Chapter 577: 568 Carotid Artery Rupture Without Hemorrhagic Shock

It was a call from the 120 Emergency doctor made from the ambulance.

Zheng Ren sprang up with a 'huo', anxiously asking: "Does the patient still have blood pressure?"

"Blood pressure……110/65 mmHg." the 120 Emergency doctor said, slightly hesitating.

"……" Zheng Ren was stunned for a moment.

I didn't mishear, did I? Just now I should have said it was the carotid artery.

That's the carotid artery! When cut, blood can spurt in a circle up to the ceiling, that kind of major artery.

The carotid artery is cut, yet blood pressure remains normal? Did I not wake up, or did the 120 Emergency doctor not wake up?

"Check the blood pressure again, restate the condition." Zheng Ren said in a low voice while opening the door of the demonstration room and walking out.

Su Yun made a gesture, made a simple arrangement, then followed Zheng Ren to the Emergency Department to wait for the patient.

"Chief Zheng, the blood pressure is confirmed correct. The patient's family said, 15 minutes ago, because of an argument, the patient smashed a glass cup against the wall. A glass shard flew out and sliced the patient's carotid artery."

The 120 Emergency doctor reported in a hurry.

"I and the patient's family repeatedly confirmed, I indeed saw blood spurting from the neck. But only one spurt, then it stopped."

"What about the wound?" Zheng Ren asked.

"The wound was wrapped with a towel at home; I didn't dare open it. The patient's blood pressure is stable, I worried that opening it would cause problems."

"Good, you did right." Zheng Ren said, "Hurry back."

After saying that, Zheng Ren hung up the phone.

Strange…… Zheng Ren pondered.

"Boss, let's talk when you arrive." Su Yun said: "We need to check if the family has been drinking."

Hmm, Su Yun is right.

It could also be after drinking…… Damn, it's not even lunchtime yet, the chance of drinking is low.

But, we cannot rule out this possibility.

The two simply didn't go to the Emergency Resuscitation Room, but waited inside the main doors.

The gurney of the Emergency Department had long been waiting there; the attendant saw Zheng Ren and greeted him with a smile.

"Chief Zheng, your shift is quite busy." The attendant said.

"……" Even the attendant knows? Zheng Ren was speechless.

"I've been at City First Hospital for over five years; last night's shift was the busiest. I didn't sleep, I ran all night." The attendant said.

"What to do?" Su Yun chuckled aside: "That's just our fate, nothing can be done."

As they chatted, the sharp call of the 120 Emergency ambulance came. The sound grew nearer, and the few people fell silent.

As the ambulance steadily stopped in front of the Emergency Department building, the doors opened and the Emergency Department surgeon jumped out.

"Chief Zheng." He immediately looked at Zheng Ren and said: "The patient's condition is stable."

Zheng Ren nodded.

Regardless of whether the family is drunk and talking nonsense, or there is some reason to conceal the condition and onset, as long as the condition is stable, everything can still be discussed.

The patient was pushed down, and Zheng Ren stared in astonishment as the system panel in the upper right of his view marked: carotid artery laceration.

It matches the family's description, except the carotid artery is lacerated—how can the blood pressure be fine?

Zheng Ren couldn't believe that pressing with a towel could stop the blood spurting from the carotid artery.

Zheng Ren stepped forward two steps and glanced at the patient.

Her complexion was normal, no pallor from heavy bleeding. Seeing Zheng Ren approach, she even smiled, about to speak, but Zheng Ren stopped her.

"Don't move, don't move, did you hear clearly?" Zheng Ren shouted.

"I'm fine, doctor." The patient lay on the gurney, somewhat dissatisfied.

Her left neck was covered with a yellow towel; the towel…… showed no blood traces.

What's going on? Zheng Ren became increasingly puzzled.

They pushed the patient into the Emergency Resuscitation Room, first attached the ECG monitor, and Zheng Ren took a look.

Blood pressure, pulse, respiration, blood oxygen saturation—all normal.

Seeing Zheng Ren being careful, Su Yun also felt a bit doubtful.

He observed the patient's family briefly; their behavior was normal, no signs of alcoholism.

"Tell me what happened." Zheng Ren stood by the patient's injury assessment, asking the family while carefully lifting the yellow towel.

No blood spurted out, the neck had no obvious opening, just a roughly 4mm scratch above the left sternocleidomastoid muscle.

If it weren't for Zheng Ren's good eyesight, this tiny scratch would easily be overlooked.

No seepage, no bleeding, no subcutaneous hematoma!

Is this how a carotid artery injury presents? Zheng Ren once again doubted the Big Pig Trotter.

This thing hasn't given tasks for a long time, and this time it even gave such an unreliable diagnosis.

"Doctor, I saw a spurt of blood at the time, and I was scared stupid." A middle-aged man said.

"Are you sure it was one spurt of blood?"

"Sure, it spurted onto the floor at home."

The 120 Emergency doctor said: "Chief Zheng, I saw it, the amount was about 20ml."

Strange.

The Big Pig Trotter's diagnosis matched the family's account, and Zheng Ren also did not dismiss the various low-probability possibilities.

"Do you feel any discomfort?" Zheng Ren began asking the patient: "Answer slowly, speak slowly, don't rush."

"Doctor, I'm fine." The patient saw Zheng Ren's solemn face, considered it carefully, then said: "Just when breathing, the left side of the neck feels a bit uncomfortable."

There was also no clear abnormality.

Zheng Ren changed a piece of gauze for the patient, then said: "Prepare for a neck CTA."

Su Yun nodded; he knew why Zheng Ren felt Tension.

Surgeons aren't afraid of blood and flesh flying everywhere; they fear patients who look normal but lose breath in the blink of an eye.

When they arrived, the patient was fine, speaking without problem. If there really is an issue with the carotid artery and it's overlooked, the patient could die suddenly; it would be Strange if the family didn't cause a fuss.

If Su Yun hadn't studied medicine, encountering such a situation—brought in fine, the doctor also saying it's okay, then in the blink of an eye the person is gone—he would have raised hell at Haicheng Shi Yiyuan until it was shut down for rectification, or else he'd see ghosts.

At times like this, only the most thorough examination will do; better to kill by mistake than to let anything slip.

To determine whether there is a problem with the neck blood vessel, the best examination is a neck blood vessel CTA.

One step gets it done, simple and worry-free.

Zheng Ren looked after the patient, preventing them from moving and causing irreversible injury. Su Yun went to contact the CT Shi, saying there was an emergency patient here who needed an examination.

As noon approached, the CT Shi was also preparing to get off work.

Just as they finished with the last patient, Su Yun came back and said something; Zheng Ren grabbed the first-aid kit, had the accompanying examination cart pushed, brought a nurse, and several people rushed all the way to the CT Shi.

Hearing the sound of the cart, Sister Zhao knew Zheng Ren and his team had arrived, so she went out to meet them.

"What patient?" Sister Zhao asked.

"Carotid artery injury." Zheng Ren said.

Sister Zhao glanced at the patient, saw nothing wrong, didn't contradict Zheng Ren's words, opened the door, and let the cart in.

Together with the family, several people lifted the patient onto the CT examination bed; the patient's loved one stayed in the CT Shi, Zheng Ren nagged a few more times, telling the patient absolutely not to move, before entering the operating room.

"Chief Zheng, thank you." Seeing that the patient's family had left and the condition wasn't urgent, Sister Zhao said with a smile.

"Huh?" Su Yun Strange, "Sister Zhao, why are you thanking him?"

"My neighbor said that when they went to the medical university, the doctors there were very enthusiastic. They said that Zheng Lao Ban's patients in Hai Cheng get a green light all the way."