At 0:00 on the first day of the competition, the website of the Golden Knife Award was opened on time, and the website was built using Alibaba Cloud.

At eight o'clock in the morning, in the locker room, Yang Ping took out his mobile phone, and the pattern of the Golden Knife Award APP was a delicate scalpel.

Whether it is a website, or an APP, or a WeChat public account, only registered members can log in, and registered members are free, but ID cards and doctor qualification certificates are required, which have been done before the start of the competition.

Yang Ping boarded the APP, the video of the South China Division is still blank, everyone should not be so early, the video area of the South Capital Attached to the First has been shown to be connected, and the operation should start immediately.

The video camera is on a shadowless lamp, and if the operation is performed under the microscope or laparoscopic surgery, it is directly connected to the video system of the device, so the shooting area is limited to the surgical area, and the patient's privacy is not exposed.

Before the operation, an informed consent agreement will also be signed with the patient, informing the surgical area that the competition will be videotaped, which will be viewed by surgeons of the specialty across the country.

Most patients will agree because they feel that the doctors who can participate in the competition are selected and have excellent surgical skills.

There are also a small number of patients who refuse, but it does not affect the selection of participating cases, and the number of cases in large tertiary hospitals is only more and not less, which is completely out of consideration.

After the video is live, it is encrypted and stored in Alibaba Cloud, and the judges can watch the live broadcast or the playback after the judges' scores.

Judges generally like to watch the replay, so that they can observe repeatedly and score more accurately.

Doctors prefer to watch live broadcasts so that it looks more sensational, but most doctors don't have that much time and also watch videos after work.

Within twenty-four hours of the completion of an operation, all judges must complete the scoring and the deduction must be justified.

Finally, the highest and lowest scores are removed, and the rest of the scores are averaged.

The judges have an expert pool, and the recusal system is adopted, the recusal of the same competition area, the avoidance of kinship, and the recusal of teacher-student relationship.

Don't worry about someone hiding the identity that needs to be avoided, because of the existence of the Internet, everyone will clean up any possible special relationship.

Therefore, on the public online platform, the possibility of selfishness is very small, and if there is selfishness, doctors across the country will look at you and criticize you completely.

Perhaps because of the progress of network technology, this year's Golden Knife Award is particularly lively, and now the number of people online has exceeded 100,000, and the number of practicing doctors in the country, including assistant physicians, is only more than 3 million, and the online has exceeded 100,000, and the participation has been very high.

At this time, everyone has just entered the operating room, changed clothes in the locker room, and can take the time to glance at their mobile phones to see which hospital is the most confident, and they are the first to start the live broadcast.

The surgeries in the regional competition are all trauma orthopedic surgeries, so many hospitals can come up with cases, and some grassroots county hospitals are also eager to try, although they know that they cannot qualify, but even if they upload a few surgeries, it can be regarded as an experience.

The comment area opened separately next to the video area is equivalent to a barrage, and in order to see interesting comments while watching the video, the barrage and the video are separated.

The comment area of some hospitals is deserted, and some hospitals are very lively, such as Nandu Attached One, the video has not started yet, and many people are already swiping the screen.

"I'm here to see Su Nanchen."

"With me, I was the top science student in Nandu that year."

"I heard that he is the son of Professor Su? Respond knowingly. ”

"That's right, the top student in science, the eight-year system of Concord, without the relationship between Lao Su, it is not a problem to enter the attached one, right?"

"His wife is a twenty-eight-year-old doctoral supervisor from Nandu Medical University."

"Is it true? At the age of twenty-eight, at what age did you go to college? ”

"People who engage in basic medicine are not like clinical climbs step by step, one or two "Nature" or "Science", and the doctoral supervisor can do it."

"Twenty-eight-year-old doctoral supervisor? Are you talking about Lin Lan from the Genetics Laboratory of Nandu Medical University? That's really a beauty, both talented and beautiful. ”

"At this level, it seems that only Su Nanchen can be suppressed."

"Attached one, there is also a main knife Lin Hao?"

"It's also an eight-year concord."

"People are thirty years old and they are deputy high, and I'm still pulling the hook, don't say it, hurry up and pull the hook, otherwise I will be scolded again."

Chatting and chatting, the topic is off-topic, but as long as it is not illegal, everyone can speak freely, which is also the reason why the Internet has exploded the popularity of the event.

Yang Ping was curious, and when he entered the video area of Sanbo Hospital, Song Zimo and everyone were still preparing for the operation, and the video area was not opened.

But the barrage is no less than the attached one.

"Brothers, who still remembers the five stages of replanting?"

"Who doesn't remember? The village just had electricity, right? The replanting of the third and fifth stages has been outdated, and the strange operation at the academic meeting crushed the Japanese, and that is the heavyweight. ”

"Does anyone know the chief knife Yang Ping? I heard that guy is awesome. ”

"Even Takahashi was overturned by him, you say cow is not cow."

"I can't believe that he did the operation."

"Brother of the Demon Capital, someone should know Song Zimo, right?"

"I know, he is from Fudan, but the clinical internship was completed in the magic six, we call him Liuchuan Feng, this guy can challenge Wen Da, but he is actually just a help, this year is interesting."

"Sanbo's volume is not good, scoliosis, bone tumors, upper cervical spine, these surgeries are the highlight of the finals, and it is unlikely that you can reach the quarterfinals or something, and if you want to win the championship."

"I heard that robotic surgery was added to this year's finals?"

"yes, the Robotic Operating Room Final Project."

Yang Ping is not interested in these either, he called out some of the standard steps of the operation, and at the same time, each step has a score, in fact, if you get a full score, it means that the chief surgeon has really mastered every detail of this operation.

For unknown reasons, many hospitals treat open reduction and internal fixation of double fractures of the ulnar and radius of the forearm as the first operation.

The first operation uploaded by Song Zimo was also open reduction and internal fixation of the ulnar and radius double fractures of the right forearm.

This is a relatively simple surgery and is an entry-level surgery in trauma orthopedics.

The first month of surgery is a broken limb, as long as all the required surgeries are completed by the end of the month, no need to follow the order.

If the surgical cases are not prepared within a month, then the hospital should consider whether to compete in another ten or eight years and develop the department first.

The regional competition mainly examines basic skills--- basic knowledge, basic theories, and basic skills.

Yang Ping opened the instructions for the scoring of double fracture surgery of the ulnar and radius of the forearm, and if it was printed, I am afraid it would be several pages.

Song Zimo and Xu Zhiliang should be about to start the stage, Yang Ping is not worried about Song Zimo at all, he still knows this help.

So he didn't plan to go in and see it for the time being, so he just went to the lounge to lie down for a while and casually looked at the surgeries in other hospitals.

The video area has been broadcast one after another, and there are judges who watch the live broadcast and score, and while the operation is walking, the scores of each step of the scoring column will come out, and these judges are worthy of being big guys.

Yang Ping browsed and started with double fractures of the forearm.

As soon as someone had surgery, a lot of points were deducted.

Double fracture of the forearm, lack of complete upper and lower joints on preoperative X-ray, deduct points!

There is a dislocation of the lower ulnar-radial joint, which has been reduced in the emergency department, and the injuries of the triangular cartilage complex and the inferior ulnar-radial ligament have not been considered, and the wrist MRI examination has not been performed, and points will be deducted!

The use of preoperative blood belt is not standardized, and points will be deducted!

If you hold the knife in the wrong position, you will be deducted points!

If the incision is not vertical, points will be deducted!

After entering, the vascular nerve protection is not effective, and the rubber strip is not used to gently pull it away, and points will be deducted!

There is a superficial branch of the radial nerve passing through the radius fracture site, and the sensation of the hand is not recorded in detail in the physical examination of the course of the disease, and the superficial branch of the radial nerve is not explored during the operation, and points are deducted!

Excessive periosteal detachment, no awareness of blood circulation at the end of the protected fracture, and points will be deducted!

If the drill is not held in a standard manner when drilling, points will be deducted!

The order of bathymetry and tapping is reversed, and points will be deducted!

Simple transverse fracture, using locking bone plate, improper selection of internal plants, deduct points!

There is also a surgery, the ulnar and radius fracture uses a single incision, which is easy to cause cross healing, violates the basic principles of surgery, and deducts points!

A simple double fracture of the forearm has dozens of points, each of which is clear, and the deduction of points is reasonable, and none of the points are deducted indiscriminately.

Yang Ping explained the scoring of these surgeries, called them all out, and looked at them carefully, there are still some differences between the game and the usual surgery, for example, he did his own cruciate ligament reconstruction, never used a locator, and drilled with his bare hands.

If this is put into the game, it will miss a step and deduct points directly, so it is also very important to familiarize yourself with the smooth instructions.

It's like solving a college entrance examination question, every step must be clear.

Anyway, there are still three months to go, Yang Ping read part of the scoring instructions, and called up the information that Robert sent to him before, the patient with multiple ligaments in the knee joint of children, Andrew.

Planning in mind how to do this surgery, this operation is indeed more difficult, there is no ready-made surgical plan that can be referenced, it is necessary to redesign the individualized surgical plan, and design special surgical instruments.

Yang Ping simply entered the system space, and in the space, he conducted a serious study of this operation.

He drew a complete set of drawings of surgical instruments in the space, and then drew the surgical steps with drawings, and after several revisions, the final plan was determined.

Coming out of the space, he went to the anesthesiologist's office to pick up a stack of A4 paper and began to draw the surgical procedures and surgical instruments.

Now the drawing is very proficient, not to mention the drawing in the system space, now it is just copied from memory, a pencil, and soon the drawings are drawn one by one.

Yang Ping took pictures of all these pictures with his mobile phone, and then sent them to Robert, asking him to ask OrthoPediatrics to produce all the surgical instruments in advance.