medical simulator

Page 709



Huang Zong wanted to give Ding Changle a leg up and ask him to go to the outpatient clinic, but Ding Changle didn't want to take the blame.

If it is really a case of sports medicine, then he may really be Waterloo.

"Let's try this basic skills training room, have you tried it?" Ding Changle asked.

After he saw Huang Zong's outpatient records, there was a detailed scoring system, which pointed out what was wrong with Huang Zong's outpatient visits and where points were deducted. He also found this very interesting, so he became interested.

Huang Zong shook his head: "Not yet, Master, you were hit just after playing this game, and I want you to try it, Master, to see if this game is perfect or not."

"Then give Xiao Zhou feedback so that he can develop this learning game better."

"Row."

Then Ding Changle clicked in with Huang Zong's help.

In the end, it was found that it was really the basic skill operation of surgery.

They are: "incision, suture, debridement, puncture..."

Looks like a special foundation.

"Good guy, Xiao Zhou can really bring these things into the game. He has been studying the theory of medical education before, so that's what he was thinking about. It's very thoughtful, but it depends on how he behaves."

"Surgical skills focus on operation, not pure theory and knowledge."

While commenting, Ding Changle clicked on the incision technique, and found that the incision technique training room has one, two, three, four, five levels.

Now the one that has been released is 1, and the subsequent ones are all locked.

The incision skill shown in the upper right corner (Level 0, pending evaluation!)

"Master, you have to click this 1 first before you can start playing. It may be interesting." Huang Zong once again crazily gave Ding Changle Amway.

Ding Changle clicked on it.

After clicking in, a skin-like page appeared, and the appearance should be the front of the thigh on the left.

“[Incision (Level 1): Please follow the laser marking line and make an arc-shaped incision with a length of 'ten centimeters' and a depth of 0.5 centimeters! This system has strictly corresponded to the length and depth of the scale.]

"【Assessment Requirements: Do not cut the knife repeatedly, do not move the knife repeatedly, no broken lines appear in the incision, the sideways movement of the incision cannot deviate from the laser marking line by 3mm, and the incision depth cannot exceed 1cm. The operation time should not exceed 20s.】"

Immediately afterwards, a lancet appeared with a "swoosh", and then the options were displayed, please choose your way of holding the knife.

"Bow holding method: the most commonly used method of holding a knife, with a wide and flexible range of motion, involving the entire upper limbs, but mainly concentrated on the wrist, and is mainly used for large incisions on the chest and abdomen."

"Pen-holding style: strong and gentle, flexible and accurate operation, easy to control the movement of the knife, its movement and strength are mainly in the fingers. It is used for short incisions and fine operations, such as dissecting blood vessels, nerves, and incision of the peritoneum."

Each is analyzed in detail.

Ding Changle nodded: "This thing is very meaningful for beginners. It allows them to understand the key points and scope of application of each knife holding method more intuitively, so as to avoid the need for clinical teachers to teach popular science after going to the clinic. "

Then Ding Changle clicked the writing gesture.

Immediately afterwards, a text prompt appeared next to it: "This game automatically enters, moves, and exits the knife. No special gestures are required. Players can just start the operation directly."

"Reminder: The amount of force you exert is the factor that affects the depth of incision."

"Please start to operate—"

Seeing Ding Changle, he was really interested. Then he put the phone on the computer table, and using his index finger as a force method, he followed the displayed colored laser marking line accurately and quickly.

Then quickly swipe and pull, and stop when it reaches the stop node.

After the operation is completed, the corresponding arc of cutting comes out, which is a bit similar to the game of cutting fruit, but cutting fruit is one size fits all, and this is to actually separate the skin.

After a hole appeared, the score was displayed immediately.

"Time limit: 3.2 seconds. Achieved."

"Incision depth: 0.48 cm. Up to standard."

"Incision length: 10.1 cm. Up to standard."

But soon, the display changed again: "This operation has a high score and is being re-evaluated!"

"Operation time limit: 3.2 seconds. No more than 4 seconds, up to standard."

"Incision depth: 0.48 cm. The subcutaneous fascia is not injured, and the subcutaneous fascia is less than 0.5mm, which meets the standard."

"The deviation between the incision and the laser marking line: 0.04 mm, no more than 0.5 mm, up to the standard."

"Incision length: 10.01 cm. The error of the incision length does not exceed 0.2 cm, which meets the standard."

"Comprehensive score: 99! Skill proficiency: Level 2."

"Congratulations on your incision level 2."

Seeing this situation, Huang Zong's eyes flickered slightly, he became stunned, and let out a soft "hiss". It can be said that this standard is already very strict, and ordinary people really can't do it, but this is level 2 ?

After completion, the incision will be displayed as level 2, and the icon for 3 will be lit.

"Isn't it? I think this game is quite interesting. This operation is all about the feel. Don't underestimate the length and depth of a centimeter or a few millimeters. When necessary, this technique can control the entire machine." The quality of the operation is the skill of the hands." Ding Changle felt that this evaluation was quite appropriate.

After all, he is still very confident in his incision technique. The incision can be as long as it says it should be. If it says a straight line is a straight line, if it is an arc it is an arc, so it is natural to control it freely.

“[Level 3 of incision, please reach the femur fracture from the skin layer within 10 minutes. The plain radiograph of the fracture is shown in the picture on the right.]”

"[Assessment requirements: Nerves, muscles and important blood vessels cannot be cut off. Pass through the intermuscular space and expand to the end of the fracture. The overall blood loss during the operation should not exceed 200 milliliters.]"

"Hiss!" Seeing this request, Ding Changle took a deep breath.

This request is a bit inappropriate, how can there be someone who urges the operation to be fast?This is 10 minutes directly from the surface of the skin to the fracture?

He raised his head and asked, "This is what Xiao Zhou made, right?"

The tone is weird.

Huang Zong nodded, and then his scalp felt a little numb. He didn't expect Zhou Cheng to set this level so abnormally, but at this time, Huang Zong chose to betray Zhou Cheng without hesitation: "Yes, master, the core is the little one. Zhou designed it."

Ding Changle didn't speak.

After reading the warm tips, start to try.

After 5 minutes, the evaluation came out: "The muscle was torn during the violent blunt separation, the challenge failed, and the assessment is about to end..."

Ding Changle immediately widened his eyes, then looked up with a reddish face, and found that Huang Zong had already looked up at the ceiling very sensiblely.

He was still muttering: "Master, this light is quite bright, how many watts is this light?"

Ding Changle: "..."

There is no limit to the number of attempts.

So Ding Changle came again.

Ten nine minutes later, the evaluation came out.

"Overall time-consuming: 18 minutes."

"Bleeding volume: about 150 milliliters."

"The challenge failed. It took too long to cut and expose. It is a proficient level."

Huang Zong continued to look at the lamp, but felt it was a little dazzling, and there was a halo in front of his eyes.

Unconvinced, Ding Changle tried another [-] million...

About an hour later.

"Huang Zong, give Zhou Cheng a call." Ding Changle stared wide-eyed, like an old man addicted to games, and he wanted to call the game developer directly without talking about martial arts...

"Master, I have a consultation later, why not?" Huang Zong planned to run away.

Ding Changle couldn't even make it to the third level of the incision technique, which is indeed a little bit.

When Zhou Cheng designed this game, he was not a human being.

Not now, Ding Changle is not convinced, he insists on Zhou Cheng come over and give it a try, but how could Huang Zong make this call.

Zhou Cheng didn't ask Ding Changle to play the game, and he didn't even call him Huang Zong to play the game. He gave Ding Changle a try on a temporary basis. If Ding Changle made Zhou Cheng troublesome in the end, wouldn't he be a human being?

"You call him, I want to have a good chat with him."

"After all, as the director of the Department of Orthopedics, if I don't know much about the people in our department, it won't be easy for me to go to Dean Lei." Ding Changle spoke in an official tone, as if he didn't call Zhou Cheng here He is sorry for the orthopedics department, as if he is the director of the orthopedics department.

"You don't hit me anymore."

While talking, Ding Changle clicked Start again. He still didn't believe it. Since this challenge was designed, he, as a professor of trauma surgery, couldn't complete it.

……

After hesitating for a moment, Huang Zong took out the old-fashioned mobile phone that was always in the hospital from his white coat, then chose Zhou Cheng's number stored in it, dialed it, then walked away, and began to explain in a low voice.

"Hey, Xiao Zhou, I'm sorry, I seem to have caused you trouble."

"Well, yes, Professor Ding is stuck in the third level of incision and can't get out. I insist on calling you and calling you over."

"I really didn't mean Xiao Zhou!"

"Thank you, thank you..."

Chapter 478 Don't Forget That Year

"Master, Xiao Zhou said that he is planning to go to the emergency room and he is not free for the time being. He also asked me to explain a few words to you. He said that this is his personal understanding, and it is his own opinion. Don't take it seriously. Master, you must be careful. Don't take it personally." Huang Zong explained a lot, but he still didn't call Zhou Cheng, so he said in a low tone.

After finishing speaking, Huang Zong stared at Ding Changle intently, as if he was afraid that Ding Changle would get angry.

However, Ding Changle's old face did not show much abnormal reaction. After meditating on the phone for a while, he said to Huang Zong, "Xiao Huang, go to the office of Professor Lei Zhong of the Department of Joint Surgery and ask the head nurse to open the door." , and then bring some photographic materials inside."

"I remember the label seems to be the first aid for the collapsed house the year before last." After Ding Changle calmed down, he remembered one thing.

Two years ago, when Zhou Cheng was still at No.[-] Hospital, Zhou Cheng represented No.[-] Hospital to participate in an emergency in the star area. There were some recorded videos in it, and it was also used as a reward for No.[-] Hospital as the first aid pioneer. , Zhou Cheng himself also won the title of First Aid Pioneer.

-

More than two years have passed, and usually, Zhou Cheng would not think of the emergency rescue work that Zhou Cheng did at the scene.

But now after seeing this game, Ding Changle came back and remembered it.

Whether Zhou Cheng can do it, whether he is as amazing as the rumors say, with the video as proof, he can tell the truth at a glance.

After all, in it, it was rumored that Zhou Cheng could clamp the blood vessels blindly within 1 minute.

It can be said that the operation from breaking the skin to the precise location of blood vessels is at least several grades worse than the operation he is currently practicing on the ground to the broken end of the fracture. The current operation is too simple.

It's just that before, almost no one had an idea that an incision technique could be performed to such an extent by Zhou Cheng.

Huang Zong was stunned when he heard the words, nodded and left the office quickly.

After Huang Zong left, Ding Changle smiled faintly.

Although he couldn't handle this operation and felt unhappy, but if those little bullies in the department were forced by these things, it would probably be quite good.

I will give you time to play the professionally matched games. If you can’t even play games well, then don’t blame me for spitting on you.

Ding Changle, who is now the director of the orthopedics department, has been thinking about how to make the department develop better. To develop, we must pay attention to long-term solutions. To long-term, we must cultivate more excellent fresh blood.

But we can't ask everyone to be Yang Yifeng, if they are all talents like Yang Yifeng and Zhou Cheng, now that Ding Changle is done lying down and going out to confront others, what else is he thinking?

And to develop, you can't ask others not to meet people like Yang Yifeng, there are many geniuses, top teaching hospitals, top comprehensive universities, there will always be one or two outstanding seedlings every year, which makes people I was overjoyed to see it.

But the problem is, every year there are more masters or doctors who are relatively excellent but cannot surpass most of their peers, so their education is actually the most critical.

Because only if there are enough people, can the comprehensive medical level of a hospital, a region, or even a province be promoted, and it will not happen overnight.

When Ding Changle thought about it this way.

Huang Zong quickly got the things, it was a set of CDs. Fortunately, Ding Changle's office was a desktop computer, and patients often recorded the MRI and CT examinations of lower-level hospitals into the CDs for consultation, so there were supporting readings. device for removing discs.

After opening it, the image inside is quite blurry, but you can roughly watch the excitement.

Then Ding Changle and Huang Zong discovered that Zhou Cheng's performance two years ago was already at a height that most people can't reach now.

"40 seconds, 23 seconds!"

"Precisely clamp the artery." Ding Changle only watched two clips before looking up at Huang Zong.

Huang Zong's scalp was also numb at the moment: "Master, Zhou Cheng was born for on-site first aid? This operation?"

"If he didn't explain it himself, I really can't explain it clearly now. This is not a miracle, but kung fu."

If you have to name Zhou Cheng's current operation, then vascular exploration + vascular clipping is a very professional description.

Exploration requires an incision, whether it is a minimally invasive incision or a traditional large knife incision, there must be an exposed access.

Steady, precise, quick and ruthless is Zhou Cheng's operating style.


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