Cardiopulmonary resuscitation is a very important skill that must be mastered in clinical practice. There is no one!
Because patients with cardiac arrest will actually develop ventricular fibrillation in the heart at some point in time. If cardiopulmonary resuscitation can be performed within 5 minutes, the overall first aid will have the greatest success rate!
Generally, clinicians and nurses are required to master this skill, and it is simple, convenient, easy to operate and master.
Bai Ye was very honored to get this question!
It's not that Bai Ye doesn't know the other things, but it's too troublesome and it's inevitable to make mistakes. This is not bad. As long as you explain those important test points, your basic score will be stable!
Bai Ye looked at the simulator on the ground, walked to the right side of the simulator, checked whether the surrounding environment was safe, and then squatted down to assess his consciousness.
Here is the first test point. Tap your shoulders and shout loudly. It is forbidden to shake the patient. Then place your hand on the carotid artery to determine whether the patient has a pulse and observe the breathing...To determine the patient's condition, generally observe for 8 seconds. During the exam, you need:
1001,1002,1003...this represents time.
Then, after confirming that the patient is unconscious, people around him need to start calling 120 emergency number.
Then the rescue will begin. First, the oral secretions must be cleaned, then the patient must be placed in a suitable place, undressed, and prepare for cardiopulmonary resuscitation.
The place where cardiopulmonary resuscitation is performed is generally at the center of the line connecting the two intersections, 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 30:2, and the depth is maintained at about 5cm.
Give 2 artificial respirations after every 30 cardiopulmonary compressions.
When performing artificial respiration, remember to lift your chin and keep your earlobes and nasal cavity parallel to the ground. The actual purpose is to open the airway. At this time, you should pinch the patient's nose so that air can enter the lungs.
Generally speaking, this exam test point is relatively simple and easy to master. After Bai Ye did 5 sets, he stood up. It can be seen that the invigilator should be very satisfied with Bai Ye's operation...
The next step is to go to the inpatient department. The encephalology department is on the 15th floor.
After arriving on the 15th floor, a doctor who was specifically responsible for this matter took Bai Ye to bed 36.
The doctor is a woman in her thirties, with short hair and a lean and capable look.
After Bai Ye handed over the form, the woman took a look at it and said, "Well, you have an hour, let's get started."
Bai Ye nodded, took out a piece of paper from his pocket, and started the consultation.
Questioning is very important in clinical practice, including the main complaint and past history, which are all obtained through questioning. In many cases, you can get the patient's general condition and information after questioning.
The patient is an aunt in her 60s, lying on the hospital bed.
Bai Ye asked: "Auntie, why are you hospitalized this time? Are you feeling uncomfortable somewhere?"
The patient should have been greeted in advance, or specially prepared, and should be very cooperative with Bai Ye.
"I... came to the hospital because my left finger suddenly became numb and uncomfortable three days ago. I felt..."
"Did you have a cranial MRI or CT scan before admission?" Bai Ye asked.
"Well, I had a CT scan at the outpatient clinic, and the film is here."
As he said this, he handed over a film. Bai Ye took it and was stunned. He couldn't understand the film...
Bai Ye coughed, nodded, pretended to hold the film upright, and looked at it... Well, it must be held upright, and there's something to be said for pretending.
After reading it, Bai Ye frowned, nodded, and said...
Then he continued to ask: "Auntie... have you had any diseases before? Any chronic diseases such as high blood pressure, diabetes, coronary heart disease, etc.?"
The aunt nodded: "Well, I have high blood pressure, so I take Shihuida, one tablet a day..."
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As people get older and have more basic diseases, Bai Ye also remembered it in more detail and asked questions very clearly.
But the most important thing in neurology is the physical examination, the physical examination of the nervous system, which is also a specialist examination.
For example, consciousness, consciousness, judgment, etc., as well as various physiological reflexes, such as radial reflex, knee reflex, etc., as well as muscle tone, eye light reflex, and pathological reflexes of the nervous system, such as Babinski sign.
,Kerniger sign,Hoffmann...
These are the most annoying and difficult parts. If I hadn't spent a few days in the provincial encephalology department, it would have been really difficult to deal with.
However, this patient just has the most common lacunar infarction, which is normal. It is really troublesome for you because you can’t make a clear diagnosis.
After spending forty minutes, Bai Ye systematically understood the patient clearly.
The female doctor also nodded, because Bai Ye asked very detailed questions and the physical examination was also in place. As for those details...
You can't ask for too much. After all, this is a college student. How can you ask for too much?
The female doctor smiled and said to Bai Ye: "Are you a good young man? Did you have a good time in the clinic during your internship? Nowadays, children who are taking postgraduate entrance examinations don't go to the hospital and just study questions all day long. You are good! Come on..."
Bai Ye smiled awkwardly, said thank you, and quickly returned to the designated place to write medical records.
By this time, most people have completed the consultation and started writing medical records.
It is best to write the format and style of medical records according to the hospital, so that the examiner will seem to give a higher score.
Firstly, it is because this style may belong to the students of this school, and secondly, it is because they are preconceived and accustomed to this format of writing medical records.
Bai Ye has already memorized those templates. After genetic evolution and potential development, Bai Ye feels that his brain is working better than before!
Not to mention anything else, just my recitation and memory abilities are much better than before.
Bai Ye took about an hour to finish writing because there were too many things.
After handing in the papers, Bai Ye stood up and left.
I have an interview tomorrow and the results will be available the day after tomorrow.
It depends on tomorrow whether you will be admitted or not!
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When he returned to his dormitory in the afternoon, Bai Ye recited the self-introduction he had prepared, but then he heard the sound of a WeChat video call.
Bai Ye picked it up and saw that it was Daisy.
After the call was connected, Daisy looked at Bai Ye with a bright smile and said, "Hi! Dear Bai Ye, do you miss me?"
Bai Ye smiled: "Daisyli, what do you want from me?"
Daisy Li snorted: "I don't understand the style, are all you top students like this? I have good news for you. Our thesis has been approved and the acceptance notice has been received."
When Bai Ye heard this, his eyes suddenly turned cold, and he was even more eager than when he saw the beautiful woman: "Really? Send it over quickly, let me take a look!"
Daisy suddenly shook her head: "Seeing that you don't understand the charm, I suddenly don't want to give it to you..."
Bai Ye almost knelt down: "Sister Daisy, you have always been the goddess in my mind. You are sacred and inviolable. You can fly with the sunset and the solitary duck, and your talent and beauty coexist..."
Daisy was giggling so much that she couldn't straighten up: "Okay, I won't tease you anymore. I know you will have an interview tomorrow, so come on! I will send you all the acceptance notices in a while, please accept it."
Not long after, ten electronic copies of the acceptance notices with official seals were sent over!
After Bai Ye saw the magazine, he almost took off with excitement!
"Cell Molecular Engineering", "Development and Utilization of New Materials"...
Bai Ye has heard of these, they are all top journals in various fields, and their impact factors are almost all above 10 points.
Thinking of this, Bai Ye quickly went downstairs and found a nearby copy shop to print out a few copies!
ps: There was a joke on the Internet some time ago. There was a patient who needed cardiopulmonary resuscitation, but his clothes were difficult to take off, so the doctor cut them open. The cardiopulmonary resuscitation did save the patient, but after the patient woke up, he looked at the clothes.
, was stunned for a moment! He asked with a dark face: "Who cut my clothes? Armani's, one piece costs more than 5,000, who of you will pay for it?"
Then a joke came out:
Nurse: "Doctor, it's not good, it's not good, the patient has fainted and his heart has stopped..."
Doctor: "Why are you still standing there! Perform cardiopulmonary resuscitation immediately!"
Nurse: "But..."
Doctor: "But what! Why don't you hurry up..."
Nurse: "But the patient is wearing Versace..."
Doctor: "...What did you ask me just now? Have you eaten? No! Didn't eat! I went to eat..."