Chapter 607: Was Simple And Direct
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
What the h.e.l.l was going on?
The first-aid doctor was stunned.
No one knew more about the patient’s condition more than him. After all, he had watched the patient go from hemorrhagic shock to sudden respiratory arrest.
How could such a patient still get revived? What a joke.
Could it be that he had been busy all night and his eyes were blurry from exhaustion?
The first-aid doctor whispered to the nurse beside him, “Do you think the patient is still alive?”
The nurse yawned and said, “Sea City General hospital has saved him. What’s so strange about that? Hurry up and hand over the patient. There are no more patients on the highway. If I rush back now, I can get one or two hours of sleep before my next s.h.i.+ft. I’m so tired. However, the doctor who ran with the patient just now was really good-looking. If I were on duty with him, I wouldn’t feel tired even after a few twenty-four-hour s.h.i.+fts.”
When she said that, the nurse shot a disdainful glance at the first-aid doctor.
He was old and ugly. After working all night, his face was deathly pale. It was really impossible to look at him.
F*ck! He really did come back to life! The first-aid doctor did not notice the young nurse’s gaze. He was surprised.
“You’re here to hand over the doc.u.ments, right?” Zheng Ren stood at the entrance of the resuscitation room. He waved his hand and said, “The procedures are handled on this side. Brother Yuan, go through the procedures with them.”
The first-aid doctor walked over in a daze. He saw that Zheng Ren was very young but his eyes were full of spirit. Even his hair, which had been flattened by the sterile cap, seemed almost alive.
If they were in a TV series, he was the kind of person you would expect to be the main character.
“Did you save him?” the first-aid doctor asked carefully.
“Yes.” Zheng Ren nodded and called Yuan Li over to handle the handover procedures.
Zheng Ren did not want to get involved with such trivial matters.
Yuan Li had a rough night. His stubble had grown out and he looked extremely down and out of it.
“May I know your surname?” the first-aid doctor asked.
“My surname is Zheng. I’m the emergency department’s chief resident,” Zheng Ren said.
“Chief Zheng, how did you know how to make the call?”
The first-aid doctor was very curious. He knew the patient’s condition very well. Moreover, he had performed cardiopulmonary resuscitation for more than four minutes in the ambulance and several defibrillations.
The cardiopulmonary resuscitation he had performed was extremely standard. No one dared to board the first-aid ambulance without practicing cardiopulmonary resuscitation.
A few years ago, he had even won first place in the emergency medical compet.i.tion in the hospital.
He could guarantee that his methods were completely by the book.
However, the fact was that the patient whom he had failed to save and thought to be dead had come back to life in less than a minute after arriving at Sea City General Hospital.
It was nonsense to say that he was alive and kicking. However, the patient had just opened his eyes and was even trying to talk… He had seen it with his own eyes.
Therefore, he was very curious and asked his question.
“After the heart stops for more than three minutes, there’s no need to care about the strength of the cardiac pressure. Of course, that’s based on my own understanding and not based on standard practices. For those in the surgery department, it should be pretty easy and direct to explain.” Zheng Ren knew what he was asking and since he was not busy at the moment, he explained to him, “If you press down, the ribs might break but there’s more pressure on the heart. Therefore, the chances of being saved will be much higher.”
The first-aid doctor was stunned. It was not a standard procedure. If that was the case…
“Chief Zheng, what about the secondary injuries?”
“If he was already declared dead, would there be any secondary injuries?” Zheng Ren was also very curious. That was the question.
Secondary injuries were only something the living could have. Dead people did not have secondary injuries.
The first-aid doctor was speechless yet again.
Chief Zheng’s words seemed to make sense but there was something wrong with them.
“Secondary injuries are just injuries where the heart muscle might be pierced by a broken rib. Doesn’t the hospital have a cardiac surgery department? As long as the patient is saved, these things can be dealt with. It’s very simple,” Zheng Ren said.
The first-aid doctor was completely speechless as tears streamed down his face.
Look at him. He had a heart injury but was so confident that things could be done with a single suture… What was this!
Imagine the kind of rough and wild rescue with both palms pressed on the patient… It was not right. The standard procedure was to press on the lower half of the sternum.
“Chief Zheng, you don’t press on the sternum during CPR.”
“Non-cardiogenic cardiac arrest. I feel that there is a certain limit to the strength you can use if you press on the sternum.” Zheng Ren saw that Yuan Li was filling out the form and continued since there was nothing much he could do while waiting. “The elasticity of the sternum is relatively poor, so most of the strength is scattered by the sternum. Press the left side of the sternum slightly and break the rib cartilage. This way, most of the pressure can be transmitted to the heart.”
An unconventional operation? The first-aid doctor was somewhat dumbfounded.
“Cardiogenic cardiac arrest requires defibrillation, so this kind of non-cardiogenic cardiac arrest can be done as long as enough strength is used.” The corner of Zheng Ren’s mouth revealed a trace of a smile. “Haven’t you guys done thoracotomy before? Do you know how to do direct cardiac compressions?”
“No…”
“Oh, that’s a pity,” Zheng Ren said. “The sudden cardiac arrest was caused by ischemia. Many times, as long as a sufficient starting force is used, the heart will temporarily restore the biological current supply and allow some time for resuscitation.”
Seeing that the first-aid doctor still had a look of disbelief on his face, Zheng Ren knew that no matter how much he explained, it would be useless.
He smiled and said, “Your efforts in the ambulance were still effective. Otherwise, the patient would not be able to open his eyes after his heart rate recovered. This patient’s emergency treatment was successful and he’ll recover. Thank you for your hard work.”
“No… It wasn’t hard work at all,” the first-aid doctor said absentmindedly.
During that time, Yuan Li had already filled out the form and handed it to the nurse.
The nurse pulled the doctor back to the ambulance.
Along the way, he was still mumbling something. His expression was absent-minded. It was as if he had lost his soul.
Zheng Ren looked around. The emergency department’s corridor was a mess.
There had been resuscitation and triage. The nurse was so busy that she had been jogging around the department for the past few hours. How could she have time to tidy up?
“Chief Physician Pan, there shouldn’t be anything else. I’ll go to the ICU to take a look at the situation. You should go home first,” Zheng Ren said.
“It’s already past three o’clock. I won’t be going back.” Old chief physician Pan looked at the time and said, “I’ll sleep in the office for a while. If there’s anything on your end, just call me.”
“Okay,” Zheng Ren replied crisply. He made good use of the time to go to the in-patient department.
The emergency department was cold and gloomy. They wore isolation suits with their white coats. It was really unbearable.
When they were busy, they could not feel a thing. However, when they had time to themselves, the atmosphere and temperature were obvious to them.
Zheng Ren quickly walked all the way to the ICU. He took a look at the patient who had just undergone surgery. The drainage at the liver and kidney recesses was smooth, and about 10ml of blood was drawn out.
It was all within his expectations. Zheng Ren glanced at the patient’s medical advice again. Three groups of hemostatic drugs were applied at the same time.
That was about it. If there was any special treatment needed, Zheng Ren had no specific advice for it.
However, without Su Yun sitting by the patient’s bed holding a pen and piece of paper in his hand with the liquid car beside him, Zheng Ren would feel that something was strange and be constantly worried.