Chapter 615: 606 No Need to Rescue Anymore (Alliance Master Oolong Tieguanyin Bonus Chapter 4)
The emergency department lobby was freezing; despite thick cotton door curtains and constant warm air from the air conditioner, it just wouldn't warm up.
Almost every hospital's emergency department is the coldest, most gloomy place.
In front of the Emergency Resuscitation Room, Director Pan stood like a mountain. Director Zhou stood to one side, his brow stern.
"Zheng Ren, is the surgery done?" Director Pan asked.
"Yeah, it's done." Zheng Ren said: "The patient's injuries are severe; the liver is shattered badly— the whole liver."
Zheng Ren's final addition of the two words "total liver" made Director Pan and Director Zhou realize the seriousness.
A routine liver resection is easy for a top‑tier hospital, and the mistake rate is low.
But a ruptured total liver is another matter.
It can't be cut; it can only be sutured.
Director Pan didn't keep questioning; now wasn't the time to ask how the surgery was done. Patients with slightly more serious conditions kept arriving, while the milder ones were all seen in Yuandian County.
"How many patients have we received?" Zheng Ren asked.
"So far, sixteen, mainly orthopedics and thoracic cases." Director Pan said.
Generally, that's how it is; but if it's just a fracture, there shouldn't be much trouble. For the patients we just treated, considering the vehicle might have been speeding and had bodywork issues, that's why severe chest‑abdominal combined injuries appeared.
If wearing a seatbelt, in a rear‑end collision the most common injury is the chest hitting the steering wheel, causing a sternum fracture.
Here we see the importance of seatbelts and airbags.
Seatbelts and airbags absorb most of the force, so even a sternum fracture isn't serious; it's far short of the explosive inward force that would damage the heart or mediastinum.
"It's been over ten minutes since the last patient arrived." Director Pan glanced at the time and said, "I guess that's it."
Just then, a head poked out from the nurse station door; the night‑shift nurse shouted, "Director Pan, we got a call from the 120 Emergency Rescue Service vehicle: a patient entered the urban area, then twenty‑five minutes later suffered cardiac arrest, and is now rushing to our hospital—should be there in three to five minutes."
"……" Director Pan frowned. What's going on?
If the patient's condition is severe, why wasn't rescue immediate? How long has it been!
But now isn't the time to blame anyone; hearing the nurse's words, Zheng Ren immediately grabbed the Accompaniment Inspector and pushed the last stretcher to wait outside the emergency department entrance.
They didn't hide inside; after all, it was cardiac arrest, and we didn't know if there was any hope. Regardless of whether we could save them, saving a second is a second.
One second is extremely precious for the patient, and for CPR.
The sound of the 120 Emergency Rescue Service vehicle came from nearby; heavy snow fell like goose feathers. Without the ambulance's sound, this would be a tranquil night for recalling countless memories.
A few cups of liquor, three or five friends gathered around a steaming hot pot, boasting and talking about events from years ago, weathered by time—how wonderful it could be.
But Zheng Ren couldn't enjoy it.
On the night of Xie Yiren's birthday, the memories that would remain are a string of busy, palpitating recollections.
The 120 Emergency Rescue Service vehicle was speeding, nearly at the limit of controllability.
It barely braked, yet veered away from the entrance.
Zheng Ren rushed forward with the Accompaniment Inspector; the patient was immediately pushed down, and in the upper‑right corner of his visual field, the System Panel showed a blank white.
"……" Zheng Ren cursed inwardly—he was really dead.
"Left wrist radial artery laceration; when he was put on the ambulance, his blood pressure was 60/40, he couldn't pick up speed, and his heart stopped five minutes ago." The doctor on the 120 Emergency Rescue Service vehicle shouted while running alongside the stretcher toward the Emergency Resuscitation Room.
Fast as lightning, before he finished speaking, the patient had already arrived at the Emergency Resuscitation Room.
Under the Accompaniment Inspector's control, the stretcher executed a neat drift, saving two seconds.
"I've been doing CPR on the patient, three defibrillations at 200 joules, but I couldn't bring him back." The doctor on the 120 Emergency Rescue Service vehicle, lagging behind, was exhausted after several minutes of CPR.
Full‑force external chest compressions certainly consume a huge amount of stamina.
He watched helplessly as the stretcher drifted into the Emergency Resuscitation Room, feeling that a big hospital is just different—look at their emergency resuscitation.
Even just the Accompaniment Inspector pushing the stretcher was so professional.
But no matter how professional, it might still be useless.
This patient had his radial artery lacerated by shattered glass. He himself didn't notice, used a towel from the car to press the wound, refused the 120 Emergency Rescue Service's aid, and sent his injured wife and children onto the ambulance first.
Because the journey was far and the snowy road slippery, the ambulance took a long time for a round trip. He himself wasn't too concerned, thinking it was just a cut. So when the ambulance finally returned, he was still helping move other patients, and then he fainted.
Upon boarding, his blood pressure measured 60/40 mmHg; the diagnosis of hemorrhagic shock was certain.
The doctor on the 120 Emergency Rescue Service vehicle placed a venous line and administered appropriate vasopressors to maintain him.
But after all, it was a ruptured radial artery; no matter how well maintained, he couldn't last until Haicheng Shi Yiyuan.
This guy probably won't make it, the doctor on the 120 Emergency Rescue Service vehicle judged. With no family present, there was no need to put on a show for them.
After three to five minutes of external chest compressions with no revival, clinical death can be declared.
Although regrettable, there's nothing else to do.
If the heart truly stops for over ten minutes, even if revived, prolonged cerebral hypoxia would turn the patient into a vegetative state.
In his view, that would be meaningless.
Why bother?
He bent over, hands on his knees, gasping heavily, his hands trembling slightly—this is muscle tension from prolonged exertion, leading to spasms and twitching.
Over there, someone was rescuing; the doctor on the 120 Emergency Rescue Service vehicle wasn't in a hurry either.
He caught a few breaths, then stood up, preparing to go over and hand off to the doctors of Haicheng Shi Yiyuan's emergency department, after which he could return.
He hadn't taken a few steps when the sound of the stretcher's large wheels rolling over the marble floor rang out again.
He gave up that quickly?
The doctor on the 120 Emergency Rescue Service vehicle was a bit puzzled.
"Move, move!" the Accompaniment Inspector bellowed, angrily driving away the people walking in the emergency corridor.
At that moment, the only people blocking the way were the doctor and nurse on the 120 Emergency Rescue Service vehicle.
"……" The doctor stared, bewildered: the person's already dead—why are we still firing up the furnace?
But he didn't hold it against them; during emergency resuscitation, surges of adrenaline and dopamine indeed make people irritable.
An ordinary car roared past him, and the doctor on the Emergency Rescue Service vehicle's eyes widened, then he went blank.
He stared in shock at the patient, whose eyes were open, lips moving slightly, wanting to say something but lacking the strength to speak.
His action was a bit slow, and the nurse holding the IV bag roughly shoved him aside.
He ran off at full speed.
End of Chapter
