In this situation, everyone was tense, no one could pay attention to anyone else. They could only do their own jobs.
Xie Wanying pressed the fluid bag, bound like a sandbag, on top of the patientâs lower abdomen.
The surface of the fluid bag was smooth, and the liquid inside moved around, unlike a sandbag that stays fixed easily. Xie Wanying had to use her own hands to press and stabilize the downward weight.
The patientâs blood pressure drop was a bit distressing, and the pressure on the abdomen and Uterus wound might cause pain, prompting the body to move. Once the body moved, the pressure would disperse and become ineffective.
"Donât move!"
The patient couldnât hear the doctorâs words.
With both hands only pressing the fluid bag, she had no third hand, which made her feel a bit anxious.
Just then, two other hands reached over, stabilizing the patientâs body from both sides, preventing movement.
Xie Wanying looked up and saw Student Gengâs tightly knitted brows, sweating profusely.
Such stabilization was difficult; Student Geng had it much tougher than her because he was taller and had to bend deeply in the ambulance to do this work.
"How about we see if we can adjust the position?" Xie Wanying pondered a more favorable solution.
"Itâs fine, letâs stop the bleed first." Geng Yongzheâs tone was slightly strained but his hands were unwavering.
His determination was clearly reflected on his stern and reserved face.
The boys in the class were all gentle people. Xie Wanying recalled Li Qiâan and Student Pan, they were all the same.
The nurse and driver at the front glanced back at the situation, thinking it was bad.
The nurse understood that pressing a sandbag hardly did anything with the potential major hemorrhage looming, and the patientâs blood pressure visibly dropping.
If they were in the hospital, many emergency actions should be simultaneously implemented right now. Administer drugs, transfuse blood, perform various tests to determine the cause of bleeding instead of blindly guessing here, and if necessary, move into an operating room to stop the bleed.
In the ambulance, their options were too limited. Apart from pressing the sandbag, the only possibility was increasing the patientâs oxygen volume.
They could only make a phone call back to the hospital to ask their doctors for instructions.
"Administer some oxytocin," said Doctor Zheng over the report.
"Donât rush to administer it, find out whatâs going on first." Doctor Peng, having learned from experience, appeared more cautious than Doctor Zheng, most afraid of amniotic fluid embolism, asking, "Is the blood volume large?"
"They are using fluid bags to compress the Uterus," the nurse explained the crude measures taken by the two rookies to Doctor Peng.
"A lot of bags need to be compressed." Doctor Peng knew this method, asking, "How many have they compressed?"
Generally, it requires compressing sandbags weighing over 1.5kg, maintaining it for no less than four hours. Physical measures like sandbag compression are feared to be slower compared to drug administration.
"Theyâre using several bundled together, I canât see how many bags theyâve used." As the nurse spoke and looked back, the nighttime visibility was not optimal.
The rush made them forget to bring sandbags onto the vehicle. There was only an emergency kit on the ambulance; no way to load a pile of fluids onto the vehicle.
Honestly, the nurse said, "I honestly think this kind of compression isnât very effective. Doctor Peng, administer some oxytocin."
Doctor Peng didnât give up just yet, instructing the nurse, "Have Xie Wanying listen to the phone."
Doctor Zheng grumbling beside, questioning them, "Itâs been half an hour, hasnât it? Why havenât you reached Fang Ze yet?"