I can see health

Chapter 72 Training in Virtual Spaces

Guipei building.

student dormitory.

Lu Chen lay on the bed and closed his eyes.

Entered the system virtual space.

The pericardiocentesis skill book has been opened again!

In fact, from Lu Chen's internship to the present, he has never performed a pericardial puncture independently.

Pericardiocentesis is different from the other four major punctures (thoracentesis, lumbar puncture, abdominal puncture, bone puncture), and its risk is much greater.

If the puncture is too deep, it may puncture the atrium, ventricle or puncture the coronary artery, causing a large amount of blood in the pericardial cavity.

In clinical practice, if there is a patient with pericardial effusion, the superior doctor seldom allows the interns to participate in person.

……

Enter system space.

What appeared in front of Lu Chen was an operating console.

Lying on the operating table is a simulated real patient.

There is also an ultrasound machine next to it.

Next to the ultrasound machine, there are also various puncture kits.

Lu Chen wanted to walk into the console, but found that there seemed to be an invisible wall in front of him, preventing him from moving forward.

Sudden.

Before his eyes, a system prompt popped up.

"Pass the theory assessment, and you can start the training of pericardiocentesis skills!"

Lu Chen was taken aback for a moment, but also a theory test?

But on second thought, this is true.

If you don't even know the theoretical knowledge, even if you enter the operation room, you won't know anything.

Start the theory test!

first question.

What are the indications for pericardiocentesis?

Lu Chen thought for a while, and then replied:
"There are four in total, determining the nature of pericardial effusion, relieving pericardial tamponade, treating empyema, and preoperative judgment of pericardial fenestration."

Second question.

What are the contraindications to pericardiocentesis?

"First, bleeding disorders, severe thrombocytopenia, and those who are receiving anticoagulant therapy are relative contraindications."

"Second, patients with infection at the puncture site or those with bacteremia or sepsis."

"Third, patients who cannot cooperate well with surgical operations."

……

There are a total of ten questions, all of which are the basic knowledge of pericardiocentesis. For Lu Chen, the difficulty is not high.

"Congratulations, you passed the theory test."

Lu Chen felt a flash in front of his eyes, and he came to the console.

on the console.

The kit for pericardiocentesis has been opened.

Lu Chen put on his gloves, silently thinking about the procedure of pericardial puncture.

The first step in the operation is ultrasound positioning.

Under the system ultrasound machine, find the deepest pericardial effusion and the best puncture position.

The location of pericardiocentesis generally has two positions.

The first location is the puncture point in the precordial area.

In the fifth intercostal space on the left side, 5-1 cm inward from the left edge of the border of cardiac dullness, insert the needle along the upper edge of the sixth rib inward and backward toward the spine.

The second location is the substernal puncture point.

Take the left costal arch angle as the substernal puncture point. The angle between the puncture needle and the abdominal wall is 30-45 degrees.

……

Even though it was a virtual patient in front of him, Lu Chen was still very careful.

Starting from the system ultrasound positioning, he carefully carried out every step of the operation.

Only during normal training, treat virtual patients as real patients.

Then, in actual operation, the chain will not be lost.

……

It took about half an hour.

Lu Chen basically mastered the whole process of pericardiocentesis, but the movements were jerky and not proficient enough.

He is slowly groping for the piercing technique.

It is also in the system space that there are opportunities for this kind of infinite practice.

Put it in real life.

In one month, if you can meet a patient with pericardial puncture and be able to do it yourself, that would be great!
Another half hour passed.

Lu Chen was able to perform a complete pericardiocentesis under the guidance of ultrasound.

A prompt popped up on the system panel immediately.

"The completion rate of pericardiocentesis is 18%!"

After a full hour of hard work, the completion rate is only 18%.

It seems that there is a long way to go!

However, Lu Chen was not in a hurry.

If it is said that if the skill completion reaches 100%, he will exit this space.

Then he would rather stay for a while longer and make good use of the virtual space of the system to perfect his operational skills.

All kinds of puncture skills are not isolated.

If one can master one skillfully, then other puncture skills, such as thoracic puncture and abdominal puncture, as long as you find the puncture position, you can continue to operate according to the gourd painting.

……

Continued training for another hour.

Lu Chen was a little tired.

This system space will not replenish his energy, and he will still feel tired.

After all, he worked a night shift last night, and he started to feel tired.

After exiting the virtual space of the system, I slowly fell asleep.

……

When Lu Chen woke up, it was already six o'clock in the afternoon.

I slept for about four hours.

Stomach growled.

Rubbing his sleepy eyes, Lu Chen climbed out of bed.

Ready to go to the cafeteria for food.

Picking up the phone, he found a missed call from Sun Guoguo.

In doubt, Lu Chen called back.

The phone beeped, and the call went through.

"Senior sister, what do you want from me?"

"Junior Brother Lu, the document you sent me at noon is really useful! We asked the teachers of the school of pharmacy and found that β-phenylethylamine does have a similar application. And there is a video testimonial, so the family member cannot deny it."

"So our department should have no responsibility?" Lu Chen asked tentatively.

"Hey, it's impossible to want to have no responsibility at all!" Sun Guoguo said, "The hospital paid a little bit of humanitarian compensation, and the family members knew they were wronged, so they stopped making trouble. I am very satisfied with the handling of the matter, junior brother, you are the first to do it."

"As long as the department is fine." Lu Chen smiled.

"Okay, Junior Brother, take a good rest." Sun Guoguo smiled, "Teacher Li Yao said that if we have time, let's go out and have a good dinner together."

"it is good."

hang up the phone.

Lu Chen lazily stretched his waist.

at this time.

He suddenly received a system prompt.

"Congratulations, I received +1 from Sun Guoguo!"

"Congratulations, I received Li Yao's thank you value +1!"

This is possible too?
Lu Chen couldn't help smiling.

Solved this case.

Although he did not receive gratitude from patients, he did receive gratitude from senior sisters and mentors.

In the current system panel, there are still 7 points of gratitude.

The system upgrade completion rate is 1%.

Skills already possessed are:

ECG Basics, ECG Basics (Middle).

Heart anatomy basis (top).

The basics of literature reading (Part [-]).

Pericardiocentesis.

The system has not been activated for a long time, but Lu Chen feels that the knowledge reserve in his mind has more than doubled.

If according to the normal rate of promotion, he can become a chief physician before the age of 40, he will be considered a very powerful person.

Like director Cao Zhiying of Jinghua Second Hospital.

When he took over at the age of 38, he overcame all opinions and became the chief director of the Department of Cardiology!

After more than ten years of hard work, the Cardiology Department of Jinghua Second Hospital has developed into a nationally renowned key specialty.

Cao Zhiying's resume can be described as a model draft for all top doctors in China, and he can only become a chief physician at the age of 38.

More doctors may be rated as deputy chief physicians only when they are around 40 years old.

If you want to be a chief physician, most doctors may spend most of their lives and fail to achieve it.

If there is no "cheat", Lu Chen's resume can only reach the level of director Cao Zhiying at most, that is the most outstanding group of people.

but now.

When the doctor prescribed cheating.

The future is expected!

　Night shift tonight, rest tomorrow.

　　So update it today and make it up tomorrow.

　　There is one night shift every 5 days, so there is only one shift occasionally.

　　
　
(End of this chapter)