pjbooks Chapter 47 Provincial Semi-Finals!
Chapter 47 Provincial Semi-Finals!
July 9th, 8:20 AM.
The Skills Operation Center of Xiangya Third Hospital is a re-examination site for the Hunan Provincial Postgraduate Skills Competition.
After Chen Zhuoan, representing the team, drew lots to determine the order of the exam, he arrived outside the exam room: "Exam room number three, number five."
"The exam was short, only one hour, but we had to handle two case studies."
"Therefore, we must have a precise division of labor and cooperation at that time!"
Fu Yongbing is older and has experience in competitions: "I expect this year's assessment will be more rigorous."
"It is necessary to make flexible use of various kinds of knowledge."
"I asked around and found out that in the past, when we test takers requested test results, we were given the answer directly."
"But this time, if you want the films, we'll give you the films; if you request the results of a certain test, we'll give you the test report directly."
"Completely review the clinical diagnosis and treatment procedures."
"This is truly testing clinical reasoning skills..."
Chen Zhuoan was unsurprised: "No matter how things change, the essence remains the same."
Ultimately, it all comes down to accurate diagnosis, then accurate treatment, and collaborative teamwork!
Guo Ziyuan clapped his hands: "Everyone should remember the more important rescue procedures, right?"
"We must not overlook the key points, especially those that are lethal."
"For example, do not perform chest compressions if the patient has not experienced cardiac arrest!"
"Airway opening, intravenous intubation, tracheotomy, etc., are all common emergency procedures..."
"The teacher just announced the rescue simulation, but it's not the usual model; it's a domestic rabbit!"
"We need to complete the actual diagnosis and treatment work after accurately diagnosing the patient."
Chen Zhuoan said, "Considering that the basic anatomy of rabbits differs from that of humans, this treatment does not require special standards."
"As long as you can do it well, you will get points, so don't worry about it."
"It doesn't matter whether it's done well or not, as long as there are no mistakes, okay..."
"Let's wait for now, we'll be the last group soon."
There weren't many teams participating across the entire province.
Central South University has 15 teams, plus 20 teams from other universities, for a total of 35!
There are five exam rooms, and each exam can be completed in an average of eight to nine hours.
Fu Yongbing thought about it seriously for a moment, then suddenly asked, "Captain, do you really think we have a chance of beating a team composed entirely of third- or fourth-year doctoral students?"
Chen Zhuoan hadn't even considered this issue.
If he were to lead the team, Chen Zhuoan would not be afraid at all, even if the chief examiner himself came to the exam.
"Just do your best, not for the final result."
"It's just an experience, so there's no need to be too nervous."
"We've got a guaranteed spot in the national competition, okay!"
"Also, follow my instructions. If I tell you to stop what you're doing because I have other plans, then stop."
"Even if I argue with the examiner, you don't need to interfere, okay?"
Everyone nodded in agreement.
There's really no need to review it.
So, the teammates left the skill testing center first and went out for a stroll.
The fifth group of exams, the previous four groups all had a full four hours of exam time.
Including transit time, it will take at least five hours.
At noon, everyone got together for a meal.
Time passed slowly, and the line of people taking the exam finally came to an end.
Chen Zhuoan and his friends saw the bitter faces on the faces of the five people who came out of the examination room.
But it's not surprising.
I reckon this exam will either be too obscure or too difficult!
After the previous group finished their exams, Chen Zhuoan and his group couldn't go in immediately. The examiners inside still needed to recreate the exam questions and prepare new rabbits to keep them in a fixed position.
Otherwise, if it's an all-girls group, it would be a bit funny to have the girls catch the rabbits!
At 2:10 p.m., Chen Zhuoan's group was called into the examination room.
After Chen Zhuoan led the team in, he introduced himself and stated his name and the order of the exams.
The examiners consisted of four people from three Xiangya hospitals and Hunan Provincial People's Hospital in Hunan Province.
There were also several "volunteers" from Xiangya Third Hospital, whose master's or doctoral degrees were unknown!
A girl dressed as a nurse ran over, acting out a scene: "Doctor, an emergency has arrived! Having difficulty breathing!"
Chen Zhuoan immediately got to work: "Where is the patient?"
Several other volunteers pushed the wheelchair closer, making a rumbling sound.
Inside the vehicle were rabbits, secured upside down and anesthetized.
A physical examination would definitely not reveal anything.
There were no case reports to indicate this, so we'd have to ask around. Chen Zhuoan, the team leader, immediately ordered, "Admit the patient and write standard medical orders!"
"Hello, what's the patient's condition?" The person pushing the cart must be the transport doctor.
Su Xiheng and the others immediately began issuing medical orders: "Monitor cardiac monitoring, monitor blood oxygenation, and immediately draw blood to establish an intravenous line."
"Check the airway."
These blood tests don't need to be done by anyone; that's the nurse's job. The doctor just needs to give the instructions verbally.
Checking the airway is essential.
Furthermore, Fu Yongbing also needs to pay attention to the conversation between Chen Zhuoan and the visitor to extract key information.
"The patient suddenly collapsed outside. He was very thin. His friend carried him to the road and called an ambulance."
"When we arrived, he was clutching his neck with both hands and breathing rapidly."
"Upon examination at the scene, we suspected it was a tension pneumothorax, so we performed an on-site puncture to relieve the pressure..."
"But now, the patient's condition has deteriorated again, and nothing else has happened along the way."
"Thank you for your hard work, sir." The doctor in the white coat was particularly professional and polite.
After listening, Chen Zhuoan took a moment to process the information, then tilted his head and said, "Okay, thank you for your hard work..."
Immediately afterwards, he went to the trolley and pretended to push the bed to the emergency position.
"We suspected tension pneumothorax at the scene, and we have already performed puncture and degassing, as well as a fluid seal."
"You are still experiencing breathing difficulties. Please conduct a physical examination of both lungs and further check the condition of your airways!"
"Unless there are special circumstances, begin oxygen therapy immediately."
"Get a routine electrocardiogram and bedside ultrasound. Make sure to call for consultations with cardiologists, respiratory specialists, and thoracic surgeons."
"Get a bedside chest X-ray."
Chen Zhuoan knew that the two actors meant that everyone should play the role of emergency room doctors.
There were no medical personnel to transport the patients directly to the specialist department.
"Dr. Han, you'll be in charge of the chest X-rays."
After listening, Han Yuanyuan understood and went to ask the volunteer, "The film has been printed, but the results haven't been reported yet."
Sure enough, a volunteer brought over the film.
Han Yuanyuan didn't look at it, and immediately handed it to Chen Zhuoan: "Dr. Chen, the test results are out too."
Chen Zhuoan glanced at it and said, "The pneumothorax has turned into a hydropneumothorax. Prepare for closed thoracic drainage."
Chen Zhuoan himself is a member of the surgical team, so there is no need to explain his identity.
"The thoracic surgery consultation has arrived!"
"Have the ECG results come out yet?" Chen Zhuoan could only direct and act out the situation himself.
Although the scan suggested a hemopneumothorax, he still needed to take a look at the electrocardiogram.