N-M Chapter 147 Are You A Standard?
Chapter 147 Are You A Standard?
under examination.
The first assistant, the second assistant, all obey the command of the chief knife officer.
No matter how strong the first assistant and the second assistant are, if the chief knife officer pulls the stride, it is useless.
Teacher Xu announced: "Exam, start."
Xia Xia and Wang Boyi's eyes fell on Wang Xiaobei.
Wang Xiaobei paused for half a second, and immediately commanded the two of them.
"Boyi, perform cardiac resuscitation for the patient."
"Brother Tian, prepare for ATD."
ATD stands for Automatic External Defibrillator, which can perform rapid defibrillation.
When preparing for ATD, medical personnel can perform manual CPR first.
The first step is to unpack the clothes.
In the second step, alternate 30 chest compressions and 2 rescue breaths.
At the same time, Xia Xia opened the package of the ATD, turned on the power, pressed the power button to turn it on, put on gloves, shaved the patient's chest hair with a razor, and wiped it with a tissue.
In the first step, the electrodes are attached to the patient's bare chest.
(The electrode pads of the automated external defibrillator contain conductive adhesive, which requires tearing the pads from the plastic film and sticking the adhesive surface to the patient's chest.)
(The electrode sheet is divided into two pieces, one is attached just below the right clavicle, and the other is attached to the outer side of the left breast.)
The second step is to insert the electrode plug into the external defibrillator.
(The preparation process, the person performing CPR, does not need to pause.)
The third step is to prepare to analyze the heart rate.
(While analyzing heart rate, do not touch the patient.)
The fourth step, electric shock is recommended.
Summer shouted: "Let go!"
Wang Boyi and Wang Xiaobei released the patient at the same time.
Press the shock button in summer.
1 shock.
The patient's heart is still at rest.
Wang Xiaobei ordered: "One more time."
2 shocks.
The heart fluctuates on the instrument, and the stopped heart fluctuates, but the rescue is not over yet. Under the stimulation of ATD, the heart resumes beating, but once it stops, it is very likely that the erection will stop again.
Wang Xiaobei commanded quickly.
"Brother Tian, put the patient on a ventilator."
"Bo Yi, inject a cedilan and a epinephrine for the patient."
The patient's condition gradually stabilized.
Wang Xiaobei turned his head and said to the examiner: "The patient triggers sudden cardiac death and needs to undergo ECG, ultrasound, angiography, and surgery to place a pacemaker when necessary."
"The second question is over."
Wang Xiaobei was sweating profusely, and repeated the diagnosis and prognosis.
The three examiners nodded and wrote the scores on their scorecards.
next question.
...
Question 5: Multiple rib fractures
Patient: An 87-year-old male who suffered a fall and fractured multiple ribs.
"Chief Swordsman No. 97."
Before the examiner's voice fell, Wang Boyi had already entered the battle and commanded immediately.
"In the summer, do physical examinations, X-rays, CTs, and 3D reconstructions for patients."
"Xiao Bei, inject the patient with oxycodone to relieve pain."
After the examination, the large screen displayed: The patient has a closed fracture.
Closed rib fractures do not require surgery.
Wang Boyi immediately said: "In summer, apply ice-cold compress to the patient for 20 minutes every hour."
"Xiao Bei, prescribe ibuprofen painkillers for the patient."
"Check patients for heart disease, high blood pressure, kidney disease, liver disease, etc."
At the same time, Wang Boyi used a chest strap to help the patient immobilize the affected area.
After all is over.
Facing the examiner, Wang Boyi said, "Patients with flail chest need an auxiliary ventilator."
"During recovery, avoid pressing, pushing, pulling on the injury, or lifting heavy objects."
"To avoid constipation, drink plenty of water and eat foods rich in fiber."
"X-ray review is required during recovery."
"End of answer."
Ding!
After all 5 questions were over, Mr. Xu pressed the countdown timer.
50 minutes left on the 90 minute countdown timer.
It only took 40 minutes for the three people to complete the assessment of the team competition.
"call……"
Wang Xiaobei let out a long sigh of relief. The moment he pressed the pause button, he leaned his head on Xia Xia's shoulder and cried.
"Brother Tian, it's finally over."
"People were so nervous they were about to cry."
Xia Xia was so disgusted that he put a middle finger on his forehead and pushed him towards Wang Boyi.
Wang Boyi quickly took three steps back.
A face of 'Don't enter strangers'.
Wang Xiaobei looked at Xia Xia and Wang Boyi again, and saw that both of them looked like 'If you dare to come here, I will kill you'.
He had no choice but to pounce on Teacher Xu.
"Wuwuwu, Teacher Xu, I'm so nervous."
Teacher Xu gave a push, but did not push.
Pushing again, Wang Xiaobei hugged tighter.
Teacher Xu sighed deeply, patted Wang Xiaobei on the shoulder, and said quietly.
"Wang Xiaobei, you did a great job this time."
"do not be afraid."
"The teacher said that you will be a good doctor."
"It's...you have this character, learn more from classmate Xia, as a doctor, in addition to superb medical skills, you must be of good character."
Wang Xiaobei suddenly raised his head and looked at Teacher Xu blankly.
"Mr. Xu, what does it mean to be of good character?"
"I don't even have a girlfriend."
"I have a good character."
Teacher Xu: "... When I say good character, I don't mean male and female friends. To be a doctor, you must be prudent."
"Anyway, you should study more with your summer classmates."
"Okay, your assessment is over."
"You can leave now."
An examiner in his early 40s looked at the three with a smile and said to Teacher Xu.
"Mr. Xu, you three students are really excellent."
"All three of them got full marks."
"I have been an examiner of the 'Brain Doctor' for three years, and it was the first time that three people in the team competition got full marks at the same time."
"This summer will be the best graduate of this year's Medical University this year."
Teacher Xu looked at Xia Xia, and his eyes instantly showed appreciation and relief.
A smile appeared on the old face.
"Summer classmates are excellent and hardworking."
"He'll be a good doctor."
"Xiao Bei has to work hard."
Wang Xiaobei snotted and cried: "Mr. Xu, I understand, thank you, Mr. Xu."
After thanking the three examiners, the three left the examination room.
call……
As soon as he went out, Wang Xiaobei sighed deeply, and then ran out happily.
"Finally over."
"I'm so nervous, old man."
Looking at Wang Xiaobei's revelry back, Xia Tian put his hands in his pockets, glanced at Wang Boyi who was lighting a cigarette, and said lightly.
"Both of us are full marks, there is no difference."
"It seems that you are also an excellent doctor."
Wang Boyi took a puff of his cigarette, glanced at him, and said coldly.
"Is it a good doctor if you can't tell the difference between you and you?"
"Are you the standard for a 'good doctor'?"
This is full of provocation!
Are you the standard?
Ordinary people will be a little embarrassed when faced with this kind of problem. After all, Xia Xia is just an ordinary resident doctor, and he has not yet become a world-famous doctor. How can he become a 'standard'?
Ah!
If it wasn't for Zhang Ming, would you be the darling of the emergency department?
Stop being narcissistic!
Xia Tian put his hands in his pockets, his waist was straight, his eyes were not squinting, and he replied in a loud voice.
"Yes, I am the standard."
"If you can be as good as me, you are a good doctor."
wipe……