I Can See Health

Cubital venipuncture is an unconventional puncture and infusion method used when other peripheral veins cannot be punctured.

Lu Chen first tied a tourniquet about 6cm above the elbow crease.

At this time, the part of the elbow that has obvious elasticity and tension is the filled vein and is the puncture site.

Disinfect the skin at the puncture site. Use a sterile cotton swab dipped in iodophor to spirally disinfect the skin at the injection site with the puncture point as the center.

The diameter of the disinfection range must be greater than 5cm.

Quickly pierce the skin along the course of the vein at an angle of 20-30 degrees to the skin. After seeing the return of blood, the needle is sent forward a little along the course of the vein, and the blood collection needle is fixed for blood collection.

After the blood collection was completed, the infusion started immediately.

Gu Xinyue, Wang Zihao and others also completed preliminary physical examinations and operations.

The other members of the representative team, after being confused at first, quickly found a way to deal with it.

In addition to cubital vein puncture, there is also puncture of the dorsal pedis vein and other peripheral veins.

However, at this time, Jinghua Medical University was already in a leading position in terms of operational progress.

"The patient's blood oxygen saturation continues to drop and requires emergency bronchial intubation!" Wang Zihao said.

At this time, Gu Xinyue had already prepared laryngoscope equipment and intubation equipment.

"I'll do it." Gu Xinyue looked at Lu Chen and asked for his opinion.

"Okay!" Lu Chen nodded.

After the playoffs and semi-finals, he now believes in Gu Xinyue's proficiency.

"Zihao, you calculate the patient's fluid loss. We must strictly control the patient's fluid input."

Burn patients with extensive burns often have severe hypovolemic shock.

Aggressive fluid resuscitation is the most fundamental treatment measure.

However, the amount of replenishment required and the time required to replenish it all require strict calculations and are not imagined out of thin air.

All rescue operations were carried out in an orderly manner under the command of Lu Chen.

This final tests not only teamwork, clinical skills, but also each team's emergency response capabilities in the event of a major safety incident.

Kyoto University School of Medicine and Northwestern University Hwachuan School of Medicine, the two school teams cooperate very well.

Except for some panic at the beginning, everything went smoothly afterwards, and every rescue measure was completed.

As for Jinghua Medical University, everyone's operational proficiency was uneven. Lu Chen and Gu Xinyue were obviously higher than Wang Zihao and Cheng Guoqiang!

…

The rescue operation is nearing completion.

"Guoqiang, next, the two of us will clean the patient's skin, remove the slough, and bandage it." Lu Chen said softly to Cheng Guoqiang.

The first element of rescue is to maintain the patient's vital signs, including blood oxygen, breathing, blood oxygen, etc.

After maintaining the patient's vital signs stable, it is time to deal with other things that affect the patient's prognosis.

After burns, extensive skin barriers are destroyed, and a large amount of necrotic tissue and exudation become good opportunities for microbial culture.

If the patient's skin is not properly treated, the patient is very likely to suffer from septic shock in the later stages of treatment!

Strictly speaking, these operations must be considered nursing.

However, Cheng Guoqiang, who specializes in surgery, has more experience in dealing with trauma, and Lu Chen has experienced the diagnosis and treatment of burn patients, so it is most appropriate for the two of them to handle the skin.

"Lu Chen, after cleaning the skin, do you need to clean up the carrion?" Cheng Guoqiang asked.

"Yes." Lu Chen nodded, "It is divided into three steps. First, clean the wound, then clean the slough, and finally disinfect the wound. If the slough is not removed, the wound will not only be difficult to heal, but there is also a risk of severe infection. possible."

These three steps were also learned by Lu Chen in the emergency department of Jinghua Second Hospital.

"Okay, no problem!" Cheng Guoqiang now trusted Lu Chen extremely.

He would do whatever Lu Chen asked him to do.

The simulators provided by the organizer are very realistic, with dirt on the surface of the skin and many carrion models inside the skin.

Cheng Guoqiang washed the simulator's skin over and over again, and then began to remove the carrion.

This is a delicate job.

Don't rush, otherwise it will be easy to miss.

Lu Chen and Cheng Guoqiang did nothing else and began to deal with the slough on the patient's skin and carefully disinfect the wound.

"Teacher, we are done."

Kyoto University School of Medicine and Northwestern University Hwagawa School of Medicine ended their operations almost at the same time.

After taking off their gloves and washing their hands, the candidates from both schools walked out of the examination room.

They looked aside and were surprised to find that the exams at Jinghua Medical University had not yet been completed.

Not surprisingly, it will take a lot of time.

The exam is limited to half an hour, and twenty-five minutes have passed now.

"Candidates, please note that there are still five minutes left before the end of the exam!"

Lu Chen and Cheng Guoqiang were sweating profusely.

This last step, skin treatment, is such a waste of time.

In fact, if it is placed in real clinical work, it may take more than an hour or two.

Now it was a skills competition, and Lu Chen had already sped up.

"Disinfect again!"

After finally removing the carrion, Cheng Guoqiang was about to breathe a sigh of relief when Lu Chen ordered.

"Okay!" Upon seeing this, Cheng Guoqiang didn't hesitate at all, picked up the disinfectant and applied it again.

Lu Chen silently calculated the exam time in his mind.

After disinfecting for the last time and then bandaging, the time should be just enough!

At this time, the results of Kyoto University School of Medicine and Northwestern University Huachuan School of Medicine have come out.

Kyoto University School of Medicine leads by two points!

Now it depends on the results of Jinghua Medical University.

…

Off the court.

Jinghua Second Hospital broadcast room

“Why hasn’t our school finished yet?”

“Yes, there are only two minutes left. I see they are still bandaging.”

“They were not doing well before, why are they still behind?”

Although the operation can be monitored in real time through the broadcast screen outside the court, it is impossible to see it in detail.

What they can distinguish most is the operation speed of each team.

At this time, Li Yao was staring at Lu Chen in the broadcast screen.

She recalled that Lu Chen forgot to take the fourth assessment because he went to the emergency department to assist some time ago.

There must be patients with burns in that explosion!

Sun Guoguo said, "Teacher, I saw that Lu Chen and the others spent all their time on skin treatment of patients in the end."

Li Yao nodded: "The most feared thing for burn patients is the infection in the later stage. Many patients have been rescued, but various infections are inevitable in the later treatment process. Therefore, in the early treatment, we must pay attention to skin care."

"But now it is an exam after all. The treatment of burn patients mainly examines bronchial intubation, suction, catheterization, and calculation of infusion volume, intravenous infusion, blood transfusion, etc. The proportion of skin treatment is not much." Sun Guoguo frowned.

Real clinical practice is different from operation examination.

Li Yao also knows this.

A doctor who is usually skilled in operation takes the exam. If he does not strictly deduct every score point, he will not be able to get a high score.

"Now we can only wait for the final result."

The referee's scoring standard is unknown, and Li Yao cannot judge the situation at this time.

...

Time slowly passed, and the countdown to the exam began.

When there was one minute left, Lu Chen bandaged the last piece of skin, stood up and raised his hand to signal.

"Teacher, we have finished the operation!"

The referee nodded in response, and then began to score with other referees around him and counted the final scores.

Walking out of the examination venue.

Lu Chen and the other four smiled at each other, and they all breathed a sigh of relief.

In the past two days, each of them was nervous, and their minds were full of operating skills.

Even in sleep, they still dreamed of being in the skill center.

Cai Guangming came up and gave everyone a big hug.

"No matter what the result is, everyone has done a good job!"

"The school has granted us two days off. We can relax in Jiangcheng tomorrow."

The result of entering the finals was beyond everyone's expectations.

Everyone came to the lounge, waiting for the final result.

...

The backstage of the game.

The referee Zhu Zhenhua was still watching the game video of Jinghua Medical University.

There were three deputy referees sitting next to him.

"We rarely test cases of burns. The reason why we used cases of burns in this final is mainly because of the explosion some time ago." Zhu Zhenhua said in a deep voice.

One of the deputy referees said: "From the performance of the three teams, Kyoto University School of Medicine has the most skilled cooperation and extremely standard operation. Northwest University and Jinghua Medical University are slightly inferior. There are candidates who have outstanding performance, and there are also those who are not so outstanding."

"In terms of clinical skill operation scores, Kyoto University School of Medicine ranks first and Jinghua Medical University ranks second. However, in terms of clinical literacy scores, Jinghua Medical University's performance far exceeds the other two teams. In terms of elbow vein puncture and rotten meat treatment, these two points are far better than the other two teams." Another referee said.

Zhu Zhenhua listened to the opinions of the three referees and began to give the final score to Jinghua Medical University at the same time.

...

The number of viewers in the network broadcast room reached its peak at this moment.

Luo Meizhen even closed her eyes and dared not look at the TV.

As everyone was watching, the ranking on the screen changed.

First, Jinghua Medical University, with a time of 29 minutes and 14 seconds, and a total score of 92.23 points.

Second, Kyoto University School of Medicine, with a time of 24 minutes and 43 seconds, and a total score of 90.67 points.

Third, Northwest University Huachuan School of Medicine, with a time of 24 minutes and 50 seconds, and a total score of 88.12 points.

As soon as the results came out, everyone inside and outside the venue was boiling!

Kyoto University School of Medicine, which won the first place for three consecutive years, unexpectedly lost.

Jinghua Medical University, whose best historical result was only eleventh, fought all the way through the resurrection match.

Finally, in the final, it won the championship in one fell swoop!

At this time, whether it was the students of Jinghua Medical University or students from other schools, their hearts were extremely shocked.

The weak defeated the strong, and the counterattack, these are topics that will never lack topics in human history.

Inside the venue, the members of the Jinghua Medical University team were stunned.

Lu Chen was also extremely excited in his heart.

At this time, a series of prompts popped up on his system panel.

"Congratulations, received a thank you value +1 from Wang Zihao!"

"Congratulations, received a thank you value +1 from Gu Xinyue!"

"Congratulations, received a thank you value +1 from Cheng Guoqiang!"

"Congratulations, I received a thank you value +1 from Cai Guangming!"

"..."

Those familiar or unfamiliar names all appeared in the system prompts.

In less than half a minute, Lu Chen's gratitude level increased by more than thirty points!

ps: Before 12 o'clock, there is another chapter, and life will continue to rotate.

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