Chapter 1389

Rescue and treatment are different.

When rescuing, doctors have little time to think, especially for patients with cardiac arrest, the golden window is extremely short. Jin Mao's Forensic Medicine collected more than 100000 specimens and gave 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 conditions. If it is 4-5 minutes, the survival rate is less than 25%. If it takes 10 minutes, the survival rate is less than 10%.

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

Just like fighting, seeing the phantom of your hands, you didn't hit anyone at all. NIMA can only say that you are in good health. The doctor, too, pressed his chest and looked at the puff, puff, up and down, with bean sized beads of sweat.

But up and down 100 times, only 30 times reached the G-point of the heart, which made the heart contract. This is equivalent to that the doctor pressed it slowly for 30 times in a minute, but it sent out the strength of eating milk.

It's like looking at the door and spitting. It's like trying to pull your clothes and break your thighs. In fact, there's no ending, just like sitting motionless.

The green flashing light lights up the most times behind the tea vegetable team, especially in the later stage. After the comparison with other teams, Xue Fei's rhythm and speed are obviously very good. The light can make people feel a comfortable rhythm.

"Xue Fei seems to have worked hard these two years." Ouyang whispered to Zhang Fan with satisfaction.

"Ha ha!" Zhang Fan didn't say anything, but there was a sentence in his heart, which was set off by his peers.

Ouyang said, turned his head, stared at the president of the Central Hospital, didn't speak, and just looked at it quietly.

This nimabi talks and makes the other party uncomfortable. Your vice high school, I took charge, but you couldn't beat me. Now I won't argue with you. I'll see what you can say now.

Ding Dong! An end bell, the rescue is over.

At the end of the three minute competition, the rescue team of tea vegetable hospital was the most efficient, followed by the comments of the expert group.

To tell the truth, in the past, the frontier organized big martial arts competitions, which were attended by inpatients, and the experts commented very easily. It's okay to say wrong. It's no problem to say mean, because the level gap between inpatients and chief doctors seems to be only three levels.

But if calculated by year, it will be almost fifteen or six years. So everyone is relaxed.

But this time it won't work. First of all, the major hospitals in niaoshi are deputy high schools. If these people don't do well, they will be the successors of the director in the future.

The experts of the organizing committee looked at each other. Everyone saw the trouble of this comment from their eyes.

Not only the following contestants are vice high, the most important thing is that they lost the competition! It's hard for NIMA to say.

There was a bit of embarrassment at the meeting. The leader in charge of health quickly asked the host to take the stage. The head nurse who presided over the meeting looked, "next, let's invite Wu Tianhao, chairman of the first aid association of Frontier Province, chief physician, to comment on each group."

Dr. Wu smiled awkwardly. It sounds very famous. He is the chairman of the first aid association of Frontier Province. 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, pharmaceutical enterprise sponsorship and company support, often get as high a level as the opening meeting can be. The doctor speaks on the stage. According to the level, the most common is 2000. Just say a word and say something about the recent research.

If you don't have the face to talk about the weather, people also give money.

For high-level doctors, money is given to middle-level doctors. For example, gifts are given to doctors from the main doctor to the deputy high school. If you have a doctor friend, you can go to their house and see what USB flash disk and tableware can't be used up.

For doctors under the main treatment, such as residents, they sell credits cheaply and manage good meals for a few days.

The more popular the Department, the higher the level of this association. For example, the first was orthopedics, followed by intervention, and then tumors have risen in recent years.

Of course, the emergency association is bleak.

The director looked awkwardly at the team of his own hospital and several hospitals in other bird markets, and then said: "this CPR group competition is more elegant, professional and the quality of our emergency doctors.

Not actual combat, but better than actual combat.

All teams have come up with better skills than actual combat. There are experienced teams and young and energetic teams. They represent the highest level of first aid in our frontier.

Although there are many shackles and difficulties in the development of emergency medicine in all aspects, talent training is more difficult than other departments. And no one wants to come to the emergency department.

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

Director Wu Tianhao can also fool. He also knows that it's not good to comment today. He simply opens his mouth and praises. After praising, he begins to pour bitter water. The doctors below are laughing and laughing. The leaders in charge of health are toothache.

Moreover, people were also awesome. They spoke directly for more than five minutes. Finally, Ouyang couldn't listen. It was too much nonsense. Under the sign of the leader, the host interrupted director Tianhao.

"OK, let's invite the leader in charge of health to comment."

The host wanted to laugh, but he couldn't laugh. His face was red, like listening to a driving joke and pretending not to understand it.

Originally, according to the normal meeting process, the competition lasted for three minutes, comments for three minutes, and then the leaders summarized for five minutes.

As a result, there was a dark horse in the competition today, and Xue Fei has turned his head to the sky. Then the director of the review unexpectedly poured bitter water. The leader in charge of health stood up and felt that NIMA had nothing to say.

He didn't want to read the speech prepared by the secretary. He hastily praised each team, comforted director Tianhao and announced the next game.

"You've got the advantage of being young. It's hard to say next time." The president of the central hospital didn't look at Ouyang, facing the northwest, as if talking to himself.

"Ha ha!" Ouyang smiled like Zhang Fan, and then felt a little strange. He turned his head and glanced at Zhang Fan.

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

The second scene, five wear and one insert.

Five puncture, more common thoracic puncture, lumbar puncture and abdominal puncture. Relatively rare spinal cord puncture and pericardiocentesis.

Especially pericardiocentesis, which must be mastered by residents according to routine. But in reality, some doctors have not done this puncture until they retire.

Because it's too dangerous. Once there is a mistake in this operation, people have a little pericardial effusion. They can live seven or eight years after treatment, but you can go down with a puncture and a needle and directly send people to the crematorium.

Therefore, slowly, many hospitals do not advocate doing this examination, and then slowly, fewer and fewer doctors master this technology.

One insertion is endotracheal intubation. As for this, anesthesiologists almost do it in the hospital. Usually in the hospital, 99% of the doctors who carry a full moon machete are anesthesiologists.

These operations are invasive operations. In general hospitals, sometimes notices signed by family members and patients are almost the same as surgery.

Five punctures and one insertion, start.

The first puncture is abdominal puncture. In fact, several punctures have one thing in common, that is, to find an empty place to pierce, so as to avoid damaging organs.

For example, thoracentesis, between seven or eight ribs, along the upper edge of the ribs. This is because there are intercostal nerves along the lower edge of the ribs. The same is true for abdominal puncture. Be careful to puncture the bladder and intestines.

At the tea vegetable hospital, Ma Yichen and Bayin were the first to play. Bayin prepares equipment to assist Ma Yichen, who is the main operator.

"Nervous?" Before Ma Yichen came on, Wang Yanan asked quietly.

Because Ma Yichen's tutor, who was a graduate student, also played in the meeting. They really worked hard to block the tea vegetable hospital this time.

Ma Yichen crooked his mouth and didn't speak. Ma Yichen was unlucky to be a graduate student, because he was a graduate student for the first time, and his mentor was also a mentor for the first time.

The two Mengxin get together, so there are few resources and experimental projects in the Department.

As a result, Ma Yichen didn't go to study for a doctor later, because he had surgery during his master's period. Although he was a postgraduate, he actually did professional and master's work. This also led to Ma Yichen's graduation, can only tea in the regional top three hospitals.

But the world is so wonderful. Ma Yichen went to tea, but he had research work.

Last time, when Zhang Fan brought old man Lu and old man Wu, Ma Yichen's mentor asked, but he thought Ma Yichen was a newly graduated child. He was not familiar with it, so he didn't ask deeply.

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

He nodded to Ma Yichen from afar and didn't mean to come and say hello. Ma Yichen knows that he has talent and savvy. Unfortunately, he didn't have any good opportunities when he met him. He owes a little to ma.

But today's competition will not be humble.

Attachment 1 is the teacher of pony, and attachment 2 is the deputy director of general foreign language teaching. The central hospital directly went to the deputy director of the Department.

For the temporary replacement, the first time has been very embarrassing, and the second time is to return the chain. NIMA is losing face.

At the beginning of the competition, Ouyang quietly introduced the team members of the following hospitals to Zhang Fan on the podium.

"The of the central hospital is so shameless that the deputy directors of the departments have been sent out. This time we are all young. " Ouyang looked at Zhang Fan's face and asked angrily.

"Ouyuan, take it easy!" Zhang Fan smiled.