Seven Hundred and Twenty Sixth, Stay Calm

Rescue and treatment are different.

Doctors have almost no time to think when rescuing, especially for patients with sudden cardiac arrest, the golden window is extremely short. Golden Retriever's evidence-based medicine has collected more than 100,000 specimens and provided a set of data.

If the time from cardiac arrest to defibrillation is 2-3 minutes, the survival rate is less than 50% in most hospital and out-of-hospital settings. If it takes 4-5 minutes, the survival rate is less than 25%, and if it takes 10 minutes, the survival rate is less than 10%.

This is still for professionals, so this kind of rescue is extremely important for every second of action requirements.

It's just like fighting. When you see that you are shaking your hands, phantoms appear, but you don't hit anyone at once. The most you can say is that you are in good health. The doctor did the same, pressing on the chest, watching puff puff puff, up and down, bean-sized beads of sweat dripping.

But 100 times up and down, only 30 times reached the G point of the heart, causing the heart to contract. This is equivalent to saying that the doctor only pressed 30 times slowly for one minute, but it gave out the strength to eat milk.

It's like looking at the door and throwing up, looking at you as if you are struggling, pulling your clothes and breaking your thighs, but in fact there is no ending, which is similar to sitting still.

The flashing green lights are most often behind the Chasu team, especially in the later stage, after comparing with other teams, the rhythm and speed of Xue Fei's side are obviously very good. In the middle, it can make people feel a comfortable rhythm.

"Xue Fei seems to have worked hard in the past two years." Ouyang whispered to Zhang Fan in satisfaction.

"Hehe!" Zhang Fan didn't say anything, but he still said something in his heart, which was set off by his peers.

After Ouyang finished speaking, he turned his head and stared at the director of the Central Hospital without speaking, just watching quietly.

This Nima made the other party uncomfortable more than talking. You are deputy high school, I will be the doctor, but you still can't beat me. Now my wife won't argue with you, so I'll see what you can say now.

Ding dong! An end bell rings, and the rescue is over.

The three-minute contest was over, and the rescue team from the Cha Su Hospital was the most efficient, followed by the expert group's comments.

To tell you the truth, in the past, when the big competitions were organized in the frontier, all resident doctors participated, and it was easy for the experts to comment, just say whatever you want. It's okay to be wrong, it's okay to be mean, because the difference between the ranks of residents and chief physicians seems to be only three grades.

But if it is calculated on an annual basis,

Almost fifteen or sixteen years. So it's easy for everyone.

But this time it won't work. First of all, the major hospitals in Bird City are the deputy directors. These people may be the successors of the directors in the future.

The experts of the organizing committee looked at each other, and everyone saw the trouble of this evaluation from their eyes.

Not only are the contestants below sub-highs, but the most important thing is that they lost the competition! This Nima is hard to say.

It was a bit embarrassing at the venue, and the leader in charge of health hurriedly asked the host to come on stage. The head nurse who presided over the meeting took a look, "Next, I would like to invite Chief Physician Wu Tianhao, the chairman of the Frontier Provincial First Aid Association, to comment on each group."

Doctor Wu smiled awkwardly. It sounds like he has a great reputation, the chairman of the First Aid Association of the Frontier Province. In fact, just like the status of the emergency department in the hospital, the emergency association is also an embarrassing existence among various medical associations.

Other associations, sponsored by pharmaceutical companies, supported by companies, often hold annual meetings with as high a level as possible. Doctors come to speak on stage, according to the level, the most common is 2000 once, just speak a word, talk about some recent research.

If you are ashamed to talk about the weather, people will also give you money.

Money is given to high-level doctors, and gifts are given to mid-level doctors, such as attending to deputy high-level doctors. If you have a doctor friend, you can go to their home to see, any USB flash drive, any tableware at home, you can use it Can't run out.

For doctors who are below the attending level, such as residents, they just sell credits at a low price and take care of a few days of good food.

The more popular the department, the higher the level of this association. For example, it was orthopedics at first, followed by intervention, and tumors have risen in the past few years.

Of course, the Emergency Medicine Association is less bleak.

The director looked awkwardly at the team of his own hospital, and at several other hospitals in Bird City, and said: "This time, the CPR team competition is more elegant, more professional, and even more so. Out of the quality of our emergency doctors.

Not actual combat, but better than actual combat.

All the teams have shown their skills that are better than actual combat. There are experienced teams, as well as young and aggressive teams. They represent the highest level of frontier first aid in our country.

Although, our emergency medicine has many shackles and difficulties in the development of various aspects, and the cultivation of talents is even more difficult than other departments. Also, no one wants to come to the emergency department.

Many young graduates entered the hospital and resigned immediately when they heard that they were going to work in the emergency department. Comrades, our emergency department..."

This director Wu Tianhao can also be fooled. He also knows that today's review is not good, so he simply opened his mouth to praise, and then began to pour bitter water. The doctors below were laughing and laughing, and the leader in charge of health had a toothache.

And he was awesome, he talked for more than five minutes, and in the end even Ouyang couldn't listen anymore, it was too ridiculous. Under the sign of the leader, the host interrupted Director Tianhao, who was still in the mood.

"Okay, next, I would like to ask the leader in charge of health to comment."

The host wanted to laugh, but he couldn't. His blushing face was flushed, as if he had heard a driving joke and pretended not to understand it.

Originally, according to the normal meeting process, the competition lasted for three minutes, comments lasted for three minutes, and then the leader summed up for five minutes.

As a result, the dark horse came out first in today's competition, and Xue Fei already turned his head to the sky. Then the director of the review unexpectedly poured out bitter water, and the leader in charge of hygiene stood up, feeling that he had nothing to say.

He didn't bother to read the speech that the secretary had prepared. He praised the teams hastily, then appeased Director Tianhao, and announced the next game.

"You guys are just taking advantage of being young. It's hard to say next time." The director of the Central Hospital didn't look at Ouyang, but turned to the northwest, as if talking to himself.

"Hehe!" Ouyang smiled like Zhang Fan, then felt a little weird, turned his head and glanced at Zhang Fan.

Zhang Fan looked at the old lady, a little puzzled, what do you mean!

In the second game, five interspersed and one interspersed.

Five punctures, the more common thoracentesis, lumbar puncture, and abdominal puncture. Less common are spinal taps and pericardial punctures.

Especially pericardiocentesis, which is routinely required by residents. But in reality, some doctors didn't do this puncture until they retired.

Because it is too dangerous, if there is a mistake in this kind of operation, people will have a pericardial effusion, and they can live for seven or eight years after treatment, but you can puncture, go in with a needle, and send the person directly to the crematorium.

Therefore, slowly, many hospitals do not advocate doing this test, and gradually, there are fewer and fewer doctors who master this technology.

One insertion is endotracheal intubation. As for this, almost all anesthesiologists do it in hospitals. Usually when you are in the hospital, when you see a doctor holding something like a round moon scimitar, 99% of them are anesthesiologists.

These operations are all invasive operations. In general hospitals, sometimes family members and patients need to sign a notification letter, which is almost the same as performing an operation.

Five punctures and one insertion, to begin.

The first puncture is paracentesis. In fact, several punctures have one thing in common, which is to find an empty place to puncture to avoid damaging the organs.

For example, thoracentesis, between seven and eight ribs along the upper edge of the ribs, piercing in. This is because there are intercostal nerves along the lower ribs, and the paracentesis is the same. Care must be taken to puncture the bladder and intestines.

On the Chasu Hospital side, Ma Yichen and Bayin were the first to play. Bayin prepared equipment to assist Ma Yichen, and Ma Yichen was the main operator.

"Are you nervous?" Before Ma Yichen went on stage, Wang Yanan asked in a low voice.

Because in the venue, Ma Yichen's graduate student mentor also came on stage, and they really worked hard to stop Chasu Hospital this time.

Ma Yichen cocked his mouth and said nothing. Ma Yichen's luck in graduate school was not very good, because it was his first time as a graduate student, and his supervisor was also a supervisor for the first time.

The two freshmen got together, so in the department, there were not many resources, and the experimental projects were even less pitiful.

As a result, Ma Yichen didn't go for a Ph.D. because he had surgery during his master's degree. This also led to the fact that after Ma Yichen graduated, he could only go to a third-class hospital in the Chasu region.

But this world is so wonderful. Ma Yichen went to Chasu and got a research job instead.

Last time, when Zhang Fan brought Old Man Lu and Old Man Wu here, Ma Yichen's mentor had inquired about it, but he felt that Ma Yichen was only a child who had just graduated, so he probably wasn't familiar with it, so he didn't ask further.

This time, Ma Yichen's teacher was a little embarrassed when he saw his own students in the tea team.

He nodded towards Ma Yichen from a distance, not embarrassed to come over to say hello. Ma Yichen knew it, he had talent and understanding, but it was a pity that he didn't have any good opportunities when he met him back then, and he felt a little indebted to Xiao Ma slightly.

But today in the martial arts arena, you will not be humble.

Attached one is Xiao Ma's teacher, attached two is the deputy director of general foreign teaching, and the central hospital directly went to the deputy director of the department.

The temporary replacement was already very embarrassing for the first time, but if the chain is broken for the second time, it would be embarrassing for Nima.

At the start of the competition, Ouyang quietly introduced the team members of each hospital below to Zhang Fan on the rostrum.

"The Central Hospital is too shameless, and the deputy directors of the departments have been sent out. This time we are all young and young." Ouyang asked a little angrily seeing that Zhang Fan's face remained unchanged.

"Ouyuan, stay safe and don't be impatient!" Zhang Fan smiled.