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.
"Donāt 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 wasnāt 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 patientās near-shock state.
Someone brought over the defibrillator, ready to perform CPR and defibrillation once the patientās heartbeat stopped.
"Xie Wanying, do you know what youāre supposed to do?" Doctor Hu, increasingly unable to see peopleās figures clearly, could only use his voice to locate Student Xie.
"Teacher, Iām performing left-sided uterine displacement on the patient." Xie Wanying replied, standing at the patientās left side, her hands positioned at the lower right side of the uterus to cradle and lift it diagonally toward the upper left.
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 couldnāt 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 womanās inferior vena cava, pelvic veins, and abdominal aorta, reducing blood return to the heart. Uterine displacement helps relieve the uterusā 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 monitorās numbers, continued to receive otherās data reports by ear. Upon hearing that the patientās heart rate and blood pressure couldnāt 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 centerās foundation is weak, and itās 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 motherās life. Additionally, if the mother cannot be resuscitated and dies, the fetusā life countdown begins with thirty minutes left.