super anesthesiologist
Chapter 24 First Experience of Intermediate Peak Mode
Chapter 24 First Experience of Intermediate Peak Mode
The man's mother was speechless at this moment, and her face turned purple.
Lin Xiaobei saw that she finished screaming like this. This aunt not only injured the blood vessels, but also the fishbone continued to stimulate the wall of the esophagus, causing spasm of the esophagus, squeezing the trachea and affecting breathing.
And these are not the main risk factors.
What he was most worried about was that the fishbone would penetrate the wall of the esophagus and continue to swim outward, injuring the carotid artery.
Once the carotid artery is punctured, fatal hemorrhage occurs immediately.
The neck of the human body is rich in nerves and blood vessels, muscular, and its anatomical structure is far more complex than other places. Doctors simply don't have enough time to perform surgery to stop the bleeding.
Usually the only rescue of aortic rupture is local compression to stop bleeding.
But this auntie's rupture was from the inside out, and she didn't know the exact location at all. Blind partial pressure is not only ineffective, but may squeeze the fishbone and cause greater blood vessel damage.
The only effective thing now is to calm the aunt down as soon as possible to ensure the smooth airway and reduce throat irritation.
Lin Xiaobei didn't hesitate anymore, stepped forward to support the aunt, turned her face down, and patted her on the back lightly at the same time.
"Auntie, spit out what's in your mouth as much as possible, don't be nervous, take a deep breath slowly."
"Yes, that's it, breathe in slowly, don't swallow."
……
Under his comfort and guidance, the aunt's complexion improved a lot, and she was not as restless as before.
120 ambulance arrived quickly.
Lin Xiaobei was afraid that the man would not know how to cooperate, so he asked him to carry his mother behind his back.
He and the emergency doctor carefully followed behind and supported her, keeping the aunt's head down position with her face down.
After sending his aunt safely to the ambulance, Lin Xiaobei finally breathed a sigh of relief.
Ding!Well done, +2.
"Which hospital are you from? What's your name?" the man asked before parting.
"Oh, I'm——" Lin Xiaobei kept an eye on it, and it's better not to leave his name.
He doesn't expect others to be grateful, he is afraid of finding fault later.
"Oh, I'm just an ordinary doctor, just stick to my job."
Every time he went out to save lives and heal the wounded, he used such polite words, and he had already memorized them fluently.
The man knew clearly and didn't point it out. He smiled slightly, handed him a business card, and said, "I have offended you tonight, please forgive me. If you need help in the future, you can call me."
Lin Xiaobei pretended that Chenghuangcheng was afraid to take it, and after they left, he crumpled it into a ball and threw it away.
"Don't throw it away, maybe it will be useful in the future!" Li Qiqi picked it up and spread it out, "Wow, this person is really not simple."
"Who is it?" Lin Xiaobei said disapprovingly, "Could it be that he has three heads and six arms?"
"Chi Kai, the general manager of the corporate development department of Jinghong Group, this identity is not ordinary." Li Qiqi said enviously.
"What does that have to do with me?"
"Keep it for now, maybe it will come in handy someday."
Continue to supper.
"Don't you feel sick?" Lin Xiaobei joked.
Li Qiqi had been following her all along just now, and she could clearly see the filth that was vomited all over the floor, as well as his hand once reaching into the aunt's mouth.
Li Qiqi was eating happily, when he said it, she frowned and said, "It's time for dinner, why are you mentioning that?"
Lin Xiaobei laughed wickedly.
"You, you don't feel anything at all?" She asked curiously.
"I'm used to it." Lin Xiaobei said carelessly, "There are more disgusting things than this, for example——"
"Stop, stop!" Li Qiqi hurriedly stopped him, "Are you still letting people eat?"
Lin Xiaobei shut up obediently, and started to gobble it up.
A bag of instant noodles at noon, and then no food for more than ten hours, he was really hungry.
"Doctor Lin, do you usually cook by yourself?" Seeing Lin Xiaobei's hunger and hunger, Li Qiqi felt a little distressed.
"Yes."
"You, have you ever talked to a girlfriend before?" She asked softly, and her voice became softer.
"No."
"Then, now, are there any girls you are talking about or like?" Li Qiqi bit her lip, continuing to spy guilty and curious.
Two names quickly flashed in Lin Xiaobei's mind: Wen Jing and Liu Xu.
One is his classmate in college, and the other is a graduate student in anesthesiology.
Wen Jing is almost like a passerby to him now, and Liu Xu is just a student who follows him around all day.
Do you like them? ——No, to be precise, I don’t have that kind of emotion.
"No." Lin Xiaobei replied with some embarrassment.
Is it embarrassing to admit this fact in front of a little girl?And his ID card shows that he is now in his early 30s.
These simple two words are undoubtedly the best answer for Li Qiqi, she immediately smiled happily, peeled a gibai shrimp and handed it to Lin Xiaobei: "This shrimp is not bad."
……
Even Lin Xiaobei couldn't believe that so many dishes slowly bottomed out while eating and chatting.
Li Qiqi spent most of her time chatting and watching him eat.
"Look, you still think I ordered too much, are you full?" She looked at Lin Xiaobei and asked slyly, her expression quite smug.
"I'm full, I'm going to burst my stomach if I eat any more." Lin Xiaobei patted his swollen belly, it turned out that he was so good at eating.
When they checked out, they were surprised to find that someone had already paid for them.
At home at night, Lin Xiaobei felt very energetic.After sleeping for more than ten hours and having a delicious meal, there is nothing more satisfying for him than this.
Lying on the bed, he began to concentrate and start the peak anesthesiologist experience mode.
Now his experience value has improved a lot compared to the beginning. As far as spinal anesthesia operations are concerned, he has been able to easily complete 30 cases in 150 minutes.
But this is far from meeting the requirements of the system. He once witnessed the operation video of another anesthesiologist in the secret room.That hero completed 300 cases in the same time!
But the system's evaluation of him is only at the elementary level of +++++.
Lin Xiaobei's current overall level is elementary-, which is still a little short of elementary.
He still needs to keep working hard.
Lin Xiaobei was very unconvinced. According to the system prompts, each skill has an intermediate level, an advanced level, and a master level, and each level is divided into ---- and +++++.
So what is the master level +++++?
The system seemed to be aware of Lin Xiaobei's thoughts, and the panel prompted: Want to experience the intermediate peak mode?
yes!Lin Xiaobei was secretly happy.
[Peak experience mode for anesthesiologists opened (intermediate level——)]
Please select a segment:
C1-2
C2-3
……
S4-5
Lin Xiaobei still chooses the L2-3 that he is best at, the 30-minute time standard.
A simulated operating room soon appeared in the secret room, with a model sitting halfway on the operating bed.
Lin Xiaobei was puzzled, didn't he always automatically lie on his side and make a good position before?
"Intermediate mode is limited in various positions, please hurry up." The system prompted.
"Ah? Is there such a thing?" Lin Xiaobei went to pose for the model by himself.
He was terrified to see that, except for the expressionless face, the skeletal muscles of the model were exactly the same as those of real people, and he could feel the pulsation of the blood vessels.
Regardless of whether he is a real person or not, let's put him in a good position first.
Lin Xiaobei forcibly bent the model sideways, trying to keep him in the best piercing body odor of "holding the moon in his arms".
Suddenly heard a "boom", and the model disappeared immediately!
Lin Xiaobei stood beside the operating bed blankly, wondering what happened.
A series of exclamation marks flashed on the panel.
"The operation was rough, the patient's spine was fractured, and the peak experience failed!" There was also a big "×" behind it.
"Oh, I'm sorry!" Lin Xiaobei apologized very much.
"Do you treat patients like this in clinical practice?" the system asked.
"Of course not, I just didn't expect the models you provided to be abnormal."
"Every model is a complete match with the corresponding clinical case, and to abuse them is to abuse the patient."
"Well, I'll pay attention next time."
Sitting on the bed was another model who was exactly the same as before, Lin Xiaobei even wondered if he was delusional.
He was very careful and repositioned the model with moderate strength. When he adjusted the posture, he discovered that there was a sign on the model's chest: ankylosing spondylitis; spinal tuberculosis; osteoporosis; lumbar misalignment.
Lin Xiaobei felt his scalp go numb, this, can this be given spinal anesthesia?Clinically, this is definitely a contraindication to spinal anesthesia, and even the top anesthesia masters dare not try it.
But this is the specimen provided by the system, so it shows that it is still feasible.This is just an intermediate level, so it should still be an ordinary case.
Lin Xiaobei couldn't imagine it, and only then did he deeply understand why the system's evaluation gave him such a low evaluation.
In front of the system, he felt that he was really a layman and had no entry at all.
This time he was careful and cautious, for fear of another accident.Fortunately, the model was safe after barely lying on his side, and the simulated ECG monitoring showed that his vital signs were normal and stable.
Lin Xiaobei began to prepare for the positioning according to the normal process. As soon as he put his finger on it, he heard a "boom", the model disappeared again, and the alarm sounded loudly!
Thank you everyone, if you have a ticket, please drop it out.
Thanks! ! !
(End of this chapter)
The man's mother was speechless at this moment, and her face turned purple.
Lin Xiaobei saw that she finished screaming like this. This aunt not only injured the blood vessels, but also the fishbone continued to stimulate the wall of the esophagus, causing spasm of the esophagus, squeezing the trachea and affecting breathing.
And these are not the main risk factors.
What he was most worried about was that the fishbone would penetrate the wall of the esophagus and continue to swim outward, injuring the carotid artery.
Once the carotid artery is punctured, fatal hemorrhage occurs immediately.
The neck of the human body is rich in nerves and blood vessels, muscular, and its anatomical structure is far more complex than other places. Doctors simply don't have enough time to perform surgery to stop the bleeding.
Usually the only rescue of aortic rupture is local compression to stop bleeding.
But this auntie's rupture was from the inside out, and she didn't know the exact location at all. Blind partial pressure is not only ineffective, but may squeeze the fishbone and cause greater blood vessel damage.
The only effective thing now is to calm the aunt down as soon as possible to ensure the smooth airway and reduce throat irritation.
Lin Xiaobei didn't hesitate anymore, stepped forward to support the aunt, turned her face down, and patted her on the back lightly at the same time.
"Auntie, spit out what's in your mouth as much as possible, don't be nervous, take a deep breath slowly."
"Yes, that's it, breathe in slowly, don't swallow."
……
Under his comfort and guidance, the aunt's complexion improved a lot, and she was not as restless as before.
120 ambulance arrived quickly.
Lin Xiaobei was afraid that the man would not know how to cooperate, so he asked him to carry his mother behind his back.
He and the emergency doctor carefully followed behind and supported her, keeping the aunt's head down position with her face down.
After sending his aunt safely to the ambulance, Lin Xiaobei finally breathed a sigh of relief.
Ding!Well done, +2.
"Which hospital are you from? What's your name?" the man asked before parting.
"Oh, I'm——" Lin Xiaobei kept an eye on it, and it's better not to leave his name.
He doesn't expect others to be grateful, he is afraid of finding fault later.
"Oh, I'm just an ordinary doctor, just stick to my job."
Every time he went out to save lives and heal the wounded, he used such polite words, and he had already memorized them fluently.
The man knew clearly and didn't point it out. He smiled slightly, handed him a business card, and said, "I have offended you tonight, please forgive me. If you need help in the future, you can call me."
Lin Xiaobei pretended that Chenghuangcheng was afraid to take it, and after they left, he crumpled it into a ball and threw it away.
"Don't throw it away, maybe it will be useful in the future!" Li Qiqi picked it up and spread it out, "Wow, this person is really not simple."
"Who is it?" Lin Xiaobei said disapprovingly, "Could it be that he has three heads and six arms?"
"Chi Kai, the general manager of the corporate development department of Jinghong Group, this identity is not ordinary." Li Qiqi said enviously.
"What does that have to do with me?"
"Keep it for now, maybe it will come in handy someday."
Continue to supper.
"Don't you feel sick?" Lin Xiaobei joked.
Li Qiqi had been following her all along just now, and she could clearly see the filth that was vomited all over the floor, as well as his hand once reaching into the aunt's mouth.
Li Qiqi was eating happily, when he said it, she frowned and said, "It's time for dinner, why are you mentioning that?"
Lin Xiaobei laughed wickedly.
"You, you don't feel anything at all?" She asked curiously.
"I'm used to it." Lin Xiaobei said carelessly, "There are more disgusting things than this, for example——"
"Stop, stop!" Li Qiqi hurriedly stopped him, "Are you still letting people eat?"
Lin Xiaobei shut up obediently, and started to gobble it up.
A bag of instant noodles at noon, and then no food for more than ten hours, he was really hungry.
"Doctor Lin, do you usually cook by yourself?" Seeing Lin Xiaobei's hunger and hunger, Li Qiqi felt a little distressed.
"Yes."
"You, have you ever talked to a girlfriend before?" She asked softly, and her voice became softer.
"No."
"Then, now, are there any girls you are talking about or like?" Li Qiqi bit her lip, continuing to spy guilty and curious.
Two names quickly flashed in Lin Xiaobei's mind: Wen Jing and Liu Xu.
One is his classmate in college, and the other is a graduate student in anesthesiology.
Wen Jing is almost like a passerby to him now, and Liu Xu is just a student who follows him around all day.
Do you like them? ——No, to be precise, I don’t have that kind of emotion.
"No." Lin Xiaobei replied with some embarrassment.
Is it embarrassing to admit this fact in front of a little girl?And his ID card shows that he is now in his early 30s.
These simple two words are undoubtedly the best answer for Li Qiqi, she immediately smiled happily, peeled a gibai shrimp and handed it to Lin Xiaobei: "This shrimp is not bad."
……
Even Lin Xiaobei couldn't believe that so many dishes slowly bottomed out while eating and chatting.
Li Qiqi spent most of her time chatting and watching him eat.
"Look, you still think I ordered too much, are you full?" She looked at Lin Xiaobei and asked slyly, her expression quite smug.
"I'm full, I'm going to burst my stomach if I eat any more." Lin Xiaobei patted his swollen belly, it turned out that he was so good at eating.
When they checked out, they were surprised to find that someone had already paid for them.
At home at night, Lin Xiaobei felt very energetic.After sleeping for more than ten hours and having a delicious meal, there is nothing more satisfying for him than this.
Lying on the bed, he began to concentrate and start the peak anesthesiologist experience mode.
Now his experience value has improved a lot compared to the beginning. As far as spinal anesthesia operations are concerned, he has been able to easily complete 30 cases in 150 minutes.
But this is far from meeting the requirements of the system. He once witnessed the operation video of another anesthesiologist in the secret room.That hero completed 300 cases in the same time!
But the system's evaluation of him is only at the elementary level of +++++.
Lin Xiaobei's current overall level is elementary-, which is still a little short of elementary.
He still needs to keep working hard.
Lin Xiaobei was very unconvinced. According to the system prompts, each skill has an intermediate level, an advanced level, and a master level, and each level is divided into ---- and +++++.
So what is the master level +++++?
The system seemed to be aware of Lin Xiaobei's thoughts, and the panel prompted: Want to experience the intermediate peak mode?
yes!Lin Xiaobei was secretly happy.
[Peak experience mode for anesthesiologists opened (intermediate level——)]
Please select a segment:
C1-2
C2-3
……
S4-5
Lin Xiaobei still chooses the L2-3 that he is best at, the 30-minute time standard.
A simulated operating room soon appeared in the secret room, with a model sitting halfway on the operating bed.
Lin Xiaobei was puzzled, didn't he always automatically lie on his side and make a good position before?
"Intermediate mode is limited in various positions, please hurry up." The system prompted.
"Ah? Is there such a thing?" Lin Xiaobei went to pose for the model by himself.
He was terrified to see that, except for the expressionless face, the skeletal muscles of the model were exactly the same as those of real people, and he could feel the pulsation of the blood vessels.
Regardless of whether he is a real person or not, let's put him in a good position first.
Lin Xiaobei forcibly bent the model sideways, trying to keep him in the best piercing body odor of "holding the moon in his arms".
Suddenly heard a "boom", and the model disappeared immediately!
Lin Xiaobei stood beside the operating bed blankly, wondering what happened.
A series of exclamation marks flashed on the panel.
"The operation was rough, the patient's spine was fractured, and the peak experience failed!" There was also a big "×" behind it.
"Oh, I'm sorry!" Lin Xiaobei apologized very much.
"Do you treat patients like this in clinical practice?" the system asked.
"Of course not, I just didn't expect the models you provided to be abnormal."
"Every model is a complete match with the corresponding clinical case, and to abuse them is to abuse the patient."
"Well, I'll pay attention next time."
Sitting on the bed was another model who was exactly the same as before, Lin Xiaobei even wondered if he was delusional.
He was very careful and repositioned the model with moderate strength. When he adjusted the posture, he discovered that there was a sign on the model's chest: ankylosing spondylitis; spinal tuberculosis; osteoporosis; lumbar misalignment.
Lin Xiaobei felt his scalp go numb, this, can this be given spinal anesthesia?Clinically, this is definitely a contraindication to spinal anesthesia, and even the top anesthesia masters dare not try it.
But this is the specimen provided by the system, so it shows that it is still feasible.This is just an intermediate level, so it should still be an ordinary case.
Lin Xiaobei couldn't imagine it, and only then did he deeply understand why the system's evaluation gave him such a low evaluation.
In front of the system, he felt that he was really a layman and had no entry at all.
This time he was careful and cautious, for fear of another accident.Fortunately, the model was safe after barely lying on his side, and the simulated ECG monitoring showed that his vital signs were normal and stable.
Lin Xiaobei began to prepare for the positioning according to the normal process. As soon as he put his finger on it, he heard a "boom", the model disappeared again, and the alarm sounded loudly!
Thank you everyone, if you have a ticket, please drop it out.
Thanks! ! !
(End of this chapter)
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