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Chapter 457: A Chance Encounter on the Street

~7 min read 1,313 words

Perhaps it was at Fan Dao's signal, or perhaps medical students are "nosy" by nature, but the two Interns stood up in unison.

The Intern holding a pen, who was thinking about the content for tomorrow's shift handover, hesitated; it was clear he did not want to get involved.

Having changed his clothes and his identity, he only wanted to be an ordinary person and quietly eat a bowl of noodles.

The other two Interns looked out the window; that person was squatting by the side of the road vomiting, and what came out was brown gastric contents.

There wasn't much, but the color looked abnormal.

Brown—it told the medical students very bluntly that there was blood in the person's vomit! Although they were rookies, they still understood this simple common sense.

It must be a Gastrointestinal Bleeding!

The medical students instinctively grew tense; the three of them walked out of the noodle shop one after another, while Fan Dao and the Camera Crew filmed from a slightly further distance and dialed the 120 Emergency Vehicle number immediately.

Regardless of whether it could be used, calling first was a must.

Facing the sudden unexpected situation, the Guangtou Zhuchiren asked, "Professor Shen, what do you estimate this situation is?"

"Looking at the color of the vomit, it should be an upper gastrointestinal bleeding." Professor Shen stared at the screen solemnly; it looked as if he had already become immersed in it, even wanting to step in to help.

"Isn't it a Gastric Perforation? Is an upper gastrointestinal bleeding very serious?"

"Let's put it this way: many patients with Liver Cirrhosis or esophageal varices will vomit blood, but... I don't think the color is right."

"The patient's vomit is brown, suggesting the amount of bleeding isn't large, but it is fresh blood, so the first judgment is that it might be the upper gastrointestinal tract."

Professor Shen stared at the screen and did not continue to explain what the upper gastrointestinal tract was.

The Patient looked very uncomfortable, covered in sweat, with a pale face. After vomiting a few times, he couldn't bring anything else up, but he kept retching, as if that might make him feel a bit better.

Sweat was visibly emerging; even through the screen, one could feel that the Patient's skin was damp.

"He seems very uncomfortable; he won't die, will he?" A guest who hadn't seen this before was scared, his face turning slightly pale, and he muttered to himself.

"It's alright, he isn't continuing to vomit blood. If he vomits mouthful by mouthful, as long as it doesn't spray out, he can hold on until the hospital," Professor Shen judged.

The Patient looked very uncomfortable, but the situation was not considered extremely critical, and since the Camera Crew and passersby had already called the 120 Emergency Vehicle, Professor Shen relaxed after seeing it clearly.

He said with a chuckle, "To treat this kind of patient, these few Interns will likely have a headache. But they don't need to treat him; the 120 Emergency Vehicle will arrive soon."

"That counts as a small interlude," the Guangtou Zhuchiren laughed. "Professor Shen, have you encountered similar situations on planes or trains?"

"I encountered one once. On the T39 train to Rongcheng, they announced over the train's loudspeaker before Guangyuan asking if there were any medical workers. I rushed over. It was a migrant worker with a stomachache. As soon as I touched him, his stomach was extremely hard—a classic Board-like Abdomen."

"And then?" a guest asked.

"I had the conductor contact them, and I specifically instructed that a small station wouldn't do, as the township hospital there might not be able to treat him. So we contacted Guangyuan; the 120 Emergency Vehicle went directly to the platform, and when the train arrived, the Patient was sent straight onto the emergency vehicle."

"So cool!" A guest's eyes sparkled.

"That was the simplest diagnosis; there was no way to treat him on the train, so it's not really cool." Professor Shen smiled. "I just gave the advice not to send the patient off at a small station because I considered that the patient had an Acute abdomen combined with a Gastric Perforation..."

Just as he said this, the Patient squatting on the ground and retching suddenly stiffened, and like a puppet, he collapsed to the ground from his squatting position.

The three Interns beside the Patient froze, staring blankly at the Patient.

Everyone in the Review Room, including Professor Shen who had been talking eloquently a second ago, also froze, watching the Patient, not knowing what had happened.

And on the screen, there was no sound of a 120 Emergency Vehicle, only the exclamations of passersby.

The Patient's supraclavicular fossa was very deep, becoming deeper and deeper; this was the only thing that could be seen.

Within a few seconds, pink liquid suddenly "sprayed" out of the Patient's nostrils, and pink sputum also flowed from the corners of his mouth.

This time, even the Guangtou Zhuchiren forgot to save the scene, staring blankly at this sight.

Having previously complained that the medical field was rigid and lacked human touch, now that three Interns had encountered an emergency patient without any senior Doctor present, seeing them look lost and at a loss for what to do, everyone knew these three couldn't rush in.

Let alone the three Interns, even Professor Shen didn't know what was wrong with the patient or what had happened.

Vomiting, brown gastric contents, coughing up pink foamy sputum...

Professor Shen stood up with a "whoosh"; this was an instinctive reaction engraved in his body.

He didn't know how the patient's problem had come about, but now the first priority should be to clear the patient's airway; if there was an opportunity, a Tracheotomy should be performed.

But!

This was a Commercial Street, and the 120 Emergency Vehicle hadn't arrived yet.

"Move aside!"

A "familiar" figure appeared, and the guests in the Review Room felt a sudden sense of relief.

It was Yang Zhuren, followed by the alcohol-scented Li Zhuren, Kong Zhuren, and Ji Xiang.

Yang Zhuren pushed aside the Intern who was lost and patting the patient's back, changed the patient's position, and "pried" open the jaw following the patient's muscle strength.

More pink foamy liquid flowed out, mixed with a hissing sound.

"Knife, cut it open!" Yang Zhuren reached out a hand.

But no one handed him a knife.

The next second, Yang Zhuren realized he was out eating, heard the chaos below, and came out to "pick up" a patient with breathing difficulties.

This was not a hospital; there were no means of rescue.

"Damn it!" Yang Zhuren cursed. "Prepare for Cardiopulmonary Resuscitation!"

He laid the patient flat, with the body slightly turned to the side to avoid aspiration and suffocation if there was still breathing.

Although the patient had not yet reached cardiac arrest, such a thing could happen at any time, and it was a high probability.

Everyone knew that whether the patient could live depended on when the 120 Emergency Vehicle arrived.

But the patient's condition took a sharp turn for the worse; it only took a few minutes from vomiting to spraying pink liquid.

However, the patient's symptoms did not stop at the stage of "spraying" pink foamy liquid, but progressed rapidly.

The supraclavicular fossa deepened, and the suprasternal notch was visibly deepening as well.

Yet the sound of the 120 Emergency Vehicle still did not appear.

The time was too short; the guests estimated the time, fearing that the 120 Emergency Vehicle had only just left the hospital gate. This was already very fast, but for the patient, it was completely insufficient.

Professor Shen knew that the intercostal spaces blocked by the patient's clothes were likely deepening as well. Clinically speaking, this was the Three depressions sign...

"Teacher Yang, let me."

(End of chapter)

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