Zhou Li had planned to make braised pork ribs for Wang Lei this evening, but because Wang Lei had to work late again, the al had to be postponed.
Being a doctor, this was an unavoidable part of the job. It wasn’t just on workdays; if a critically ill patient needed treatnt even on a day off, you had to rush back.
"Think about it, how do you plan to schedule your shifts this month so I can arrange them?" Liu Banxia asked after dinner, moving closer to Liang Xiaolin.
"Isn’t it usually one shift every four days? Or should I do one every three days? Would that let gain more experience?" Liang Xiaolin asked after a mont of thought.
"It would, but you’ll need to be more committed. I’ve taught you so diligently, but you still lack courage," Liu Banxia said.
"Look at you... you glare at as soon as I say anything. Although I can look out for you, I can’t be biased. If your skills aren’t up to par, they just aren’t."
Liang Xiaolin was furious. "When have I ever needed your favoritism? Every ti you ss up, don’t you drag into it? Where are you running? Get back here!"
Only a fool would go back. Liu Banxia, who had run off, was determined not to turn back. This batch is harder to manage than the last.
"Dr. Liu, get ready. We have two car accident patients," Wang Ying called out.
"Sister Wang, you should just call Shoutian. When you call Dr. Liu, I always feel like you’re calling soone else. Who from General Surgery is on duty today?" Liu Banxia inquired.
"Wei Yuan is on duty. They said over the phone that one patient is seriously injured; her head hit the windshield," Wang Ying reminded him.
Liu Banxia nodded and headed for the entrance of the ergency room.
At this mont, Wei Yuan also walked over with Qi Wentai and Liang Xiaolin. Qi Wentai wore an awkward expression.
"Brother Wei, can Dr. Liang and I have priority with one of them?" Liu Banxia asked.
Wei Yuan chuckled. "I’d love that. You pick."
Wei Yuan had just finished speaking when an ambulance stopped in front of the ergency entrance. Liu Banxia hurriedly went to et it.
"Female patient, 28 years old. Her head shattered the windshield, causing lacerations; already bandaged. BP 50/90, heart rate 140," a paradic reported.
"Brother Wei, I’ll take this one. Liang Xiaolin, follow to Resuscitation Room One," Liu Banxia shouted.
Ding! Admitting ergency patient.
Open Task: Rewards will be issued based on the host’s dical procedures during ergency treatnt.
"Alright, on my command: one, two, three, lift!" Liu Banxia said once they were in the Resuscitation Room.
"Liang Xiaolin, maintain the airway, prepare for intubation, connect the monitor. Xu Dan, establish an IV line, prepare 2 units of O-positive blood, run a rapid trauma blood panel, and bring the portable ultrasound machine," he ordered.
"Blood pressure is dropping," Shen Lin, who had just connected the monitor, reported.
"I’ll treat the head wound first. Saline rinse," Liu Banxia declared as he unwrapped the gauze from the patient’s head.
A nurse quickly took the saline and rinsed the wound.
Liu Banxia took a close look. "No major issues. Apply a pressure bandage. I’m going to perform an abdominal ultrasound next. Schedule a CT scan."
"Blood pressure is still dropping," Shen Lin stated.
"There might be internal bleeding. Transfuse blood and fluids. There’s a significant amount of free fluid in the abdominal cavity; notify the operating room imdiately! Have we managed to contact the patient’s family?" Liu Banxia frowned as he looked at the ultrasound display.
"Her phone’s smashed. The patient who ca with her said they just t; she doesn’t know anything," Wang Ying responded.
"Brother Wei, how are things on your end?" Liu Banxia called out.
"Just finished the examination. There’s a hematoma in the abdominal cavity, but vital signs are relatively stable. I’ve sent them for a CT scan," Wei Yuan inford him, hurrying over.
"Alright. Co with to the operating room. If it’s not serious, you take charge. I’ll co back to keep an eye on things," Liu Banxia said.
Wei Yuan nodded firmly.
Normally, Liu Banxia would be responsible from start to finish. This arrangent was to give Wei Yuan a chance to perform, preparing for his future transfer to the Ergency Departnt.
Truth be told, compared to Wei Yuan, Liu Banxia was the one who currently needed to accumulate experience the most.
"Shoutian, I hate you! I just finished one surgery, and you’re already here to hound for another!" Wang Lei’s complaint echoed as soon as Liu Banxia entered the operating room.
"Comrade Old Wang, one must have a spirit of dedication. Everyone has worked hard—except for Old Wang, of course," Liu Banxia said with a straight face.
"No known prior dical history?" Wang Lei asked after the joke.
Liu Banxia shook his head. "We’ll have to wait until the patient wakes up."
Wang Lei sighed internally. This type of patient was the most dangerous. You wouldn’t know if they had any allergies, so you had to monitor their vital signs closely during anesthesia.
"Brother Wei will be the chief surgeon, with Liang Xiaolin as first assistant," Liu Banxia announced.
Wang Lei glanced at him in surprise. He hadn’t noticed before, but Shoutian indeed had the bearing of a commanding general.
Wei Yuan, taking the scalpel, didn’t hesitate and directly began an exploratory laparotomy. There was a massive amount of blood in the abdominal cavity; after the incision, the patient’s blood pressure dropped again.
"Suction can’t keep up! Gauze packing!" Wei Yuan ordered.
Piece after piece of gauze was packed into the patient’s abdominal cavity, finally stabilizing her blood pressure. However, it was only a temporary fix; it was still slowly declining.
"Visible partial splenic laceration and splenic hilum rupture. We need to remove the spleen. Hemostats," Wei Yuan said after examining the area.
"Thank goodness, her life can be saved. We’ll look at her head injuries later," Liu Banxia exhaled in relief.
"There must be other bleeding points; the blood pressure is still dropping," Wang Lei warned, his eyes fixed on the monitor.
His words startled both Liu Banxia and Wei Yuan. This was the problem most feared during surgery. Many hidden bleeding points, if not addressed promptly, could also endanger the patient’s life.
"Shoutian, co take a look. I can’t find it," Wei Yuan said anxiously after searching for a mont.
Liu Banxia put on gloves. "Don’t panic; let’s search slowly. The blood pressure is falling slowly, so the bleeding point shouldn’t be large... Haha, found it! The sentery is bleeding."
Everyone looked at the sentery Liu Banxia had exposed. Indeed, there was a bleeding point. From this, one could see how violent the collision in the car accident had been.
"Blood pressure’s rising," Wang Lei said with a smile.
Everyone was delighted. This ant all bleeding points had been found. The initial resuscitation of this patient was successful.
A splenectomy is no small operation; in the General Surgery surgical catalog, it’s classified as a Level 3 surgery. Even though Wei Yuan had been an attending for over three years, he had never independently perford a splenectomy.
This was probably one of the benefits of working in the Ergency Departnt; you encountered many ergency surgeries needing imdiate attention. Of course, such operations also carried risks. Any mistake could potentially affect your career.
Wei Yuan handled the procedure very carefully, especially while dissecting the spleen, explaining the relevant technical points to Liu Banxia and Liang Xiaolin.
As Wei Yuan removed the spleen and placed it on the tray, Liu Banxia gave him a thumbs-up. "Brother Wei, I won’t watch the handling of the splenocolic ligant and splenic pedicle. I need to go check on the other patient."
"Liang, follow Dr. Wei and learn diligently. The abdominal closure is your job. Be serious, don’t be all smiles and giggles. I’ll need to hear Dr. Liang’s assessnt later."
Ding! Ergency patient admission task completed.
Received 300 Experience Points, 300 Diagnostic Skill Proficiency Points, 200 Splenectomy Skill Proficiency Points.
This evaluation was Flawless Grade. Received an additional 500 Experience Points, 500 Diagnostic Skill Proficiency Points, 500 Splenectomy Skill Proficiency Points, and 1 Glory Point.
Looking at the system prompt, Liu Banxia was quite satisfied.
The patient’s ergency treatnt was now basically complete. After treating the abdominal wound and then getting a head CT, it would be over. Everyone’s mood relaxed considerably.
Liang Xiaolin felt aggrieved but couldn’t voice it. Who could she bla for Liu Banxia holding a higher position than her? Before, he was just one rank above her. Now, this fellow had beco chief resident, instantly two ranks higher.
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