Auto chess in the operating room

Chapter 68

Five minutes later, Tang Lou completed the treatment for the second question.

"The doctor answered the second question completely correctly, and the score is +4"

"The third question, how to evaluate the prognosis of the patient?"

After successful resuscitation of out-of-hospital cardiac arrest with a shock initial rhythm, only 10% of patients survive to be discharged from the hospital, and many of these patients will have severe neurological dysfunction, so prediction is actually quite difficult.

In the review room, the directors were also curious about how Tang Lou would answer this question.

After all, the mastery of first aid itself is extremely rare, and the experience of prognosis requires a long career, accumulated through the same type of cases.

It is difficult to give a comprehensive evaluation direction in a short period of time, even for low-level doctors.

Therefore, this question does not require all the correct indicators to be given, and only three of them are required to get full marks.

Sure enough, Tang Lou was also in the ward, walked back and forth for a few steps, wrote down the manuscript, and then began to discuss:
"It is extremely difficult to predict the postoperative outcome of this patient, but the following factors can be used to infer that the patient's prognosis may be poor:

1. Delay in starting CPR, or cardiopulmonary resuscitation
2. Pulseless electrical activity or asystole

3. The patient is older and comatose
4. Absence of corneal or pupillary reflexes for more than 24 hours
5. Absence of visual evoked potentials and elevated serum neuronal heteroenolase (NSE)

Clearly, this patient has several poor prognostic factors, so it can be presumed that his prognosis will be poor.

After Tang Lou finished answering, the assistant doctor applauded: "The third question, the doctor's answer is completely correct. The seventh room has a total score of 10 points."

Tanglou nodded casually and walked out of the ward. He calculated his scores. It was very thrilling to get 90 points after all the assessments were completed.

Seeing Tang Lou's expression of taking it for granted and not being happy at all, the assistant doctor pursed his lips.

Real-time leaderboard refresh:
No.1唐楼 6+9+8+8+10+10+10+10=71
Looking at Tang Lou's score, everyone in the review room was not particularly surprised. After all, every question Tang Lou completed was perfect.

Everyone also noticed Tang Lou's dignified and serious expression.

Seems to be counting points before leaving.

"Isn't this kid trying to hit the record?"

Diao Xiwen looked at Tang Lou's score, and with this idea, he couldn't control it, and it seemed that Tang Lou at this moment was closer to the record that had been dusty for decades than Yang Ming.

"90 points, at least one more perfect score, one 9 points, is possible. But the last two levels will only be more difficult, especially the tenth room, it is impossible to get a full score."

Yang Xiaodong also read the ambition in Tang Lou's expression.

"I agree with Director Yang's point of view. Let alone the tenth mysterious room, even the regular ninth room is extremely difficult. Unlike all the previous rooms, the ninth room is a summary of the entire training camp.

The representatives of the directors of each hospital will jointly score the performance of the contestants. If you want to get a full score, you must get a unanimous 10 points from all the judges, and this is an impossible task. "

The calm doll sounded, at least as far as she was concerned, unless Tang Lou gave a magical performance in the next round, it was impossible for her to give 10 points.

"Although I admire Tang Lou very much, it is almost impossible for The Ninth Room to impress me and give it a perfect score.

I don't believe that an intern can give a perfect performance to the person who has been in the emergency department for decades in the general summary. "

Among the on-site directors, except for Shen Jun who was willing to give 10 points unconditionally, the rest of the directors were all selfish, and it was too easy to find fault with Tang Lou, unless Tang Lou's performance was really impeccable. Their 13 judges gave full marks at the same time.

The biggest suspense of the upcoming training camp assessment is obviously, can Tang Lou break the record of 90 points!
However, in the preparation room, Yang Ming naturally saw another perfect performance of Tang Lou.

Yang Ming pinched his neck and took a deep breath: "Yang Ming, the competition is not over yet. As long as you get full marks, there are still two rounds to come. Everything is not yet settled! If he can do it, you can do it too!"

Yang Ming stood there for 3 minutes to calm himself down and maintain his best condition before walking into the eighth room.

In the next ten minutes, Yang Ming almost tried his best, which was perfect enough, but it was a pity that he missed the control range of the patient's body temperature detection in the cold and wet compress.

After all, the medical condition of the No. [-] Hospital in the city is so good that it is basically impossible to use this obsolete cooling method. The ice blanket machine cooling method is already a standard configuration in the No. [-] Hospital of the city. The equipment comes with temperature monitoring, so doctors don’t need to worry about it at all. .

It's a pity to get a 9 points.

However, Tang Lou Zhuyu is in front!

"It's really a pity for Yang Ming. It's really Ji Shengyu and He Shengliang. Only old doctors of our generation have experienced this simple method of cold wet compress."

"That's right, in that era of lack of medical conditions, doctors thought of too many simple ways to solve the shortage of equipment and resources, and they were also clever ways."

"Speaking of which, in the final showdown, Tanglou from the county hospital used an almost eliminated method to defeat Yang Ming from the No. [-] City Hospital who grew up with the 'golden key' in his mouth. It's so poetic."

"Isn't it a wake-up call for us. No matter how advanced the medical conditions are and how advanced the equipment is, it still depends on the unarmed doctor himself in the end."

The eliminated contestants behind him were all thoughtful.

"Don't be bound by the instrument process. Those native methods that we don't like are the most reliable golden rules at critical moments."

Diao Xiwen, who has stepped on the battlefield as a military doctor and bandaged and treated many soldiers, is the most touched, especially the outdoor first aid.

The performance of this Tang Lou can make people review the old and learn the new, and it leads to the discussion of what makes a really good emergency doctor, which adds a bit of depth to this training camp.

With reverence for the older generation of doctors and self-motivation, everyone watched the performances of all the players.

After finally completing the eight rooms:

No.1唐楼 6+9+8+8+10+10+10+10=71
No.2杨铭 10+9+8+10+7+8+8+9=69
No.3李云迪 9+8+9+8+8+9+8+8=67
No.4程思思 9+8+9+8+8+7+8+8=65
No.5菜谈 8+8+7+7+8+7+8+7=60
No.6陆荣8+8+6+7+6+8+7+8=58
No.7云州7+7+7+6+7+6+7+7=54
After the results of the eighth room came out, Cheng Jian also returned to the review room, full of energy.

"I want to tell you the good news. The cause of Xiaoya's cause has been diagnosed, and she detected epileptic waves when she was suffering from abdominal pain. I have already prescribed anti-epileptic drugs to her, and the patient's family members agreed to use the treatment. Sodium valproate was injected intravenously. Within half an hour, the girl's abdominal pain was relieved. It went smoothly beyond expectations!"

Cheng Jian waved his hand and finally settled his mind.

"That's great!"

"As long as there is no recurrence after taking it for a week, the basic condition can be controlled. Recovery is very likely."

"Okay, this is really the biggest good news of the day."

Yang Xiaodong raised his gold-rimmed glasses. He was naturally proud that the department had solved a difficult and complicated disease.

"Speaking of which, it all depends on Tang Lou's reminder. How is their assessment going?"

Cheng Jian asked questions as he walked, and missed many wonderful moments.

"Director Cheng came at the right time. The ninth room is about to start. The last room of the regular season is also a big summary of this emergency training camp."

Cheng Jian nodded, and looked at the total score of the first eight rooms. Although he had a high opinion of Tang Lou, he still couldn't believe it.

"This brat is even more powerful than I thought."

A few minutes later, at the end of the regular season, the ninth room opened.

Tang Lou naturally did his part. After entering the ward, he was dumbfounded.

In this room, there is no darkness, no short films, no simulated medical staff, not even props.

An empty white room.

(End of this chapter)