I can see health

Chapter 189 Closing

Cubital vein puncture is an unconventional method of puncture infusion when other peripheral veins cannot be punctured.

Lu Chen first tied a tourniquet about 6cm above the horizontal crease on the elbow.

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

Disinfect the skin at the puncture site, use a sterile cotton swab to dip in povidone iodine, center on the puncture point, and disinfect the skin at the injection site in a spiral manner.

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

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

Immediately after the blood collection, the infusion was started.

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

The other members of the representative team, after being confused at the beginning, quickly found a way to deal with it.

In addition to cubital vein puncture, there are also punctures of the dorsalis pedis and other peripheral veins.

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

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

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

"Let me do it." Gu Xinyue looked at Lu Chen and asked his opinion.

"Okay!" Lu Chen nodded.

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

"Zihao, you can calculate the amount of fluid lost by the patient. We must strictly control the amount of fluid input by the patient."

Burn patients with extensive burns often have severe hypovolemic shock.

Active fluid resuscitation is the most fundamental measure of treatment.

However, how much to replenish and how much time to supplement requires strict calculations, not just imagined out of thin air.

All rescues were carried out in an orderly manner under Lu Chen's command.

This final test is not about teamwork, clinical skills, but also the emergency response capabilities of each team in the event of a major safety accident.

Kyoto University School of Medicine and Northwest University Huachuan School of Medicine, the two school teams cooperated very tacitly.

Except for being a little flustered at the beginning, everything went smoothly after that, and every rescue measure was completed.

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

……

The rescue is nearing completion.

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

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

After maintaining the patient's vital signs stable, it is time to deal with other things that affect the patient's prognosis.

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

If the patient's skin is not treated well, the patient is very likely to suffer from 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, and Lu Chen has experienced the diagnosis and treatment of a burn patient, so it is most appropriate for the two of them to handle the skin.

"Lu Chen, after washing the skin, do you still need to clean up the carrion?" Cheng Guoqiang said.

"Yes." Lu Chen nodded, "It is divided into three steps. First, clean the wound, then remove the carrion, and finally disinfect the wound. If the carrion is not removed, not only will the wound not heal easily, but there is also a risk of severe infection. possible."

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

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

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

The simulator provided by the organizer is very realistic, with dirt on the surface of the skin and many carrion models inside the skin.

Cheng Guoqiang washed the simulator's skin again and again, and then began to remove the carrion.

This is a delicate job.

Don't rush, otherwise it will be easy to miss.

Lu Chen and Cheng Guoqiang didn't do anything else, and started to deal with the carrion of the patient's skin and carefully disinfect the wound.

"Teacher, we are done."

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

After taking off their gloves and washing their hands, candidates from both schools walked out of the examination room.

They looked aside and unexpectedly found that Jinghua Medical University hadn't finished their exams yet.

Not surprisingly, it will take a lot of time.

The time limit for the exam is half an hour, and now 25 minutes have passed.

"Attention candidates, there are 5 minutes left before the end of the exam!"

Lu Chen and Cheng Guoqiang were already sweating profusely.

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

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

Now it's a skill competition, Lu Chen has already sped up the speed.

"Disinfect again!"

After finally clearing away the rotting meat, Cheng Guoqiang was about to breathe a sigh of relief when Lu Chen ordered.

"Okay!" Seeing this, Cheng Guoqiang picked up the disinfectant and tried it again without the slightest hesitation.

Lu Chen silently calculated the exam time in his mind.

After the last time of disinfection, and then bandage, the time should be just enough!
At this time, the results of Kyoto University School of Medicine and Northwest University Huachuan School of Medicine have come out.

Kyoto University School of Medicine leads by two points!

Now we have to look at the results of Jinghua Medical University.

……

off the field.

The broadcasting room of Jinghua Second Hospital
"Why isn't our school over yet?"

"Yeah, there are only the last 2 minutes left, I think they are still bandaging."

"They didn't go very well before, why are they still behind?"

Although the off-site can follow the operation in real time through the broadcast screen, it is impossible to see it in detail.

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

At this moment, Li Yao was staring at Lu Chen in the live broadcast.

She recalled that some time ago, Lu Chen forgot to take part in the fourth assessment because he went to the emergency department for assistance.

There must have been burnt patients in that explosion!
Sun Guoguo on the side said: "Teacher, I think Lu Chen and the others spent all their time on treating the patient's skin in the end."

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

"However, it's an exam after all. The treatment of burn patients is mainly to examine bronchial intubation, sputum suction, catheterization, and the calculation of infusion volume, intravenous infusion, blood transfusion, etc. The proportion of skin treatment is not much. .” Sun Guoguo frowned.

The real clinical practice is different from the operation test.

Li Yao is also well aware of this.

A doctor who is usually skilled in operating the exam, if he does not strictly deduct every point, then he will not be able to get a high score.

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

The referee's scoring standard is unknown, and Li Yao can't judge the situation at this time.

……

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

When there was 1 minute left, after Lu Chen bandaged the last piece of skin, he stood up and raised his hand as a signal.

"Teacher, we are done!"

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

Get out of the test room.

The four of Lu Chen looked at each other and smiled, all of them breathed a sigh of relief.

In the past two days, each of them has been tense, and in addition to operating skills, they still have operating skills in their minds.

Even in sleep, dreaming that you are in the skill center.

Cai Guangming came up to greet them, and he gave everyone a big hug.

"No matter what the result is, everyone has done a good job!"

"The school has granted us permission to take two days off. We can relax in Jiangcheng tomorrow."

The result of entering the finals has already exceeded everyone's expectations.

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

……

Game backstage.

The referee Zhu Zhenhua was still watching Jinghua Medical University's game video.

Next to him sat three assistant referees.

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

One of the deputy referees said: "Judging from the performance of the three teams, Kyoto University School of Medicine is the most proficient in cooperating, and the operation is extremely standard. Northwest University and Jinghua Medical University are slightly inferior. So brilliant."

"Calculated from the scores of clinical skill operations, Kyoto University School of Medicine ranks first, and Jinghua Medical University ranks second. However, in terms of clinical literacy, Jinghua Medical University's performance far exceeds the other two teams. The handling of punctures and carrion far surpassed the other two teams in terms of these two points." Another referee said.

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

……

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

Luo Meizhen even closed her eyes, not daring to look at the TV.

In the eyes of everyone's attention, the ranking on the screen changed.

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

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

Third, Huachuan Medical College of Northwest University, took 24 minutes and 50 seconds, with a total score of 88.12.

As soon as the results came out, everyone on and off the court was excited!
Kyoto University School of Medicine, which had won the first place for three consecutive years, unexpectedly lost.

However, Jinghua Medical University, which has the best record in history, is only No. 11, and has been killed all the way from the rematch.

Finally, in the finals, he won the championship in one fell swoop!
At this time, no matter if it was a student of Jinghua Medical University or a student of another school, their hearts were extremely shocked.

Victory over the strong with the weak, and counterattacks, these are topics that will never be lacking in human history.

On the field, the members of Jinghua Medical University's representative 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, I received +1 from Wang Zihao!"

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

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

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

"..."

Those familiar or unfamiliar names all appeared in the system prompts.

In less than half a minute, Lu Chen's gratitude increased by more than 30 points!

ps: Before 12:[-], there is one more chapter, and the rotation life will continue.

(End of this chapter)