Auto chess in the operating room

Chapter 61 Control the audience, 10 points!
Tang Lou entered the ward, and with a glance, he saw the patient model and various equipment in the room.

Three or four medical staff were preparing for the first aid.

The head nurse was about to speak when she saw Tang Lou coming in.

The old god Tang Lou stretched out a hand, signaling to be quiet, just like the old director who returned to the emergency room:
"Head nurse, medical records, and preparation of other materials."

The little nurse who played the head nurse glared at Tang Lou with some dissatisfaction: "."

I'm about to start, you can't let me finish my lines, you don't want to hear me imitate the head nurse's vivid tone!

"Hurry up, why are you in a daze, young people are easily distracted, and we may have to face a very thrilling first aid next, so please pay attention and listen to my arrangements."

The little nurse instinctively let out an oh, and obediently brought up the case. The head nurse's aura that had been accumulated in her body was instantly broken!
"52 year old male, fainted at work"

While looking at the case, Tang Lou thought, and then glanced at the little nurse.

The little nurse hurried to the monitor and called up the picture.

"Black vomit?. Taking ibuprofen tablets all year round? Are there other symptoms?"

Tang Lou continued to ask questions, and his tone really had the air of a great doctor. With the blessing of emergency comprehensive (three stars, 9), various responses to first aid have become the body's instinct.

"Oh, the patient had hematemesis, and black stools were found on digital rectal examination."

The assistant doctor hurried over and reported the previous physical examination to Tang Lou.

"Not bad, well done. The patient presented with syncope, hematemesis and melena, which is the characteristic of upper gastrointestinal bleeding. The black is caused by the decomposition of hemoglobin. The most important cause of upper gastrointestinal bleeding is peptic ulcer. Malignant tumors of the esophageal tract, variceal bleeding in portal hypertension, and esophageal and cardia mucosal tear syndrome.”

"Because of your meticulous preliminary work, patients who take ibuprofen for a long time can basically be diagnosed with peptic ulcer."

Several medical staff looked at Tang Lou in a daze. Who is the actor? Why does it feel more real than what they rehearsed.

I almost suspected that I was the one who entered the emergency room, defamation\(ω)/:
"We really appreciate your compliments on your meticulous preparation!"

"The lines, the play is all taken away by you."

Especially the scorekeeper, who was supposed to be in the rhythm of the CUE, saw that Tang Lou had already given the answer to the first question, so he didn't know whether to add another question.

Look, is this what the players do?

"Hey, what about you? Why are you dazed? Now that the diagnosis has been confirmed, we need to take first aid immediately."

Tang Lou seriously reminded the question maker who was also an assistant doctor and scorekeeper. "

"Yes Yes Yes."

Feel Tang Lou's serious attitude towards the emergency department, this serious aura, this is the self-cultivation of an actor!

Instinctively, I started to prepare for endotracheal intubation.

Tang Lou nodded in relief, and then looked at the "head nurse", his eyes just arrived.

Under Tang Lou's powerful aura, the little nurse said consciously, "Understood, immediately cooperate with the assistant doctor to open the vein."

"Well, at least two channels of large apertures, the crystal liquid is prepared synchronously."

Tang Lou nodded and added some control points. Seeing several medical staff move in an orderly manner, Tang Lou paid close attention to the inspection equipment and the simulated vital signs on it.

"The patient is hypotensive, tachycardia, and active bleeding is suspected. You, prepare a unit of red blood cells. You, monitor hemoglobin regularly."

"Okay, doctor."

Under Tang Lou's control, these medical staff had already simulated the steps many times, but for some reason, under Tang Lou's calm instructions, they abandoned the fixed actions in their minds and followed Tang Lou's adaptable instructions instead.

Being orderly gives me a sense of peace of mind.

"..Patient is hypovolemic and requires preparation for transfusion"

Tang Lou is keenly aware of the subtle changes in the patient's vital signs. Since he has always been in the role of giving orders and coordinating the overall situation, Tang Lou is more aware of the changes in the emergency room than the medical staff who have simulated many times.

Moreover, due to changes in Tang Lou's instructions to a certain extent, the previous simulation process has been disrupted. After all, the plans made in advance are prone to deviations during the drill, and after Tang Lou's on-site command, the confusion caused by these deviations, Optimized to be more perfect and smooth.

".O blood type preparation"

The medical staff are absolutely convinced by Tang Lou's response, and the next step is to cooperate unconditionally.

In just five or six minutes, Tanglou established his absolute commanding position in the emergency room and had already twisted these people into a tightrope.

"The patient's hemoglobin is less than 7 grams per deciliter. Attention, everyone, after active bleeding, the hemoglobin will be falsely increased due to blood concentration. Be careful not to use ppi before endoscopy, especially if it is like This patient, with such severe bleeding, must prepare for an endoscopic consultation for upper gastrointestinal bleeding with the gastroenterology department in time."

While observing whether the operations of the medical staff are standardized, Tang Lou puts forward various precautions, so that the medical staff will have a bottom-up mind and will not short-circuit before an emergency.

During the first aid of the previous contestants, the simulators still had the time to observe the performance of the contestants and rate them in their hearts, but at this moment, they turned into junior doctors and assistant doctors under the watchful eyes of Tang Lou.

I began to worry about whether my movements were standardized and whether they met Doctor Tang Lou's requirements.

After all, this guy has very poisonous eyes!
". You have done a good job. It seems that you have not slacked off at ordinary times. The operation is rigorous and the response is quick. Thanks to everyone's efforts, the patient's condition is now stable."

Tang Lou gave a few more words of encouragement, gave a date with a stick, and was well versed in management, completely anti-client-oriented.

"Finally, I would like to add a few more words about the urgency of endoscopy to deepen your understanding of risk stratification tools in terms of knowledge structure."

"In first aid, one of the commonly used ones is the blatchford scoring tool, which relies on some parameters, such as urea, hemoglobin, systolic blood pressure, and whether there is syncope..."

"The second is called the Rockall scoring tool, which is similar in basic parameters to the Blatchford scoring tool, but its use is limited in emergency situations because it requires endoscopic findings for scoring."

"Just like the patient now, after the condition is stable, endoscopy should be performed immediately."

"Even if it is not severe bleeding, endoscopy should be performed within 24 hours. Endoscopy can be used for diagnosis and treatment. Endoscopy can also help predict the risk of rebleeding. The risk of rebleeding is also affected by other factors, such as Hemodynamically unstable, manifested by hemoglobin below 10 g/dl, large ulcer size and ulcer location."

"It is obvious that several factors coexist in this patient. With the scoring tool, we can determine that the patient needs to be admitted to the ICU."

After Tang Lou finished speaking, he looked at the simulated medical staff who were listening carefully, and skinned a bit:
"My words are finished, who is in favor and who is against?"

The few people who had just fallen into serious admiration suddenly came to their senses, and looked at Tang Lou's unscrupulously handsome face:

"."

There was silence for three seconds.

"The doctor scored 10 in this room, please leave the examination room quickly!"

The scorekeeper’s final stubbornness()!

　Let's go ╭(╯ε╰)╮, we are still good friends~

　　In addition, thanks to the boss for the reward, and the little friends who vote every day, for giving me encouragement for this little Kuo who sends power for love!
　　
　
(End of this chapter)