Tanglou's handsome and upright body was pacing in the empty room and talking:

"The initial resuscitation goal is to keep the patient alive while improving clinical deterioration, and diagnostic-level treatment of the next cause of the disease can be postponed. It takes several minutes for the initial medication or other treatments to take effect, so the second evaluation needs to wait several minutes, so the next step is to wait for several minutes.

Don’t be impatient.”

Tang Lou smiled slightly at the camera: "Of course, while treating, we should also pay attention to the personal safety of medical staff and wear gloves and protective clothing."

"We often encounter patients in crisis in the emergency department. If the patient is conscious, ask the patient where he feels uncomfortable. If the patient has lost consciousness, then shake and shout loudly, what's wrong with you, what's wrong with you. If the patient can only

Saying simple sentences means there is a problem with breathing. If the patient does not respond to external stimuli, it is very dangerous and the patient may die at any time."

When the tenement house was narrating, everyone in the review room thought of the patient who fainted while hiking in the eighth room. If they had been at the first scene and knew this process, they would not have panicked.

Combining the cases in each room, everyone suddenly discovered that Tanglou's grasp of the emergency procedures was very practical and of reference value.

"I admire that after just a few wards, we were able to come up with such a systematic, detailed and rigorous emergency procedure. Tanglou is really amazing!"

Among the judges, another one put up a 10-point sign.

"...If the patient is unconscious, unresponsive to external stimuli, and breathing abnormally, touch the patient's pulse. If there is no respiratory pulse, perform cardiopulmonary resuscitation immediately."

"Detect vital signs as early as possible, quickly connect terminal oxygen, monitor ECG, and monitor non-invasive blood pressure to establish intravenous access as soon as possible, and at the same time draw blood samples for relevant examinations."

After finishing the overview, Tanglou began to introduce each step separately:

Airway, the airway is life.

Airway obstruction is very urgent and requires professional treatment. If not treated in time, airway obstruction will cause hypoxemia secondary to brain damage, kidney, heart damage, cardiac arrest, and even death.

Airway obstruction manifests as contradictory movements of the chest and abdomen...

The airway is completely obstructed, and there are no breath sounds in the mouth and nose.

With partial obstruction, breath sounds are diminished and there is usually significant inspiratory stridor.

...

Some simple methods can reopen the airway, such as pressing the jaw and lifting the chin to relieve tongue drop, suctioning out airway secretions, establishing an oropharynx, or a nasopharyngeal artificial airway, such as an oropharyngeal airway or a laryngeal mask.

When the above measures fail, tracheal intubation is necessary

...

...

Listening to Tanglou's various countermeasures, the eliminated contestants in the judging room were all blushing and yearning for it.

It turns out that there are so many indicators and steps when judging a patient's condition in the early stages.

If they could master these, how could they be eliminated early? In their minds, they recalled the scenes in the previous rooms. If they knew these steps at that time, how could they not even know where to lose points.

"Being able to stand in the ninth room really depends on my deep knowledge and calm attitude. Tanglou is amazing, I am convinced!"

Wu Qian also admires Tang Lou a little, he deserves this ranking.

In the front row, Diao Xiwen touched his chin and suddenly said:

"After sorting out this discussion in Tanglou, I think I can publish a paper on the clinical promotion and application of the ABCDE emergency process. It will be very instructive for emergency doctors."

"Yes, the level of this exposition is very high. It would be a pity if it was only included in this training camp."

"A paper is a paper. I think we can record this summary of Tanglou in our training camp. After further supplements, we will publish it as a guidance book for the training camp."

Yang Xiaodong touched his gold-rimmed glasses. This process was really in line with the tone of the training camp.

"Great kindness!"

Niu Bolin also nodded: "I'm going to copy the performance video of this room in the tenement building back and show it to the young interns in our courtyard."

"Director Leng, what do you think?"

Cheng Jian looked at Calm beside him. The latter sniffed and said nothing. He reached out and turned the scoreboard on the table to 10 points.

Calmly then turned around and looked at Cheng Jian: "So far, this is the best performance I have seen in the emergency training camp. It can even be recorded in the memorabilia of the emergency training camp. The ABCDE emergency treatment process is very good! I took it back before

Comments, this young man from Tanglou deserves full praise!”

In the following time, Tanglou discussed in detail:

Cir (C) loop

For most medical and surgical emergencies presenting with shock, priority should be given to hypovolemia as the most common cause until other causes of shock are identified.

...For any patient with cold extremities and a fast heart rate, give rapid infusion of crystalloid fluid immediately.

For patients with surgical shock, quickly determine whether there is active or occult bleeding...

Observe the color of the patient's palms and toes: cyanosis, pink, pale, or mottled changes

Palpate the skin temperature of the patient's hands: cold or warm

...

Apply firm pressure to the patient's fingertips at or above the heart level for 5 seconds to make the skin or nails turn pale.

After releasing the pressure, observe the time it takes for the pressed part of the skin to return to the color of the skin next to the non-pressed part. The normal CRT time is less than 2 seconds. A prolonged CRT indicates insufficient peripheral perfusion.

...

Under air inhalation conditions, oxygen can be given if the pulse oxygen is lower than 94%.

....

For analgesia, morphine should be injected slowly intravenously to avoid excessive sedation and respiratory depression.

...

...

Every time Tang Lou spoke for one more minute, everyone in the audience agreed with it one more point, and all the judges in the audience had given it 10 points!

As for this score, no one was in the mood to be surprised. Everyone was listening to Tang Lou's explanation with rapt attention.

All players who have experienced the ward and been eliminated have learned a lot from this discussion.

"If I had gotten such information earlier, I think I would have been able to survive the first eight rounds."

"Yeah, it's a complete encyclopedia of emergency department responses."

"I have turned on the recording on my mobile phone. From now on, my good night boyfriend will change from Guo Degang to Tang Lou!"

...

...

As Tanglou talked, he lost the will to win the game, because this is the perfect response process compiled by the System Emergency Comprehensive (Samsung, 9), covering almost all situations that the emergency department can encounter.

Tanglou hopes that this discussion of his can truly go out of this ward and allow more doctors to hear, learn, and benefit from it.

We hope more patients will benefit from it.

...

...

Disability (D)Disorder of consciousness

Common causes of disorders of consciousness include: hypoxemia, hypercapnia, cerebral hypoperfusion, recent use of sedation, narcotic drugs, etc.

Check the size of the pupils, whether they are equal in size and round on both sides, and the light reflex.

Quickly assess the patient's level of consciousness using the AVPU method:

A state of alertness to the outside world, such as silence, apathy, lethargy, delirium, mania, and agitation;

Response to speech; no response to painful stimuli or to all stimuli.

GCS scoring and Glasgow scoring can also be used.

...

For patients with impaired consciousness who have a backward tongue or excessive oral secretions, the patient should be kept in a lateral position to open the airway and allow secretions to flow out.

...

...

While Tanglou continued to output, the interns in this room were deeply imprinted in their minds, and many of them will probably never forget it throughout their careers.

The directors in the front row also confirmed their many years of experience. They were also thinking about how to integrate their many years of clinical experience into this emergency process.

Especially Diao Xiwen and Niu Bolin, two veterans of the emergency department, took out their reading glasses and started writing in their notebooks.

"What Xiao Tang said is very good, but I need to add some examples. The interns I led back then made real mistakes..."

"It is most appropriate to put the previous cases in Xiazhou City here, so that they can be more impressive..."

...

...

Exposure (E) Full exposure during physical examination

Fully expose the patient for a comprehensive physical examination while respecting patient privacy and minimizing skin heat loss

...

...

Tang Lou finally finished the last paragraph of his argument. His mouth was dry, but he was very satisfied and didn't care at all how many points he got on this question.

Is there anything more wonderful in the world than sharing knowledge that may benefit one party with people who understand?

Tanglou thought in his mind that one day, he would be able to redeem the treatment methods for cancer, diabetes, and tumors, and be able to share them with practitioners. That might be the meaning of Tanglou's existence.

This is also the mission given to him by the system.

"System, I will work hard."

[Detecting the selfless medical heart of the audience who contributes to medicine, the reward is: Purdue once. After using it, all the open-minded and studious people present will be able to better understand and remember the content, which will be unforgettable for life. Does the host use the reward? 】

"use."

ps: I originally wanted to simplify some boring first aid procedures, but some of the items are really practical. They should also be popularized, and everyone should also know about the previous Gao Yixiang incident on Zhejiang Satellite TV. So I bite the bullet and add it.

The above content is collected and compiled from foreign journals, and the content is authentic and credible.

Okay, readers, I’m asking for votes~
Chapter completed!