss at the moment!
Once!
Failure!
Again!
Still a failure!
A third time…
They didn’t dare to attempt it anymore.
With failure, whether they could insert it or not wasn’t the issue, the risk of accidentally puncturing the subclavian artery during the procedure could be disastrous!
The patient was already in shock with extremely low blood pressure; any bleeding at this time could have unimaginable consequences!
For a moment, the emergency accompanying doctors began to tremble as well!
What to do?
Wang Ke couldn’t hold back anymore, “Zhang Peng, damn! Didn’t you say your chief was coming? Isn’t he nearby? Why hasn’t he arrived? If he doesn’t arrive soon, the patient will be gone before we even get to Anyang City!”
How could Zhang Peng not be worried?
Seeing the patient’s life hanging by a thread, he was already beside himself with anxiety. Hearing what Wang Ke said, he retorted, “Where’s your chief? At least our chief knows to come over, but yours? He acts like an idiot, won’t even pick up the phone. Is this how an emergency department chief should act?”
Both were extremely irritable, understandably so due to the urgency, but helpless and left with no choice but to call for help.
Just then, Duan Bo ran in panting, “Stop the noise!”
Seeing Duan Bo and the others enter, the duty doctor in the emergency room looked as if he had seen a savior, “Chief Duan, good to see you!”
Wang Ke stopped cursing and got up quickly, “Chief Duan!”
Duan Bo didn’t say much, hurriedly checked the patient’s condition, and after understanding the situation, frowned, “We have to use the subclavian vein!”
The patient already in shock, Duan Bo opened a brand-new puncture kit and used a syringe as a pillow for a tentative puncture, keeping the needle at about 30 degrees to the skin the whole time, pushing the needle in while pulling back, but…
The needle was in about 4cm deep, yet he still couldn’t draw blood!
This stunned Duan Bo!
He couldn’t go any deeper at this point, or else he might damage the subclavian artery.
Duan Bo promptly withdrew the needle, pulling back as he did so, but there was still no blood.
This made Duan Bo somewhat nervous. He quickly pulled the needle back to subcutaneous level and continued to change the direction of insertion, attempting more probing punctures!
If he couldn’t even perform a probing puncture properly, how on earth was he supposed to manage catheterization?
At that moment, a nurse suddenly said, “Chief Duan, the patient’s blood pressure has dropped again!”
Chen Cang’s face changed!
For a shock patient with very low blood pressure and terrible peripheral circulation, central venous administration is the fastest way!
And yet at this time, the venous catheterization couldn’t be completed!
It had become a severe obstacle to the patient’s resuscitation efforts!
Chen Cang quickly stepped forward, “Get me a puncture kit, please.”
The nurse was startled, “Who are you?”
Before Chen Cang could speak, Duan Bo intervened, “This is Dr. Chen from the Provincial No. 2 Hospital’s emergency department. You all cooperate fully with Dr. Chen, and if there’s any problem, I’ll take the responsibility!”
Upon hearing this, the nurse was taken aback, then quickly nodded, taking out disposable gloves and a puncture kit!
Chen Gang’s venous puncture catheterization skill level… was pitiable.
It seemed to be only at a basic level.
Logically speaking, the Deep Venous Catheterization Technique is an essential skill for emergency physicians, but because venous puncture can easily go wrong, especially with critical and severely ill patients, Li Baoshan was very cautious, generally letting senior doctors do the job.
Pulling out today’s Skill Book, Chen Cang chose to activate it right away!
“Ding! Skill Book successfully used, congratulations on acquiring the Deep Venous Catheterization Technique! Please select an effect.”
As Chen Cang hesitated, Wang Ke suddenly said anxiously, “Director Duan, 1 don’t dare to puncture anymore, otherwise there might be problems. The patient has severe burns, and I simply cannot find the deep vein!”
Chen Cang had intended to choose the fast catheterization.
But after some hesitation, he opted for precise catheterization!
“Venous Puncture Catheterization: Advanced, Special Effect: Precise Catheterization!”
Chen Cang put on the gloves, opened the puncture kit, and began the puncture with the needle directly.
Dr. Yang, who was nearby, saw this and was about to speak, “Dr. Chen… you don’t have to use a syringe to try puncturing in advance…”
Before he could finish,
Chen Cang stood up and said to the nurse, “Give me another puncture kit!”
The nearby nurse couldn’t help but say, “Dr. Chen, you should first use a syringe to probe, this way using one puncture kit after another…”
At that moment, the chubby, round-faced nurse standing by the side preparing medications for the patient suddenly spoke up, “Teacher Liu, Dr. Chen has already successfully punctured!”
With that, everyone’s attention was drawn!
So quickly?
Others had been trying for half the day without success, and Dr. Chen succeeded on his first attempt?
Moreover, without even trying…
That was truly… incredibly awesome!
Duan Bo was also somewhat astonished; could this young Chen be that strong?
Without pausing, Chen Cang took the puncture kit and said to the chubby, round-faced nurse following him, “Help me prepare the next puncture kit.”
The little nurse nodded excitedly, turning around to follow Chen Cang with three puncture kits in her arms.
One minute…
One!
One minute…
One!
The round-faced little nurse watched with overwhelming excitement, somewhat thrilled!
After all, Dr. Chen was too fast.
He inserted the needle in one go, very precisely.
In less than ten minutes, Chen Cang had successfully performed the procedure on all five patients, leaving the attending doctors from the emergency center gobsmacked: who was this surge of awesomeness from?
So strong!
The general surgeons were looking at Chen Cang with eyes full of admiration.
The nurses hurriedly administered the medications, and the patients’ conditions showed some improvement.
Wang Ke, one of the emergency physicians, came over excitedly, “Brother, you’re so awesome, I’m Wang Ke, from the emergency department.”
Chen Cang smiled, “I’m Chen Cang, also in emergency medicine!”
Wang Ke grinned gratefully, “If it weren’t for you today, those patients…. it’s hard to say!”