Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
In the Emergency Medical Center’s resuscitation room were resident doctors who moved in chaos but still did everything systematically.
In terms of experience, the resident doctors at Yun Hua Emergency Medical Center had quite a lot of experience.
Besides, they had also studied for either five years or ten years in a medical institution. After graduation, they would go through internships, housemenship, and become resident doctors, which would take up at least three years and at most six years.
In other industries, people who had graduated for four or five years could say that they had some accomplishments. For most of them, whatever that they learned in colleges and universities might even be irrelevant for their careers.
It was true that the fault-tolerance rate of the medical industry was too low. If a Bentley or Jetta were torn to shreds in an accident, what should be scrapped will be scrapped, and the parts requiring new parts will be changed, but the car accident patient must still be rescued regardless of which car he or she was in.
If it were an ordinary car accident or emergency, the resident doctors of Yunhua Emergency Medical Center would not be afraid of them. Zheng Pei was the most senior resident doctor here, and he had been a resident doctor for more than four years. It was possible for him to stabilize the vital signs of critically ill patients and refer them to a specialist department after that.
However, three ambulances sending in four patients in one go was slightly above what they could manage.
In fact, if there were any more patients, Zheng Pei would directly request for Department Director Huo to solve the problem.
If there were fewer patients, he had nothing to worry about and could carry out his tasks at ease.
There were four patients. One was near death, one critically injured, and the other two’s injuries were not light as well. Coincidentally, the pressure they placed on the current Emergency Medical Center was the greatest.
He could not request the department director to solve this situation.
The department directors of the hospital in the evening were equivalent to living swords, and when these swords were used, it must be for something major. Huo Congjun was a department director of an Emergency Medical Center. If someone of his caliber came to the resuscitation room and found that there were not enough patients and that the degree of their injuries was not high enough, he would turn around and open his mouth to scold the person who summoned him.
Forget about the department director, Zheng Pei did not even dare to request help from the third-string doctors. The associate chief physicians were not slaves, and they had their own lives to live. They would only come over at night when the situation was so urgent that the attending physicians could not handle them.
Hospitals could not do anything about it. Nowadays, hospitals did not apply the eight-hour workday, five-day workweek, or annual vacation system, they wanted doctors to work twenty-four hours, and Ling Ran was the only one who was willing to work this way at present.
When Ling Ran appeared in the resuscitation room, some of the panicking resident doctors instantly calmed down.
Ling Ran as a doctor who led a group independently. In theory, he could be a third-string doctor.
When Ling Ran arrived, he not only brought along human and technical resources, he also shouldered the responsibility in this situation. Ling Ran inevitably became the current leader of the Emergency Medical Center.
“Doctor Ling,” Zheng Pei, a wide-eyed man with bushy eyebrows, hurried to Ling Ran, greeted him, and said, “Give the commands, we’ll listen to you.”
If Ling Ran did not come, Zheng Pei would be the person-in-charge of the resuscitation room. For a senior resident doctor like Zheng Pei, every patient who had chest pains during the night shift could cause him to be so busy that he wanted to die, and it would be worse for him if there were four at once. He could treat them, but it would be even better if he had a pillar of support.
“What is the situation now?” said Ling Ran, who never had the thought of shifting responsibility.
Based on his life experience, evading responsibility in advance was pointless, and it was not in line with his character.
Zheng Pei and Ling Ran did not have much contact. When he knew that Ling Ran had decided to take on responsibility, he became at ease and quickly reported. “Four people. One is near death, in a coma, and has an open abdominal injury. Another one is conscious but critically ill with multiple bleeding. The third has a bone fracture at the leg with multiple injuries in the limbs. The fourth has an arm fracture, and also has the lightest symptoms…”
“Notify the Orthopedics Department, General Surgery Department, Neurosurgery Department, and the Cardiothoracic Department…”
“We’ve notified them for consultation,” Zheng Pei said.
“Okay, I’ll assign tasks later. Everyone, get dressed,” Ling Ran said. With the help of a nurse, he wore his surgical attire, put on goggles, a mask, and put on two layers of gloves.
The resident doctors in the resuscitation room stared at Ling Ran as he carried out this process. They imitated what he did.
“Wear double gloves.” Ling Ran reminded a resident doctor in front of him as he checked how the crowd was dressed one by one.
“Double gloves are inconvenient…” the resident doctor muttered.
Ling Ran said calmly, “We don’t have time to do the five classic transfusion-transmissible infections check, so we don’t know if the patient is a carrier of HIV or is a hepatitis patient…”
“There won’t be such a coincidence, right…?” the junior resident doctor muttered in a low voice.
“Give him another pair of gloves.” Ling Ran did not argue with him. He just gave an order.
Nurse Liu was the supervisor nurse on duty. She quickly took a pair of rubber gloves and went to him. She then glared at the resident doctor and said, “Wear it. It’s for your own good.”
The young resident doctor felt slightly embarrassed. He said, “Doctor Zhao doesn’t ask this of us.”
This time, no one acknowledged him.
The young resident doctor looked left and right. He hesitated for a few seconds, but eventually put on the second pair of gloves.
The relationship between superiors and subordinates in hospitals tended to be stringent instead of the typical relationship between colleagues in ordinary units because senior doctors could always occupy the top positions of a certain skill.
There was nothing wrong with wearing only one pair of gloves when they had to treat unexpected patients who required emergency treatment, but it was more appropriate for a second layer of gloves. Young resident doctors did not have a way to be stubborn about this to prove their stance. They already could not oppose their senior doctors’ simple commands, much less the difficult commands. Due to that, they could not even object occasional orders such as buying instant noodles and tobacco for their superiors.
“They’ll be arriving in thirty seconds.” The nurse at the reception desk took the last call and quickly stood up to get ready to help.
It was unrealistic to ask everyone to perform their duties in an emergency room at night as they did during the daytime since it was usually not as hectic during the night as it was during the day. It was okay to sleep when there was no duty, but they had to wake up when there were duties to be performed.
Ling Ran stood at the forefront of the reception door. He had his arms raised vertically in front of his chest, just like how he did when he went into an operating theater.
In fact, emergency rescues were very dangerous surgeries.
Compared to ordinary surgeries, emergency rescue surgeries meant that the surgeons were short on time, even in terms of preparing for the surgery.
Compare normal hepatectomies to emergency hepatectomies. If a hepatectomy were done in the Department of Hepatobiliary and Pancreatic Surgery, preoperative examinations would normally take one or two days, sometimes, it would even take three or four days. For patients with more common diseases, medical consultations may be required to check their blood pressure, blood sugar level, liver function, and other indicators before surgeries.
But when it came to the Emergency Department, if they ran into a patient with hepatic rupture, then, if they could not handle it themselves, they will have to ask for help from the Department of Hepatobiliary and Pancreatic Surgery or General Surgery Department. There would be no blood sugar level and liver function checks.
Similarly, the doctors would not be able to understand the condition of the patient’s liver as clearly as they would when it came to the condition of a patient who chose to receive hepatectomy through elective surgery.
For any department, Level 1 or Level 2 patients were considered as critical patients. This was also one of the reasons why the hospital’s weaker specialist departments transferred patients to their superior hospitals.
It was also the same in the Department of Hepatobiliary and Pancreatic Surgery. For a hospital like the First People’s Hospital of Wuxin City, they would only choose patients with good conditions and easy course of diseases to operate on. They did not dare to casually accept a patient when they suddenly ran into one requiring emergency hepatectomy.
Similarly, when the Emergency Department of the First People’s Hospital of Wuxin City encountered patients with hepatic rupture, they would also not dare to accept them. From this, it could be seen that an Emergency Department without a large number of specialist departments to support it would have a hard time to develop.
Yun Hua Emergency Medical Center was only able to be built because it also relied on the many specialist departments in Yun Hua Hospital.
The ambulance came to a stop.
Two people quickly rushed up and helped to lift the patient down.
While listening to the paramedics’ reported information, Ling Ran quickly checked on the patient’s body.
His Master Level Physical Examination played a huge role in this sort of situation.
“There’s splenic rupture, hepatic rupture, and suspected hemorrhagic shock. Send the patient straight to the operating theater, replenish fluid and potassium chloride, and take a CT scan…” Ling Ran made a judgment after he received the first patient.
For such patients, splenectomy and hepatectomy were the preferred options.
Zheng Pei asked, “Are you going to transfer the patient to the General Surgery Department or the Department of Hepatobiliary and Pancreatic Surgery?”
According to the division of departments in Yun Hua Hospital, spleens were to be given to the General Surgery Department, and livers were under the Department of Hepatobiliary and Pancreatic Surgery.
Ling Ran shook his head without hesitation as he said, “I will do it.”
Zheng Pei was stunned for a moment. He looked at the lights of the ambulance. All he could think about was how to refer the patient to other doctors. At this time, he suddenly realized that Ling Ran had been performing hepatectomy better than the doctors from the Department of Hepatobiliary and Pancreatic Surgery.
“Oh, alright…” Zheng Pei hesitated for a while before he said, “I can be an assistant for splenectomy, but not for hepatectomy…”
This was not the time to fight for surgeries, especially for surgeries like hepatectomy, where a person could die because of a mistake. If Zheng Pei were to be the first assistant at the operating table, he will be rebuked severely during the patient mortality discussion.
Ling Ran hummed and said, “Zuo Cidian is performing a suture upstairs, send someone to notify him.”
“Okay,” Zheng Pei quickly agreed to do so without having Ling Ran to give further orders. He then quickly made arrangements to perform various examinations.
At this time, the second patient was pushed down.
Ling Ran quickly changed into another pair of gloves before he quickly checked the patient’s body. He said, “Ruptured spleen and testicle. Notify the Department of Urology for consultation. Send the patient to the operating theater.”
After a while, Ling Ran added. “I will perform splenectomy and orchiectomy. Zheng Pei, you will be in these surgeries. Stabilize the patient’s condition first.”
A few men in the room were shocked as they realized Ling Ran had actually taken up both of the serious cases.
