The Enhanced Doctor

The patient was taken for a CT scan, and after Zhang Pengfei and Cui Jia walked out, they huddled beside Liu Banxia like elementary school students, not daring to speak.

"How do you feel?" Liu Banxia asked.

"Too nervous, and then a bit panicked," Cui Jia said.

Liu Banxia glanced around, noticing there weren’t many patients currently, "Call the rest of the interns and training doctors to the small meeting room, and let’s have a short meeting."

"Uh... okay." Zhang Pengfei replied.

He knew the upcoming time might be a bit tough, but there was no choice but to endure it strongly.

Liu Banxia greeted everyone and then went to the small meeting room to wait.

The interns and training doctors walked in neatly and sat down quietly.

"Why do you all look so downcast? Today we’re just here to watch the fun. The next item is Zhang Pengfei and Cui Jia’s self-assessment. Who wants to start first?" Liu Banxia said with a smile.

Zhang Pengfei looked around and raised his hand.

Liu Banxia nodded, "Speak freely, speak without fear."

Zhang Pengfei grimaced, actually wanting to give a symbolic smile, but still couldn’t quite manage it.

"During today’s admission process, I was a bit flustered. Upon discovering the patient’s lung injury was somewhat severe, I didn’t pay much attention to the blood oxygen level, causing the intubation operation to be rushed," Zhang Pengfei said.

"Moreover, I forgot to perform blood cross-matching and coagulation testing during the examination, and also forgot whether the emergency personnel mentioned if the patient had any underlying conditions."

After speaking, Zhang Pengfei stepped aside.

"I also made many operational errors. After noticing the patient’s blood oxygen and blood pressure dropped sharply, I panicked, and the chest tube operation was too rough," Cui Jia stood up.

"I will definitely pay attention in future admissions and not make such mistakes again. Actually, I can handle it well, but at that moment, I just panicked too much."

After speaking, Cui Jia sat back down.

Liu Banxia smiled and stood up, "These two, they were still a little shy. But they weren’t bad overall and clearly stated the problems that occurred. Just two words: panic."

"Following along in admissions for so long, they have experienced a lot. It’s easy to perform well under someone else’s command, but when it’s time for you to take initiative, the panic sets in."

"I think this might be a common issue among you all, so I called everyone here to talk about it and review admission knowledge together."

"Actually, it’s normal for you to encounter this situation now. Some people excel under pressure and perform even better, while others thrive in stability. If you follow the rules, everything is fine, but once the rhythm is disrupted, panic ensues."

"These two types of practitioners have their own advantages and disadvantages. Here, we won’t talk much about it. The main point is the principles of admission."

"Besides the visible and estimated injuries of the patient, the patient’s airway is what we need to focus on the most. Because if there’s a problem with the airway during the admission process, things can go seriously wrong."

"Then there’s our assessment of the patient’s injuries. Prior to admission, dispatchers will tell us roughly about the patient’s condition, but this can only be a reference."

"Because the information they provide us is out-of-date, and many things could happen during the time the emergency vehicle transports the patient."

"So even after making some estimates, we must give our judgment after the patient is admitted. Take today’s patient as an example, with contusions in the chest and abdomen, low blood pressure, and tachycardia."

"This is actually a very dangerous signal, with the most likely cause of low blood pressure being severe internal bleeding. Additionally, with chest contusions, it’s very likely there’s a problem in the thoracic cavity."

"However, I need to commend Cui Jia. Her examination today was very much to my liking. She started with auscultation and then proceeded with ultrasound."

"For the patient’s abdomen, she first used palpation and, sensing it wasn’t very tense, opted to perform the initial ultrasound on the chest cavity, followed by the abdominal cavity."

"Every situation has its own priorities and urgency. She made her judgment after discovering abnormal breath sounds during auscultation."

"But there’s one point we should critique. When Zhang Pengfei was performing a tracheal intubation, why didn’t you act? You could have simultaneously performed chest tube drainage for the patient."

"The patient’s blood oxygen and blood pressure dropped rapidly, likely due to oxygen supply issues. As blood oxygen concentration decreases, it can also affect blood pressure."

"The patient’s blood oxygen reduction was because of the lung contusion and effusion. After tracheal and chest tube intubation, there was significant improvement."

"As for the minor mistake Zhang Pengfei reviewed, I really think it shouldn’t have happened. He already assessed the patient had the potential for surgery but forgot about the blood cross-matching. I’ll deduct a point for that."

"However, there’s also something to commend. His tracheal intubation today was done very well, meeting our emergency center’s basic operational standards."

"Don’t panic during admissions. The knowledge you currently master is enough to handle admissions. The large number of admissions you’ve participated in, working so hard every day, isn’t for nothing."

"You must have some confidence in yourself, don’t still think of yourself as an intern or a regulated training doctor who just joined the hospital and doesn’t understand anything. That won’t do, do you all understand?"

Everyone nodded in unison.

They also knew that the upcoming study plan might lean towards patient reception, and for a moment, the pressure was palpable.

However, Liu Banxia didn’t care whether they felt any pressure; building confidence was also very important.

If they are very nervous during patient reception, then after joining other hospitals in the future, their performance will also be just passable.

This is the final stage of the internship at the Second Hospital’s Emergency Center; he doesn’t want these people to be looked down upon after they leave.

The initial six succeeded very well, but their situation couldn’t be replicated. This current batch truly represents the training level of the Second Hospital’s Emergency Center.

Just like he said, everything’s fine as long as they follow the orders. He had seen it many times, just that when it was their turn, their confidence was slightly lacking.

As he came outside, he happened to see Liang Xiaolin looking at something on the computer, so Liu Banxia leaned over.

"This patient’s condition is a bit strange. Based on the current injuries, the condition shouldn’t be this serious," Liang Xiaolin said.

"Let’s still observe first. If there’s still no improvement, we can only do a thoracotomy. Do you know what kind of car hit?"

Liu Banxia shook his head, "We can only ask President Wang about this. Calling President Wang, calling President Wang, please respond if you hear this."

Wang Chao not far away helplessly glanced at him and walked over.

"Enlighten us, what kind of car hit this emergency patient we received? From the current situation, it seems like the physical condition is much worse than the injuries suggest," Liu Banxia said.

"It was an electric bike. She was riding a shared bike and was hit by a turning electric bike. But the electric bike rider fled, and we’re currently looking for them," Wang Chao said.

"See, I knew Wang Chao would know. But how fast must that electric bike have been going? There’s a splenic hematoma. Let’s observe first. If it doesn’t rupture, we won’t do surgery," Liu Banxia said.

"Maybe it’s just a stroke of bad luck. This situation is quite uncertain," Wang Chao said.

"The family has arrived too. According to them, she usually drives. Today, she planned to take a ride on a shared bike, and then the accident happened."

Liu Banxia also felt deeply moved; this is also fate.

"Dr. Liang, is the patient still here, or has she been sent to the ward?" Liu Banxia asked.

"She’s kept here under observation first. Once her condition stabilizes a bit, she’ll be sent to the ward. Currently, her injuries appear very strange. I always feel that based on her current injuries, she shouldn’t be doing this poorly," Liang Xiaolin said.

Liu Banxia nodded, "Do you also think she might have another illness? Something with the lungs?"

"Hard to say, the CT didn’t show much. Just a splenic hematoma, but so far, it doesn’t seem too problematic," Liang Xiaolin said.

"Anyway, pay extra attention and monitor the patient’s vital signs. Her blood oxygen is at 96, which is relatively stable, but we still need to keep a closer watch."

Liu Banxia nodded, agreeing with what Liang Xiaolin said.

The condition this patient is currently displaying is certainly more severe than her injuries suggest, though there’s nothing in the related tests that’s notably abnormal.

For now, observation is all that can be done because any further methods would involve surgical intervention, which is more invasive to the patient.

Ding! Task issued: Patient with severe injury symptoms

Open task: The patient was admitted after being hit by an electric bike. Current assessments indicate the patient’s condition is poor, not in line with the outward injury symptoms. There may be an underlying illness, requiring the host to conduct further examinations.

Task reward: To be issued based on the diagnostic outcome.

When the task suddenly appeared, Liu Banxia was somewhat amused yet helpless.

It has been a while since a task was issued; maybe it’s due to him having "fewer ideas" recently. Today he pondered a bit more, and the task popped up.

"Just face it ’bravely’," he thought. It’s not certain this patient has another illness anyway, so for now, just observe.

At that moment, he saw Liu Yiqing walking out of the elevator with her hands behind her back, looking very relaxed and cheerful, so he waved her over.

"Looks like you and your little experiment did quite..."

"Beep beep, beep beep..."

Before he could finish, the alarm on the heart monitor went off wildly.

Liu Banxia looked in the direction of the sound and saw the patient’s family calling for a nurse. He didn’t pay Liu Yiqing any more attention and ran straight over.