Top-tier doctoral supervisor, reborn as a first-year graduate student in standardized residency trai

Ji Feng sat between the two men and glanced at them with a subtle expression.

He suddenly realized that he was sitting in the wrong place today.

This isn't a mock competition; it's more like sitting between two directors, watching them fiercely compete for students.

Unfortunately, Gu Lin was standing in front and was completely unaware of this.

Amidst the silent argument between Zhou Wenyuan and Lin Hanchuan, the scores for the third leg were quickly released.

[Team Rescue: A+]

Soon we arrived at the final stage: the comprehensive defense.

The instructor placed the scoring sheet aside, and several judges took turns asking questions.

As soon as Gu Lin and the others stood in place, the first question came straight at them.

"The patient was injured in a car accident and is confused. Why not do a head CT scan first?"

Zhao Qiming stood in the main answering position, speaking slowly but almost without pausing.

"Because the most immediate threat to life is hemorrhagic shock, and head injuries need to be assessed, but forcibly transferring someone to the CT room before their circulation is stable carries a higher risk."

"The priority now is to bring the patient back from the brink of continuous blood loss and shock."

After Zhao Qiming finished speaking, Lin Xiuyuan immediately added:

"We did not overlook head injuries, but the available data suggests that the amount of abdominal bleeding is insufficient to explain the degree of shock, and the risk of pelvic bleeding is higher."

"Therefore, the current priorities are hemostasis, resuscitation, and damage control."

The second judge then followed up with further questions.

Why choose damage control instead of addressing all problems at once?

Xu Ran glanced at her teammates. She was still holding the record folder she had used at the skill station earlier, her fingertips nervously pressing against the edge, but her voice did not tremble.

"Because the patient's circulation is currently unstable, prolonged anesthesia and complex surgery will further increase respiratory and circulatory risks."

"If we try to treat all the damage at once, the patient may not be able to survive to receive further treatment."

Zhou Ziqian followed closely behind.

"Once shock, hypothermia, acidosis, and coagulation disorders form a vicious cycle, subsequent treatment will be more passive."

"Therefore, it is necessary to control the bleeding and stabilize vital signs as soon as possible, and then carry out further assessment and treatment after the circulation status improves."

After Zhou Ziqian finished answering, the judge looked down and flipped through a page of materials, and then the third question came down.

"Why activate the mass blood transfusion plan now?"

Shen Qing let out a breath and turned to the corresponding time point in the notebook.

"After the resuscitation began, the patient's blood pressure responded poorly to fluid resuscitation, and the heart rate continued to increase. Considering the bleeding from the pelvic fracture, crystalloid fluid alone could not solve the problem."

"If we wait until the shock worsens before initiating blood transfusions, it will be too late."

After Shen Qing finished speaking, Gu Lin looked at him and nodded, then added one last sentence.

"The core of severe trauma resuscitation is not to complete all the tests at once, nor to pursue the most complete diagnosis from the beginning."

"More importantly, we need to control the worsening process before the patient completely loses their compensatory mechanisms."

He paused, his voice low but clear.

"For this patient, continued blood loss and shock are the most critical issues at present."

"So what we need to do now is to stop the patient from dying. Once the vital signs are stable, we can then proceed with the remaining examinations and treatments."

As soon as he finished speaking, the judges stopped writing, and no one in the front row asked any further questions.

Because what Gu Lin said perfectly explained the underlying logic of trauma rescue.

Lin Hanchuan sat in the back row and lightly tapped his finger, which had been resting on the rating sheet.

Ji Feng burst out laughing.

"How is this kid's brain structured?"

Director Xu looked ahead and, unusually, did not refute.

At this moment, Zhou Wenyuan's lips twitched almost imperceptibly.

"This statement reflects an emergency room mentality."

Song Zhe, who was standing at the door trying to suppress his laughter, immediately turned around as if he had caught a whiff of excitement when he heard this.

Zhou Wenyuan glanced at him, his expression unchanged.

"Prioritize saving lives, then refine the diagnosis, stop what's spiraling out of control, and then discuss the next steps."

After he finished speaking, he glanced at Gu Lin in front of him, his tone still as calm and even as usual.

"good."

Song Zhe almost burst out laughing. Hearing Zhou Wenyuan say "not bad" was already considered a very high compliment.

Those who know him know that the more he admires someone, the less he will admit it.

Lin Hanchuan then added a sentence.

"It's really good."

Zhou Wenyuan turned to look at him, and Lin Hanchuan calmly looked back at him.

"At least this time, it was the best presentation of the day."

Ji Feng silently lowered his head and drank water.

Here it comes again, it's started again.

Zhou Wenyuan pressed down on the corner of his mouth.

"That's because he's naturally strong."

Lin Hanchuan smiled insincerely.

"So I'm right."

The two went back and forth, drawing strange expressions from the several directors nearby.

If you didn't know better, you'd think they were arguing over whose student they were fighting over.

The final simulation results came out quickly.

Overall Process Rating: A+

Teamwork: A+

[Risk Assessment: A+]

[Defense Logic: A+]

The instructor looked at the scores and finally closed the scoring sheet.

"That's good. If we go to the provincial competition in this condition, at least we won't embarrass the First Affiliated Hospital of Haicheng."

Just as the group was about to breathe a sigh of relief, the training instructor looked up at them again.

"But don't get too excited, the provincial competition won't give you a second chance to simulate the competition."

"If any link in the chain breaks down, all the high scores from before will be dragged down."

He paused for a moment, his tone becoming even more somber than before.

"You have the ability to achieve high scores now, but whether you can truly bring that ability to the competition remains to be seen."

This statement carries more weight than a simple compliment.

The slight excitement that had just surfaced because of the high score was quickly suppressed.

Gu Lin glanced down at the rating sheet and gently pressed his fingertip against the edge of the paper.

He was certainly happy.

These seven days of training have not been in vain. The team has changed significantly, from initially focusing on seizing the rhythm and making judgments to now having everyone able to stand in their own position and fill in for others.

But he also knew very well that a simulation is ultimately just a simulation.

In a real competition, no one will tell them in advance where the traps are.

Lin Hanchuan stood up.

"We'll rest tomorrow and set off the day after."

Zhou Wenyuan also stood up, and he paused for a moment as he passed Gu Lin.

Gu Lin looked up.

"teacher."

Zhou Wenyuan looked at him and suddenly noticed that he had lost some weight since he was in the emergency room.

During this period, he was juggling competitions, surgeries, and ward duties. He didn't say it, but his actions spoke volumes.

Zhou Wenyuan frowned slightly and patted Gu Lin on the shoulder.

It's not very strong, but it has a lot of weight to it.

He knew Gu Lin was intelligent, and he also knew Gu Lin was steady.

But the more he acts like this, the more afraid I am that he will take all the blame upon himself.