The Enhanced Doctor

(Thanks to book friends 20181224213512574, Lang Ru Tie 83, I Love Sheep, The Sound of the Wind That Night, Self-Pity Poetic Wine Lean, Book Friend 20180212154221818, 991998, Fu Jin, Tian Yue Lone Star, Book Friend 140203222948699, Ambitions Will Resonate, Iron Shura, Lonely Lonely Monthly Vote Encouragement)

"Director Liu, I just contacted the patient’s family. We will do our utmost to treat the patient,"

Just stepping out of the elevator, Qi Wentai shouted.

"Received, the attending doctors are the two of them," Liu Banxia said.

Qi Wentai paused for a moment, "Okay."

"One, two, three, move the bed."

After pushing into the emergency room, Li Hao shouted.

"Connect the ECG, rapid blood test, notify the operating room for preparation. Open another venous access, accelerate replenishment of blood and fluids. Huang Bo, check the fracture area. I’ll do the examination."

The people in the emergency room started moving, and Huang Bo didn’t argue with Li Hao about why he was the one giving orders.

This was noticed by Liu Banxia.

"Blood pressure 90/60, heart rate 95, blood oxygen 92, temperature 30." After connecting the ECG monitor, the nurse hurriedly reported.

"The right leg femoral fracture site has rough bandaging for hemostasis, suspected self-rescue by the patient. There is large area necrosis at the wound site, the leg can’t be saved, too much blood loss time, call orthopedics," Huang Bo also said.

"After Huang Bo secures the airway, administer oxygen. Auscultation shows poor breath sounds in both lungs, more severe in the left lung, sternum collapse, evidence of fracture." Li Hao said.

"20 units of Etomidate, 100 units of Succinylcholine, intubation kit," Huang Bo shouted.

"Patient’s abdomen is distended, abdominal wall rigid. After intubation and oxygenation, first do a chest X-ray. I will perform an ultrasound on the patient. Call cardiothoracic doctors."

"Ultrasound shows a large amount of free fluid in the abdomen..."

"Beep beep beep... Beep beep beep..."

"Not good, ventricular fibrillation occurred. One unit of adrenaline, I will do CPR. Prepare the defibrillator, 150J."

Li Hao was normally examining the patient’s abdominal condition when the patient suddenly had ventricular fibrillation.

Liu Banxia still didn’t move, standing by supervising their rescue.

It’s not that he doesn’t take the patient’s life seriously; the patient’s condition doesn’t appear so dangerous. Although ventricular fibrillation has occurred now, it might be due to the rise in body temperature after transportation causing a revival of body functions.

With Huang Bo and Li Hao, it’s sufficient.

The space beside the diagnostic bed is only so large, if he joins in, it might actually cause more chaos.

However, his supervision is not just watching idly.

The patient has rib fracture on the left side, so special care is needed when doing CPR. Try not to press on the fractured ribs to avoid causing secondary damage to the patient.

"Intubation complete."

"Charging complete."

"Hands off."

"Zap."

"Charge to 200 joules, continue CPR."

"Charging complete."

"Hands off."

"Zap."

"One unit of adrenaline, 200J."

Seeing that even after two defibrillation attempts the patient’s sinus rhythm hasn’t recovered, Li Hao started sweating on his forehead.

But he remains firm and cautious while performing CPR.

"Charging complete."

"Zap."

"Beep... Beep... Beep..."

"Alright, sinus rhythm restored, we got it back." Seeing the numbers on the monitor, the nurse happily echoed.

"How’s the blood oxygen?" Li Hao picked up the stethoscope again.

"Blood oxygen 94, no significant increase observed," the nurse hurriedly reported.

"It’s bad, it’s likely my pressing earlier injured the patient’s lungs, quickly do an X-ray," Li Hao said.

After finishing the chest X-ray, even Liu Banxia frowned slightly.

"Do a cardiac ultrasound and get an electrocardiogram," Li Hao shouted.

Liu Banxia nodded, this is what he thought of too.

Judging from the chest X-ray showing reduced pulmonary markings, increased translucency, shrinkage of right lower lobe, and enlarged cardiac shadow, the patient might have developed a pulmonary embolism.

"Director Liu, what’s the patient’s condition?" At this moment, cardiothoracic doctor Wu Xiaoyue walked in.

"Teacher Wu, just took an X-ray, feared it’s a pulmonary embolism. Also, the left-side rib fracture situation might have caused some degree of damage to the left lung, seems there’s some effusion," Li Hao hurriedly said.

"How’s his abdominal condition?" Wu Xiaoyue asked.

"The abdomen is distended and the abdominal wall is hard. I’m worried that peritonitis has already occurred, and there’s too much free fluid in the abdominal cavity," Li Hao said.

"Temperature is 32 degrees," the nurse on the side called out.

"First give the anticoagulant, if it can ease things, prioritize your abdominal surgery. If it doesn’t work, we’ll have to open the chest and operate simultaneously. Director Liu will be the chief surgeon?" Wu Xiaoyue said.

"I’m supervising them today, I’ll be on stage with you," Liu Banxia said.

"There’s no time for a CT scan, give the anticoagulant and push to the operating room," Li Hao looked at Wu Xiaoyue.

Wu Xiaoyue nodded, "It’s best not to open the chest, otherwise I’m worried the patient’s condition won’t hold through the surgery."

"Judgment of pulmonary embolism is pretty good, let’s go to the operating room," Liu Banxia also said.

This counted as official approval, and Li Hao and Huang Bo hurriedly pushed the patient towards the operating room.

Right now, the patient’s vital signs are very poor; whether this surgery can hold up is really unknown. The sooner we perform the surgery, the more hope we can give the patient.

"Has the patient been moved?"

Just after Li Hao and his team left, Wu Mingyu also rushed over.

"Just moved, amputation is needed. Why are you only arriving now?" Liu Banxia asked.

"I heard amputation was needed, so I knew you’d definitely have to handle other situations. I was just attending to a patient," Wu Mingyu explained.

"He tied himself up; the blood loss time was too long. But it’s a case of sacrificing a leg to save his life, otherwise, he wouldn’t have made it until people found him. His self-rescue was quite successful," Liu Banxia said.

"Ah... these years, the incidents with these trekkers are really too many," Wu Mingyu said with a sigh.

"Good swimmers drown in shallow waters, all feel they have some skills, then ignore everything and dare to challenge heaven."

"This spirit is commendable, but not every fearless act should be encouraged. People, actually, are quite fragile, and should always know their own capabilities. You can’t always joke with your life."

"Why so sentimental?" Liu Banxia asked, curious.

"Yesterday, I admitted two patients, indoor rock climbing," Wu Mingyu said.

"They didn’t do proper protection; one fell, landed on another, and then both ended up here. Fortunately, the injuries weren’t severe, just fractures."

"It’s said to be an expansion project by their company, without any training. Hot-headed, people encouraged, and they recklessly climbed up. They looked down, and got scared, their legs weakened."

"Ah... nowadays some expansion projects really deviate from their original intent, always thinking of attracting people with novelty and eccentricity," Liu Banxia said.

"Are you evaluating those two today?" Wu Xiaoyue asked.

Liu Banxia nodded, "It’s time to test them properly, not much time left now. Also need to add some pressure."

"Anyway, if I get drunk, I’ll only support you," Wu Mingyu said jokingly.

"Hahaha, it’s still within supervised pressure, can’t let them mess around," Liu Banxia replied with a laugh.

While chatting, they arrived at the operating room and scrubbed in.

"How’s the blood oxygen?" Wu Xiaoyue asked.

"Dropped to 93," the anesthetist Xu Jie said.

"Can’t wait any longer, Director Liu, be my first assistant please, let these two kids see what a top-notch first assistant is," Wu Xiaoyue said.

The expressions of the two cardiothoracic interns, Dong Tianyu and Liu Liang, were also very serious.

"They always want to order me around, especially your Comrade Old Chen," Liu Banxia said helplessly.

"Can’t help it, this surgery is racing against time, otherwise, the bleeding will be extensive," Wu Xiaoyue said.

"I think there’s no problem with Li Hao and Huang Bo taking the interns, the operating space is so cramped, can only use you, after all, you’ve participated in several cardiothoracic surgeries,"

"You two, do your best, Zhang Hongfei and Tian Yuan, you two also need to cooperate well. Opportunities don’t come easy, usually snatched away by others," Liu Banxia said.

"I’ll do the laparotomy, and later confirm the chief surgeon based on the patient’s intraabdominal condition," Li Hao said.

"Why? Can’t do it? Not confident?" Liu Banxia chimed in while assisting Wu Xiaoyue.

"If the spleen needs removal, Huang Bo is more experienced than me," Li Hao said as he cut open the patient’s abdomen.

"Oh no, there’s a tear in the intestines, lots of intestinal contents in the abdomen, acute peritonitis is inescapable, no wonder the abdominal wall is so hard."

"I’ll handle the intestines, Huang Bo, you check the spleen, and the rest is up to you. Let me see... still okay, just this one visible injury so far."

"There’s a large hematoma on the spleen, this guy... Teacher Liu, such a spleen can’t be saved, right?" Huang Bo asked, a bit troubled.

"Hold on... let me see... remove it. His luck is impressive, the hematoma hasn’t ruptured, or he would’ve been gone long ago," Liu Banxia said after taking a quick look.

This was the patient’s luck, the capsule didn’t rupture, significantly reducing bleeding. Otherwise, with such a long time, even if he had multiple lives, they wouldn’t be enough.

"By the way, I’m curious, why is Li Hao so active today? Is Huang Bo your little brother?" Liu Banxia unexpectedly asked.

"Teacher Liu, don’t expect to successfully sow discord. This is a rule among us: as long as there’s no order from a superior physician in the same consultation room, we listen to whoever is most confident and speaks first," Li Hao said.

"It’s our way of competing, just that Xu Yino isn’t here, or she would’ve definitely taken over. Honestly, today I’m hosting and attending to patients with a bit of courage, last time’s hypothermia patient left some psychological shadows."

Listening, Wu Xiaoyue felt quite emotional. Such a tense surgery and Liu Banxia still had the mind for these matters. It proved just how strong his operational skills were, he’s the first assistant for her, not hindering at all.