Rescue and treatment are different.
Doctors have little time to think during resuscitation. Especially for patients with cardiac arrest, the golden window is extremely short. Golden Retriever’s evidence-based medicine collected specimens from more than 100,000 people and produced 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 hospitals and out-of-hospital conditions. 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. Seeing you swaying your hands with phantoms, but not hitting anyone at all, the best I can say is that you are in good health. The doctor did the same, pressing the chest and watching the popping, up and down, beads of sweat as big as beans dripping down.
But out of 100 times of ups and downs, only 30 times it reached the G-spot of the heart and caused the heart to contract. This is equivalent to saying that the doctor only pressed slowly 30 times in one minute, but it gave out all the energy of eating milk.
It's like vomiting at the door, looking at you who seems to be struggling to pull off your clothes and stretch your thighs, but in fact there is no end result, which is almost the same as sitting motionless.
The green flashing light flashes the most often behind the Chasu team, especially in the later stages. After comparing with other teams, it is obvious that the rhythm and speed of Xue Fei's side are very good. The light pops and pops. , it can actually make people feel a comfortable rhythm.
"Xue Fei seems to have worked hard in the past two years." Ouyang whispered to Zhang Fan with satisfaction.
"Haha!" Zhang Fan didn't say anything, but he still said it in his heart, and it was because of his peers.
After Ouyang finished speaking, he turned his head and stared at the director of the Central Hospital without saying a word, just watching quietly.
This damn thing makes the other person feel uncomfortable even more than talking. You're the deputy high-ranking officer, and I'm the attending physician, but you still can't beat me. Now I won’t argue with you, I’ll just see what you can say now.
Ding dong! The final bell rings, and the rescue is over.
At the end of the three-minute competition, the rescue team from Chasu Hospital was the most efficient, followed by comments from the expert group.
To be honest, in the past, all competitions held by border organizations were attended by resident doctors, and the experts commented easily and casually. It's okay if you say it's wrong, and it's okay if you say it's mean, because the level gap between resident doctors and chief doctors seems to be only three levels.
But if we calculate it by year, it is almost fifteen or sixteen years. So everyone is relaxed.
But it won't work this time. First of all, the major hospitals in Bird City are deputy chiefs. These people may be the successors of the future directors.
The experts from the organizing committee looked at each other, and everyone saw in their eyes the trouble of this review.
Not only were the contestants below the deputy senior leader, but the most important thing was that they lost the competition! This is hard to say.
There was a bit of embarrassment at the venue, and the leader in charge of health quickly asked the host to come on stage. The head nurse presiding over the meeting took a look and said, "Next, I would like to ask Chief Physician Wu Tianhao, Chairman of the Border Provincial First Aid Association, to comment on each group."
Doctor Wu smiled awkwardly. It sounds like he has a great reputation, he is the chairman of the Border Province First Aid Association. In fact, just like the status of the emergency department in the hospital, the emergency association is also an embarrassing existence in various medical associations.
Other associations, sponsored by pharmaceutical companies and supported by companies, often hold annual meetings as high-level as possible. When a doctor comes on stage to speak, according to his level, the most common one is 2,000, and he just talks about his recent research.
If you shamelessly talk about the weather, people will pay you.
Money is given to high-level doctors, and gifts are given to mid-level doctors, such as attending to deputy senior doctors. If you have doctor friends, you can go to their home and have a look. They can use USB flash drives or tableware at home. Can’t be used up.
For doctors whose main specialty is below, such as resident doctors, they just sell credits cheaply and take care of a good meal for a few days.
The more popular the department, the higher the level of this association. For example, it was orthopedics at first, then interventional, and then tumors have reared their head in recent years.
Of course, the emergency association is relatively bleak.
The director looked awkwardly at the team in his own hospital, then awkwardly looked at several other hospitals in Bird City, and then said: "This cardiopulmonary resuscitation team competition showed style, professionalism, and even more. It shows the quality of our emergency doctors.
Not actual combat, but better than actual combat.
Each team has demonstrated skills that are better than actual combat. There are experienced teams as well as young and energetic teams. They represent the highest level of our frontier first aid.
Although, our emergency medicine has many constraints and difficulties in the development of all aspects, and talent training is even more difficult than in other departments. Moreover, no one wants to come to the emergency department.
Many young graduates resigned immediately after entering the hospital and hearing that they were going to work in the emergency department. Comrades, our emergency department..."
Director Wu Tianhao was also able to fool him. He also knew that today's review was not good, so he just opened his mouth to praise it. After he finished the praise, he started to complain. The doctors below laughed and laughed, and the leader in charge of health felt his teeth hurt.
And he was also awesome. He spoke for more than five minutes, and in the end even Ouyang couldn't listen anymore. It was too ridiculous. At the leader's signal, the host interrupted Director Tianhao who still had something to say.
"Okay, let's ask the leader in charge of health to comment."
The host wanted to laugh, but couldn't. His face turned red, as if he had heard a driving joke and pretended not to understand.
Originally, according to the normal meeting process, the competition lasted for three minutes, the comments lasted for three minutes, and then the leader summarized for five minutes.
As a result, there was a dark horse in today's competition, and Xue Fei was already throwing his head in the air. Then the review director unexpectedly vented his frustration, and the leader in charge of health stood up, feeling that he had nothing to say.
He didn't bother to read the speech he originally asked his secretary to prepare. He praised each team in a few haste, then comforted Director Tianhao and announced the next game.
"You are just taking advantage of being young. It will be hard to predict the next one." The director of the Central Hospital did not look at Ouyang, but looked northwest, as if talking to himself.
"Haha!" Ouyang imitated Zhang Fan and smiled, then he felt a little weird and turned to look at Zhang Fan.
Zhang Fan looked at the old lady, a little confused, what do you mean?
In the second game, five penetrations and one penetration.
Five punctures, the more common ones include thoracentesis, lumbar puncture, and abdominal puncture. Less commonly, spinal puncture and pericardiocentesis are performed.
Especially pericardiocentesis, which is something that residents must master as a rule. But in reality, some doctors have never done this puncture even after they retired.
Because it is too dangerous. If this kind of operation goes wrong, the person will have pericardial effusion and can live for seven or eight years with treatment. But you can puncture and insert a needle and send the person directly to the crematorium.
Therefore, gradually many hospitals do not advocate doing this examination, and then gradually, fewer and fewer doctors master this technology.
Once inserted, it is tracheal intubation. As for this, almost all anesthesiologists do it in hospitals. Usually when you go to the hospital, you will see doctors holding something like a round-moon scimitar. Ninety-nine percent of them are anesthesiologists.
These operations are all invasive operations. In ordinary hospitals, sometimes the notification form that requires signatures by family members and patients is almost the same as surgery.
Five piercings and one insertion, to begin.
The first puncture was abdominal puncture. In fact, several punctures have one thing in common, which is to find an empty place to insert the puncture to avoid damaging the organs.
For example, thoracentesis is done between the seven and eight ribs along the upper edge of the ribs. This is because there are intercostal nerves along the lower edge of the ribs, and the same is true for abdominal puncture. Be careful not only to puncture the bladder, but also to puncture the intestines.
At Chasu Hospital, the first ones to appear were Ma Yichen and Bayin. Bayin prepared the equipment to assist Ma Yichen, with Ma Yichen as the main operator.
"Are you nervous?" Wang Yanan asked quietly before Ma Yichen came on stage.
Because in the venue, Ma Yichen's mentor when he was a graduate student was also present. They really worked hard to stop Chasu Hospital this time.
Ma Yichen twisted his mouth and said nothing. Ma Yichen was not very lucky when he was studying for graduate school, because it was his first time studying as a graduate student, and his supervisor was also his first time as a supervisor.
Two newbies got together, so there were not many resources in the department, and there were even fewer experimental projects.
As a result, Ma Yichen did not study for a doctorate later because he had surgery during his master's degree. Although he was a master's degree student, he actually did the work of a professional master's degree. This also led to the fact that after Ma Yichen graduated, he could only work in a tertiary hospital in the tea area.
But this world is so wonderful. Ma Yichen lost his job and found a job doing research.
Last time, when Zhang Fan brought Old Man Lu and Old Man Wu, Ma Yichen's tutor had inquired about them, but he felt that Ma Yichen was a recent graduate and was probably not familiar with them, so he didn't ask further.
This time, Ma Yichen's teacher was a little embarrassed when he saw his students in the tea team.
He nodded towards Ma Yichen from a distance, not embarrassed to come over to say hello. He knew about Ma Yichen. He had talent and understanding. Unfortunately, he didn't have a good chance when he met him back then, so he felt a little indebted to Xiao Ma.
But there will be no room for humility in today's competition.
The person attached to the first one is Xiao Ma's teacher, the person attached to the second is his deputy director of general surgery teaching, and the central hospital directly became the deputy director of the department.
The temporary replacement of the general was already very embarrassing the first time, but it would be shameful if he dropped the chain the second time.
When the game started, Ouyang quietly introduced the team members from each hospital to Zhang Fan on the podium.
"The Central Hospital is so shameless. The deputy director of the department has been sent out. We are all young people this time." Ouyang asked a little angrily when he saw that there was no change on Zhang Fan's face.
"Ouyuan, please be patient!" Zhang Fan smiled.
