Chest compression was suitable for cardiac arrest caused by various trauma, electric shock, drowning, suffocation, heart disease, or drug allergy.
First, it was determined whether the patient was in a state of cardiac arrest. Two fingers were used to touch the patient's carotid artery, that is, the Adam's apple moved two centimeters to the left or right, to see if the patient's carotid artery was pulsating. If there was no pulsing for more than five seconds and the patient's chest did not rise and fall, it could be determined that the patient's heart was in cardiac arrest.
At this time, external chest compressions should be performed immediately.
The first step was to open the airways. This was because the muscles of the unconscious patient's entire body would relax, including the tongue muscles. If the tongue fell back, it would block the respiratory tract, causing breathing obstruction. Check if there are any foreign objects in the patient's mouth. If there are any foreign objects, remove all the foreign objects in the patient's mouth. Then, tilt the patient's head to one side to prevent suffocation caused by the tongue falling back.
The second step: External chest compression. The position of the external chest compression is the center point of the line connecting the two papilles. The rescuer places the base of the palm of one hand on the center point, and then folds the first hand on the back of the other hand. Interlock the fingers of both hands, and the fingers leave the chest wall. Begin to compress with the strength of the base of the palm. Generally, compress 30 times. When compressing, you must count with "1001, 1002, 1003, 1004...". Moreover, the strength of the compression had to be controlled well. Generally, the depth of the compression was only 3-5 centimeters. If it was light, it would not be effective. If it was heavy, it would easily fracture the patient's ribs, causing more serious damage.
The third step was artificial respiration. After performing thirty chest compressions, the patient would be given mouth-to-mouth insufflations using the method of raising the head and chin. The mouth-to-mouth insufflations were the most effective way to provide air to the patient. However, many rescuers would forget to pinch the patient's nasal cavity while blowing. Because the oral and nasal tubes were connected, if the nasal cavity was not pinched while blowing, the air would flow away from the nasal cavity and not reach the lungs. This would waste the rescue time.
For patients with cardiac arrest, time was of the essence!
Basically, the ratio of chest compressions was 30:2, which meant that the chest was compressed 30 times and mouth-to-mouth resuscitation was performed twice. There were a total of five cycles, which tested the physical strength of the rescuer. If conditions permitted, the rescuer could be changed, but the change could not exceed five seconds to avoid delaying the rescue effect.
In the meeting room, thirty doctors were divided into six groups to compete. As the equipment in the county hospital was limited, there were only five CPR machines. It was impossible for every doctor to have one machine at the same time, so they were divided into six groups of five people to compete at the same time.
The judges were made up of the presidents and vice presidents of the county hospital, the director of the county health bureau, and the secretary of the county party secretary.
The simulated CPR machine was made up of a male dummy and an operation display screen. There were many wires on the dummy that were connected to the operation display screen. If the strength of the exhalation was too low, the display screen would show 'insufficient exhalation', the compression strength was not enough, and the compression strength was too strong. In short, the judges would judge the doctors' skills based on the operation display screen. Out of the thirty doctors, only five of them were qualified to advance.
Zhang Yi was placed in the last group, and Li Wencai from the Department of Brain Surgery was in the same group.
Li Wencai, who was sitting at the side, glanced at the calm Zhang Yi and sneered. This guy was quite calm? This machine was not like a manual machine. If there was a slight error, the machine would alarm, and the judges would deduct points according to the number of times you made a mistake.
Li Wencai had practiced a few times, and every time, he would be deducted more than ten points by the equipment. Even if Li Wencai thought that he had done it perfectly, he would still be deducted a few points.
Not long after, the doctors from cluster five finished their exams and came out. As soon as Yuan Li came out, he said to Zhang Yi with a bitter face,"Oh my god, I'm so tired. That machine is really f * cking awesome. When I performed faster, it deducted five points. Then when I slowed down, it showed that my compression frequency was too slow and deducted my points again. Damn, so strict! This hospital doesn't even know how to go easy on them. They're really too much! Be careful and don't make any mistakes.”Yuan Li patted Zhang Yi's shoulder.
Zhang Yi nodded. He had been training in the System Training Space for several nights. If he still couldn't get 100 points, he would be letting down the System's encouragement!
Then, the sixth group entered the arena.
Zhang Yi stood in front of the second humanoid. He used alcohol to disinfect the lips of the humanoid and waited for the judge to call out," Begin."
"Doctor in group six, the chest compression assessment begins now!”
Zhang Yi methodically followed the rhythm of his usual training. First, he opened the air passage, then performed chest chest compressions. When it was time for the second step of compression, Zhang Yi could clearly hear the alarms of several machines beside him ringing, indicating that the compression was ineffective and that the compression was too large. Fortunately, Zhang Yi didn't do that. Instead, he pressed down on the patient with a steady amount of strength.
After that, mouth-to-mouth resuscitation was performed. At this moment, many machines were still giving out notifications of 'insufficient exhalation' and 'ineffective exhalation.'
On the judging panel, Han Yufang and the other deans could not help but nod their heads in approval when they saw that Zhang Yi did not make any mistakes and that his operation was so standard.
After the assessment ended, the other doctors were panting to varying degrees. Zhang Yi was the only one who stood on the spot with steady breathing, as if he had not exhausted any of his energy.
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