Chapter 230 227. Surgery Seminar at Ormitz Fortress General Hospital [3]—There are no weak chickens in the Municipal General Hospital

Delvo's downgrade made the atmosphere in the conference room very depressing.

In the medical field, only the surgeon has reduced his identity and temporarily served as an assistant, because only in this way can students be given the opportunity to practice and stand out. I have never seen any medical institution downgrade a surgeon to an assistant. This practice is not only unhealthy, but also seriously undermines the doctor's confidence and morale.

Kawei also had this concern at the beginning, but considering that reforms would inevitably affect the interests of some people, he was relieved.

In order to ease the conflict, he specially made enough room for the scoring system. He only deducted 1 point for mistakes, and he could get 3 points if he praised once. As long as he works according to his military doctor manual, even if he has no talent and cannot get praise, he will not be able to deduct less than 15 points if he only deducts points.

If someone in the assistant can get twice appreciated and get 16 points without making any mistakes, it is enough to show his value, and it is not bad to give him a chance.

Theoretically, only when these two situations occur at the same time can the replacement mechanism be activated. But at that time, according to Kawei's previous prediction, it must be a problem that needs to be considered in the middle stage of the war. Assistants have accumulated a lot of experience in wards and operating tables, and replacement is not feasible.

Who knows that the surgeon who was called from Innsbruck gave him a big surprise.

Just a few days after the battle started, his score had dropped to 12 points, which was the points that Kawei deducted after stopping. If he had followed the original three-year foreign emergency standards, such performance would have been enough to fire him three times.

But in everyone's eyes, the criteria for judging surgeons are still in the original place, and Delvo's performance is not bad.

From the afternoon of the 26th to last night, he had a total of 9 major abdominal surgeries, and countless debridement and amputations were all done. He had no credit and worked hard. At this time, he directly deducted his score to this point and even replaced the person with the main surgery position, which was really unreasonable.

Looking at the pre-determined podium, everyone began to talk in a low voice.

Everyone is a surgeon in his thirties and forties. Although he comes from all over Austria and doesn't know each other, his goal at the beginning is the same: to serve the empire, then get the rewards you deserve, accumulate a wave of qualifications, and when you return to the original hospital, you will be more tough.

It was only after seeing Kavi's surgery repeatedly in Vienna that their goals changed a little: on the basis of the original, learn some more advanced surgical techniques.

"Do you describe the surgeon's quality as a result of the surgery?" Kawei was very confused about this idea. "If he did more surgery, he was qualified to stay in this position? Then I may only be enough to go to the front line to be a military doctor, because the number of surgeries I took for surgery will definitely not be compared with you."

"In this way, he should ask the military or chief surgeon for the chief surgeon?"

"Teacher Ignaz's requirements are stricter than me, but fortunately he doesn't care about this." Kavey directly denied one of his options and said, "As for the Military Medical Department, I have the authorization of the king, so I can report to Teacher Aidingson without having to. Besides, the director of this hospital is me."

The main surgeon and assistant are not promotions and demotions in ordinary companies, and they are not as simple and easy as outsiders, because it will be difficult to climb from the assistant to the main surgeon again.

Even if this happens, whether you can pick up the scalpel again depends on Kavi's expression. At this time, Salson stood up from the seat behind the seminar and quickly came to the front of the stage. Everyone was in danger for a while.

Since it is inevitable to withdraw from the main surgery to the assistant, the doctors in the audience hope to stop another decision.

After all, a little assistant who had just graduated from medical school and had only worked in clinical practice for less than a year was suddenly upgraded to surgery doctor, which was not good for anyone. They couldn't help but ask a big question mark. Is this really OK?

"sure."

This time, Kawei did not argue with them about rules or work attitudes, but directly presented an example:

"Director Watman, the Austrian Academy of Surgery, picked up the scalpel three months after graduating from the Medical School of the University of Vienna and underwent the first amputation surgery. His son, now the chief surgeon of surgery, is even more ruthless. He has shown amazing surgical talent during his PhD and won the first amputation surgery in his life."

The audience shook their heads at this example. After all, this father and son are once a century-old talent in Austria, and there is no universality.

"If this is not enough, then I can say something even more crazy." Seeing that they were not convinced, Kavey could only continue, "Cavi Hines, a first-year undergraduate student at the University of Vienna Medical School, has completed nearly 70 surgeries. He is now leading the top surgeons in Austria to try his best to rescue the wounded soldiers in the war."

The audience was stunned.

It's okay to pull yourself out, this is a foul

"Look at Salson, he is not the ordinary medical graduates you have ever seen," Kavey explained. "He is the excellent student carefully selected by Teacher Ignaz who is stricter than me. If you still feel that these reasons are not sufficient, then go and see what the doctors from the Municipal General Hospital are doing now."

Municipal General Hospital?

It was then that they realized that Salson came from the Municipal General Hospital in Vienna, the super-large welfare hospital with the most beds and the largest surgeons in Austria.

Doctors who go out here may be a little stubborn and arrogant, with these personality problems, but there have never been mediocre doctors here.

Watman comes from here. Ignaz is now the director of surgery. Needless to say, Hills has left the Municipal General Hospital, but he has been there for seven or eight years. He is now the acting director of the fortress hospital. Herman is a helper in the first emergency team.

Among the younger generation, Bergt is the third assistant in the first group, Meren is already a doctor in the third infantry regiment of the First Army, and only Salson is still an assistant.

Gold always shines, and Carvey's surprise ends are balanced. When Delvo made frequent mistakes, Salson proved himself.

His grades in medical school were already good, and he was second in his class, but he had been concealed by Beckett's light before, so he seemed inconspicuous.

Kawei cleared his throat: "Think about your scores in medical school. If you only have the grades in these subjects, he is better than everyone here. I know this cannot be a basis, but it can prove that his learning ability is enough to digest everything in the military manual."

With excellent performance and guaranteed hardware level behind him, Salson is now a veritable surgeon at the Fortress General Hospital.

In the face of such facts, some different voices finally appeared in the audience: "I agree with Dr. Kawi. Although Salson is not qualified enough, his talent and hard work are beyond his peers, and I agree."

"Okay OK, I agree, it's really smooth to have him as an assistant."

"Then I agree, his assistant is indeed one level higher than others."

"I feel the same when you say this. He can always expose the parts you want to in front of you in advance, and it is not tiring at all."

"I also."

It was not until this time that the doctors in the seminar discovered an interesting fact. Salson did not only talk to specific surgeons like other assistants. During these three days, he had been an assistant for almost all surgeons.

The operations on these beds were what he saw in the operating room.

At that time, Delvo's assistant was not on the scene, and there were only two people on the entire operating table. I was too busy to get busy and pulled him to the table.

In fact, Delvo's surgical skills are quite reasonable, otherwise he would not have passed the assessment at the beginning. However, his understanding of the operation is still in the past, and he did a very poor job of preventing possible complications after the operation, as well as his observation of the patient's postoperative period.

Or it can be said that after he studied the requirements in the military doctor manual, he still did not think about what happened after the operation.

At this point, Salson has been following Ignaz and also takes Kavi's surgery into consideration, so over time he has developed good habits.

After seeing Delvo's surgery, he saw that the reminder did not work and the other party still did his own thing, so he had to choose to record all possible situations in text form.

This is also the medical record writing work that Kavey has always hoped that doctors can complete, and it also became an important evidence that Dr. Delvo can become a negative teaching material.

Of course, his original intention of writing medical records was to record the changes of the patients, and he also hoped that there would be traces to follow when discussing the final death case. Even Salson himself did not expect that the medical record writing habit that Kawei forced to develop in the Municipal General Hospital would win him the position of surgeon here.

The surgeons were really uncomfortable, but it was very good news for the assistants outside the conference room who were still busy with other miscellaneous work.

Because it is not an empty talk to grab the position of the main swordsman by relying on points, it is a fact that has already happened. The leap in status not only provides them with more income, but also allows them to write a strong mark in their military resume.

For the 20 surgeons in the conference room, this time it sounded a wake-up call for them.

Delvo became an assistant from a main attacker, breaking their previous position thinking pattern. If they were not dealing with the wounded, it would not only be a superficial punishment such as deduction of points, but would really lose their current job.

After graduating from medical school, no one will let go of the main position that he has been working hard for ten years before he has obtained.

After all the cases of Delvo were analyzed, Kavi also explained the reasons for letting Salson take office, and the discussion content returned to the formality: "Okay, now we get back to the topic, and return to Ronalne."

"Please be sure to pay attention."

Kavey took out a long stick and knocked on a head on the white cloth behind his back: "I have said before that if the injured have a history of trauma in the brain, he will experience a series of symptoms such as difficult-to-relieve severe headaches and vomiting, and confusion in thinking, which means that the intracranial pressure has increased and the brain tissue is under pressure that they cannot bear. At this time, the skull must be opened to release the pressure."

This is the surgical treatment measure for craniocerebral trauma explicitly stipulated in the military medical manual.

The text looks straightforward and you can understand it at first reading, but from the perspective of those surgeons, it is too risky to open the skull so easily and contrary to other methods of handling it.

"I admit that this article was written very vaguely. It was too time to write this manual at that time," Kavey said. "I admit that the manual is not complete enough. Now I need to make some modifications to the criteria for judgment."

Symptoms are an extremely subjective judgment. The patient's feelings and the doctor's understanding of symptoms will definitely be biased. In modern medicine, symptoms can only become clues, not necessarily a diagnosis. Only specific numbers can the image determine what words the doctor writes in the diagnosis column.

Therefore, it is not a rigorous method to judge intracranial pressure from the symptoms alone.

"Last night, Ronalne showed an increase in blood pressure, which is a sign of an increase in intracranial pressure [1]." Kavey praised again, "The nurse was really very sensitive, and according to my words, blood pressure measurements were given every once in a while."

"He himself cannot express his feelings, and I cannot fully judge his intracranial pressure by relying on his blood pressure alone."

Kavey said, asking Salson in the audience to take out an instrument I used last night [2]: "This is the intracranial pressure measuring device I used. It is a very simple device, but it is difficult to operate. From the scale, we can judge the level of intracranial pressure of the injured person very well, if"

Suddenly, Delvo, who had just stepped down, jumped up: "It turns out that the problem lies with you. You haven't written the measurement method of intracranial pressure. How do you ask me to judge?"

Kawei put down his pressure gauge slowly and said, "Doctors will definitely make mistakes, and there will be deaths of patients and wounded people. This is an inevitable thing. Your mistake has never killed people, but because of your bad clinical attitude! It is your ignorance and concentration on your own status, which leads to their death. This is something I can't tolerate!"
Chapter completed!