Chapter 93: 0091 Unconventional Emergency Rescue

Doctor Song clung tightly to the patient, using his own feet to constantly seek support, trying to increase friction a bit.

But the bridge surface was icy, with nowhere to exert force.

Normally such a rescue would be absolutely against regulations, but special circumstances call for special measures. If we followed the usual procedure, the patient would already be cold by the time we got them out.

Two stretcher workers below used their bodies as a barrier, finally stopping the downward slide. However, the impact from slipping down from a height was about the same as someone kicking you hard with one foot under normal circumstances.

Ignoring the pain, Doctor Song, covered in blood—both the patient's and his own—moved the patient who hadn't suffered secondary injury onto the stretcher, inch by inch back to the 120 emergency rescue vehicle.

Administering oxygen, measuring blood pressure at 80/40 mmHg, the patient was in hemorrhagic shock. An IV line was established, vasopressors given, the ambulance's wail grew more piercing as it turned and sped toward City First Hospital.

Any vehicle that could get out of the way wouldn't dare race the ambulance, for it is a green channel concerning life.

In the ambulance, fluids and vasopressors were administered to maintain the patient's vital signs. Doctor Song, ignoring his own wounds, began checking the patient's external injuries and stayed in contact with the Emergency Department, continuously reporting the condition so they could prepare in advance.

Twelve minutes later, the ambulance finally arrived at the Emergency Department of City First Hospital.

A gurney was already waiting at the entrance, and Zheng Ren had been waiting there for a while.

The patient was transferred onto the gurney; the accompanying nurse handed over several tubes of freshly drawn blood for testing. The most important tests were blood type and HIV/syphilis screening, because a severely traumatized patient definitely needs a transfusion.

The gurney raced to the emergency resuscitation room; while the doctor in the ultrasound room was performing a scan, Zheng Ren performed a subclavian venous puncture on the patient.

At the same time, the nurse placed a gastric tube and urinary catheter, and prepared the surgical site by shaving.

The heads of surgery, orthopedics, neurosurgery, and urology departments had long been ready. All were experienced senior physicians; seeing the patient's condition, the next steps were clear.

The diagnosis was clear: consider liver rupture, spleen rupture, hemorrhagic shock.

Because the patient was tall and the car relatively small, the impact did not reach the chest.

Director Sun was also on the scene, sternly saying, "Xiao Zheng, you're young and quick—go ahead and do it."

Zheng Ren nodded; this was no time for modesty. The emergency operating room had long been prepared, standing by. Performing emergency surgery here could at least save five to ten minutes.

The patient's life or death might be decided in these few minutes.

"Push to the emergency operating room, prepare for surgery," Zheng Ren said.

"Director Pan, I'm going to the emergency operating room; you direct the rescue downstairs," Zheng Ren told Director Pan as he was about to leave.

"There will probably be many casualties," Director Pan frowned, "Go ahead; if anything comes up, I'll call the operating room."

There wasn't much more to say; at this point, talking was pointless.

Director Zhou of the Medical Department had already arrived; without needing Zheng Ren present, he began recording a statement of the situation and the Medical Department's authorization, on behalf of the hospital, granting emergency department physicians the right to perform surgery.

Zheng Ren hurried upstairs, and a mechanical female voice from the system sounded in his ear.

【Emergency Task: Serial Car Accident.

Task Content: Rescue the injured in the serial car accident.

Task Reward: Unknown.

Task Duration: 1 day.】

Perhaps because the incident happened suddenly and the number of casualties is unknown, the system didn't give a clear task reward.

Zheng Ren had gradually figured out the system boss's behavior; this damn thing is just a big pig trotter—it can foresee a bit of the future, but it's not very clear, or it simply won't explain.

For liver surgery, I have the system‑granted operative experience, more than enough for emergency surgery; but I've only done a splenectomy once, so my experience is still limited.

After calculating, I still have 14,920 experience points; if I bought surgical training time, that would give me about four hours and a bit more.

Splenectomy, compared to liver repair, is a very simple procedure.

For Zheng Ren, a general surgery specialist at expert level, four and a half hours of surgical training should be barely sufficient.

Repairing the spleen might not work, but a simple splenectomy is absolutely fine.

Zheng Ren rushed all the way to the operating room and saw Xie Yiren preparing instruments in the operating chamber, while Chu Yanran and Chu Yan zhi were getting the general anesthesia ready. The two's usual instructor, who rarely speaks, also appeared in the OR, silently helping them.

The surgery was being prepared; I also needed to change clothes and get ready.

Zheng Ren went to the changing room, began exchanging for surgical time, and started splenectomy training.

In a sense, splenectomy is even simpler than an appendectomy.

Because a complicated appendectomy often involves dealing with an ectopic appendix, which frustrates every surgeon, whereas the spleen rarely presents ectopic cases.

Just locate, free, clamp, and cut—nothing difficult. As long as the arterial, venous, and ligament anatomy is clear, you're good.

In 4.14 hours, Zheng Ren practiced 43 splenectomies, averaging under six minutes each.

If done in an actual OR, it definitely wouldn't be that fast. But in the system training, Zheng Ren doesn't need to worry about washing up, closing the abdomen, etc.; he just opens the belly, faces one kind of spleen rupture after another, and then removes it—that's enough.

The difficulty lies in handling the gastro‑splenic ligament, where one must watch out for an aberrant short gastric artery to avoid damaging the stomach wall; next is locating the splenic artery and vein—if the anatomy is sufficiently clear, making the surgery fail is very hard.

Zheng Ren even did a few cases of high‑difficulty splenic tuberculosis, and the whole process went smoothly.

Time's up; Zheng Ren glanced at the skill tree.

According to Zheng Ren's expectation, his general‑surgery skill, from reading books and doing operations plus splenectomy training, should rise from about 2,044 points to around 2,200 points.

But when he looked at the skill tree, he was stunned.

The skill tree had jumped directly from 2,044 points to 3,154 points!

What's going on?

Looking back over the past few days, Zheng Ren felt perhaps the system's grant of three hundred liver‑surgery experiences caused the skill to surge.

Either way, it's all good.

Zheng Ren also kept an eye out, making sure to check the skill tree more often so he wouldn't miss any skill increases he wasn't aware of.

He had accumulated 1,529 skill points, needing just over 300 more to rise from expert to master.

Zheng Ren felt a bit regretful; if he could level up directly, he certainly wouldn't be stingy. First, he must guarantee the rescue success rate; as for skill points, once spent, can he still earn more by doing tasks?

The main‑quest prompt indicated completion; Zheng Ren thought it was likely the gangrenous appendectomy, counted as a grade 3‑4 surgery, giving extra completion.

Upon claiming the quest, he gained 1,000 experience points and 10 skill points; the quest completion bar had one slot left.

This bit of experience and skill points wasn't much use, so Zheng Ren simply ignored it.

Leaving the system space, Zheng Ren began to don an isolation gown, put on cap and mask, and went straight to scrub his hands.

Scrubbing hands and disinfecting, he walked into Shujian, and Xie Yiren handed over sterile large forceps and a tray; the tray held iodophor gauze.

Starting to disinfect the patient, Xie Yiren told Zheng Ren that the circulating nurse had gone to draw blood, and the blood bank had prepared 16U of fresh frozen red blood cells for the patient, plus 1000ml of fresh frozen plasma.

Seemingly insufficient, Zheng Ren calculated while disinfecting and laying out the drapes.

Putting on the surgical gown, he stood under the Shadowless Lamp, and the handle of a sharp scalpel was handed over.

Zheng Ren took it, and Shou Bing began!