I Can See Health

   Chapter 189 Ending (Part 2)

  cubital vein puncture is an unconventional puncture and infusion method used when other peripheral veins cannot be punctured.

  Lu Chen first tied a tourniquet about 6cm above the horizontal line of the elbow.

   At this time, the part of the elbow with obvious elasticity and tension is the filled vein, which is the puncture site.

   To disinfect the skin at the puncture site, use a sterile cotton swab dipped in iodophor to sterilize the skin at the injection site in a spiral manner with the puncture point as the center.

  The diameter of the disinfection range should be greater than 5cm.

   Run along the vein and quickly pierce the skin at an angle of 20-30 degrees to the skin. After seeing the return of blood, the needle is moved forward a little along the vein, and the blood collection needle is fixed for blood collection.

   After the blood collection was completed, the infusion was started immediately.

  Gu Xinyue, Wang Zihao and others also completed the preliminary physical examination and operation.

   The other team members quickly found a way to deal with them after they were initially confused.

   In addition to cubital vein puncture, there are also puncture of dorsal foot vein and other peripheral veins.

   However, at this time, Jinghua Medical University, the operation progress is already in a leading position.

   "The patient's blood oxygen saturation continues to drop, and urgent bronchial intubation is required!" said Wang Zihao.

   At this time, Gu Xinyue had prepared the equipment for the laryngoscope and the equipment for intubation.

   "I'll come." Gu Xinyue looked at Lu Chen and asked for his opinion.

   "Okay!" Lu Chen nodded.

   After the resurgence and semi-finals, he now believes in Gu Xinyue's proficiency.

   "Zihao, calculate the patient's fluid loss, we must strictly control the patient's fluid input."

   Burn patients with extensive burns often have severe hypovolemic shock.

   Active fluid resuscitation is the most fundamental measure of treatment.

   However, how much you need to make up, and how much time you need to make up for, requires strict calculation, rather than imagining it out of thin air.

   All rescues were carried out in an orderly manner under the command of Lu Chen.

  This final will not test team cooperation, clinical skills, or the emergency response ability of each team in the event of a major safety accident.

  Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine, the two school teams have a very tacit understanding of the operation.

  In addition to being a little flustered at the beginning, it was very smooth after that, and every rescue measure was completed.

   In Jinghua Medical University, everyone's proficiency is uneven, Lu Chen and Gu Xinyue are obviously higher than Wang Zihao and Cheng Guoqiang!

  …

The    rescue is coming to an end.

   "Guoqiang, next, the two of us will clean the patient's skin, clean the carrion, and bandage." Lu Chen whispered to Cheng Guoqiang.

The first element of    rescue is to maintain various vital signs of the patient, including blood oxygen, respiration, blood oxygen and so on.

   After the patient's vital signs are stabilized, other things that affect the patient's prognosis are dealt with.

  After burns, the extensive skin barrier is destroyed, and a large amount of necrotic tissue and exudation become a good opportunity for microbial culture.

  If the patient's skin is not treated properly, the patient is very likely to have septic shock in the later stage of treatment!

  Strictly speaking, these operations are considered nursing.

   However, Cheng Guoqiang has more experience in the treatment of trauma in the surgical profession. Lu Chen has experienced the diagnosis and treatment of burn patients again, so it is most appropriate for them to deal with the skin.

   "Lu Chen, after cleaning the skin, do you need to clean up the carrion?" Cheng Guoqiang asked.

"Yeah." Lu Chen nodded, "It is divided into three steps. First, clean the wound surface, then clean the slough, and finally disinfect the wound. If the slough is not removed, the wound will not only be difficult to heal, but also suffer from severe infection. possible."

   These three steps were also learned by Lu Chen in the emergency department of the Second Jinghua Hospital.

   "Okay, no problem!" Cheng Guoqiang now trusts Lu Chen extremely.

  What Lu Chen asked him to do, he would do.

   The sims provided by the organizer are very realistic, with dirt on the skin surface and many carrion models inside the skin.

  Cheng Guoqiang cleaned the Sim's skin again and again, and then began to remove the rotten flesh.

   This is a delicate job.

   Don’t be in a hurry, otherwise it’s easy to miss.

  Lu Chen and Cheng Guoqiang did not do anything else, and began to treat the slough of the patient's skin and carefully disinfect the wound surface.

   "Teacher, we're done."

  Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine ended their operations almost at the same time.

  Take off gloves and wash hands. Candidates from both schools walked out of the exam room.

   They looked to the side and unexpectedly found that Jinghua Medical University had not finished the exam.

  No accident, it will take a lot of time.

   The exam was limited to half an hour, and now twenty-five minutes have passed.

   "Take note, candidates, there are five minutes left until the end of the exam!"

  Lu Chen and Cheng Guoqiang were sweating profusely.

  This last step, skin treatment, is a waste of time.

   In fact, if it is placed in real clinical work, it may take more than an hour or two.

   It is now a skill competition, and Lu Chen has already accelerated.

   "Disinfect again!"

   Finally got rid of the carrion, Cheng Guoqiang was about to breathe a sigh of relief, but Lu Chen ordered.

   "Okay!" Cheng Guoqiang didn't hesitate to pick up the disinfectant and try again.

  Lu Chen silently calculated the exam time in his heart.

   After sterilizing this last time, and then bandaging, the time should be just enough!

   At this time, the results of Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine have come out.

   Kyoto University School of Medicine, leading by two points!

   Now we will see the results of Jinghua Medical University.

  …

   Offsite.

  The Broadcasting Room of the Second Hospital of Jinghua

   "Why isn't our school over yet?"

   "Yeah, only the last two minutes left, I see they're still bandaging."

   "They were not very smooth before, why are they still behind?"

  Although you can follow the operation in real time through the broadcast screen, it is impossible to see it in great detail.

   What they can distinguish the most is the speed of each team's operation.

   At this time, Li Yao was staring at Lu Chen in the broadcast screen.

   She recalled that Lu Chen had forgotten to take the fourth examination because he went to the emergency department for assistance some time ago.

   In that explosion, there must have been burn patients!

   Sun Guoguo said, "Teacher, I think Lu Chen and the others spent their time on the patient's skin treatment in the end."

Li Yao nodded: "The most feared thing for burn patients is the infection in the later stage. Many patients have been rescued, but various infections are inevitable in the later treatment process. All in the early treatment, we must pay attention to the skin. care."

"However, it's an exam after all. The treatment of burn patients is mainly to examine bronchial intubation, sputum suction, catheterization, as well as the calculation of infusion volume, intravenous infusion, blood transfusion, etc. Skin treatment does not account for much. ." Sun Guoguo frowned.

  The real clinical practice is different from the operation examination.

  Li Yao also knows this.

   A doctor who is usually skilled in operation goes to the examination. If he does not deduct every point strictly, then he will not be able to get a high score.

   "Now we can only wait for the final result."

   There is no way to know the scoring standard of the referee, and Li Yao can't judge the situation at this time.

  …

  Time passed slowly, and the test time began to count down.

   When there was one minute left, after Lu Chen wrapped the last piece of skin, he stood up and raised his hand.

   "Teacher, we are done!"

   The head referee nodded in response, and then started scoring with other referees around, and counted the final score.

   Get out of the exam venue.

  Lu Chen looked at each other and smiled, all breathing a sigh of relief.

   For the past two days, each of them has been nervous. In addition to operational skills, they have operational skills in their minds.

   Even in his sleep, he still dreamed that he was in the skill center.

  Cai Guangming came up and gave everyone a big hug.

   "Whatever the outcome, everyone has done a great job!"

   "The school has granted us a two-day vacation, and tomorrow we can take a break in Jiangcheng to relax."

  The result of entering the finals is beyond everyone's expectations.

  Everyone came to the lounge, waiting for the final result.

  …

  The backstage of the game.

  The referee Zhu Zhenhua is still watching the video of the game from Jinghua Medical University.

   There were three assistant referees sitting beside him.

   "We usually seldom test burn cases. The reason why we used burn cases in this final is mainly because of the explosion some time ago." Zhu Zhenhua said solemnly.

One of the deputy referees said: "From the performance of the three teams, the Kyoto University School of Medicine is the most skilled and the operation is extremely standard. Northwestern University and Jinghua Medical University are slightly inferior. There are candidates with outstanding performance, and there are some who do not. So brilliant."

"In terms of clinical skill operation scores, Kyoto University School of Medicine ranks first, and Jinghua Medical University ranks second. However, in terms of clinical literacy, Jinghua Medical University far outperformed the other two teams. The handling of puncture and carrion is far superior to the other two teams." Another referee said.

  Zhu Zhenhua listened to the opinions of the three referees, and at the same time began to give the final score to Jinghua Medical University.

  …

   The number of viewers in the network broadcast room reached its peak at this moment.

  Luo Meizhen even closed her eyes and dared not look at the TV.

   In the eyes of everyone, the ranking on the screen changed.

  First place, Jinghua Medical University, took 29 minutes and 14 seconds, with a total score of 92.23 points.

   Second, Kyoto University School of Medicine, with a time of 24 minutes and 43 seconds and a total score of 90.67 points.

  The third place, Huachuan Medical College of Northwestern University, took 24 minutes and 50 seconds, with a total score of 88.12 points.

   As soon as the results came out, everyone on and off the field was boiling!

   The Kyoto University School of Medicine, which won the first place for three consecutive years, actually lost.

   And Jinghua Medical University, which had the best record in history only 11th, was killed all the way from the Easter competition.

   In the final, he won the championship in one fell swoop!

   At this time, whether it is the students of Jinghua Medical University or students of other schools, their hearts are extremely shaken.

  The weak overcome the strong and counterattack, these are topics that have never been short of discussion in human history.

   On the field, the members of the Jinghua Medical University team were stunned.

  Lu Chen's heart was also extremely excited.

   At this time, a series of prompts popped up on his system panel.

   "Congratulations, +1 for the thank you from Wang Zihao!"

   "Congratulations, +1 for the thank you from Gu Xinyue!"

   "Congratulations, +1 for the thank you from Cheng Guoqiang!"

   "Congratulations, +1 for the thank you from Cai Guangming!"

  “…”

   Those familiar or unfamiliar names appear in the system prompt.

   In less than half a minute, Lu Chen's thanks value rose by more than 30 points!

  ps: Before 12 o'clock, there is one more chapter, and the rotation of life will continue.

   (end of this chapter)