Chapter 113: Practical Skills Exam

Cardiopulmonary resuscitation is a very important and must-know skill in clinical practice.

Because patients with cardiac arrest will actually have ventricular fibrillation at a certain point in time, if cardiopulmonary resuscitation can be implemented within 5 minutes, the overall first aid will have the greatest success rate!

Generally, clinical doctors and nurses are required to master this skill, and it is simple and convenient, easy to operate and master.

Bai Ye is also very honored to be able to draw this question!

It's not that Bai Ye can't do the rest, but it's too troublesome, and mistakes are inevitable, this is okay, as long as you say those important test points, the basic score will be stable!

Bai Ye looked at the simulator on the ground, walked to the right side of the simulator, confirmed whether the surrounding environment was safe, and then squatted down to assess his consciousness.

This is the first test center, pat your shoulders and shout loudly, do not shake the patient, and then put your hand on the side of the carotid artery to determine whether the patient has a pulse, and observe the breathing...... To judge the patient's condition, observe for 8 seconds, and take the test: 1001, 1002, 1003...... This represents time.

Then, after confirming that the patient is unconscious, you need to ask the people around you to start calling the 120 emergency number.

After that, the rescue must begin, first the oral secretions must be cleared, and then the patient must be placed in a suitable place, undressed, and ready for CPR.

The place of cardiopulmonary resuscitation is generally at the point of connection between the two ** points, on the sternum, and then pay attention to the technique.

The frequency of cardiopulmonary resuscitation is about 100 times per minute, and the frequency of artificial respiration is maintained at a frequency of 30:2, and the depth is maintained at about 5cm.

Every 30 compressions are followed by 2 rescue breaths.

When artificial respiration, remember to lift the chin and keep the earlobes and nasal passages parallel to the ground, in fact, the purpose is to open the airway, at this time, you should pinch the patient's nose so that the air can enter the lungs.

Generally, this exam is relatively simple and easy to master, after Bai Ye did 5 groups, he got up, and it can be seen that the invigilator should be very satisfied with Bai Ye's operation......

Next is to go to the inpatient department, the encephalopathy department is on the 15th floor.

After reaching the 15th floor, there was a doctor who was in charge of this matter and took Bai Ye to the 36th bed.

The doctor was a woman in her thirties, with short hair and lean and capable.

After Bai Ye handed over the form, the woman glanced at it and said, "Well, you have an hour, let's start." ”

Bai Ye nodded, took out a piece of paper from his pocket, and began the consultation.

Consultation is very important in clinical practice, including the history of the present illness, which is obtained through the consultation, and in many cases, you can get the general situation and information of the patient after the consultation.

The patient was an aunt in her 60s who was lying in a hospital bed.

Bai Ye asked, "Auntie, why did you get hospitalized this time?"

The patient should have been greeted in advance, or specially prepared, and cooperated with Bai Ye.

"I ...... It was because I suddenly felt numb and uncomfortable in the fingers of my left hand three days ago, and I came to the hospital for outpatient treatment. I feel like ......."

"Did you have an MRI or CT scan of your head before you were admitted to the hospital?" Bai Ye asked.

"Well, I did a CT in the outpatient clinic, and the film is here. ”

As he spoke, he handed over a piece of film, and Bai Ye was stunned when he took it, dumbfounded...... I can't understand the film......

Bai Ye coughed, nodded, pretended to take the film right, and watched it...... Well, you have to get it right, and you have to pretend to be like that.

After reading it, Bai Ye frowned, nodded, and sighed......

Then he continued to ask, "Auntie...... Have you ever had any chronic diseases like high blood pressure, diabetes, coronary heart disease, etc.?"

Auntie nodded: "Well, I have high blood pressure, I eat Shi Huida, one ...... a day"

…………

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People are old and have more underlying diseases, Bai Ye also remembers them in more detail and asks very clearly.

However, the most important thing in neurology is the physical examination, the physical examination of the nervous system, that is, the specialist examination.

For example, consciousness, judgment, etc., as well as various physiological reflexes, such as radial reflexes, knee reflexes, etc., as well as muscle tension, eye light reflexes, and pathological reflexes of the nervous system, such as Babinski's sign, Kernig's sign, Hoffman......

These are the most annoying and difficult places, if it weren't for a few days in the provincial encephalopathy department, it would be really difficult to get it.

However, this patient is just the most common lacunar cerebral infarction, which is normal, and it really gives you a trouble, and you can't diagnose it clearly.

It took forty minutes before and after, and Bai Ye systematically understood the patient clearly.

The female doctor also nodded, because Bai Ye asked in detail, and the physical examination was also in place, as for those details......

You can't ask too much, after all, this is a college student, how can you be too demanding?

The female doctor smiled and said to Bai Ye: "Isn't the young man very good? Have you stayed in the clinic during the internship? Now the child is going to graduate school, and he doesn't go to the hospital, he brushes the questions all day long, you are good! Come on......

Bai Ye smiled awkwardly, said thank you, and hurried back to the designated place to write the medical records.

By this time, most people have finished their appointments and started writing medical records.

The format and style of writing the medical record should be written in accordance with the hospital, so that the teacher seems to give a relatively high score.

The first is because such a style may be a student of our school, and the second is that preconceived habits are used to such a medical record writing format.

Bai Ye had already memorized those templates, and after genetic evolution + potential development, Bai Ye felt that his brain was better than before!

If nothing else, just that the ability to recite and memorize is much stronger than before.

Bai Ye wrote for about an hour before he finished writing, because there were too many things.

After handing in the papers, Bai Ye got up and left.

Interview tomorrow, the results will come out the day after tomorrow.

Whether you are admitted or not depends on tomorrow!

………………

When he returned to the dormitory in the afternoon, Bai Ye silently memorized the self-introduction he had prepared, but heard the sound of a WeChat video call.

Bai Ye picked it up and saw that it was Daisley.

After connecting, Daisley looked at Bai Ye with a smile and said, "Hi!

Bai Ye smiled: "Daisley, are you looking for anything with me?"

Daisley cut off: "I don't understand the amorous feelings, are you all like this? I will tell you the good news, our thesis has been approved, and the acceptance notice has been received." ”

Bai Ye's eyes suddenly turned cold when he heard this, and he was more eager than when he saw the big beauty: "Really, hurry up and send it over, I'll take a look!"

Daisley shook her head suddenly: "For the sake of you being so incomprehensible, I suddenly don't want to give ......"

Bai Ye almost knelt down: "Sister Daisley, you have always been the goddess in my heart, sacrosanct, Luoxia and the lonely bird fly together, talent and beauty coexist......"

Daisley giggled and straightened up: "Okay, I won't tease you, I know you'll interview tomorrow, come on!" I'll send you all the offers in a moment, take it." ”

It didn't take long for the electronic version of the ten offer notices with the official seal to be sent!

After Bai Ye saw the magazine, he almost took off excitedly!

"Cell and Molecular Engineering", "Development and Utilization of New Materials", ......

These Bai Ye have heard of them, they are all top journals in various fields, and the impact factor is almost above 10 points.

Thinking of this, Bai Ye hurriedly went downstairs and found a nearby copy shop to print a few copies!

ps: Some time ago, there was a joke on the Internet, there was a patient who needed cardiopulmonary resuscitation, but the clothes were not easy to take off, so the doctor cut the clothes, cardiopulmonary resuscitation did save the patient, but the patient woke up and looked at the clothes, and was stunned!

Later, a joke came out:

Nurse: "Doctor, it's not good, it's not good, the patient faints, the heartbeat stops......"

Doctor: "Why are you still stunned! Immediately perform cardiopulmonary resuscitation!"

Nurse: "But ......"

Doctor: "But what! Don't hurry up ......?"

Nurse: "But the patient wears Versace......"

Doctor: "...... What did you just ask me? Did you eat? No! I didn't eat! I went to eat......

(Just look at the entertainment)