When I'm on the night shift, all the department heads can't sleep.

Chapter 13 The Medical Department's First Warning Notice

The lights in the emergency room were turned up to their brightest.

Tongtong's mother was helped outside by the nurse, while the child's father stood behind the glass window with his mouth open, unable to utter a sound.

Jiang Shumin bent over to operate.

Lin Ye stood beside the bed, pressing down on Tongtong's flailing little hands, feeling the child's delicate bones in his palm. Tongtong no longer had the strength to cry; only intermittent gasps for breath escaped her throat.

"Don't press too deep." Liang Xiulan stared at the monitor. "The oxygen saturation is still dropping."

Nurse Zhao handed over the instruments: "Laryngoscope."

Jiang Shumin took it, his movements quick and steady.

A few seconds later, he muttered under his breath, "The epiglottis is swollen like a ball."

Lin Ye's heart tightened.

The system did not provide any further prompts.

The countdown has 02 minutes and 10 seconds left.

Jiang Shumin held out his hand: "Manage it."

Nurse Zhao handed over the tube.

I couldn't get in the first time.

Tongtong's oxygen saturation dropped to 82.

The child's father's legs buckled outside the door, and he was supported by another nurse.

Liang Xiulan lowered her voice: "Director Jiang."

"Know."

Jiang Shumin was sweating as he readjusted the angle.

The second time, the catheter was inserted into the narrow gap.

Nurse Zhao immediately connected the breathing bag.

a bit.

Two times.

The oxygen saturation on the monitor slowly started to return.

Eighty-five, eighty-nine, ninety-three.

The breath I had been holding in the emergency room finally came out.

Jiang Shumin straightened up, a patch of his shirt on the back already wet: "Fixed."

Liang Xiulan looked towards the door: "One family member, please come in."

Nurse Zhao spread out the resuscitation record sheet, her voice still a little hoarse: "Record the intubation time. The first attempt failed, the second was successful. The oxygen saturation was at least 82."

Lin Ye immediately added time.

In the past few minutes, he could barely hear the alarm from the monitor. Now, as he put pen to paper, he noticed several red marks on his palm from Tongtong's little hand.

When Tongtong's father was let in, his steps were unsteady.

He looked at the child on the bed, his lips trembling for a long time, and then suddenly bent down towards Lin Ye.

"Doctor, I'm sorry, I shouldn't have yelled at you just now."

Lin Ye neither dodged nor stepped forward to help.

He's heard this apology several times in the past few days.

They always arrive very late.

Qin Hai, standing beside him, took the message for him: "We'll apologize later. The child needs to go to the intensive care unit; there will be infection control and airway monitoring there."

The man nodded repeatedly.

After Tongtong was transferred to the intensive care unit, the emergency room office was so quiet that only the sound of the printer could be heard.

Lin Ye sat at the table to finish taking notes, his wrists a little sore.

Tongtong's mother sat on a bench by the door, holding her child's little jacket in her arms. The jacket had a cartoon car printed on the front, and the zipper was undone, with a fever reducer falling out.

She stared at the pill for a long time, then suddenly covered her face and started crying.

No one went over to offer much advice.

There were some cries in the emergency room, so we had to let it finish crying first.

Sun Zhiqiang placed a piece of paper in front of him.

Lin Ye looked up.

The red stamp on the paper was very eye-catching.

[Medical Affairs Department Risk Warning Form]

The following text reads: "Recently, Lin Ye, a resident physician in the Emergency Department, participated in the identification of high-risk cases and interdisciplinary consultations on multiple occasions. Although no adverse consequences resulted, there were risks related to unclear boundaries of authority and non-standard communication procedures. The Emergency Department is requested to strengthen its teaching management, and resident physicians are prohibited from independently directing resuscitation and interdisciplinary dispatch."

No one spoke in the office.

Nurse Zhao immediately exploded: "What kind of nonsense is this? You save a person, and you give them a warning slip first?"

Sun Zhiqiang said in a low voice, "Sister Zhao."

Nurse Zhao tossed her gloves into the trash can: "Did I misspoke? If Tongtong had been three minutes later, she would be dead. Who called pediatric ENT? Who said first that the child shouldn't be laid down?"

Qin Hai picked up the risk warning sheet and looked at it for a long time.

He didn't yell or slam his fist on the table.

He simply folded the paper and tucked it into his notebook.

"I'm going to the medical department."

Lin Ye stood up: "Director, I'll explain myself."

"What are you explaining?" Qin Hai looked at him. "Explaining why you saved people?"

Lin Ye remained silent.

Qin Hai's voice was not loud: "Write what you need to write, and keep what you need to keep. The rest is the department head's business."

After saying that, he took the notebook and went out.

The atmosphere in the office was a bit stifling.

Sun Zhiqiang pulled out a chair and sat down opposite Lin Ye.

"Don't feel wronged," he said. "The medical department isn't unaware that you saved someone. What they're afraid of is that the way you saved someone will become something that others can't learn or control."

Lin Ye looked at the medical records on the computer screen.

"Then how should we manage it?"

Sun Zhiqiang did not answer immediately.

After a while, he said, "Preserve the evidence, get the higher-ups involved, don't rush to the front alone. One person can't handle the situation for long in the emergency room."

Lin Ye completed Tongtong's medical record and wrote: "The emergency department initially determined that acute epiglottitis was possible. The pediatrics, ENT, and anesthesiology departments were notified to come to the scene and complete airway management."

He then added "no tongue depressor stimulation test performed", "the child cannot lie flat", and "the inspiratory stridor progressively worsened" to the beginning.

These details are neither visually appealing nor exciting.

But if someone asks why a child with a fever and sore throat needs to call three different departments at the same time, here's the answer.

His phone vibrated as he saved the medical records.

It was a message from Zhou Mingyuan.

I heard you woke up the pediatricians and ENT specialists too?

Before Lin Ye could reply, Tang Zhendong also sent a message.

Who's sleeping in the ER tonight?

A few seconds later, a text message came from an unknown number.

[Jiang Shumin, ENT specialist. Next time a kid like this comes along, hit me first, don't wait until his airway is completely blocked.]

Nurse Zhao peeked out and saw it, and couldn't help but mutter, "Oh no, another director has been added."

Lin Ye stared at the string of numbers, his finger hovering over the screen.

Outside the emergency room lobby, it was already daylight.

But his night shift roster seems to be getting longer and longer.

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