He got into the ambulance and they took his blood pressure. The diagnosis of 60/40 mm in the mercury column was a clear indication of hemorrhagic shock.
The doctor in the ambulance left him an intravenous line and used the corresponding antihypertensive drugs to maintain his blood pressure level.
However, it was a ruptured radial artery, after all. No matter how hard he tried to maintain it, the man had not managed to make it alive to Sea City General Hospital.
The person was probably not going to make it, the doctor on the ambulance judged. The family members were not around, so there was no need to put on a show for them.
C.h.e.s.t compressions were done for three to five minutes. If he could not be saved, he would be declared clinically dead.
Although it was a pity, there was nothing else that could be done.
If the heart stopped beating for more than ten minutes, even if he could be saved, prolonged cerebral hypoxia would turn the patient into a vegetable.
For him, a life like that was meaningless so why would one bother?
He bent over and placed his hands on his knees. He panted heavily as his hands trembled slightly. There was a spasm and convulsion that resulted from muscle tension after a long period of exertion.
Since there was someone on the other side, the doctor in the first-aid ambulance was no longer in a hurry.
He panted a few times before he stood up. He was prepared to walk over to Sea City General Hospital's emergency department for the handover so that he could return.
After a few steps, the sound of a stretcher trolley's large wheels crushing the marble floor rang out again.
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The first-aid doctor was a little puzzled.
"Move aside, move aside!" the escort shouted as he angrily chased away the people who were walking in the emergency department's corridor.
Within that moment, the only people who were blocking the way were the first-aid doctor and nurse.
The doctor was stunned for a moment. He was already dead so why was he still so angry?
However, he did not care. During emergency treatment, the surge of epinephrine and dopamine would indeed make people irritable.
The stretcher trolley roared as it sped past him. The first-aid doctor widened his eyes and was immediately stupefied.
He looked at the patient with his eyes wide open and his lips moving slightly. He wanted to say something but it had no strength to move past his lips.
He moved a bit too slowly and the nurse with the IV pushed him away violently as the attending doctor ran in.
Chapter 607 - Was Simple And Direct
What the hell was going on?
The first-aid doctor was stunned.
No one knew more about the patient's condition more than him. After all, he had watched the patient go from hemorrhagic shock to sudden respiratory arrest.
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Could it be that he had been busy all night and his eyes were blurry from exhaustion?
The first-aid doctor whispered to the nurse beside him, "Do you think the patient is still alive?"
The nurse yawned and said, "Sea City General hospital has saved him. What's so strange about that? Hurry up and hand over the patient. There are no more patients on the highway. If I rush back now, I can get one or two hours of sleep before my next shift. I'm so tired. However, the doctor who ran with the patient just now was really good-looking. If I were on duty with him, I wouldn't feel tired even after a few twenty-four-hour shifts."
When she said that, the nurse shot a disdainful glance at the first-aid doctor.
He was old and ugly. After working all night, his face was deathly pale. It was really impossible to look at him.
F*ck! He really did come back to life! The first-aid doctor did not notice the young nurse's gaze. He was surprised.
"You're here to hand over the doc.u.ments, right?" Zheng Ren stood at the entrance of the resuscitation room. He waved his hand and said, "The procedures are handled on this side. Brother Yuan, go through the procedures with them."
The first-aid doctor walked over in a daze. He saw that Zheng Ren was very young but his eyes were full of spirit. Even his hair, which had been flattened by the sterile cap, seemed almost alive.
If they were in a TV series, he was the kind of person you would expect to be the main character.
"Did you save him?" the first-aid doctor asked carefully.
"Yes." Zheng Ren nodded and called Yuan Li over to handle the handover procedures.
Zheng Ren did not want to get involved with such trivial matters.
Yuan Li had a rough night. His stubble had grown out and he looked extremely down and out of it.
"May I know your surname?" the first-aid doctor asked.
"My surname is Zheng. I'm the emergency department's chief resident," Zheng Ren said.
"Chief Zheng, how did you know how to make the call?"
The first-aid doctor was very curious. He knew the patient's condition very well. Moreover, he had performed cardiopulmonary resuscitation for more than four minutes in the ambulance and several defibrillations.
The cardiopulmonary resuscitation he had performed was extremely standard. No one dared to board the first-aid ambulance without practicing cardiopulmonary resuscitation.
A few years ago, he had even won first place in the emergency medical competition in the hospital.
He could guarantee that his methods were completely by the book.
However, the fact was that the patient whom he had failed to save and thought to be dead had come back to life in less than a minute after arriving at Sea City General Hospital.
It was nonsense to say that he was alive and kicking. However, the patient had just opened his eyes and was even trying to talk... He had seen it with his own eyes.
Therefore, he was very curious and asked his question.
"After the heart stops for more than three minutes, there's no need to care about the strength of the cardiac pressure. Of course, that's based on my own understanding and not based on standard practices. For those in the surgery department, it should be pretty easy and direct to explain." Zheng Ren knew what he was asking and since he was not busy at the moment, he explained to him, "If you press down, the ribs might break but there's more pressure on the heart. Therefore, the chances of being saved will be much higher."
The first-aid doctor was stunned. It was not a standard procedure. If that was the case...
"Chief Zheng, what about the secondary injuries?"
"If he was already declared dead, would there be any secondary injuries?" Zheng Ren was also very curious. That was the question.
Secondary injuries were only something the living could have. Dead people did not have secondary injuries.
The first-aid doctor was speechless yet again.
Chief Zheng's words seemed to make sense but there was something wrong with them.
"Secondary injuries are just injuries where the heart muscle might be pierced by a broken rib. Doesn't the hospital have a cardiac surgery department? As long as the patient is saved, these things can be dealt with. It's very simple," Zheng Ren said.
The first-aid doctor was completely speechless as tears streamed down his face.
Look at him. He had a heart injury but was so confident that things could be done with a single suture... What was this!
Imagine the kind of rough and wild rescue with both palms pressed on the patient... It was
not right. The standard procedure was to press on the lower half of the sternum.
"Chief Zheng, you don't press on the sternum during CPR."
"Non-cardiogenic cardiac arrest. I feel that there is a certain limit to the strength you can use if you press on the sternum." Zheng Ren saw that Yuan Li was filling out the form and continued since there was nothing much he could do while waiting. "The elasticity of the sternum is relatively poor, so most of the strength is scattered by the sternum. Press the left side of the sternum slightly and break the rib cartilage. This way, most of the pressure can be transmitted to the heart."
An unconventional operation? The first-aid doctor was somewhat dumbfounded.
"Cardiogenic cardiac arrest requires defibrillation, so this kind of non-cardiogenic cardiac arrest can be done as long as enough strength is used." The corner of Zheng Ren's mouth revealed a trace of a smile. "Haven't you guys done thoracotomy before? Do you know how to do direct cardiac compressions?"
"No..."
"Oh, that's a pity," Zheng Ren said. "The sudden cardiac arrest was caused by ischemia. Many times, as long as a sufficient starting force is used, the heart will temporarily restore the biological current supply and allow some time for resuscitation."
Seeing that the first-aid doctor still had a look of disbelief on his face, Zheng Ren knew that no matter how much he explained, it would be useless.
He smiled and said, "Your efforts in the ambulance were still effective. Otherwise, the patient would not be able to open his eyes after his heart rate recovered. This patient's emergency treatment was successful and he'll recover. Thank you for your hard work."
"No... It wasn't hard work at all," the first-aid doctor said absentmindedly.
During that time, Yuan Li had already filled out the form and handed it to the nurse.
The nurse pulled the doctor back to the ambulance.
Along the way, he was still mumbling something. His expression was absent-minded. It was as if he had lost his soul.
Zheng Ren looked around. The emergency department's corridor was a mess.
There had been resuscitation and triage. The nurse was so busy that she had been jogging around the department for the past few hours. How could she have time to tidy up?
"Chief Physician Pan, there shouldn't be anything else. I'll go to the ICU to take a look at the situation. You should go home first," Zheng Ren said.
"It's already past three o'clock. I won't be going back." Old chief physician Pan looked at the time and said, "I'll sleep in the office for a while. If there's anything on your end, just call me."
"Okay," Zheng Ren replied crisply. He made good use of the time to go to the in-patient department.
The emergency department was cold and gloomy. They wore isolation suits with their white coats. It was really unbearable.
When they were busy, they could not feel a thing. However, when they had time to themselves, the atmosphere and temperature were obvious to them.
Zheng Ren quickly walked all the way to the ICU. He took a look at the patient who had just undergone surgery. The drainage at the liver and kidney recesses was smooth, and about 10ml of blood was drawn out.
It was all within his expectations. Zheng Ren glanced at the patient's medical advice again. Three groups of hemostatic drugs were applied at the same time.
That was about it. If there was any special treatment needed, Zheng Ren had no specific advice for it.
However, without Su Yun sitting by the patient's bed holding a pen and piece of paper in his hand with the liquid car beside him, Zheng Ren would feel that something was strange and be constantly worried.
Chapter 608 - You Also Have To Be Good
Zheng Ren came out of the ICU and was completely relaxed. He remembered that today was the 11th, which was the date of his mission.
Zheng Ren did not know the specific and neither did Su Yun.
Zheng Ren did not know what it was about, how long it would take, or where he would be going.
He was very confused.
He quieted down and recalled the memory of celebrating Xie Yiren's birthday in the middle of the night. Zheng Ren was reluctant to part with her.
He took out his phone and sent a message to Xie Yiren.
[Are you done?]
[I just lied down to sleep for a bit. What about you?]
Xie Yiren replied quickly.
[Everything's done on my end. Are they asleep? Come out for a moment. I want to talk to you.]
[Hmm? Okay.]
[Just give me a moment. I'm at the ICU entrance. I'll be back.]
Zheng Ren held his phone and walked quickly to the entrance of the emergency operating theater.
He did not go in. Instead, he sent a WeChat message to ask Xie Yiren to come out.
They had just carried out a major emergency treatment. A room full of nurses and doctors were sleeping. It was really inconvenient to simply head in there alone.
After waiting for less than a minute, the operating theater's door opened. Xie Yiren was wearing a dark green isolation suit and poked her little head out.
Zheng Ren waved his hand. Xie Yiren smiled when she saw him.
"Why aren't you sleeping yet?" Xie Yiren jumped out at him like a cute stuffed toy.
"I missed you," Zheng Ren looked at Xie Yiren and said softly.
A blush crept up on Xie Yiren's face. Even her neck looked flushed.
"I came to see you before I go to sleep." Seeing that Xie Yiren was embarrassed, Zheng Ren smiled and changed the topic.
"Well, you should rest early too."
"Okay."
"When did Department Chief Kong say you were going to the Imperial Capital? My parents will be back in a week. Can you go after they come back?" Xie Yiren asked as she looked at Zheng Ren.
"I'll try my best." Zheng Ren sighed in his heart. He was afraid that he would not be able to see his in-laws this time.
"Alright." Xie Yiren heard a hint of uncertainty in Zheng Ren's tone. She was not unhappy, but there was a bit of regret.
Zheng Ren opened his arms, wanting to hug Xie Yiren.
Little Yiren immediately jumped away. She pointed at the security camera and smiled.
"Okay, go back to sleep." Zheng Ren smiled and reached out to touch Xie Yiren's head.
"Okay, I'll go to sleep obediently. You have to be good too," Xie Yiren said.
Zheng Ren nodded and watched Xie Yiren go back. He felt lost.
When he returned to the emergency ward and saw Su Yun sitting in his office, Zheng Ren walked in and asked, "How's the patient?"
"She's fine. The rest of the department is busy. Blood transfusions and preparations for surgery are being done. They just require a vascular clamp so the surgery shouldn't be a problem," Su Yun said.
"That's good."
"Did you say goodbye to Little Yiren? You didn't spout any nonsense to her, right?" Su Yun asked.
"Yes, I did," Zheng Ren answered simply. Suddenly, he remembered something and said, "Let's go. There's no news. Maybe she'll call the cops if we can't be found?"
Su Yun raised his head in surprise. The black hair on his forehead fluttered in the wind. He stared at Zheng Ren as if he were looking at a fool.
"What?"
Su Yun was helpless against Zheng Ren's dumb cuteness. He was not in the mood to argue with Zheng Ren and just sighed slightly.
"Someone will inform my family but they haven't given me any details on how long we'll be away or where we'll be."
"You guessed it?"
"Teacher Han went on a mission in the past but I had no way to contact him then and asked him what had happened. In the end, he told me everything."
"Oh." Zheng Ren thought that the mission this time would probably be finished quickly and not drag on for too long.
"Let's rest for a while," Zheng Ren said.
"There's nowhere we can go. The professor is sleeping in the duty room. Didn't you hear him snoring?"
It was only then that Zheng Ren notice
d the snoring could still be heard through the duty room's door.
He would sit there for a while then. It would be even noisier if he went in. Moreover, it was already past three to four in the morning so there was no need to go home.
The two of them sat quietly and dozed off.
...
The next day, their shift ended early. Zheng Ren and Su Yun did not appear.
Everyone thought that the two of them had gone to sleep somewhere after the emergency treatment last night.
Old Chief Physician Pan was not surprised. Nothing had changed. It was time for the shift change and ward round. Chief Wang and the others shouldered Zheng Ren's mission and carried out the emergency treatment.
In the afternoon, Xie Yiren was called to Old Chief Physician Pan's office.
When she came out, Little Yiren's expression was a little strange. There was no sadness or joy, only a little numbness.
The days passed day by day like flowing water.
Some were busy, some were relaxed. There were sunny days, as well as those plagued with wind and snow.
Xie Yiren worked in silence, never mentioning Zheng Ren.
Everyone got the news from the newly arrived chief resident of Imperial Capital Hospital that Zheng Ren and Su Yun had gone to the Imperial Capital to set up a brand new surgical research center.
Many people were envious, but there were also some who were jealous.
However, those who were jealous did not even have the chance to cause trouble behind their backs. Zheng Ren was like a rising star. He only left behind countless legends in Sea City General Hospital before he left.
Old Chief Physician Pan was happy every day. He was in charge of the emergency department and was extremely busy.
Since Zheng Ren was not around, the emergency department did not collapse.
Chief Wang from the Imperial Capital Hospital brought a few colleagues and supported the emergency department of Sea City General Hospital to the best of their abilities.
After all, they were a medical team from the Imperial Capital. There were no problems with the diagnosis, treatment, and surgery.
The Surgeon's Studio c1-799 Page 290
