When the Doctor Uses A Hack

Although it is a simulated competition, the simulated patient is extremely sensitive to blood pressure and blood volume!

Undoubtedly, this increases the difficulty of the competition!

Humans and simulated patients may seem the same, but there is a significant difference in essence. A simulated patient's failure is very direct, a change in numbers is a failure!

However, due to the compensatory and self-rescue mechanisms in the human body, many miracles can occur.

But not with a simulated patient!

When Chen Cang saw the situation inside the thoracic cavity, he felt a tingle in his scalp.

No wonder they chose to perform a uniform surgery, as it is highly representative.

Just like now!

The vena cava was damaged in multiple places, accompanied by direct ruptures at the ascending aorta and the arch of the innominate artery, resulting in multiple bleeding sites! Experience more content on My Virtual Library Empire

The alarm from the heart monitor was constantly reminding Chen Cang.

Blood pressure at 100/70!

The blood pressure seems very safe, but with so many major blood vessels ruptured, it won't be long before the blood pressure drops to a very dangerous number!

Chen Cang's brow furrowed with urgency!

How to choose the surgery had become a very difficult question.

The damage to the ascending aorta and the innominate artery generally requires occlusion of blood flow!

But the vena cava's blood flow cannot be occluded directly. While repairing its damage, only non-invasive vascular clamps can be used to partially clamp the vessel wall, or it can be done with internal shunting.

Also, due to the severe damage to the vena cava, venous grafting has a high long-term risk of embolism and is not advisable!

However, the vessel damage was very severe at this time!

What exactly should be chosen?

Looking at the simulation external circulation machine box nearby, Chen Cang fell into deep thought.

If the external circulation machine was used, it was clear that the surgery time would be extended.

But with such severe venous damage, blood flow cannot be occluded, and venous grafting is not suitable.

The injuries at the arch of the ascending aorta and innominate artery needed to be dealt with quickly.

At this moment, blocking became very troublesome; if blood vessel bypass pathways were constructed, it would undoubtedly aggravate venous bleeding...

In a matter of seconds, many different methods had already been considered in Chen Cang's mind!

Finally, Chen Cang looked at the heart monitor and had a sudden flash of insight!

Right!

The blood pressure is still at 100!

What's there to fear?

Just go for it!

Thinking this, Chen Cang decided to do something bold.

...

...

At this moment, on the stage outside, a few experts were sitting together, with the surgery video being displayed on a large screen.

The audience seated were all doctors in the field of cardiovascular and thoracic surgery, as well as master's and doctoral students and postgraduates in training.

The host said with a smile, "To be honest, I am always excited every time the National Cardiothoracic Surgery Skills Competition comes around because I get to see a group of young cardiothoracic surgeons rising up, taking the baton from the older generation, becoming the outstanding figures and pillars in our surgical field!"

"The surgery has already started, and I believe everyone can't wait any longer. Let's hand over the floor to the experts, so they can comment on this surgery."

In fact, they had a list in their hands, a list of seeded players.

The video quickly switched to the operating room in a different room.

The audience below buzzed with discussion.

Upon seeing the screen, Li Wenbin immediately said, "To be honest, I just saw the competition topic, and the difficulty is a bit high. This must be a car accident trauma case, with multiple vena cava injuries, accompanied by contusions at the ascending aorta isthmus and tears in the innominate artery arch!"

"You can see that the wounds on the superior vena cava, left, and right pulmonary veins are quite large!"

"This year's difficulty is really high! Professor Yang, what do you think?"

Everyone who saw the screen furrowed their brows.

Yang Guangdong nodded, "That's right, this year's competition is much more difficult than last year's, but this is a trend, to transform a simple operation into a systematic one. Although it raises the difficulty, it can better reflect the surgeon's ability and can avoid some specialists coincidentally scoring points."

"However... this operation is really a test of skill, with multiple injuries to the arteries and veins, how to choose the surgical method and rhythm becomes especially important!"

"Hey? This candidate is pretty good, a very steady operation. He chose to use a heart-lung machine, dealing with the artery first, and using non-invasive hemostatic forceps to minimize the venous bleeding. In doing so, while transfusing blood, the decrease in blood pressure should not be too rapid!"

"Very! The surgical technique is also very adept. Just by watching these procedures, he should have no problem advancing to the next round!"

The director said with a smile, "Hmm, on the screen is Ding Yu from Anzhen Hospital, last year's fifth-place finalist."

The crowd suddenly realized why there were such choices and operations.

The screen switched once more, and another surgical operation appeared in the video.

Li Wenbin looked at the screen and suddenly said with a laugh, "This young man thinks just like me. The arterial damage is not severe, he chose a shunt tube to separate the injured area in advance, dealing with the veins first—after all, the vein injuries are crucial in this operation, and the repair is difficult...

"A great idea, I think he must score high!"

The audience also looked curiously at the host, expecting who this could be.

The host chuckled, "Hmm, Director Li has a keen eye. This is Peng Lu from Huaxi Hospital, a woman who is not inferior to her male colleagues, who secured third place last year!"

The crowd nodded in sudden understanding, so it was her!

The round-faced Peng Lu!

However, at this time, the big screen switched again, and in the video, a man was frantically suturing the arch of the anonymous artery!

The host was taken aback, "This contestant didn't use a heart-lung bypass, and he's directly suturing the aortic arch, isn't that exaggerating! Isn't the risk too great?"

The experts frowned all at once, until Xiong Kangyu said, "No! Zoom in, take a closer look at the details!"

Xiong Kangyu zoomed the picture into the thoracic cavity and said, "See? His ordered hemostasis method is a pathway currently under study at the World Forum for Cardiothoracic Surgery. The reason he didn't use the bypass machine is that he's employing a hypothermic suturing blockade. He's doing this because he is very confident in his suturing."

"Moreover, with this operation, the isolation itself is very difficult, and every choice has risks. This kind of direct hypothermic repair, if completed within a certain time, is actually the best plan, but... it requires extremely high demands on the operator!"

Li Wenbin also nodded, "Hmm, the speed of this contestant's suturing is too exquisite—fast, tight, accurate! Impressive! Everyone, look at the blood pressure, actually, even without using the heart-lung machine, the pressure is maintained at 90. I estimate that after the repair is complete, it could stay around 75, which is safe."

The audience watched as that pair of slender hands continuously sutured, and between the rises and falls, the repair of the anonymous artery arch and the ascending aorta was completed!

The image didn't change, for everyone discovered that watching his suturing up close was addictive!

Xiong Kangyu, suddenly curious, asked, "Who is this contestant? I suddenly feel my suturing speed might not even match his!"

Professor Yang nodded, "That's right, I don't even want to switch the video now, watching this kind of suturing is a pleasure!"

Li Wenbin smiled, "Heh, I believe everyone feels the same way! Let's watch a few more minutes..."

The host grinned, "Alright, I believe everyone is curious about who it is, so let me reveal the mystery. This is last year's runner-up, the deputy director of the cardiovascular surgery department at Fuwai Hospital, and the up-and-comer in the field of cardiovascular surgery: Sikong!"

The audience couldn't help cheering, "Sikong! Sikong!"

The supporting person shook his head in amusement and joked, "It seems that Sikong's popularity is still very high. That's right, he is also a favorite for this year's championship, but... if I don't switch the screen now, the leaders will criticize me!"

The crowd laughed.

"After looking at last year's seeded players, let's switch to a random one!"

The screen jumped, and another surgical scene came into everyone's view.

Everyone was stunned!

It wasn't just the audience, the expert commentators, or the host, all had shocked expressions as they watched the scene on the screen.

After a moment, the host was taken aback, "Is this... the operation is finished?"

Li Wenbin swallowed, "It seems so?"

Professor Yang cleared his throat, "This... is there a problem, isn't it too fast? The suturing is... finished?"

...

...

ps: Cough, cough, cough, I really didn't want to cut it off, my mom called me to eat, I'll write more tonight.

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