Chapter 96: with translation of chapter title

Upon entering the ICU, Zheng Ren immediately felt countless hostile gazes fixed on him.

Translation: Entered the ICU, Zheng Ren immediately felt countless gazes filled with intense hostility staring at him.

Need to keep Zheng Ren as per glossary. Use "Entered the ICU". Could also be "Upon entering the ICU". Keep meaning.

What's going on? Zheng Ren wondered.

Translation: "What's going on?" Zheng Ren wondered.

Logically, I have no grudge against the ICU, recent or past, yet they...

Translation: Logically, I have no grudge against the ICU, recent or past, yet they…

Director Pan, you've arrived. An ICU doctor approached Director Pan and Zheng Ren, beginning to brief them on the condition.

Translation: "Director Pan, you've arrived." An ICU doctor walked over to Director Pan and Zheng Ren, beginning to brief the condition.

We must keep numbers exactly. Also note that "mmhG" is likely a typo for mmHg but should be kept as given. Additionally, the Chinese terms for bone fracture, pelvic CT, and retroperitoneal should be translated. Let's translate.

The patient was brought to the Orthopedics Ward 5 of the Bone Surgery Department after a traffic accident at 9:18, diagnosed with a pelvic fracture; blood pressure was 100/60 mmhG at the time, and after one hour it measured 85/45 mmhG. Considering a bone fracture with heavy bleeding, an emergency pelvic CT was performed, revealing an extensive retroperitoneal hematoma. After ICU consultation, the patient was transferred for continued treatment.

We must keep numbers exactly. Also note that "mmhG" is likely a typo for mmHg but should be kept as given. Additionally, the Chinese terms for bone fracture, pelvic CT, and retroperitoneal should be translated. Let's translate.

Translation: "The patient was sent to Ward Five of Orthopedics due to a traffic accident at 9:18 AM, diagnosed with pelvic fracture; blood pressure was 100/60 mmHg at the time, and one hour later measured 85/45 mmHg. Considering a fractured bone with massive bleeding, an emergency pelvic CT was performed, showing a large retroperitoneal hematoma. After ICU consultation, the patient was transferred for continued treatment."

We need to keep "mmhG" as given; the source says "mmhG", so we'll keep it exactly. Also, "one hour later" may be missing a character but we keep the meaning.

The medical history was reported in detail, and the patient's condition was relatively simple: a pelvic fracture with bleeding, and there is no issue of differential diagnosis.

Translation: The case history was reported in detail; the patient's condition itself is relatively simple, a pelvic fracture with bleeding, and there is no issue of differential diagnosis.

Pelvic fractures are generally not serious; rest for a period of time is usually sufficient, and surgical intervention is rarely needed.

Translation: Pelvic fractures are generally not serious; rest for a period usually suffices, and surgery is rarely needed.

This is due to the inherent structural characteristics of the pelvis. Typically, there is bleeding at the fracture site, accompanied by a small to moderate amount of fluid accumulation. This also does not require special treatment; administering hemostatic drugs and antibiotics intravenously is sufficient.

Translation: This is due to the inherent structural characteristics of the pelvis. Typically, there is bleeding at the fracture site with a small or moderate amount of fluid accumulation. Such cases also do not require special treatment; hemostatic drugs and intravenous antibiotics are sufficient.

However, if a pelvic fracture causes vascular rupture and bleeding, the vessels torn by the fracture edges are the internal and external iliac arteries and the pelvic venous plexus.

Translation: However, once a pelvic fracture causes vascular rupture and bleeding, the vessels pierced by the fracture edges are the internal and external iliac arteries and the pelvic venous plexus.

These vessels are located in the retroperitoneal space, and the bleeding becomes contained by the retroperitoneum. In most cases, when the ruptured arterial vessel is not large or the bleeding is venous, increased local pressure will stop the bleeding.

Translation: These vessels are located retroperitoneally, and bleeding is contained by the posterior peritoneum. In most cases, when the ruptured artery is small or bleeding is venous, the increased local pressure will stop the bleeding.

But…

Translation: But…

This patient's situation is quite special; such a case may not be found even among a hundred patients with pelvic fractures.

Translation: This patient's situation is quite special; among a hundred pelvic fracture patients, such a case might not even be found.

The retroperitoneal vascular injury is relatively severe, likely due to a rupture of a relatively large artery; the pressure cannot stop the bleeding, the patient's blood pressure continues to drop, leading to hemorrhagic shock.

Translation: The retroperitoneal vascular injury is relatively severe, likely due to a rupture of a larger artery; pressure cannot halt the bleeding, the patient's blood pressure continues to drop, entering a state of hemorrhagic shock.

Moreover, it is even more challenging because the retroperitoneal pressure is extremely high, making it impossible to achieve hemostasis through surgical means.

Translation: Moreover, it is even more troublesome because the retroperitoneal pressure is extremely high, making it impossible to achieve hemostasis through surgical means.

As soon as the retroperitoneum is opened, the accumulated fresh blood inside, under tremendous pressure, will immediately spurt upward.

Translation: As soon as the retroperitoneum is opened, the pooled fresh blood, under tremendous pressure, will spurt straight up to the ceiling.

Zheng Ren felt a stir in his heart; he glanced over and saw Su Yun had set up a chair, sitting beside the patient, holding a pen and paper, apparently calculating something.

Translation: Zheng Ren felt a stir in his heart, catching sight of Su Yun having fetched a chair, sitting beside the patient, holding a pen and paper, calculating something.

Despite his hangover, he showed no trace of alcohol, merely appearing somewhat decadent.

Translation: After his hangover, he showed no trace of alcohol, merely appearing somewhat decadent.

Yet when this decadent aura appears on his strikingly handsome face, it takes on a different charm.

Translation: Yet when this decadent aura floats upon that peerlessly handsome face, it takes on a different charm.

"Let's first examine the patient," Director Pan said calmly, striding over to the patient to observe vital signs and the emergency CT images handed over by the nearby doctor.

Translation: "Let's first examine the patient." Director Pan remained expressionless, strode over to the patient, and observed vital signs as well as the emergency CT films handed over by the nearby doctor.

"Pelvic bone fracture with pelvic arterial rupture and retroperitoneal hematoma," Su Yun heard Director Pan's voice, lifted his head but did not stand up or look at Director Pan; instead, he stared directly at Zheng Ren.

Translation: "Pelvic bone fracture with pelvic arterial rupture and retroperitoneal hematoma." Upon hearing Director Pan's voice, Su Yun lifted his head but did not rise, nor did he look at Director Pan; instead, he fixed his gaze on Zheng Ren.

Zheng Ren understood his meaning.

Translation: Zheng Ren understood his meaning.

The patient's condition is unsuitable for surgical intervention; only through interventional therapy can we first achieve hemostasis, then decide on the next treatment steps based on the situation.

Translation: The patient's condition is unsuitable for surgical intervention; we must first achieve hemostasis via interventional procedure, then reassess to decide the next treatment step.

Su Yun's assessment of the condition is quite accurate; how to treat Ye Menqing, this guy is indeed not simple.

Translation: Su Yun's judgment of the condition is quite accurate; how to treat Ye Menqing, this guy is indeed not simple.

"Little Zheng, are you confident?" Director Pan, although not knowledgeable about interventional procedures, had bought a book on the subject after that day's emergency treatment of a placental abruption patient and studied it.

Translation: "Little Zheng, are you confident?" Although Director Pan knows little about interventional procedures, after that day's emergency rescue of a placental abruption patient, he went home and bought a book on the subject to study.

He doesn't expect to perform it himself; at the very least, he needs to know whether Zheng Ren can do it.

Translation: He doesn't expect to perform it himself; at the very least, he needs to know whether Zheng Ren can do it.

Young people sometimes act impulsively, so it's still necessary for senior comrades to help oversee things.

Translation: Young people sometimes act impulsively; we still need senior comrades to help oversee things.

Moreover, pelvic fracture with retroperitoneal hematoma and hemorrhagic shock is precisely one of the indications for interventional surgery.

Translation: Moreover, pelvic fracture with retroperitoneal hematoma and hemorrhagic shock is precisely one of the indications for interventional surgery.

However, Director Pan still hesitates, since he has never performed this procedure himself; ultimately, it depends on Zheng Ren.

Translation: Yet Director Pan still hesitates, after all he has never performed it himself; ultimately, it depends on Zheng Ren.

"No problem," Zheng Ren said: "Prepare the blood, do the preoperative preparations, and push the patient to the interventional surgery suite."

Translation: "No problem." Zheng Ren said: "Prepare blood, do pre-op prep, and push the patient to the interventional suite."

Su Yun's black hair fluttered on his forehead, the sense of decadence in his eyes vanished completely, and he began to feel excited.

Translation: Su Yun's black hair fluttered on his forehead, the sense of decadence in his eyes vanished completely, and he began to feel excited.

Zheng Ren became alert, wondering what this effeminate guy intended to do.

Translation: Zheng Ren became alert, wondering what this effeminate guy intends to do.

"Let me set up the IV for you," Su Yun said: "This is the infusion sequence; don't mess it up."

Translation: "Let me set up the IV for you." Su Yun said: "This is the infusion sequence; don't mess it up."

Su Yun handed the paper in his hand to the nearest nurse, instructing her.

Translation: Su Yun handed the paper in his hand to the nearest nurse, instructing her.

"Again, the infusion sequence calculated by urine specific gravity?" The little nurse took the paper, glanced at it, and said somewhat regretfully, "Brother Yun, going to the ER was really a waste of your talent."

Translation: "Again, the infusion sequence calculated by urine specific gravity?" The little nurse took the paper, glanced at it, and said somewhat regretfully: "Brother Yun, going to the ER was really a waste of your talent."

"Hehe," Su Yun didn't argue, just smiled, his black hair fluttering in front of his forehead, handsome as hell.

Translation: "Hehe." Su Yun didn't argue, just smiled, his forehead black hair fluttering, handsome as hell.

Zheng Ren had no time to watch Su Yun intentionally or unintentionally flirt with women; nevertheless, Su Yun had his own method. By calculating the infusion order of crystalloids and colloids based on urine specific gravity, one can effectively target the internal environment disruption caused by hemorrhagic shock.

Translation: Zheng Ren had no time to watch Su Yun intentionally or unintentionally flirt with girls, but Su Yun does have a method. Sequencing the infusion of crystalloids and colloids according to urine specific gravity can effectively target the internal milieu disorder in hemorrhagic shock.

If this were a martial art, it would be considered a relatively high-level secret manual.

Translation: If this were a martial art, it would be considered a relatively high-level secret manual.

Because the internet is now well-developed, this calculation formula is also briefly described online. However, the problem is that calculating according to urine specific gravity requires extensive formula computations, which have exceeded the cognitive scope of medical students.

Translation: Because the internet is now well-developed, this calculation formula is also roughly described online. However, the problem is that calculating according to urine specific gravity requires extensive formula computation, which has surpassed the cognitive scope of medical students.

Furthermore, constantly measuring urine specific gravity and repeatedly adjusting the infusion order is also an exhausting practice.

Translation: Moreover, constantly measuring urine specific gravity and repeatedly adjusting the infusion sequence is also an exhausting practice.

Therefore, those who can achieve this are true experts.

Translation: Therefore, those who can achieve this are all experts.

This guy is capable; Zheng Ren and Director Pan greeted each other, then left the ICU and returned to the interventional surgery suite to prepare the instruments.

Translation: This guy is capable; Zheng Ren and Director Pan exchanged a greeting, then left the ICU, returned to the interventional suite, and prepared the surgical instruments.

After the placental abruption patient's surgery, Director Pan, following the procurement process, brought in a batch of supplies that Zheng Ren needed.

Translation: After the placental abruption patient's procedure, Director Pan, following the procurement process, brought in a batch of consumables that Zheng Ren needed.

This time, Zheng Ren no longer has to face the dire situation of being alone and helpless. Not only are supplies available, but there is also an assistant, although the assistant is not entirely to his liking.

Translation: This time, Zheng Ren no longer has to face the dire situation of being alone and unaided. Not only are supplies available, but there is also an assistant—though the assistant is not entirely to his liking.

……

Translation: ……

……

Translation: ……

Returning to the emergency operating room, Zheng Ren began preparing the equipment.

Translation: Returning to the emergency operating room, Zheng Ren began preparing the equipment.

Xie Yiren came to help; she hurriedly studied everything related to interventional surgery, and it seems this girl is preparing to enter the operating room as Zheng Ren's assistant.

Translation: Xie Yiren came to help; she seized the time to study all knowledge related to interventional surgery, and it looks like this girl is preparing to enter the operating room as Zheng Ren's assistant.

Zheng Ren would certainly not agree, since it's not a circulatory procedure and the patient could go into cardiac arrest at any moment—why add another person just to get in the way?

Translation: Zheng Ren will surely not agree; it's not a circulatory procedure, and the patient could go into cardiac arrest at any moment—why add another person just to get in the way?

As for Su Yun, who wants to help, Zheng Ren will certainly not stop him.

Translation: As for Su Yun, he wants to help, and Zheng Ren will certainly not stop him.

One is an annoying, sharp-tongued, handsome jerk; the other is a well-coordinated, fresh and pretty girl. There's really no need to ponder which one to prefer—Zheng Ren is quite straightforward about it.

Translation: One is an annoying, sharp-tongued, handsome jerk; the other is a seamless, fresh and pretty girl. There's no need to ponder which side to take—Zheng Ren is quite straightforward.

The required instruments are not many, after all it's 'just' a single embolization hemostasis procedure; in interventional surgery, this is merely a simple technique.

Translation: The required instruments are not many, after all it's "just" a single embolization hemostasis procedure; in interventional surgery, this is merely a simple technique.

Fifteen minutes later, Zheng Ren heard the sound of a gurney approaching.

Translation: Fifteen minutes later, Zheng Ren heard the sound of the gurney approaching.

At this point, the preoperative preparations in the interventional surgery room were already complete.

Translation: At this moment, preoperative preparation in the interventional suite is already complete.

Gently lifting the patient onto the operating table to avoid secondary injury and bleeding, Zheng Ren turned on the machine, switched to the operating room control mode, and began scrubbing and donning his attire.

Translation: Gently lifting the patient onto the operating table to avoid secondary injury and bleeding, Zheng Ren turned on the machine, switched to the operating room control mode, and began scrubbing and donning attire.

Interventional surgery not only involves radiation exposure but also requires wearing a lead garment weighing several tens of kilograms, making it more arduous than ordinary surgery.

Translation: Interventional surgery not only involves radiation exposure but also requires wearing a lead garment weighing several dozen kilograms, making it more arduous than ordinary surgery.

However, in special circumstances, interventional surgery is the only way to resolve the issue; otherwise, one can only watch helplessly as the patient dies from excessive blood loss.

Translation: However, in special circumstances, interventional surgery is the sole way to resolve the issue; without it, one can only watch helplessly as the patient dies from excessive blood loss.

Zheng Ren walked to the storage room, picked up a lead garment about to put on, and suddenly realized he seemed to have forgotten something.

Translation: Zheng Ren walked to the storage room, picked up a lead garment about to put on, and suddenly realized he seemed to have forgotten something.

After completing the previous solitary mission, the system appeared to have rewarded him with a set of radiation-converting lead clothing, and also a silver treasure chest.

Translation: After completing the previous lone-wolf mission, the system appeared to have rewarded him with a set of radiation-converting lead clothing, and also a silver treasure chest.

The silver treasure chest—Zheng Ren had no interest in opening it. After all, he had already opened three before, obtaining three skill books; opening another would not mean much.

Translation: The silver treasure chest, Zheng Ren has no interest in opening. After all, he previously opened three in a row, obtaining three skill books; opening another would be meaningless.

But radiation energy transforms lead clothing; hearing it sounds very high-end, if taken according to the literal Understanding, it seems this clothing can convert radiation into energy, supplying oneself.

If that's really the case, then it will be interesting from now on.

Zheng Ren set down the lead clothing, took a look; Su Yun was still positioning herself, making preoperative preparations, so he went to the changing room, entered the System Space, and retrieved the lead clothing that converts radiation ray energy.