Basic clinical operations.

The examination room is a private room.

Monday opened the door and entered.

There are three examiners sitting upright inside.

The examiner in the middle was in his fifties and wore heavy spectacles.

At first glance, it is 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 operated on this dummy.

The glasses examiner checked Monday's identity.

The exam officially begins.

There are quite a few items of basic clinical operations.

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

As long as you do this in the hospital for about a year.

There's definitely a chance to get started.

So it's not too difficult.

However, the difficulty does not mean that everyone will complete the same level.

New drivers will also drive.

Old drivers also drive.

The old driver can drive the car flying, but the new driver can?

Monday is obviously the old driver's gear.

I can drive a car as an airplane.

His title came out.

The patient, a 35-year-old male, was stabbed in his left arm half an hour ago, came to the hospital for emergency treatment, and saw a wound about 4 cm long on the extensor side of his left forearm, which required hemostasis.

The old business.

Trauma management often encountered in emergency departments.

The only difference is that there are no three people "finding fault" in the hospital, and the other point is that the time for the exam is relatively short. From the preparation of the items, there are only 11 minutes in total.

Hands and feet have to be sharper.

After reading the question on Monday.

Start answering questions right away.

The first is to prepare the items.

The things used for debridement and suturing are all too familiar on Monday.

Sterilized forceps, needle holders, forceps, sutures, triangular needles, scissors, drainage strips, external saline, 75 alcohol, hydrogen peroxide, sterilized gauze, cotton pads, bandages, adhesive tapes, ......

Finally, there is a pillow, which is used in place of the skin.

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

Of course, this thing doesn't have the feeling of the pigskin that Zhou Zhou and Su Quan used when they first interned.

But the exam is an exam after all, and it is mainly an assessment of the operation process.

That's it.

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

On Monday, according to the scene on the exam question, 4 cm was cut on the pillow cloth instead of skin trauma.

So everything is ready.

Next, it's time to get started.

In the first step, wear sterile gloves.

This is a test center.

Someone must say, isn't it just a matter of wearing gloves?

What else is there to look into.

Two hands just stick in and you're done.

But it's a sterile glove.

There are still rules to wear it.

Make sure that the exposed parts of the gloves are not contaminated.

Therefore, hands that are not wearing sterile gloves are only allowed to touch the outward folded part of the glove sleeve, and cannot touch the outside of the glove.

Hands with gloves should not touch the bacterial environment.

Before surgery or wound treatment, hands should be placed on the chest.

For a surgeon, these notions of sterility should be an instinctive professional response.

There are also some interesting jokes circulating on the Internet about this.

For example, there is a passage that says that if you are in a medical elevator and you see a doctor, you can use your hand to block the elevator that is about to close.

Then he must be an internist.

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

Hehehe, of course this is a joke.

Where will someone block the elevator with their head.

Just to show that the surgeon is ready to operate on both hands at any time.

You can't be polluted.

As for the head.

Hehehe...... Physicians all believe that surgeons don't need to use their brains at all, and surgery solves the problem once!

Thousands of surgeries on Monday, and various wound treatments in the emergency center.

How to wear these gloves is already an instinctive operation.

Monday quickly opened the glove bag, took out the gloves, pinched the fold of the gloves with his left hand, and inserted the 5 fingers of the gloves with his right hand and put them on.

Then on Monday, with the gloved right hand, insert the four fingers of the other glove into the fold of the other glove except the thumb, and put the glove on the left hand.

The three examiners nodded.

Take the scoring form to score.

5 points, this step is a full score operation.

A few seconds.

Haven't started stitching yet, wearing a glove, has already brought 5 points to Monday.

You see, this practical exam is that easy.

There are scoring points everywhere.

Of course, the easy premise is that you can, and you have practiced it clinically.

Otherwise, even if it is a hard back, you will definitely be exposed and bumpy when you operate.

It's not for nothing that the gloves fell to the ground in a trembling way.

Wear gloves.

Follow the topic.

The injured person was in the left arm.

On Monday, the skin around the "wound" was washed with saline on the left arm of the medical simulator.

There's a sterilization area to disinfect the entire forearm.

It should not be confined to the vicinity of the wound.

Then wash with hydrogen peroxide and compress repeatedly to stop bleeding.

The next step is to suture the wound.

At this time, switch to a skin substitute.

Medical sims don't come cheap.

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

For emergencies.

Wound suturing is a basic basic.

Zhou Yisheng, who is skilled in holding the scalpel, naturally no longer has to deal with it.

4 cm wound, 4 standard surgical knots.

There were no false knots and no slips.

Again, a perfect operation.

As soon as the connoisseur makes a move, he will know if there is one.

Although it is in a simulation.

The three examiners also knew that Zhou Yi must have been an intern in the clinical frontline.

The basic skills are very solid.

The details are all in the operation.

There are no problems.

Another out of 20.

So far, Monday has successfully passed the second stop.

After the first and second stops,

Monday was actually a perfect score for two stops in a row.

The score is now 60 points above the passing mark.

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

It is also possible to take the written examination for the medical qualification examination.

But he didn't know how many points he had at the moment.

This third stop is still going to go.

The third stop is to operate on the computer.

The content of the assessment is multimedia in nature.

There's video, there's sound, there's picture.

The question type is multiple-choice.

There are 7 questions in total.

The duration of the exam is 15 minutes.

It doesn't look like there's much time.

But it's all multiple-choice.

Comparatively, there is more time than the previous two stops.

The content of the exam is also fixed.

There are two questions each for cardiopulmonary auscultation, imaging (X-ray, CT), and electrocardiogram.

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

This one......

If you even choose the wrong topic of medical ethics and medical style, I guess you don't want to come to the exam, but to smash the field!

Back to the point.

Monday level to participate in this third stop.

Or two words, simple.

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

Cardiopulmonary auscultation?

If other departments, your stethoscope can be shelved.

In the emergency center, the stethoscope is worn around the neck.

Feel free to listen to your heart and lungs.

This thing is the emergency doctor's third eye and ear.

If this stuff doesn't play well.

That's too embarrassing for the emergency department.

Find your computer.

7 multiple-choice questions, answered quickly.

Monday's heart said that there was no pressure.

……

Healers are incomparable