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Chapter 51 Why is it on the show?

When the answers to the two short questions in front of the tenement building came out, the judging room, which was originally a little sleepy, suddenly became energetic.

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

Diao Xiwen's eyes widened, as if he was meeting Tanglou for the first time. Answering these two small questions definitely does not depend on luck. In addition to a solid foundation, it also requires keen observation on the spot and the courage to filter the correct information flow.

"Beautiful, Xiao Tang!"

Shen Jun at the end gave a high-five. If it were normal, he would have made people unhappy with his position. But now the other directors are not disgusted, but are a little surprised!

"Director Shen, your intern representative this time is fine! Even if his talent is not as good as Yang Ming and others, at least in terms of his psychological quality when facing difficult situations, he is definitely the best in today's game."

The director of Yan City praised.

"Yes, Xiao Tang's mental quality is indeed good, and I admire his on-the-spot decision-making."

Shen Jun said proudly, it was the first time he spoke so loudly in the judging room, and he had a long face!

After all, being able to answer such a tricky question 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 in a loud voice.

Lin Fang was thoughtful next to Cheng Jian, is this Tanglou really capable?

Cheng Jian, with the old god present, touched his chin and was very satisfied.

Next, everyone cheered up and wanted to see what surprise this young man would give everyone!

...

...

"Can the doctor briefly describe the next treatment plan and how to monitor the treatment response?"

The virtual doctor asked the second question. Tanglou looked at the patient, thought for a moment and gave the answer calmly:

"The first is oxygen therapy. Give the patient oxygen. The monitoring method is to control the oxygen saturation between 94% and 98%."

"Second, aerosol treatment. Bronchodilators, that is, beta2 receptor agonists such as albuterol, should be given, preferably with an oxygen-driven atomizer device, with the purpose of relieving bronchospasm.

Since the patient has acute severe asthma, 2.5-5 mg of albuterol should be inhaled by atomization. If the patient does not respond well to the initial treatment, 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, intravenous hydrocortisone is administered. Do not just take cortisone by mouth. The latter is only suitable for less severe asthma."

...

...

"This tenement house is really amazing. The second question was supposed to be a simple discussion, just answer oxygen therapy, aerosol therapy and steroids. Even the specific medicines and dosages are extremely accurate!"

"Yes, if in reality, because the first step was misdiagnosed as moderate asthma, oral pinephrine may have been 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 judging room. He was very happy for someone to step on Yang Ming.

The other directors also nodded in agreement. At least on this question, Tanglou's performance so far is impeccable!

Shen Jun at the end of the review room couldn't help but nodded, a little excited, and looked at Tanglou with comfort.

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

...

...

"...the most important test in the treatment of acute severe asthma is response to interventions. Periodic measurement of PEER and blood gases is required, as well as clinical assessment of: symptoms, degree of wheeze, ability to complete sentences, oxygen saturation, and

Ensure rapid identification of patients who do not respond adequately to treatment..."

After Tanglou finished speaking, when he saw that the virtual doctor had not responded, he frowned slightly and complained: "Didn't I mean a brief description?"

In the review room, the doctor in charge of scoring was actually stunned by Tanglou's detailed answer. He was still in the blanking stage and was about to give out the score. In the ward, Tanglou said again with a somewhat dissatisfied tone.

Rings.

"...If you were my assistant doctor, I would definitely give you a kick! I've said it so clearly, but I still can't understand it clearly. Listen up:

Detailed characteristics of clinical assessment:

First clinical symptoms: including changes in the patient's consciousness, whether the patient is exhausted, or has difficulty breathing, and whether there is evidence of hypotension, cyanosis, silent chest, or arrhythmia.

The second is objective indicators, specifically

PEFR 33% predicted value,

O2 saturation 92%

PO2 8kPa. If PO2 is between 4.5 - 6kPa, it means respiratory fatigue and the inability to maintain high ventilation to promote oxygenation.

..."

Bala, Bala, Tanglou gave me some good guidance again. He really looked like a chief physician training his assistants who hates iron.

In the judging room, the scorer had a black look on his face. How could this be shown off?

Before Tanglou could continue to add, he quickly interrupted him, his tone was somewhat resentful, and he gritted his teeth:

"Answer the second question correctly, score +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 liked Tanglou's crazy output, especially his dislike of the virtual doctor. This kind of relaxed mentality was wonderful!

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

Yang Xiaodong was also very surprised and specifically named him.

"Dean Yang is so ridiculous! Xiao Tang was just lucky. This question happened to be within range. Hahaha!"

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

Cheng Jian didn't say anything, but once he made a comment, he was shocked and enlightened again!

The other directors were also thoughtful.

..

...

"Third question, after diagnosis, does the patient need to be assisted in ventilation? Discuss other ventilation methods besides intubation?"

Regarding this question, Tanglou searched his mind for a while, and only remembered that there was a mechanical ventilation, and there was a vague one but it was very uncommon...

[Emergency Comprehensive (two stars, 3) is not perfect yet. The two questions in the first question were inferred based on the host's own keen observation and judgment. Emergency Comprehensive only provides theoretical knowledge and only records two questions.

This method of ventilation, intubation has been used by the person who asked the question. As for the host’s original memory, there is only one type of intubation, so... the host can relax. 】

"Damn it, the system is just a last-ditch attack. What do you mean I know a kind of intubation! I don't believe it, I don't listen, I'm not..."

Tanglou squatted on the ground unconvinced, holding his chin in his hands and thinking hard...

【Host, please accept the reality!】

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

Three seconds, five seconds...Okay,╯_╰

Tanglou stood up and squeezed out through his teeth: "Mechanical ventilation."

Then, he was unhappy, put his hands in his trouser pockets, and walked out of the second room without loving anyone:

The real-time rankings are updated again:

No. 1 Yang Ming 10+9=19

Second Cheng Sisi 9+8=17

Second Li Yundi 9+8=17

The fourth dish talk 8+8=16

Fourth Lu Rong 8+8=16

Sixth Wu Qian 7+8=15

The Sixth Tenement House 6+9=15

The Eighth Yunzhou 7+7=14

...

...

[The second room is passed, and the cards are refreshed: emergency comprehensive (one star, 1), suturing (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) combined emergency comprehensive (two stars, 3)]

Duang! Duang! Duang!

Tanglou looked at the panel again

Host: Tanglou

Level 3: Upgrade 12

Surgery column (3/3): Suture (three stars, 9), Diagnosis (one star, 3), Emergency Comprehensive Surgery (two stars, 3)

Gold coins: 4

Bond: None

Talent (1/1): 1. Suture assembly line (activated): The host is equipped with suture technique (three stars, 9), each time a case is sutured, energy is restored, 2. Listening (active skill, cooldown time of one day): activate the skill, target

Will listen quietly to the host's words

Storage column (2/9): debridement (two stars, 6), emergency comprehensive (two stars, 3)

In the third preparation room, everyone looked at the changes in the real-time rankings as if they had seen a ghost.
Chapter completed!
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