I'm sure I haven't experienced more than 50 cases

Secondly, many doctors choose the internal jugular vein to pass through the central vein because it is superficial here. Once the artery is injured,

It's easier to press. It usually takes ten minutes to press.

Therefore, the patient's injury is estimated to be relatively large, and he can't handle it himself. He has to be transferred to a higher hospital.

From the doctor's point of view, in this case, I really shouldn't promise any compensation-I serve the patient wholeheartedly.

The technical level is here and there are complications. I must feel bad in my heart, but it is inevitable. If the family is worried about this,

Have a problem with things.

First, then go through the normal channels.

From one's point of view, if you promise, you must do it.

Personally, I think it may not be the doctor who finally wants to go back on his word, but the pressure from the hospital-a normal complication, you

If you have to pay for it yourself, what about other doctors in the future? Is this the same? Then let's all stop working. We might as well lose more than we earn.

Let's talk about compensation. Generally speaking, if it is finally identified as a medical accident, the compensation is like this-80% for hospitals and departments.

10%, individual 10%

So there is really no need to be persistent, just go through the normal claim procedure.

Finally, praise yourself.

I have probably experienced more than 2000 cases. 20 10 years ago, I would have two or three cases of accidental arterial injury within one year.

After 20 10, there is basically no accidental injury. Most of me wear subclavian veins-patients will be more comfortable.

The most fundamental reason is ultrasound!

Ultrasound is a doctor's eye, so let's stop walking at night, show us the way forward, and bring benefits to both doctors and patients, which is a bit expensive, from hundreds of thousands to millions …

Second, the actual situation is much more complicated than this, especially the per capita malnutrition and vascular insufficiency of our gastrointestinal surgery patients.

Take yesterday as an example. Zaza couldn't draw. Under the guidance of ultrasound, this person's vein is thinner than an artery, and it will flatten when pressed. We used to

I have also encountered ultrasound, and there is no such blood vessel after I found it. So you can't tie it again and again. If I tie it, I'll tie it to the artery. That's not true.

Very rare. I have punctured an artery before. The scene of pricking the artery is spectacular. Blood can be sprayed directly on the ceiling.

Third, I have a preliminary understanding of artery sticking here. So, is sticking to an artery a medical accident? What kind of medical care is it?

Accident In my opinion, this is not a medical accident, because people don't have sparkling eyes, and no one can guarantee that they can see it at once.

Blood, tied to the artery, is not something that has a great influence on the patient. It must be explained before placing the catheter. The key to the problem is

How to deal with it? Press it right away. Basically, it will take a while. I didn't see what happened after stabbing the artery.

The situation is very serious, but I guess it is because the pressing is not timely, the time is not enough or the position is wrong, which leads to the continuous bleeding of the artery, resulting in

Hematocrit between tissues, even severely, will compress trachea and esophagus, causing suffocation.

In fact, the most serious complication of stabbing the center is stabbing the lung. A brother had a pneumothorax. Seven years later, the director came back and proposed to use him as an example textbook.

As an emergency doctor, deep venipuncture is the basic operation. I have done deep vein puncture, and I estimate hundreds of cases.

Even so, now I dare not say that I can puncture successfully every time, let alone whether I can puncture the artery, and whether I can puncture the vein is different.

Settings.

Emergency situations are complicated and changeable. Anyone who says that he has never failed must have done too little. I've seen all kinds of strange things.

Everything is available. For example, last night, I saw a man fall from a building, his whole body was broken and his blood pressure was low, so he looked for blood vessels all over his body.

I can say that no one can succeed in one shot.

Fourth, when I first started to learn deep venipuncture, I saw a paper in a hospital in Guangdong, which probably meant that according to his method, it was all needles.

Blood never fails. At that time, I thought it was really a great god. Later, it was found to be a lie, either writing a paper to fabricate data or seeing a doctor.

There are too few cases, or all of them are high-quality patients.

I am very willing to use B-ultrasound to guide puncture. Even if I wear it blindly, the success rate is high. I will do ultrasound whenever I have time.

Evaluate blood vessels.

Under the vision of ultrasound, we can see various changes.

Take the internal jugular vein mentioned by the subject as an example. I saw the inside of the carotid artery and the tiny blood vessels. I can't say what it is.

Yes, I have seen blood vessels collapse completely, and I have also seen blood vessels with thrombi.

As for penetrating arteries, it is also very common. Blind puncture of arteries is almost inevitable.

All I've seen are penetrating pneumothorax and forgetting to pull out the guide wire.

What should we do if something goes wrong? Of course, we should actively communicate and try our best to make up for it. But I don't recommend solving problems with my family in private. Try to get through to the hospital. Individuals solve a lot of troubles, and the name is wrong.

Mispricking arteries is very common. As shown above, we can see that the thick blue on both sides of the neck is the internal jugular vein.

The red color next to it is the internal carotid artery. A considerable number of people have variations in the position of these two blood vessels, so they puncture the neck.

In the past, it was almost impossible to avoid the wrong puncture of vein into artery. Unless you are Hua tuo's B-ultrasound.

Arterial puncture error is not a medical accident, but depends on the treatment after puncture error. Just press it twice in time after the puncture needle accidentally hurts the artery.

It only takes 30 minutes. This hospital has pressed 10 for hours, but it still can't be pressed. Maybe the catheter has been expanded or the central venous catheter has been inserted.

Inserted an artery. At this time, surgical repair is needed. Generally, vascular surgery is needed to cut and suture the ruptured artery, or interventional therapy is needed.

It can be handled in some cases.

If the puncture of the artery is not handled correctly in time, it will cause the neck hematoma to oppress the airway and suffocate, which is of course a medical accident. If it is timely,

If it is handled or transferred, it is certainly not a medical accident and should not be recovered from individuals. You can recover from the hospital or sue, find one.

People obviously have no legal basis.

Of course, now we can avoid accidental injury of arteries to the maximum extent. First, according to the operator's experience, there must always be roots in the brain when puncturing.

String, am I wearing an artery or a vein? If it is an artery, stop the operation in time. This example may be a novice, so let's not.

It is easy to penetrate blood vessels, so I forgot to judge that it is arteries and veins, which directly dilate. Generally, it can't be pressed after expansion. The second one is me.

Now all punctures are done under the guidance of ultrasound, and it is almost impossible to penetrate the artery. However, not all hospitals have medical capabilities.

Students are experienced and equipped with ultrasound. Doctors can do ultrasound themselves or call an ultrasound doctor in time, which is unrealistic, so there are still some accidental injuries.

But this is inevitable. Doctors should be as tolerant as possible without subjective malice or serious consequences. After all, they are just

Only the person who washes the dishes will break the bowl. If you want to never break the bowl, you have to never wash the dishes.