I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 452 Arterial Bleeding, Fatal Triangle Area, You're Saying I Killed My Husband with a Stool?! [Seeking Monthly Tickets]

"Dr. Ogawa, you must be tired today. You can go and get some rest in a bit. You'll have to make rounds early tomorrow morning."

At that moment, Yin Xiaoxiao spoke to Zhang Lingchuan.

"It's probably not going to work."

Zhang Lingchuan shook his head, then stood up.

"no?"

Yin Xiaoxiao was a little stunned, and the other colleagues in the emergency department also showed a look of surprise.

[The countdown to the patient's arrival has begun in 60 seconds. Please quickly locate the patient for treatment. 59, 58, 57...]

A countdown timer for recruiting someone has appeared in front of Zhang Lingchuan.

"I'll go out and see."

He ran out quickly.

This countdown is completely unfamiliar.

He didn't know if it was part of a death countdown.

Because after activating the attending physician assessment, he now possesses the full functionality of the system. Of course, he doesn't know if it's complete, but he is certain that it's an ability that only attending physicians can have.

So he didn't know if the death countdown would change after he was promoted to attending physician, for example, it would become like this.

After a day of experimentation and exploration.

Zhang Lingchuan realized one thing: starting the assessment ahead of schedule was actually a way of skipping a grade.

What does this mean? It's like someone who is clearly in fifth grade taking the high school entrance exam early.

This is a challenge beyond one's level.

The advantage of this kind of challenge is that it allows one to enter the attending physician level ahead of time and acquire some abilities that are only available to attending physicians six months earlier. As for what other abilities Zhang Lingchuan has besides these, he can only say that he is still exploring them.

It has not been fully excavated yet.

As for the downsides, they go without saying; the difficulty of the assessment increases exponentially.

The system simulation space assessment is still on a countdown.

If it has to be completed within thirteen hours of the countdown, the difficulty is simply hellish.

I won't need to sleep all night.

It's possible for people to develop schizophrenia due to stress.

After all, once inside the system's simulation space, the time lost in the real world is negligible, only about one or ten minutes.

And you won't feel tired.

But your mental state has been under constant pressure, and once or twice is actually more likely to be affected.

If you're subjected to endless assessments all night long.

A person can really break down.

But under normal circumstances, the system shouldn't be this abnormal, since it requires a perfect healer, not a perfect madman.

"what?"

After Zhang Lingchuan ran out.

To his surprise, he discovered that nurse Zhao Chun Chun had an explorable tag on the top of her head.

[Explore the option for "Guaranteed 10 points of professional reputation"]

It even has a minimum guarantee of 10 professional reputation points.

"Chun Chun, what's wrong?"

Nurse Zhao Chun Chun looked terrified.

At the same time, they prepared to run away.

"Dr. Ogawa! That's great! We were just about to call some other teachers over when someone came in with a cut on their neck! Come quick!"

Zhao Chunchun saw Zhang Lingchuan.

He immediately abandoned the idea of ​​looking for other teachers.

That's what she thought: Dr. Ogawa was a bit tired after surgery, so she didn't plan to see him again.

But now that they've arrived, they're asking Zhang Lingchuan if he wants to come and check.

You are currently being asked for help by an emergency room nurse and have been given two options.

First, go and check quickly. As a perfect doctor with medical ethics, you will gain 10 professional reputation.

Second, refusing to go and check on the patient is unacceptable; a doctor who lacks compassion and refuses to treat someone in distress does not deserve an award. No reward will be given, and a demerit will be recorded (marked in red).

It's just a fleeting moment.

Two options suddenly popped up in front of Zhang Lingchuan.

Good grief, this system has fused with his past practice of treating animals as people, which almost caused him to have his ears explode from the warnings.

Look at this heartless person who refused to help someone in distress. They don't deserve any reward. A red label will be added to their record of this offense.

Isn't that the system's hysterical screaming from before?
I remember having the most during my intern stage, but the number decreased significantly after I became a resident.

He had thought that such warnings would become a thing of the past.

To everyone's surprise, it reappeared after the attending physician's visit, but instead of being a shout in his ear, it became an option.

"Okay! Leave it to me!"

Zhang Lingchuan nodded.

[You chose to go and check, and indeed he is a qualified and perfect doctor. You gain 10 professional reputation.]

Zhang Lingchuan went over to check.

The system quickly popped up a message indicating that 10 points of professional reputation had been credited to the account.

[The countdown to the rescue has ended. The host has been admitted to the hospital. Please complete the treatment mission as soon as possible, and be aware of triggering other missions.]

Except this.

Zhang Lingchuan noticed that the countdown for the "recruitment" event, which had just reached 45 seconds, had also ended.

Holy crap?! This thing couldn't possibly be...?!
Suddenly, a strange thought popped into his mind.

It's like taxi and ride-hailing drivers scrambling for orders, so this isn't a life-or-death countdown, it's a damn life-stealing countdown!!

If you don't show up within sixty seconds, the patient becomes someone else's patient?
This is utterly ridiculous! Damn it!!!
Zhang Lingchuan couldn't help but mutter something under his breath.

He was really angry.

I thought this person was going to die!

"Doctor! Please help me! I'm bleeding non-stop!"

The man's voice was a little hoarse.

His face showed a very painful expression.

"Dr. Ogawa is amazing! He just came out and already encountered a patient like this. Does that mean he'll be performing surgery again tonight?"

Yin Xiaoxiao followed them out.

After all, Dr. Ogawa hasn't been eating.

Running out in such a hurry, how could one be an assistant to Dr. Ogawa without having any sense of propriety?

Sure enough, when I ran out, I saw a patient whose clothes were covered in blood.

Are you injured? Do you need cleaning and stitches?
Dr. Ogawa's specialty! She loves being her assistant.

"wrong!!"

However, as she approached, Yin Xiaoxiao's pupils constricted.

Yin Xiaoxiao discovered that the man's injury was not ordinary; his neck had been cut.

That's the throat-slitting scene you often see on TV!
Good heavens!

It looks absolutely terrifying!
"Damn it, it's so hard being a working person these days. I'm a real estate agent. I showed a client houses for several days, and he finally chose one that he was very picky about. He even moved in three days ago, but then he said he wasn't satisfied and demanded a refund. Of course, I couldn't give him a refund, so I said I'd deduct 300 yuan from the refund, since I'd already spent two or three days showing him houses and even helped him choose other houses for free. Many of them were suitable, but he just didn't like them. He then demanded a full refund of 500 yuan from the agency. I said it was impossible to get 500 yuan back, at most 200 yuan. When I got home from get off work, he ambushed me, slashed my throat, and ran away! Damn it! I rode my electric scooter with one hand and grabbed a towel I bought from the supermarket to cover my neck as I arrived at the hospital!"

This real estate agent is named Luo Yong.

He spoke with great anger.

Their agency does indeed have a bad reputation in society.

It's said to be all sorts of scams and fraud.

But they also need to make a living.

Let me show you some houses; all of these meet the requirements.

Then you moved in too.

They stayed for three days and then said they wanted to change rooms.

Wow, he even communicated with the landlord.

In principle, this would be considered a breach of contract, but in the end, they reached an agreement to reduce the number of days based on the contract, for example, the rent would be 1,000 per month.

A month has thirty days.

So we negotiated that for three days, we'd give the landlord 100 yuan.

The landlord was initially very reluctant, but after several persuasive phone calls, he finally negotiated a rent of 100 yuan and refunded the deposit in full.

Their agency fee is half the rent.

Honestly, he's been working so hard, it wouldn't be fair if you didn't give him a single penny.

Deducting 300 wouldn't be excessive.

Honestly, some of the more ruthless guys in the industry will just deduct the entire commission from your fee.

"This……"

The nurses at the nurses' station heard the man complaining.

My heart suddenly tightened.

The passersby who were about to come over and ask the nurse were also stunned and stood there dumbfounded.

What a strong will to survive!

He actually came to the hospital on his electric scooter with just a towel after his throat was slit.

The person who rented the apartment was really too impulsive.

Even if this agent is really a swindler, you can't slit their throat.

This is intentional homicide, a criminal offense that carries a prison sentence.

"Don't say so much yet, just answer me one question: are you having trouble breathing? Just answer yes or no!"

Zhang Lingchuan noticed that the other person's neck started bleeding again while they were speaking!
This is a typical emergency case of a sharp object laceration to the neck; the situation is extremely critical.

Under normal circumstances, patients are strictly prohibited from speaking and need to remain quiet while receiving treatment.

And doctors are not police officers.

When someone is doing well, if you explain the reason, people are happy to listen.

But now, if you start bleeding as soon as you speak, or even if new situations arise, they absolutely don't want to hear about it!
"It's a bit strenuous, and I feel very dizzy."

Luo Yong said.

He didn't feel this way when he was driving an electric car.

But once I got to the hospital, I felt inexplicably drained.

"Understood. Keep quiet from this moment on. I'll stop the bleeding first. Chun Chun, Xiao Xiao, start the emergency procedure immediately!"

Zhang Lingchuan said.

The main causes of death for these patients are hemorrhagic shock and airway obstruction; time is of the essence.

The dizziness currently corresponds to blood loss.

The reason for the difficulty breathing is that the trachea and larynx were partially severed, and blood or tissue blocked the upper airway, ultimately causing suffocation and death.

In cases of severe asphyxia, immediate cricothyroidotomy or cricothyroidotomy is necessary for rapid ventilation.

He was actually simultaneously assessing the possibility of intubation.

It was found that intubation was very difficult in this situation.

"it is good!"

"Swipe-"

At that very moment, they heard the sound of a bed being pushed; it was Yin Xiaoxiao.

"Slow down, get into bed, lie flat, turn your head to one side and stay quiet, absolutely do not speak!"

Yin Xiaoxiao and Zhao Chunchun carefully helped the person lie down.

Respiration, pulse, blood pressure; call the emergency green channel; contact surgery, ENT, anesthesiology...

In such cases, major blood vessels in the neck, such as the common carotid artery, internal jugular vein, trachea, larynx, and esophagus, may be cut open, requiring multidisciplinary rescue efforts.

"understand!"

The nurses at the triage desk got busy.

Even some on-duty doctors came to help, and quickly established two large intravenous access lines, and drew blood to check blood type, crossmatch, CBC, coagulation function, electrolytes, etc.

[Ding! System scan complete.]

In a situation like this, Zhang Lingchuan wouldn't actually need to undergo a scan.

With so much experience in the emergency room, he is basically able to make a judgment.

But the patient is currently experiencing arterial bleeding and needs immediate intervention to stop the bleeding!

Otherwise, this person would die!
Normally, when you draw blood to check your blood type, you will also be checked for infectious diseases. The results take only a few minutes and are very quick.

The scenes in TV dramas where characters are exposed during emergency surgery are practically impossible.

After all, infectious diseases were already checked during blood matching, which only took a few minutes.

Very, very fast!
So it's highly unlikely that in the operating room, halfway through the procedure you'd suddenly be told this person has AIDS, and then suddenly, blood splatters into your eyes, followed by the doctor bewilderedly yelling at the patient's family for not telling the doctor sooner, asking if the doctor's life isn't important, and then the male protagonist gets infected while the female protagonist runs over crying, the female protagonist gets infected, and the male protagonist runs for his life—that's the kind of plot.

The most likely time to win a bid is during the emergency treatment phase right after admission and before surgery.

Especially in cases like this, where emergency hemostasis is required.

If you are waiting for the blood test results.

Then the patient died.

As for asking the patient, sometimes too much of what the patient says is false.

So he decided to get scanned to see if he had any infectious diseases, just to give himself an extra layer of protection.

Moreover, accurate scanning can often activate quests and unlock common treasure chests.

[Patient Name: Luo Yong]

[Patient's gender: Male.]

[Patient's age: 28 years old.]

[Patient's condition: persistent ischemia, hypoxia, weak breathing and pulse, unstable blood pressure, and dyspnea.]

[Patient Diagnosis: Sharp object laceration to the neck, injury to neck blood vessels, airway, and esophagus, excessive blood loss, airway obstruction. Currently tagged with red, life expectancy less than one week (Note: One week is the limit of the system's predictive ability; the emphasis is on less than one week).]

[System Prompt: Host, please perform emergency resuscitation as quickly as possible. Rewards will be activated in batches based on the resuscitation process and results. Currently, you need to stop the bleeding, maintain the airway, perform fluid resuscitation, and conduct emergency surgical intervention. Good luck, Dr. Zhang Lingchuan!]

This is the result of his scan at this moment.

The good news is that, according to the system scan, the injured person does not currently have HIV or other infectious diseases.

The bad news is that I didn't activate the task!
It's impossible that once you're promoted to attending physician, you won't receive any more daily tasks, right?
Or should we just cut it off?
Activate rewards in batches?
"Dr. Ogawa, sterile gloves."

Yin Xiaoxiao handed the gloves to Zhang Lingchuan.

I was eating just now, so it's definitely impossible for me to be wearing these gloves.

Now, when rescuing patients, sterile gloves must be worn.

In particular, the bleeding is quite severe.

"Okay, Xiaoxiao, has Teacher Fangyuan gone home yet? If he hasn't left yet, we can ask him to come and help us."

Professor Fang Yuan is a key member of the emergency surgery team.

Their surgical skills are still up to par.

He couldn't handle this situation by himself; it required the collaboration of multiple people.

"Teacher Fang just left, I'm calling him now!"

Yin Xiaoxiao immediately went to the side.

PARKING LOT.

"Dududu-"

Fang Yuan was just about to drive.

[Yin Xiaoxiao called...]

Suddenly I saw an incoming call notification.

"Hey, what's wrong, Xiaoxiao?"

Fang Yuan frowned.

I had just finished eating and left the hospital.

What's going on? Why did they call?

"Professor Fang, we have a patient here whose throat has been slit. The situation is very serious. Dr. Xiao Chuan hopes you can come and help. Have you gone back yet?"

Yin Xiaoxiao quickly explained the situation.

That's how medical workers are; they quickly and clearly state their needs.

We must race against time!

"I was just about to drive out. Okay, I'll be right there."

Fang Yuan's car had just been moved.

To my utter surprise, the phone call came through.

"beep--"

The call was quickly hung up.

"Damn it, it's so hard for ER doctors to get off work!"

Fang Yuan made a sarcastic remark.

It's always good to vent sometimes, otherwise even doctors will become mentally unhealthy.

the other side.

Zhang Lingchuan put on gloves and realized that the cut was indeed deep.

"Wow, I didn't expect to be so lucky! You must be Dr. Zhang Lingchuan from the internet, right? My neck should be fine after the stitches are done! I heard you're really good at stitching!"

Luo Yong, lying on the bed, turned his head to look at Zhang Lingchuan's sign.

Then he said.

Soon he felt a warm sensation on his neck.

It was as if something had suddenly appeared!
"Damn-"

Zhang Lingchuan's pupils constricted!
"Didn't I tell you to shut up and be quiet?! Not only are you talking, you're also moving your neck! Would it kill you to listen to advice?!"

Yin Xiaoxiao was also furious!!
Because the other person turned their neck, the already precarious artery ruptured, and blood gushed out immediately.

"what……"

Luo Yong was still somewhat sober at first.

But gradually he felt very dizzy.

I just felt that these doctors were running so fast, and they were all frantically pressing on my neck.

He then fell into a complete coma.

"Xiaoxiao, sterile gauze!"

While it's necessary to stop the bleeding, you shouldn't remove foreign objects from the wound or probe deep wounds at will. Furthermore, you shouldn't press on both carotid arteries simultaneously with both hands to prevent interruption of blood supply to the brain!

"Ogawa! I'm going to force the bleeding from the carotid artery area on the side that's bleeding!!"

Fang Yuan was just about to leave work when he heard that a patient had arrived and Xiao Chuan was still there performing emergency resuscitation.

They rushed over immediately.

After all, as a key doctor in the emergency department, how can I leave work when there are patients here!

Xiao Chuan also comes to get off work after work to do manual labor, and I am at least a junior mentor.

I never expected to see such an urgent situation as soon as I arrived.

He immediately put on sterile gloves and pressed on the lower middle section of the anterior border of the sternocleidomastoid muscle.

"Teacher Fang, you're here! The bleeding point is clear. Please apply pressure to stop the bleeding so I can open the airway immediately!" In the emergency room, especially with neck cuts, if the bleeding point is clear and spurting, it is most likely arterial bleeding. You need to press the bleeding point directly with your fingers, even if you are pressing on a blood vessel, to stop the bleeding.

Otherwise, the person will quickly die from hemorrhagic shock!
"The bleeding is quite heavy! Xiao Chuan, let me apply pressure to the bleeding point. You find the end of the blood vessel and clamp it with forceps!"

Fang Yuan frowned.

"The ruptured blood vessel is not clearly visible. I will first use hemostatic forceps and compression gauze, and then conduct further exploration and repair."

Zhang Lingchuan was operating the machine.

In the emergency room, this step is usually called "damage control".

Simply put, the goal is to quickly control the bleeding, avoid complex repairs, and then perform layered repairs in the operating room.

"An effective airway could not be established."

"The nurse who was intubating said anxiously."

Stopping the bleeding is only the first step.

Following this, there is the need to maintain the airway, administer intravenous fluids, and perform surgical repair.

Your colleague, Dr. Fang Yuan, has arrived to assist in stopping the bleeding, and the critical situation has been initially averted. However, the patient is now experiencing airway obstruction and a tracheotomy must be performed immediately. As a doctor with the relevant skills, you have two options.

1. Perform a tracheotomy immediately and receive a reward of 100 professional reputation points.

Second, I've already finished my shift; the case has been handed over to another doctor. A red label indicates one mistake.

did not think of.

After the bleeding stopped, another prompt appeared.

"I'll do the tracheotomy."

The neck is part of the "triangle of life," where the trachea, esophagus, and major blood vessels are concentrated. Treatment here is completely different from that of ordinary cuts. The priority must be saving the patient's life, not immediate suturing. So, what this patient just mentioned about suturing is completely impossible.

It is the final step.

The immediate priority is to stop the bleeding, maintain the airway to save the patient's life, then proceed with surgery, and finally suture.

[As expected of a perfect candidate for Grand Physician, you have received a reward of 100 Professional Reputation.]

After he made his choice.

The system rewards were distributed quickly.

To be honest, in this situation, I certainly couldn't just say I was off work and hand the case over to another doctor.

If you don't even have this much awareness, you don't deserve to be a doctor.

Meanwhile, Luo Yong was surrounded by anesthesia nurses and circulating nurses.

Their work involves treating shock and preparing for surgery, including dual-pathway rapid fluid resuscitation, rapid CT scans, blood pressure monitoring, administering vasopressors when necessary, and recording blood loss.

For tracheotomy.

Zhang Lingchuan was already very skilled at it.

He cut directly into the patient's wound, where his throat had been slit.

"So fast..."

There were some doctors inside who had never seen Zhang Lingchuan perform a tracheotomy.

They were completely dumbfounded when they saw Zhang Lingchuan cut open the wound in thirty seconds with a scalpel.

Many doctors need several minutes or even more than ten minutes to make an incision.

However, in situations like this, effective airway ventilation must be established within 30 seconds, otherwise the patient will die suddenly from hypoxia.

"Phew—, now we can transfer him to the operating room."

A series of emergency operations were carried out.

The airway is currently securely fixed, bleeding has been initially controlled, intravenous access is unobstructed, and ventilation has been initiated by anesthesia.

The operating room for transferring patients is already available.

"Excellent! Xiao Chuan! Your emergency handling skills are outstanding! It's just that you haven't passed the certification exam yet, otherwise you would already be a very qualified emergency room doctor! But getting certified won't be difficult for you! It's just a process! Alright, go back and rest now!"

Fang Yuan wiped his sweat.

The patient has now passed the most dangerous period and is unlikely to die in three to five minutes.

However, surgery is also required to repair the ruptured blood vessels, airway, esophagus, and even to thoroughly clean, drain, and suture in layers.

The surgical stage is also very important.

You have now completed the hemostasis and tracheotomy. As a prospective perfect doctor, you are now at least an attending physician in the hospital, and you will definitely seize this surgical opportunity to do your part in the operation.

1. Strive to participate in the surgery and, based on your professional skills, complete a stage of the surgery, leading to a positive improvement in the patient's vital signs. Reward: 200 Professional Reputation, 1 Common Treasure Chest.

Second, I've already finished my shift and all my tasks are done; I want to go home and rest, and give up on further progress. No reward will be given, but failing to treat the patient with the red tag constitutes a lack of medical ethics, resulting in one incorrect registration.

"???"

After completing the tracheotomy, another notification popped up unexpectedly.

Two options were given.

One option is to involve oneself in the surgery.

Secondly, they will not participate in the surgery.

Regarding option two, he thought the system was quite considerate in the first part, giving him a reason not to accept the task. However, the next part directly said, "Failed to treat the patient with the red tag, lack of medical ethics, incorrect registration once."

It truly is a perfect workhorse system; as long as you're not dead from exhaustion, you'll work yourself to death.

"Professor Fang, could I also participate in the surgery?"

Zhang Lingchuan asked.

"If you can still participate, that would be the best."

Fang Yuan was a little surprised.

Actually, there was absolutely no problem with Ogawa leaving at this moment.

However, to everyone's surprise, the other party chose to stay and work.

Sure enough, they didn't become so amazing for no reason. It's normal for someone who works so hard to become this amazing.

It seems I should learn from Xiaochuan in the future.

Unbeknownst to him, Fang Yuan looked at Xiao Chuan, whose figure had inexplicably grown much taller.

"???"

Zhang Lingchuan frowned when he saw the look in Teacher Fang's eyes.

Why is he looking at himself like that? Is there something on his face?

However, he didn't know that he had single-handedly made the already eccentric Dr. Fang Yuan even more eccentric.

"Dr. Xiaochuan, you should go and get ready now. You and Xiaoxiao will come over in a little while."

Fang Yuan originally wanted to go back.

But since Xiaochuan had decided to stay and continue the surgery, he felt it wouldn't be right for him not to stay and have the surgery as well.

"Ok."

Zhang Lingchuan nodded.

"Dr. Ogawa! Charge! Charge!!"

Her little face was filled with an unprecedented excitement.

They quickly went to change into sterile gowns.

At this moment, Chunshi University of Science and Technology.

When there were only two people in the dormitory, a slightly taller male student moved closer to a slightly shorter male student who was very fair-skinned.

"Dude, what's going on? Have the test results come back yet?"

They certainly weren't waiting at the hospital.

Instead, he went back to school.

The doctor at the hospital said I could view the test results on a mini-program.

They opened it once around 6 o'clock, but the test report still hadn't come out.

"Holy crap! It just went off!!"

Lü Shaoyun opened WeChat.

The next second, I saw a new tweet above, from the Provincial People's Hospital.

He was instantly very excited.

"Quick, quick, click to see!"

Zhou Haodong was also curious, wondering if Brother Zhang's deduction was correct.

The examination report was opened quickly.

Three minutes later, combining the report with online search results, the two of them felt their heads buzzing.

"This is insane! Holy crap!!"

Zhou Haodong swallowed hard.

He truly felt that this was utterly outrageous.

According to the examination report and their online searches, this indicates the intake of exogenous hormones.

Then there are estrogen and prolactin.

"Damn it! Who did I offend?! Who's the mole in our dorm?! I have to find this person! Damn it!!"

Lü Shaoyun was truly desperate.

This person is absolutely depraved!

He is a man with excessive estrogen levels.

It also contains prolactin!
Goodness, he's really good at causing trouble!

"I think the most important thing we should do is stay calm and do it the way you told us before."

Zhou Haodong also felt that he had to catch this person, otherwise no one knew if he would become the next target.

"Ah."

Their method is also very simple.

That means placing a surveillance device in the area where the water cups are placed, so that it will be immediately clear who moved the water cups.

I refuse to believe I can't catch this bastard.

And so, the two of them quickly got to work.

the other side.

A residential housing area.

Medical staff are also taking swift action.

"What exactly happened? Did the person fall? Or were they attacked?"

The place they were in was between the affiliated hospital of the university and the provincial people's hospital, but in principle it was closer to the provincial people's hospital. As for why they went to the affiliated hospital of the university for prenatal checkups, it was because the obstetrics and gynecology department of the provincial hospital was not as good as that of the affiliated hospital of the university.

So this time, the emergency team from the Department of Emergency Medicine of the Provincial People's Hospital, Team C, consisted of attending physician Hua Yuhe, accompanying nurse Deng Sisi, a resident trainee Wu Kang, a stretcher bearer, and a driver.

Previously, the vehicle carried a team of four.

The driver also works part-time as a stretcher bearer.

But now that there's a resident trainee, after all, he's a resident trainee, so wouldn't it be reasonable for him to train as a part-time stretcher bearer?

Therefore, after Wu Kang, a resident trainee, joined.

Drivers can now drive with peace of mind.

However, when they arrived at the home of the person who called 120, a scene that left them completely bewildered unfolded.

A man is lying in the living room.

There was also a bloodstained stool next to it.

Nurse Deng Sisi was monitoring the patient, and the resident trainee was also checking the vital signs.

Meanwhile, the attending physician, Hua Yuhe, who was leading the team, asked with a puzzled expression.

Did he fall accidentally or was he attacked?

There was no one else at home except for a pregnant woman with a protruding belly.

It seems unlikely that the pregnant woman would hit someone.

"I...I hit him..."

All I saw was the pregnant woman speaking softly.

"Huh? You hit me!"

In an instant, the entire pre-hospital emergency team C was dumbfounded. What was going on?

Because they never dreamed that it was a pregnant woman who received the injection.

How could a pregnant woman, with a big belly and not very tall, beat up such a tall man like this?

"My husband insisted on taking me to have an abortion. I didn't want to, and then we had a fight... So I hit my husband on the head with a stool. Doctor, my husband should be okay, right? I really didn't mean to! Really! I was just anxious!"

Yu Fanmeng spoke somewhat bewildered.

Moreover, a sense of fear belatedly welled up inside me.

She never dreamed that her sudden movement would cause her husband to faint.

And his head was broken.

But as a pregnant woman, she probably doesn't have much strength.

So it's definitely impossible for her to cause much harm to her husband, right?

“We could have discussed it properly with the child. It didn’t have to escalate to such a serious conflict. Besides, the head is a very vulnerable area. Tell me how long the child has been unconscious.”

Hua Yuhe said irritably when she heard this.

She never imagined the reason would be so absurd.

But why would a man want to abort a child when everything is fine? It's a bit hard to understand.

“I don’t know. After I hit him, I went into the room and hid for ten minutes before I came out and saw him faint. It’s been more than ten minutes since you arrived, maybe half an hour? Doctor, I really didn’t mean to! I was just panicking! You know what? My baby came to me in my dream last night, begging me not to let his father kill him, and telling me that his mother must protect him.”

Yu Fanmeng said excitedly.

She really dreamed that her baby was crying for help.

And the baby is still moving!

Therefore, she must not be so cruel; as a mother, she must protect her child.

"Uh uh uh……"

Deng Sisi and Wu Kang exchanged a glance.

I've seen changes caused by progesterone, but this pregnant woman's reaction is definitely a bit exaggerated.

"Sisi, Xiaokang, how are you?"

Hua Yuhe is being improved.

Name: Gao Wei.

Sex: Male.

Age: 30 years old.

Mechanism of injury: Blunt blow to the head, resulting in head trauma and bleeding.

On-site situation: Unconscious for 30 minutes, no obvious convulsions, but obvious impairment of consciousness.

"Teacher Hua, BP 180/100 mmHg, HR 48 bpm, SpO 92%, RR 10 bpm, T 36.7℃."

Deng Sisi immediately reported the data from the electrocardiogram monitor.

These are blood pressure, heart rate, blood oxygen saturation, respiratory rate, and body temperature.

"Doctor, is everything alright? My husband should wake up soon, right?"

Yu Fanmeng couldn't understand.

But she really didn't think that her previous blow was that hard.

"This is serious. High blood pressure and slowed heart rate are very typical Cushing's triad!"

Hua Yuhe frowned.

"Huh? How could it be big! I just threw it over there! How much strength can a pregnant woman have! And what does this 'three-part' mean?"

Yu Fanmeng was confused.

His face was also full of disbelief.

"To put it simply, your husband may have suffered a brain hemorrhage."

Hua Yuhe said.

The so-called triad of symptoms is hypertension, bradycardia, and irregular breathing, which indicates increased intracranial pressure. It is commonly seen in acute cerebral hemorrhage or the early stage of brain herniation, and is completely different from simple hemorrhagic shock, which is hypotension and tachycardia.

"Brain hemorrhage! Impossible! Doctor, you must be mistaken! My husband was perfectly fine, how could he have a brain hemorrhage in just one moment!!"

Upon hearing the words "brain hemorrhage," Yu Fanmeng's pupils dilated dramatically.

I took a few steps back in disbelief.

"If it's just blood pressure, then it's not very accurate. But look at this heart rate, it's only 48. A normal person's heart rate at rest is usually 60-100 beats per minute. Your husband has a slow heart rate. Clinically, he may have increased intracranial pressure and enhanced vagal reflex, which ultimately caused bradycardia."

Hua Yuhe continued.

"This……"

Yu Fanmeng still couldn't believe it.

"The respiratory rate is also slowed, only 10 breaths per minute compared to the normal 12-20 breaths per minute. Clinically, this could indicate central respiratory depression, suggesting possible brainstem compression. The SpO2 level is also low, albeit mildly. In the context of head trauma and coma, this could indicate two things: first, a relatively mild case of impaired consciousness leading to insufficient ventilation; second, a high degree of suspicion for airway obstruction and central nervous system depression. This is one of the most dangerous causes of death, even more urgent than cerebral hemorrhage!"

All data from emergency cardiac monitors have corresponding clinical significance.

As a professional emergency room doctor.

A judgment should be made immediately.

"My husband hasn't eaten yet, and I hit his head! How could that block his airway? He must be unconscious and unable to breathe!"

Yu Fanmeng didn't understand the beginning, but she understood the part about airway obstruction. Her husband hadn't eaten anything, so how could his airway be blocked? That was definitely impossible!
"Family members, do you know that if a person is unconscious for more than eight minutes, their tongue will fall backward?"

Seeing the pregnant woman's anxious expression, Hua Yuhe knew she must be regretting it, so she sighed and gave a detailed explanation.

The tongue falling back and blocking the pharynx prevents air from entering the trachea smoothly, which is the most common cause of upper airway obstruction in comatose patients, especially when lying supine, as gravity makes the base of the tongue more likely to collapse.

Meanwhile, traumatic brain injury often causes reflexive vomiting or reflux of gastric contents. If the patient loses consciousness and cannot cough to clear secretions, it can cause obstruction of the oropharynx, aspiration, or suffocation. Especially during ambulance transport or the initial stage of rescue, if the secretions are not cleared properly, aspiration asphyxia and aspiration pneumonia can easily occur.

Hua Yuhe has always been a frontline emergency medical worker outside the hospital.

He is a very experienced doctor.

Sometimes, experienced doctors can prevent unnecessary secondary damage.

"Come on, Sisi, Xiaokang, we're going to open up the airway now."

Wu Kang, a resident trainee, nodded slightly after hearing this.

He hadn't known there were such precautions before.

They quickly performed endotracheal intubation on site and rapidly opened the airway.

"Ma'am, please call your family right now and get ready to come to the hospital with us!"

The task of opening the airway was left to Deng Sisi and Wu Kang.

After all, she checked and found it wasn't too difficult, so she gave them a little more hands-on experience.

Otherwise, no matter how well you learn the theory or how excellent your model training is, you can't become a good doctor without hands-on experience, except for Zhang Lingchuan, the oddball in our hospital.

“Oh? We have to notify the family? My in-laws will kill me if they find out, they might even make us divorce! Doctor, my husband had a brain hemorrhage, it should just be treated, he can take some medicine and he'll be fine, right? I'll go with him, I can take care of him.”

Yu Fanmeng decided to apologize to her husband when he woke up.

She really, really knows she was wrong.

If my in-laws found out, they would definitely insist that we get a divorce.

She doesn't want a divorce!
"How could it be cured with just one treatment! If it really is an acute cerebral hemorrhage! A person could die at any moment if they are unconscious for thirty minutes! You can be alone as a family member, but you also need to be mentally prepared! You will have to cooperate with our hospital to sign some surgical informed consent forms immediately! Come on! Lift them up! Let them walk!!"

Under Hua Yuhe's direction, the patient was quickly lifted onto a stretcher.

After all, in this situation, every second counts.

As for being cured by taking some medicine, that's simply a pipe dream!

"Wh-what...you mean me? I might...kill my husband with a stool?"

The stretcher was already outside the door.

The nurse packed up and walked back. Yu Fanmeng, who was already at the door, stood there stunned, her eyes filled with unprecedented helplessness, confusion and fear.

……

(End of this chapter)