138: Chapter 138 Final Score: 92.0
On the judges' panel, the chief examiner's expression shifted from serious to focused.
He picked up a pen and circled something on the scorecard.
Jiang Weibang adjusted his glasses, his facial expression unreadable.
But the hand holding his pen faltered for a moment.
The temporary treatment for the three fatal injuries was fully completed.
The total time taken was less than two minutes.
There were thirteen minutes remaining.
But the assessment was not over yet.
The scenario required a "full-process treatment"; the temporary treatment was only the first step. Following this, he still needed to perform formal Closed Thoracic Drainage, a detailed injury assessment, and continuous monitoring of vital signs.
Lu Chen's rhythm did not change at all.
He quickly prepared the sterile field and opened the chest drainage kit.
"The patient's right-sided tension pneumothorax has undergone emergency needle decompression; proceeding with formal Closed Thoracic Drainage."
Positioning: the fourth intercostal space at the mid-axillary line.
Disinfection, draping, local anesthesia (simulated on the mannequin), skin incision, blunt dissection of the intercostal muscles, entry into the pleural cavity, insertion of the drainage tube, Suturing for fixation, and connection to the water seal bottle.
Every step was standard, and every step was fast.
Closed Thoracic Drainage completed, time taken: three minutes and forty seconds.
No one in the observation area was speaking anymore.
Everyone was staring at the young figure at the operating table.
Even those contestants who had been whispering about him earlier had fallen silent.
They couldn't achieve this speed.
It wasn't a matter of speed; it was the quality.
To maintain this level of operational quality at such speed—they couldn't do it.
Zhou Haoran's fingers tightened unconsciously against his thigh.
He stared at Lu Chen's hands.
Those hands were too steady.
From the moment he stepped onto the stage until now, those hands hadn't shown a single perceptible tremor.
Next was the further treatment of the hemorrhaging wound.
After finishing the chest drainage, Lu Chen immediately turned back to the open fracture wound on the right thigh.
He opened the temporary dressing and performed a detailed wound assessment on the simulated injury.
"Open femoral fracture, Gustilo Type IIIA, exposed fracture ends, requiring thorough Debridement and temporary external fixation, while simultaneously assessing for vascular and nerve damage."
Every one of his assessments was clearly stated, allowing the judges to accurately record his clinical thought process.
Then, he began the standardized Debridement of the wound.
Saline irrigation, removal of foreign bodies and devitalized tissue, inspection of blood vessels and nerves, and temporary reduction and external fixation of the fracture ends.
His technique was extremely clean.
While treating the simulated wound, the precision of his finger movements already exceeded the standard requirements of the assessment.
He was using his Master Level Basic Surgical Operations and perfect-grade Comprehensive Trauma First Aid.
Wound treatment completed, external fixation in place.
Time taken: four minutes and twelve seconds.
So far, the total time taken was ten minutes and six seconds.
There were nearly five minutes remaining.
Lu Chen did not stop; he continued to complete the subsequent monitoring of vital signs, the verbalization of the fluid resuscitation plan, and the comprehensive pre-transport assessment of the patient.
Every item was clear and logical, with nothing missed.
Finally, he stood next to the mannequin and faced the judges.
"Current patient status: tension pneumothorax has undergone Closed Thoracic Drainage, drainage is patent; open femoral fracture on the right thigh has undergone Debridement and external fixation, tourniquet compression is effective, hemorrhage controlled, Tracheal intubation in place, airway patent, GCS score maintained at 6, requires emergency transport to the Operating Room for definitive surgical treatment; simultaneously, contact the Orthopedics Department and Department of Thoracic Surgery to prepare for surgery."
"Full-process treatment completed."
His voice was calm and clear.
The number displayed on the timer was: eleven minutes and twenty-seven seconds.
Out of the fifteen-minute time limit, he used eleven minutes and twenty-seven seconds.
He finished three and a half minutes early.
The entire hall was silent for about three seconds.
Then, a buzz of conversation erupted.
It wasn't applause, but irrepressible discussion.
"Eleven minutes and twenty-seven seconds? He finished a three-in-one question in eleven and a half minutes?"
"Did you notice his Closed Thoracic Drainage? Three minutes and forty seconds; even the Attending Physicians in the Department of Thoracic Surgery I've seen can't do it that fast."
"His Tracheal intubation was successful in one go in twenty-two seconds; that technique is simply not at the level of a Resident Physician."
"No, seriously, how long has he been working in the Emergency Department? Two months? Are you kidding me?"
Zhou Haoran leaned back against his chair, motionless.
His expression was complex.
He admitted that if he were to do this question, he was confident he could score above eighty-five, but he might not be able to finish it within eleven and a half minutes.
More importantly, it was the quality of the operation.
He could see that every one of Lu Chen's operational steps wasn't just up to standard, but approached the perfection of a full score.
That kind of steady, fast, and precise technique wasn't just something practiced.
Or rather, it wasn't something that could be developed through ordinary practice methods.
Lin Zhuo sat in the row for Guangfu Hospital and whispered to the colleague beside him.
"No wonder Director Qian values him so much."
Director Qian Fangxu was in the back row, holding a teacup, with the corners of his mouth curled up.
He didn't speak, but his expression said it all.
I said from the beginning that this kid was extraordinary.
Section Chief He Zhongfeng's expression was somewhat unpleasant.
The person next to him asked in a low voice.
"Section Chief He, this score..."
"Don't rush, wait for the judges to score."
Section Chief He Zhongfeng stared at the direction of the judges' panel, his lips pressed into a thin line.
On the judges' panel.
The five judges began to score.
The chief examiner revealed his score first.
Ninety-four points.
There was another commotion in the observation area.
Ninety-four?
Today's highest score so far was Zhou Haoran's 88.7, and the chief examiner gave a 94 right off the bat?
The second judge revealed their score.
Ninety-two points.
The third judge.
Ninety-three points.
The fourth judge.
Ninety-one points.
The last one, Jiang Weibang.
He adjusted his glasses, glanced at his scorecard, and then revealed the score.
Eighty-two points.
Section Chief He Zhongfeng let out a sigh of relief in the back row.
Eighty-two; this score at least pulled down the average.
But he relaxed too soon.
The staff began to calculate.
Five scores: 94, 92, 93, 91, 82.
Remove the highest score of 94, remove the lowest score of 82.
The middle three: 92, 93, 91.
Average score: 92 points.
92.
The staff wrote the final score on the big screen.
[Contestant No. 23 Lu Chen, Jiangcheng City Central Hospital Final Score: 92.0]
The hall was silent for a moment.
Then, several judges took the lead in applauding.
The applause was not loud, but it was intense.
92 points.
Crushing the entire field.
It was a full 3.3 points higher than the previous highest score.
And in a provincial-level assessment, this 3.3-point gap was already a massive chasm.
Section Chief He Zhongfeng's face sank completely.
He glanced at the 82 points given by Jiang Weibang.
It had been eliminated.
The lowest score was directly eliminated by the rules.
Even if Jiang Weibang intentionally suppressed the score, it was useless because the scores given by the other four judges were too high—so high that Jiang Weibang's low score couldn't affect the final result at all.
Section Chief He Zhongfeng's fingers gripped his knees, his knuckles turning white.
The person next to him didn't dare to speak.