Doctor Peerless

Chapter 586 means no pressure
Basic clinical operations.

The examination room is a single room.

Zhou Sheng pushed the door open and entered.

There were three examiners sitting upright inside.

One of the examiners in the middle was over fifty years old and wore thick glasses.

It looks academic.

In front of the three of them was a hospital bed.

There is a medical dummy on it.

After a while, the specific operation will be performed on this dummy.

The examiner for the glasses checked Zhou Sheng's identity.

The exam officially begins.

There are many items of basic clinical operations.

Such as catheterization, artificial respiration, chest compressions, the use of simple respirators, endotracheal intubation and so on.

As long as these are serious internships in the hospital for about a year.

There must be a chance to get started.

So it's not too difficult.

However, the level of difficulty does not mean that everyone has the same level of completion.

New drivers will also drive.

Old drivers can also drive.

The old driver can fly the car, but the new driver can?
Zhou Sheng was obviously in the old driver's class.

Can drive a car like a plane.

His topic came out.

The patient, male, 35 years old, was stabbed in the left arm with a knife half an hour ago. He came to the emergency department of the hospital. There was a wound about 4 cm long on the extensor side of the left forearm, and hemostasis was required.Suture (operation on medical simulator) (reminder: check and prepare the required items before operation, suture with skin substitute)
Old business.

Trauma management frequently encountered in the emergency department.

The only difference is that there are not three people "finding faults" in the hospital, and the other point is that the exam time is relatively short.From prepping items, it's only 11 minutes in total.

Be quicker with your hands and feet.

After reading the topic on Monday.

Start "answering questions" immediately.

The first is to prepare items.

Zhou Sheng was too familiar with the things used in debridement and sutures.

Sterilized forceps, needle holder, tweezers, suture thread, triangular needle, scissors, drainage strips, normal saline for external use, 75% alcohol, hydrogen peroxide, sterile gauze, cotton pads, bandages, adhesive plaster...

Finally, there is a bolster, which replaces the skin.

There are already many "masterpieces" of previous candidates on the pillow.

Of course, this thing doesn't feel as good as the pigskin that Zhou Sheng, Su Quan and the others used in their initial practice.

But the exam is an exam after all, mainly an assessment of the operating process.

Just have that meaning.

The examiner doesn't care if you feel it or not.

According to the scene in the exam question, Zhou Sheng cut 4 cm in the pillow cloth to replace the skin wound.

So everything is ready.

Next, it's time to start.

In the first step, wear sterile gloves.

This is a test point.

Some people must say, isn't it just wearing a glove?

What else is there to investigate.

If you put both hands in directly, you won't be done.

But these are sterile gloves.

There are still rules to wear.

Make sure that the exposed part of the glove is not contaminated.

Therefore, hands without sterile gloves are only allowed to touch the outwardly folded part of the glove sleeve, and cannot touch the outside of the glove.

Even gloved hands cannot come into contact with a sterile environment.

Before performing surgery or treating a wound, hands should be placed on the chest.

For a surgeon, these sterile concepts should be an instinctive professional reaction.

On this point, there are still some interesting little jokes circulating on the Internet.

For example, there is a passage saying that if you are in a medical elevator and see a doctor, he stops the elevator that is about to close with his hand.

Then he must be a physician.

If it's a head, it must be a surgeon.

Hehehe, of course this is a joke.

Where will someone stop the elevator with his head.

It just shows that the surgeon's hands are always ready for surgery at any time.

But it can't be polluted.

As for the head.

Hehehe... Physicians believe that surgeons don't need to use their brains at all, and surgery solves the problem once!
Zhou Yisheng had thousands of operations, and various wounds were treated in the emergency center.

How to wear these gloves is already an instinctive operation.

Zhou Sheng quickly opened the glove bag and took out the gloves.Hold the reflexed part of the glove with your left hand.Insert the 5 fingers of the right hand into the glove and put it on.

Then Zhou Sheng used his gloved right hand to insert four fingers except the thumb into the folded part of the other glove, and put on the glove with his left hand.

The three examiners nodded.

Grab the score sheet.

5 points, full marks for this step.

a few seconds.

Before stitching started, wearing a glove has already brought 5 points to Zhou Sheng.

You see, this practical exam is just that easy.

Points are everywhere.

Of course, the premise that it is easy is that you know how to do it, and you have practiced it clinically.

Otherwise, even if you memorize it hard, you will definitely show your secrets and have bumps and bumps when you operate it.

It is not uncommon for people to tremble and drop their gloves on the ground.

Wear gloves.

According to the topic.

The injured was the left arm.

Zhou Sheng began to wash the skin around the "wound" with saline on the left arm of the medical simulator.

There is a scope for disinfection here, and the entire forearm should be disinfected.

It cannot be confined to the vicinity of the wound.

Then wash repeatedly with hydrogen peroxide and apply pressure to stop the bleeding.

The next step is to suture the wound.

At this time, switch to skin substitutes.

Medical simulators don't come cheap.

You can't sew it, I'll cut it.

For emergency.

Wound suturing is the basic basic.

Zhou Sheng, who is proficient in handling a scalpel, naturally said nothing.

4 cm wound, 4 standard surgical knots.

There were no false knots and no slipping knots.

Another full score operation.

As soon as the experts make a move, they will know if there is any.

Although it is simulated.

The three examiners also knew that Zhou Sheng must be in the front line of clinical practice.

The basic skills are very solid.

Every detail is worked out.

without any problem.

Another perfect score of 20 points.

So far, Zhou Sheng has successfully passed the second leg.

After the first station and the second station,
In fact, Zhou Sheng had already scored full marks for two races in a row.

The current score has exceeded the passing line of 60 points.

Even if he doesn't take the third test now.

It is also certain that you can take the written examination for the medical qualification examination.

But he doesn't know how many points he has at the moment.

This third stop is still going.

The third station is to operate on the computer.

The content of the assessment is of a multimedia nature.

There is video, sound, and pictures.

The question type is multiple choice.

There are 7 questions in total.

The test time is 15 minutes.

Looks like time is running out.

But it's all multiple choice.

In comparison, there is more time than the previous two stops.

The content of the exam is also fixed.

Cardiopulmonary auscultation, imaging (X-ray, CT), and electrocardiogram each have two questions.

The last question is a sub-question, a video question about medical ethics and medical style.

this……

If you even choose the wrong topic of medical ethics and medical style, I guess you don't want to take the exam, you are here to spoil the scene!
Back to the topic.

At the level of Zhou Sheng, participate in this third station.

Or two words, simple.

The god of film reading, look at X-rays, CT, ECG, this is still not the same as playing.

Cardiopulmonary auscultation?

If other departments, your stethoscope can be shelved.

In emergency centers, stethoscopes are worn around the neck.

Take it to listen to your heart and lungs at any time.

This thing is the third eye and ear of the emergency doctor.

If this thing doesn't play well.

That's too embarrassing for the emergency department.

Find your computer.

There are 7 multiple-choice questions, which can be answered quickly.

Zhou Sheng expressed no pressure in his heart.

……

(End of this chapter)