Chapter 45: with translation of chapter title

A cold, mechanical female voice came through, not answering Zheng Ren's shout but issuing a task.

Emergency Task: Ten Thousand Families Become Buddha.

Thus for terms not in glossary, we need to provide English translation? The glossary only provides mapping for certain terms. For others, we need to give the English translation (meaning) as the term? The instruction: "List every NAMED entity / coined term in these lines: characters (incl. the protagonist & minor ones), places, sects/clans/factions/peoples, official & sect ranks/titles, techniques, cultivation realms/pills/treasures, named beasts/items, fan-fiction names." It doesn't say we must translate them; we just list them. But earlier: "Reuse the EXACT English from the glossary above for terms already listed." For terms not in glossary, we need to provide their English form? Probably we should translate them to English (meaning) as the term. Since they are not in glossary, we need to provide the English translation. The glossary is only for certain terms; for others we need to translate them ourselves. So we need to output something like 【{"raw_term":"EnglishName","original_term":"ChineseChars"},...】 for each term.

Thus we need to extract all named entities/coined terms from lines.

Let's go line by line.

Zheng Ren (as per glossary). Also maybe "mechanical icy female voice" is not a name.

Emergency Task: Ten Thousand Families Become Buddha.

Emergency Department (as per glossary). Also large-scale food poisoning is not a name.

Task Rewards: generic. Silver Treasure Box (not in glossary). Could be a named item; we translate as Silver Treasure Box. Experience Points (as per glossary). Skill Points (not in glossary).

Task Time: generic.

The always generous system, this time even more generous, directly gave a task that left Zheng Ren stunned; the reward was so generous that Zheng Ren couldn't believe it, Zheng Ren didn't know what the silver treasure chest could contain; just 300 Skill points and 30,000 Experience Points were enough.

The system store does not have the Femoral Vein Dissection technique.

What the hell, is this messing with me? Zheng Ren is frenzied.

Every minute of delay, even every second, could cause the patient's death.

Suddenly, in the midst of his frenzy, Zheng Ren had a flash of insight: isn't the start of an interventional procedure just arterial puncture?

But what I need to do now is deep venous puncture; although different, the principle is similar.

Give it a try?

Zheng Ren didn't have time to think; he selected to purchase interventional surgery time, saw the options appear, and the first one was deep venous and deep arterial puncture.

Without hesitation, he selected the puncture procedure; Zheng Ren was no longer stingy with his time, directly exchanging all 14,076 of the experience points he had saved and hated to spend for surgical training time.

234.6 minutes, less than four hours, this is all the time Zheng Ren had.

The system operating room rose from the ground; Zheng Ren entered, not daring to waste a second, took a deep breath, calmed his mind, and began training.

…… (ellipsis) no names.

…… same.

Another load of patients was brought over, their condition just as severe, suffering from toxic shock.

As the patient was being wheeled to the emergency room door, Director Pan had just cut open the first patient's skin, carefully separating the subcutaneous tissue, looking for signs of the femoral vein.

"Deep venous puncture kit, prepare for disinfection." Zheng Ren came to, his voice hoarse.

"Push a gurney over, quick!"

The patient was rushed to the resuscitation bed, and Zheng Ren began the procedure.

The patient was placed supine with head low and feet elevated, the bed's foot raised about 15 to 25 degrees to increase venous pressure and fill the veins.

This ensures the venous pressure exceeds atmospheric pressure, reducing the risk of air embolism during deep venous puncture.

Zheng Ren tore open the patient's gown with such force it seemed wild. He placed a 500 ml water bottle straight between the patient's shoulder blades; the patient was thin, so Zheng Ren chose a soft bottle of saline.

The purpose is to expand the chest, let the shoulders droop, raise the middle of the clavicle, thereby bringing the subclavian vein closer to the clavicle and separating it from the lung apex.

Zheng Ren then turned the patient's face toward himself to reduce the angle between the subclavian vein and the internal jugular vein, making it easier for the catheter to head toward the superior vena cava.

"Watch closely, position the next patient first." Zheng Ren wanted to shout, but his voice had given out; only a few nearby nurses could barely hear him.

"Okay!" the nurses replied.

This position is easy to achieve, its purpose clear, and it's not difficult to do.

After putting on gloves, Zheng Ren had a needle in hand, having chosen the puncture site, he was ready to proceed.

Zheng Ren did not follow the textbook, which says to use a point 1-2 cm below the clavicular midpoint as the puncture site, with the needle tip pointing toward the same-side sternoclavicular joint and the insertion angle horizontal, to perform deep venous puncture.

He chose the puncture point in the subclavian chest triangle, that is, the lateral side of the subclavian clavicular midline, taking any point away from the subclavian area.

The nurses had also seen subclavian venous puncture before, but the patient's blood pressure wasn't that low and the rescue wasn't that urgent.

Chief Zheng, are you overwhelmed? How is the puncture site selection wrong?

They were in the midst of resuscitation, and Zheng Ren's hand speed was steady; before they could even warn him, they could only watch as his left hand pressed down.

Zheng Ren pressed down with his left thumb until the skin was level with the costoclavicular space, marked the spot horizontally under the thumb's edge, released the thumb, and then punctured horizontally at that point.

This is from the system training; Zheng Ren derived this experience from thousands of articles on subclavian arterial and venous puncture plus his own practice.

In the system surgical training, all experimental subjects were positioned in front of Zheng Ren; initially they were done slowly, taking about three minutes, then they got faster until the last few took only tens of seconds each.

During the training, Zheng Ren used 234.6 minutes to perform 452 deep venous punctures.

This number might be slightly lower than that of doctors in the emergency departments and ICUs of some large hospitals, but Zheng Ren completed them all in one go, all being high-difficulty low-blood-pressure, low-blood-volume experimental subjects undergoing deep venous puncture.

The difficulty is high, the reward great; Zheng Ren is fully qualified to join the ranks of the nation's top experts in puncture technique.

No one else has the chance to perform hundreds of high-difficulty punctures; only the system space can provide such conditions.

One prick, and blood appears!

Although it didn't follow standard procedure, the effect was especially noticeable; several senior nurses nearby were stunned.

For this level of difficulty, how could it not take five minutes per attempt? Repeated punctures, probing, and searching—finally, getting into the vein was like luck, and taking five minutes was considered expert level.

But how long did Chief Zheng take? Not counting positioning time, just two minutes? No, definitely not two minutes, maybe one minute…… perhaps less than a minute, in the blink of an eye, he already saw venous blood return.

"Start the IV, add Meilan." Zheng Ren held the deep venous puncture tube; seeing no one continue the next step, his voice rose a notch.

He could hardly shout; the sudden anxiety caused his body to release large amounts of adrenaline and dopamine, putting him in an abnormal state of excitement, his voice completely hoarse.

"Oh oh oh." The senior nurse standing beside Zheng Ren snapped out of shock and immediately connected the deep venous puncture tube to the infusion line.

"Open it to maximum flow; after the IV finishes, continue with dextrose and perform gastric lavage." Zheng Ren instructed.

"Yes!" The senior nurses temporarily transferred from various departments replied immediately.

That's how hospitals are: if you can do it, countless people will listen to you; if you can't, no amount of complaining will help.

Have the nurses add medication and position the patients.

Zheng Ren picked up the needle and thread from the puncture kit and began to secure the deep venous puncture needle.

It was like a general issuing orders in a military camp, with the commanders obeying without delay.

After suturing a patient, watching the sugar water and Meilan solution form a line dripping from the infusion bag, Zheng Ren finally felt somewhat relieved.

The next patient had already been positioned; Zheng Ren took off the sterile Gloves, cleaned his hands with alcohol gel, opened the next puncture pack, put on sterile Gloves, and began to continue Shou Bing.