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

Chapter 472 Seeking a More Skilled Person, Facing Death Head-on, A Special Treasure Chest!!

Chapter 472 Seeking a More Skilled Person, Facing Death Head-on, A Special Treasure Chest!!
"Good heavens, is there any hope for this?"

"I think the person is probably dead. Just think how far that person must have been thrown! The motorcyclist almost couldn't be saved, let alone the passenger on the back."

"What a pity, such a young girl."

"No! I think Veterinarian Zhang can definitely save him. Have you forgotten what his title is? He's Seventh and Eighth Master's mortal enemy!!"

"That's right! Even that person with a ruptured liver, whom the vice president of the provincial hospital advised against giving up, he managed to save. As long as he has a breath left, Veterinarian Zhang can definitely save him."

……

[Number of viewers watching the provincial TV station's "Medical Path to Success" live stream: 191290.]

[Top 11 in Live Streaming Category Ranking]

The number of viewers in the live stream.

In this short period of time, it has already reached 190,000.

Everything happened in less than half an hour.

On the Douyin app homepage.

[Hot Live Stream: A Life-Threatening Emergency Situation!]

It even had this title.

With such a massive push, the number of people entering the live stream reached a new peak.

"Whose livestream was so popular back then? Oh, it was Veterinarian Zhang! I've followed him!"

"Haha, so Dr. Zhang is forced to do manual labor here! I've followed him!"

"+1".

"+999!"

……

This has also brought in a lot of new people.

There was a period of confusion when everyone first came in.

After watching for a while, everyone was surprised to find that it was actually Dr. Zhang, who hadn't been live streaming for quite some time!

And so everyone started paying attention.

Meanwhile, comments also mentioned how fast Zhang Lingchuan was.

I'm amazed by how terrifying their physical strength is.

Yin Xiaoxiao was carrying the medicine box behind her.

"Come on!!"

Yin Xiaoxiao wasn't cheering for Dr. Xiaochuan; she was cheering for herself.

Although it was only thirty minutes.

Yin Xiaoxiao also seemed to have quite a bit of strength.

But I really can't go fast.

She thought she should arrange to practice running again, since one cannot be considered a qualified nurse without good physical fitness.

If a nurse can run a marathon and sprint in 100 meters, then she must be a nurse with excellent physical strength!
As Yin Xiaoxiao watched Zhang Lingchuan's figure recede into the distance, she pondered her next move.

After all, Dr. Ogawa was in charge of the entire rescue, and he still has so much energy.

I am really terrible.

Keep it up!!

Thinking of this, Yin Xiaoxiao tensed up and increased her speed by another 25%.

"..."

The cameraman was completely bewildered.

Are you kidding me?!

Am I the slowest?

Meanwhile, Zhang Lingchuan had already run to the SWAT team's position.

"Dr. Zhang is here! Come quickly and take a look!"

He followed the grass parted by the special police and saw a pale figure.

"Lights! Someone come quick and turn on the lights! All lights should be pointed this way!!"

"Police officer Zhang Qin shouted."

In an instant, all the lights shone in that direction.

"Red label!!"

When Zhang Lingchuan saw the person, he breathed a sigh of relief.

Because it was actually a red label.

This label means that the person has not yet reached the clinical death stage.

But that's awesome!

With a drop of more than ten meters, even a motorcycle driver would only survive for five minutes, but she managed to survive for nearly half an hour and was only marked with a red tag.

Perhaps it hit the guardrail, and then the rear-wheel drive vehicle flew directly to the hillside below the guardrail. Since it was in a natural ecological park with lush forests, it hit some trees, which acted as a buffer.

It eventually fell into the bushes under a pine tree.

But why can't it survive for so long in the system space?

Could it be that it fell in a slightly different location?
Zhang Lingchuan wondered to himself.

[Ding! The current host has encountered a person with a red tag who is on the verge of death. Click to scan and check the injuries and provide timely treatment. There is a chance to obtain a special treasure chest.]

Just at this time.

A notification appeared in front of Zhang Lingchuan.

[The host is scanning the patient with the red tag... Patient scan complete. You now have two options:]

1. Seek further assistance. Immediately transport the patient to the hospital for treatment, using precordial thump and CPR to maintain life. Based on the patient's condition, the survival probability is 0.0001%. Reward: 1 Common Treasure Chest, +1000 Professional Reputation.
二、直面死亡。根据现有技能现场有创救治，死亡无奖励（概率99%）。成功延缓死亡时间可获得普通宝箱*1、职业声望+2000（概率0.9%）。成功恢复生命体征，并逐步向好发展可大概率获得特殊宝箱*1、职业声望+2500。（0.0999%）】

soon.

Along with the system's red label information, two options popped up.

"???"

Zhang Lingchuan was full of question marks when he saw these prompts.

"Dr. Zhang, what should we do now? Should we carry him upstairs, or should we treat him here?"

There were only two actual medical personnel on site.

They are Zhang Lingchuan and Yin Xiaoxiao.

So the police were all waiting for Zhang Lingchuan's opinion.

In addition, Dr. Ogawa was extremely aggressive during the previous rescue.

"I can't lift it! Little one! Come help!!"

Zhang Lingchuan shouted loudly!

If he didn't scan the relevant information, and only looked at the red label, he would definitely lift it up to check first.

Even if rescue is needed later, it would be better to be on the flat ground of the road above. Besides, when it comes time to get the ambulance, it will need to be carried up there anyway.

Raising the red label first is undoubtedly the best option.

If the label starts flashing before you lift it up, it might be difficult to move it then.

However, the other party's scan showed a brain herniation.

System scan complete.

[Patient Name: Dong Yijing]

[Patient's gender: Female.]

[Patient's age: 22 years old.]

[Patient's condition: Multiple contusions, unilateral pupillary dilation, coma, near death.]

[Patient Diagnosis: Intracranial hematoma, cerebral contusion leading to local mass effect, progressive brain herniation. 100% chance of death within one week. Note: The maximum prediction period for this system is one week, meaning it could happen any minute. Please consider this carefully.]

[System prompt: The patient’s current unilateral pupillary dilation indicates compression of the oculomotor nerve on one side, and the brain tissue is beginning to shift inferotentorially on the opposite side. If not intervened immediately, it can progress to bilateral pupillary dilation, brainstem compression, respiratory arrest, and complete brain herniation within minutes. The current mortality rate of the patient is as high as 95% or more.]

Immediately maintain an open airway, ensure circulation, dehydrate to reduce intracranial pressure, and lower intracranial pressure as quickly as possible. The best approach is emergency craniotomy for decompression.

This is the result of his scan.

Brain herniation!!
High intracranial pressure.

In such cases, if decompression is not performed in time, including through drilling or craniotomy, the space inside the cranial cavity will quickly be filled with hemorrhage or swollen brain tissue. The cranial cavity itself is formed by a closed and rigid skull, with no room for expansion.

The simplest understanding is...

The blood vessels in his brain were compressed.

It cannot be done through blood.

Just like the heart.

If there is no blood to the heart, the heart will fail.

The same goes for the brain.

Without blood supply to the brain, the entire brain will die, causing irreversible damage.

As a doctor, all he can do now is keep the airway open to ensure circulation and reduce intracranial pressure as much as possible.

The system provides two options.

Please also seek wisdom and confront death directly.

All he could say was, "After maintaining basic vital signs, please find someone else who can help!"
Although he dreamed of getting a special treasure chest.

But some things you can't simply face death because you want to.

The female patient with the ruptured liver had tried it many times in the system space before daring to do such a flamboyant thing in the real world.

However, this patient suffered from intracranial hypertension leading to brain herniation.

Lowering blood pressure is possible now, but you're suggesting using emergency drilling to lower blood pressure directly from a physical standpoint. He hasn't even learned how to do that; that requires brainpower!
It's like someone who has never learned how to stop bleeding with their bare hands trying to stop the bleeding by pinching their heart.

It would be truly a miracle if you could save him.

Death is highly probable.

Can't help.

to be frank.

This girl is destined to die.

Even if Professor Fang Yuan came, it wouldn't really work. Unless it's his own teacher's wife, there might be a tiny bit of hope.

But with such a slim chance, it's unlikely the other side would actually make a move in the wild.

It's more like it in the operating room.

After all, there are many factors that can lead to infection in the wild.

There's really no need for her in the operating room.

I remember when I first watched it, the teacher's wife's emergency craniotomy decompression surgery was of a professional level.

In fact, the teacher's wife is not a doctor with a neurosurgery background, so her ability to perform professional-level emergency craniotomy decompression surgery is already considered extremely excellent.

And the experts in neurosurgery and neurosurgery at the hospital must have very strong drilling skills.

After all, they are professionals.

I only know a little bit about emergency medicine.

"Okay! I've arrived! Dr. Ogawa!!"

Yin Xiaoxiao heard Zhang Lingchuan calling her.

They immediately rushed over.

The speed increased by another fifty percent.

"What the heck?"

"No way, he's still alive!"

"Her boyfriend suffered ventricular fibrillation several times and was on the verge of death, how did she still manage to survive?"

"Veterinarian Zhang has finally found the location of Seventh and Eighth Master!"

"Seventh and Eighth Master: This is bad! This guy is here again! Why is it so hard for us two brothers to collect souls?! How are we going to explain this to the King of Hell tonight?!"

……

Studio.

The speed at which the cameraman works determines how quickly everyone sees the footage.

At this moment, everyone was actually somewhat looking forward to seeing how this person fared.

Is it hopeless or hopeless?

Dr. Ogawa's attitude also determines everything.

If the other person enters a tense state, it means that they can be saved.

But if it doesn't enter a tense state and instead shakes its head helplessly, it's basically dead.

Death is actually what most people perceive as the end.

To everyone's surprise, Dr. Ogawa became so agitated and urged the nurse to hurry up.

"Open the airway immediately and perform endotracheal intubation. Look at this single pupil dilation. Based on the on-site assessment, it's probably a brain herniation!"

Zhang Lingchuan said.

When dealing with a patient suspected of having a brain herniation, if the patient is unconscious, the airway should be opened immediately. If possible, endotracheal intubation or a simple resuscitation bag should be performed. If intubation is not possible, the jaw should be raised and the head turned to one side to prevent vomiting and aspiration. If necessary, manual ventilation should be maintained.

The key to doing this is to ensure she is never deprived of oxygen, as oxygen deprivation will rapidly worsen cerebral edema and accelerate the deterioration of brain herniation.

"Brain herniation! Good, good, good!!"

Although Yin Xiaoxiao was anxious, she still proceeded with the entire process in a very organized manner.

"Brain herniation? I don't know how it is!"

"It's said that the mortality rate for brain herniation is over 90%!"

"I feel like this person is really in trouble."

"That can't be right! Veterinarian Zhang was able to be saved even after cardiac arrest, there's no way he can't be saved from a brain herniation!"

"Brain herniation requires neurosurgery or neurosurgery. What emergency room doctors can do is quickly transport the patient to the hospital for surgery by specialized doctors. But now only one pupil is dilated. Once both pupils dilate, it means that we have reached the end stage of brain herniation, and the time of death is estimated to be within one or two minutes!"

"Yes, actually, it takes a very short time for a single pupil to dilate into both pupils. It's estimated that more than forty minutes have passed since the accident, so it's incredible that they've survived this long!"

"We can't be so pessimistic. Let's check the other person's pulse and blood pressure first!"

Zhang Lingchuan and Yin Xiaoxiao were busy.

"Oh no! This pulse is extremely weak, and the blood pressure is almost impossible to detect!"

"I'm shocked," Yin Xiaoxiao said after the endotracheal intubation was completed.

"Replenish fluids! Administer norepinephrine!!"

Zhang Lingchuan continued speaking.

They also provided the corresponding medication.

This is also the second step the system just mentioned: ensuring the loop.

In simple terms, it involves checking the pulse and blood pressure. If the blood pressure drops, an intravenous line is immediately established, and fluid is rapidly administered, primarily crystalloid solutions such as normal saline or lactated Ringer's solution, to maintain cerebral perfusion pressure (MAP ≥ 90 mmHg).

If conditions permit, use vasoactive drugs such as norepinephrine to prevent blood pressure from dropping too low.

Of course, there is also a taboo about this.

That means you must not over-inflate fluids, otherwise it will have the opposite effect and increase intracranial pressure.

The main goal of this step is to ensure cerebral blood flow and avoid hypoxia and ischemia.

hospital.

"Ogawa's operation was very standard!"

Director Wu said.

He never expected that there was actually another person present.

Even more unexpectedly, this person, who had been forgotten for so long, still showed signs of life.

Normally, the mortality rate for passengers on the back of motorcycles is extremely high.

This is especially true for those who drive fast.

This girl's will to live is truly remarkable!
"Xiao Chuan is indeed an outstanding child in every aspect, like a born medical student. The next step should be to use a dehydrating agent to reduce intracranial pressure."

Huang Xiangning spoke up.

When surgical facilities are unavailable in the field, dehydrating agents are the only drug intervention that can delay brain herniation.

"Mannitol intravenous bolus!"

Zhang Lingchuan gave the instructions.

Fortunately, the emergency room first-aid kit had this medicine on hand.

When dealing with this type of patient, mannitol must be administered as early as possible! Even a delay of just a few minutes could allow the brain herniation to fully develop.

"Okay! Now we can try to lift it up!"

It is necessary to lift it up.

This is also crucial for getting them to the hospital.

Now, he has done everything he can to delay death from brain herniation!
Whether I survive or not is truly up to fate!
"rise!!"

The special police officers, dressed in black uniforms, were extremely cautious.

[Ding! The current host has six ordinary treasure chests. Open them?]

As Zhang Lingchuan followed the group onto the highway, a system notification appeared.

This is a notification that pops up from time to time.

That's it.

I originally planned to open it after finding the person, since every second counted beforehand.

The person has indeed been found, and the special police officers are carrying him.

I can take this opportunity to see what I can get from the six regular treasure chests.

[The current host has two ways to open the treasure chests: open them one by one, or open all five chests at once and open the remaining one separately!]

The system provided two options.

[Ding! Host, you have opened five ordinary treasure chests and received the following rewards.]

If it's during off-peak hours.

He must open all those treasure chests one by one, slowly.

But now, my mindset has changed a bit.

Let's see what rewards we can get in one go!

[You opened five regular treasure chests and received +5000 Job Reputation, 4 Precision Scans, 4 Special Stamina Potions, and 1 Hidden Item Card Fragment.]

"..."

Looking at the rewards from the five treasure chests.

I can only say it was expected.

After all, that's what a regular treasure chest is like.

I wish I could get a special treasure chest!!
[There is one last regular treasure chest remaining. Host, do you wish to open it?]

[Opening the last treasure chest...]

"Drip-drip-"

The very instant he opened it.

The electrocardiogram monitor and other equipment all emitted sounds.

My blood pressure is gone!
There was no pulse!
My heart stopped beating!
"!!!"

The people in charge of transportation stood there dumbfounded.

"Alas... even the King of Hell took her away."