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Chapter 68: The Heart Falls, Epilepsy Diagnosed

Five minutes later, Tanglou completed the treatment measures for the second question.

"The doctor's answer to the second question is completely correct, and the score is +4."

"Question 3: How to evaluate the patient's prognosis?"

After successful resuscitation of out-of-hospital cardiac arrest caused by shock initial rhythm, only 10% of patients can survive and be discharged. Many of these patients will have severe neurological dysfunction, so prediction is actually quite difficult.

In the review room, the directors were also curious about how Tanglou would answer this question.

After all, it is extremely rare to master first aid itself, and the experience of prognosis requires a long career and is continuously accumulated through the same type of cases.

Even for junior doctors, it is difficult to give a comprehensive assessment direction in a short period of time.

Therefore, this question does not actually require all correct indicators to be given. You only need to provide three to get full marks.

Sure enough, Tanglou was also in the ward. He walked back and forth a few steps, made some notes, and then began to discuss:

"It is extremely difficult to predict the postoperative outcome of this patient, but the following factors can be used to infer that the patient's prognosis may be poor:

1. Delay in starting CPR, that is, cardiopulmonary resuscitation

2. Pulseless electrical activity or cardiac arrest

3. The patient is older and persistently comatose

4. No corneal or pupillary reflex for more than 24 hours

5. No visual evoked potentials and no increase in serum neuronal enolase (NSE)

Obviously, this patient has several poor prognostic factors, so it can be speculated that his prognosis will be poor.

After Tanglou finished answering, the assistant doctor applauded: "The doctor's answer to the third question is completely correct. The seventh room has a total score of 10 points."

Tanglou nodded casually and walked out of the ward. He calculated his scores. It was very thrilling to get 90 points after all the assessments were completed.

Seeing the matter-of-fact expression on Tang Lou's face, which showed no joy at all, the assistant doctor pursed his lips.

Real-time ranking refresh:

The first tenement house 6+9+8+8+10+10+10+10=71

Looking at Tanglou's score, no one in the judging room was particularly surprised. After all, every question asked about Tanglou was completed perfectly.

Everyone also noticed Tang Lou's solemn and serious expression.

It seemed like he was still counting the points before leaving the field.

"Isn't this guy trying to hit the record?"

Diao Xiwen looked at Tanglou's score, and with this thought, he was out of control, and it seemed that Tanglou at this moment was closer to the record that had been dusted for decades than Yang Ming.

"It's 90 points. It's only possible to get at least another full score, a 9. But the last two levels will only be more difficult, especially the tenth room. It's impossible to get a full score."

Yang Xiaodong also read the ambition in Tanglou's expression.

"I agree with Director Yang's point of view. Let alone the tenth mysterious room, even the regular ninth room is extremely difficult. Unlike all the previous rooms, the ninth room is a summary of the entire training camp.

The director representatives of each hospital jointly score the performance of the contestants. If you want a perfect score, you must get a unanimous vote of 10 points from all the judges, and this is an impossible task."

The calm baby voice sounded, at least as far as she was concerned, unless Tanglou gave a magical performance in the next round, it would be impossible for her to give 10 points.

"Although I admire the tenement building very much, it is almost impossible to impress me and give a perfect score to the ninth room.

I don’t believe that an intern can give a perfect performance in a summary that someone like me, who has been in the emergency department for decades, feels is perfect.”

Among the directors on site, except for Shen Jun who was willing to give 10 points unconditionally, the rest of the directors were selfish. It would be too easy to find faults, unless Tanglou's performance really reached an impeccable level. Their 13 judges gave full marks at the same time.

The biggest suspense in the upcoming training camp assessment is obviously whether Tanglou can break the 90-point record!

And, in the preparation room, Yang Ming naturally saw another perfect performance from Tanglou.

Yang Ming pinched his neck and took a deep breath: "Yang Ming, the competition is not over yet. As long as you get full points, there are still two rounds, and everything is not final yet! If he can do it, you can do it too!"

Yang Ming stood for three full minutes to calm down and maintain his best condition before entering the eighth room.

In the next ten minutes, Yang Ming almost tried his best, and it was perfect enough. It was a pity that in the crude method of cold and wet compresses, the control range of the patient's body temperature detection was omitted.

After all, the medical conditions of the First City Hospital are so good that it is basically impossible to use this outdated cooling method. The ice blanket machine cooling method is already standard in the First City Hospital. The instrument has its own body temperature monitoring, so doctors don’t need to worry at all. .

It is a pity that I got a 9 points.

However, Tanglou’s jewels are ahead!

"It's such a pity for Yang Ming. It's really hard to live well. Only old doctors of our generation have experienced this crude method of cold and wet compresses."

"Yes, in that era when medical conditions were scarce, doctors thought of too many crude and clever ways to solve the problem of lack of instruments and resources."

"Speaking of which, in the final showdown, Tanglou from the county hospital used an almost eliminated method to defeat Yang Ming from the No. 1 City Hospital who grew up with the 'golden key' in his mouth. It's so poetic."

"Isn't this a wake-up call for us? No matter how developed the medical conditions are and how advanced the instruments are, in the end it still depends on the unarmed doctor himself."

The eliminated contestants behind him were all thoughtful.

"We must not be bound by instruments and processes. Those crude methods that we disdain are the most reliable golden rules at critical moments."

As a military doctor, Diao Xiwen has been on the battlefield and bandaged and treated many soldiers. He has the most emotional experience, especially outdoor first aid.

This performance in Tanglou can make people review the past and learn new things, and lead to the discussion of what is a truly good emergency doctor, which adds a bit of depth to this training camp.

With respect for the older generation of doctors and self-motivation, everyone watched the next performance of all the players.

After the final eight rooms were completed:

The first tenement house 6+9+8+8+10+10+10+10=71

Second place Yang Ming 10+9+8+10+7+8+8+9=69

Third place Li Yundi 9+8+9+8+8+9+8+8=67

Fourth place Cheng Sisi 9+8+9+8+8+7+8+8=65

Fifth place dish talk 8+8+7+7+8+7+8+7=60

Sixth place Lu Rong 8+8+6+7+6+8+7+8=58

Seventh place Yunzhou 7+7+7+6+7+6+7+7=54

...

After the results of the eighth room came out, Cheng Jian also returned to the review room, full of energy.

"I want to tell you some good news. The cause of Xiaoya's illness has been diagnosed. Sure enough, epileptic waves were detected when she had abdominal pain. I have prescribed anti-epileptic drugs for her, and the patient's family agreed to the treatment. Sodium valproate was injected intravenously, and no

The girl's abdominal pain subsided within half an hour. It was surprisingly smooth!"

Cheng Jian waved his hand and finally settled his worries.

"That's great!"

"As long as there is no recurrence after taking it for a week, the basic condition can be controlled. Recovery is very likely."

"Okay, this is really the biggest good news today."

Yang Xiaodong mentioned the gold-rimmed glasses. He was naturally proud that the department had solved a difficult and complicated disease.

"Speaking of which, it all depended on Tang Lou's reminder. How was their assessment?"

Cheng Jian started asking questions as he walked and missed many wonderful moments.

"Director Cheng came at the right time. The ninth room is about to begin. The last room of the regular season is also a summary of this emergency training camp."

Cheng Jian nodded and looked at the total scores of the first eight rooms. Although he had a high opinion of Tanglou, he was still a little unbelievable.

"This brat is more powerful than I thought."

...

...

A few minutes later, at the end of the regular season, the ninth room opened.

Tanglou naturally did his part, and after entering the ward, he was dumbfounded.

In this room, there is no darkness, no short films, no simulated medical staff, and not even props.
Chapter completed!
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