Chen Cang is very worried now!

What he was worried about was that he didn't know how long the patient could last and whether he could last until the hospital.

After all, pericardial puncture...

yes!

Chen Cang suddenly remembered that he had a pericardium skill pack.

[Pericardium Skill Pack: After opening it, you can choose to obtain a pericardium skill.]

Chen Cang gritted his teeth and quickly chose [Pericardium puncture].

To be honest, Chen Cang felt that he was in trouble by learning this skill.

After all, there are various pericardial surgery in the pericardial skill pack, including pericardial incision, pericardial repair, etc.

These are all third-level surgery.

In contrast, pericardial puncture is only a secondary puncture operation.

Although these four punctures are more complicated than thoracic puncture and abdominal puncture, they are also puncture skills after all.

But... the situation is urgent, Chen Cang didn't have time to hesitate and chose to study directly!

[Ding! Congratulations, have you learned pericarpination, have you started training?]

Chen Cang had no time to hesitate at this moment and chose to enter directly!

Compared with chest puncture, the biggest danger is that if pericardial puncture is accidentally punctured into the ventricle, it will be a big trouble!

After all, the pericardium is not as thick as imagined!

The heart is not as strong as imagined.

Perhaps... this injection not only did not relieve the patient's condition, but instead aggravated the symptoms and even led to death.

Chen Cang changed his face and instantly appeared in the familiar operating room.

After entering the training space, we began to constantly simulate, learn, and master the applicable symptoms of pericardial puncture and the conditions for pericardial puncture...

Continuous training, ultrasound positioning puncture...assisted puncture...subjected puncture under electrocardiogram monitoring...

Until the end, Chen Cang began to perform blind penis.

This is the most critical step!

It is to use a puncture needle for pericardial puncture without any auxiliary equipment.

After all, this situation was very obvious at the scene, there was nothing, so I could only wear blindly!

Time passed by minute by minute, and Chen Cang became more proficient.

However, it was not done 100%.

This made Chen Cang feel very unsure.

The puncture training is very comprehensive.

Even include emergency management conditions for pericardial puncture.

For example, pericardial effusion does not require immediate surgery, but has an accurate scoring standard. Some require emergency puncture, while others require puncture within 12 to 48 hours.

Not all pericardial effusions are the earlier, the better.

In the virtual space, Chen Cang continues to learn and popularize the techniques and knowledge points about pericardial effusion and pericardial puncture.

Soon, the training time has come.

This is the first time Chen Cang feels that the special training time is so short.

He really wants to learn this technique to perfection and practice the success rate of "blind wear" to 100%, so that he can treat patients better and more accurately.

Unfortunately, things often go against your wishes...

soon……

After Chen Cang exited from the virtual space, a prompt sounded.

[Ding! Pericardium puncture: master level; special effect: accurate; 2. safe.]

The two special effects are very important to Chen Cang.

These are also two directions that Chen Cang constantly practices in the virtual space.

First, it is necessary to ensure the accurate position of pericardial puncture, and secondly, it is necessary to ensure absolute safety during the puncture process.

...

At this moment, less than a second had passed outside.

This second is very short, but for patients at this time, it may be the distance between life and death.

Chen Cang quickly used the knowledge he learned to judge the patient's condition.

Seeing Chen Cang hesitating, Old Liu hurriedly said, "Doctor Chen, hurry up and leave! Send it to the hospital. Let's talk about it when we arrive!"

Chen Cang shook his head: "It's too late. The patient's current situation is very critical. There is too much fluid accumulation in the pericardial cavity, which has seriously affected blood circulation. If it is not extracted, it is probably impossible to go to the hospital!

Even when he arrived at the emergency department, who knows what the situation would be? Now he needs to have a pericardial puncture surgery quickly!”

When Old Liu heard Chen Cang’s words, he shook his head!

This little Chen is too impulsive.

Lao Liu has been a 120 driver for twenty years and is very familiar with this situation.

What is pericardial puncture?

He naturally knew what the situation was.

But it is precisely because of understanding that I am even more worried.

What are the conditions on site?

There is nothing!

Without CT influence, without echocardiogram positioning, electrocardiogram monitoring cannot be obtained!

What are you doing?

Do it blindly?!

Don’t think that the driver of the 120 ambulance is just a driver. They have seen no fewer life or death than doctors, and there are many rescuers. So after hearing Chen Cang say this, he suddenly became uneasy.

"Xiao Chen, can't really go to the hospital?" The driver Lao Liu was still a little worried.

Chen Cang nodded: "I can't hold on, my heartbeat is getting weaker and weaker at this time. If I really wait until I go to the Second Provincial Hospital, I might be gone!"

At this time, the liquid is not discharged, and the heart is loaded so much that no matter what method you use, there is no way.

Relieving heart compression is the only glimmer of life for patients.

However, the patient's current conditions are limited and cannot perform puncture positioning and cardiac structure investigation. What should I do?

If there is no ultrasound positioning, it is possible that the puncture will fail and even worsen the condition due to unknown cause of the bleeding. I don’t know whether the internal heart damage will cause continuous bleeding due to heart rupture after the puncture? Or will the puncture tube be ineffective, or may the patient’s death be accelerated?

If traditional emergency chest opening detection is used, is it allowed to stop bleeding?

This is not a question of whether it is allowed or not, but the conditions are not met at all!

It's too late!

A bunch of difficult problems were placed in front of Chen Cang, and the patient's life was in danger, so he could not think twice. The opportunity to regain his life from the God of Death was fleeting, just this one!

Emergency pericardial puncture and catheterization!

Chen Cang made up his mind and decided that he had to race against time to rescue a glimmer of hope.

If the patient does not undergo pericardial puncture, let alone whether the rescue can be successfully rescued, he will not be able to go to the hospital at all.

Not to mention checking and understanding what went wrong.

Pericardial puncture can quickly solve the life-threatening first stage of pericardial filling. It is crucial and a crucial step to gain time for subsequent rescue.

Chen Cang opened the rescue box and did not have a pericardial puncture needle, but a chest puncture needle.

All can be used.

Old Liu looked at Chen Cang with a nervous look on his face: "Doctor Chen... you want it..."

"Blind wear?"

Chen Cang nodded. If you don’t wear blindly at this time, is there any other way?

No!

It must be passed on.

After cutting off the clothes and disinfecting them, Chen Cang began his own operations.

Chen Cang suddenly hopes that his eyes can see through. How good should it be?

Nothing else, just pierce yourself, you can have an extra chance of success!
To be continued...