Auto chess in the operating room

Chapter 51 Why is it on the show?

When the answers to the two small questions in front of Tanglou came out, the sleepy judging room suddenly became refreshed.

"No way, he actually answered these two small questions?"

Diao Xiwen's eyes widened, as if he was getting to know Tang Lou for the first time. The answer to these two small questions is definitely not by luck. In addition to a solid foundation, it also requires keen observation on the spot and the courage to screen the correct information flow.

"Beautiful, little Tang!"

Shen Jun on the farthest side clapped his hands. In normal times, his position would have already caused people to be offended, but now the rest of the directors are not only not disgusted, but rather surprised!

"Director Shen, your intern representative this time is fine! Even though his talent is not as good as Yang Ming and others, at least he has the psychological quality to face difficulties. He is definitely the top in today's field."

The director of Yanshi praised.

"Yes, Xiao Tang's mental quality is indeed good, and his decision on the spot also makes me admire."

Shen Jun said proudly, it was the first time he spoke so loudly in the review room, with a long face!
After all, being able to answer such tricky questions is really impressive.

"Not bad, not bad. It seems that this new generation is really exciting."

Yang Xiaodong touched his gold-rimmed glasses, and concluded with a sonorous voice.

Lin Fang thought about it next to Cheng Jian. Could it be that this tenement building is really capable?
Cheng Jian was the old god, and touched his chin, very satisfied.

Next, everyone cheered up, to see how much surprise this young man will give everyone!
"Will the doctor briefly describe the next treatment plan and how to monitor the treatment response?"

The virtual doctor asked the second question. Tang Lou looked at the patient, thought for a while, and answered calmly:
"The first is oxygen therapy. Give the patient oxygen. The monitoring method is to control the oxygen saturation between 94% and 98%"

"Second, nebulization therapy. Bronchodilators should be given, that is, β2 receptor agonists such as salbutamol, preferably with an oxygen-driven nebulization device, with the purpose of relieving bronchospasm.

Since the patient has acute severe asthma, 2.5-5 mg of albuterol is inhaled by nebulization. If the response to the initial treatment is not good, it can be repeated or 0.5 mg of ipratopiramate can be added. "

"The third is steroids. The purpose is to reduce airway inflammation. Since the patient has acute severe asthma, hydrocortisone is given intravenously. Don't just take pine dragon, which is only suitable for less severe asthma."

"This tenement building is really powerful. The second question was originally just a simple discussion, as long as the answers to oxygen therapy, nebulization therapy, and steroids are enough. Even the specific medicines and dosages are extremely accurate!"

"Yes, if in reality, because the first step was misdiagnosed as moderate asthma, it is very likely that oral pinephrine was misused during the use of steroids. The consequences would be disastrous. If this question were asked more deeply, in fact At this step, Tanglou has completely killed everyone, including Yang Ming."

Niu Bolin's thick voice resounded in the review room, and he was very happy that someone could step on Yang Ming.

The rest of the directors also nodded in agreement, at least in this question, Tang Lou's performance so far is impeccable!
Shen Jun at the end of the review room couldn't help nodding, a little excited, looking at Tang Lou, very comforted.

It's so wise to give Tanglou the spot for this training camp!

".For the treatment of acute severe asthma, the most important test is the response to intervention measures. PEER and blood gases need to be measured regularly, and clinical assessment: symptoms, degree of wheezing, ability to complete sentences, oxygen saturation, to ensure rapid Identify patients who do not respond adequately to treatment."

After Tang Lou finished speaking, seeing that the virtual doctor hadn't responded yet, he frowned slightly and complained, "Didn't you just give a brief description?"

In the evaluation room, the doctor in charge of scoring was actually stunned by Tang Lou's detailed answer. He was still in the empty stage, and just about to give the score, in the ward, Tang Lou spoke again with a dissatisfied tone. sounded.

"...If you were my assistant doctor, I would give you a kick! It's been said so clearly, I still can't understand it. Listen carefully:

Detailed characteristics of the clinical assessment:
First clinical symptom: Include patient's altered consciousness, exhaustion, or dyspnea, evidence of hypotension, cyanosis, silent chest, or cardiac arrhythmia.

The second is objective indicators, specifically
PEFR <33% predicted value,
O2 saturation<92%
PO2 < 8kPa, if PO2 is 4.5 - 6kPa, it means respiratory fatigue, unable to maintain high ventilation to promote oxygenation

"

Barbara, Tang Lou gave me some good guidance again, like a chief physician training assistants who hates iron.

In the judging room, the scorekeeper had a black line on his face, why did this show up?

Before Tang Lou could continue to add, he interrupted him quickly, with a bit of resentment in his tone, gritting his teeth:
"The answer to the second question is correct, and the score is +6"

In the review room, the other directors were also a little stunned.

"Interesting, interesting, it seems that the next game will be even more interesting."

Diao Xiwen applauded. He kind of likes Tang Lou's crazy output, especially his dislike of virtual doctors. This kind of relaxed attitude is wonderful!

"Director Shen, it seems that your county hospital has also produced a great talent!"

Yang Xiaodong was also very surprised, so he made a special roll call.

"Dean Yang is ridiculous! Xiaotang was just a fluke, and this question happened to be within range. Hahaha!"

"I think it might be the first room, which is in his blind spot."

If Cheng Jian doesn't say anything, it's enough, once a comment is made, it's deafening again!
The rest of the directors were also thoughtful.

"The third question, after the diagnosis, is it necessary to provide assisted ventilation for the patient, and discuss other ventilation methods besides intubation?"

Regarding this question, Tang Lou searched in his mind for a while, and only remembered that there was also a mechanical ventilation, and there was another one, but it was very strange.
[Emergency Comprehensive (two stars, 3) is not yet perfect. The two sub-questions in the first question were deduced by the host's own keen observation and decision. The Emergency Comprehensive only provides theoretical knowledge and only records two One ventilation method, intubation has already been used by the questioner, and as for the original memory of the host, there is only one kind of intubation, so the host can put it up. 】

"Damn it, the system, you are making up the knife, what do you mean I already know about intubation! I don't believe it, I don't listen, I'm not."

Unconvinced, Tang Lou crouched on the ground, resting his chin in deep thought.
[Host, accept the reality! 】

"Please, the doctor will give you a ventilation plan immediately."

Three seconds, five seconds. Well, ╯_╰

Tang Lou stood up and squeezed out between his teeth: "Mechanical ventilation."

Then, sullen, with his hands in his trouser pockets, he walked out of the second room without loving anyone:
The real-time leaderboard is updated again:
No. 10 Yang Ming 9+19=[-]
The second Cheng Sisi 9+8=17
The second Li Yundi 9+8=17
The fourth dish talks about 8+8=16
The fourth Lu Rong 8+8=16
The sixth Wu Qian 7+8=15
The Sixth Tanglou 6+9=15
The eighth Yunzhou 7+7=14
[The second room is passed, and the card is refreshed: emergency comprehensive (one star, 1), suture (one star, 1), emergency comprehensive (one star, 1), appendectomy (one star, 2), catheterization (one star, 1)]

Tanglou listlessly ordered two emergency medicines.

[Emergency Comprehensive (One Star, 1), Emergency Comprehensive (One Star, 1), Emergency Comprehensive (One Star, 1) Synthetic Emergency Comprehensive (Two Stars, 3)]

Duang! Duang! Duang!

Tang Lou looked at the panel again
Host: Tang Lou

Level 3: Upgrade 12
Surgery column (3/3): suture (three stars, 9), diagnosis (one star, 3), emergency comprehensive (two stars, 3)

Gold: 4
Fetters: None
Talent (1/1): 1. Stitching assembly line (activated): host equipment suture (three stars, 9), every time a case is stitched, energy will be restored, 2. Listening (active skill, cooldown time one day): activate skill, target Will quietly listen to the host's words

Storage column (2/9): Debridement (two stars, 6), emergency general (two stars, 3)

In the third preparation room, everyone watched the real-time ranking changes as if they had seen a ghost.

"Tang Lou, he has the same 9 points as Yang Ming?"

(End of this chapter)