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

At 7:30, all the lights in the shift handover room were on.

Zhou Min stood in front of the whiteboard and went through the observation area first.

The patient in bed three's blood pressure is still dropping. A bedside ultrasound was performed, and there was no pericardial effusion. The patient will be followed up with the cardiology department tomorrow during the day shift.

The blood gas results for the two patients awaiting return were marked on the side of the board.

After she finished speaking, she pressed the tip of her pen onto the line of words on the corner of the board.

"The one who fell from the height, the message came from the operating room."

Lin Ye raised his head.

"We've performed an laparotomy; the spleen is ruptured, and we're stopping the bleeding. External pelvic fixation is in place. The blood pressure reported by the anesthesiologist is more stable than it was on the operating table."

In the corner of the whiteboard, the line "Fall from height: Sent to the operating room" was crossed out.

Zhou Min added from the side: The spleen rupture is being stopped for bleeding, the external fixation of the pelvis has been applied, and the patient will be transferred to the thoracic intensive care unit after the operation.

"The surgery isn't over yet; they said it would take at least two hours. We'll reserve a bed for the intensive care unit tonight, and the patient will be transferred directly after the surgery."

The night shift nurse responded and noted it down in the handover log.

Zhou Min turned her gaze to Lin Ye: "Hand over your referral form."

Lin Ye handed over the registration form.

Zhou Min flipped to the line of small print added below the blood pressure column.

"Did you add the timing for supplementing blood pressure yourself?"

"The form has numbers, but no time."

"The county hospital reported 104 to 66, 98 to 60, 96 to 58, and the numbers kept dropping. It's impossible to tell how much time had passed in between, and the people who took over didn't know how fast the numbers were dropping."

Zhou Min put the form into the handover book: "Just remember it."

She turned around and hung up the second set of bed records.

Lin Ye stood by the whiteboard, rereading the line "Fall from Height: Post-operative ICU Transfer," then turned to Zhou Min and asked, "Is he going back to the ICU after surgery, or directly upstairs from the operating room?"

"Upstairs, the intensive care bed for thoracic surgery has been reserved."

"If you're worried about him during your day shift tomorrow, go up and check on him. His spleen, they said on stage, has a pretty big tear."

The shift handover process gradually came to an end.

Lin Ye closed the folder and stood up.

My phone vibrated in my pocket.

Ma Hao sent me a message.

"Next Monday night shift, it'll be the two of us. Don't fight me for the hospital bed, we'll each take half, and neither of us should take on more than our share."

Lin Ye looked at the line of text.

"We'll settle it next Monday."

Before his thumb had even left the screen, a shout came from the triage desk.

"Dr. Lin! Phone call! Call 120 for referral!"

Zhou Min was standing by the door, checking the condition of the third observation bed with the night shift resident physician.

She pointed at Lin Ye and said, "The person hasn't left yet, you answer the call first. After you're done, hand the information over to the night shift."

Lin Ye locked the screen, put the phone back in his pocket, and started walking back.

Behind the triage desk, Nurse Zhao held the microphone, while her other hand pulled out a blank registration form.

"120, there was an electric shock in the power distribution room. There were two people involved, one of whom is still at the scene."

She handed me the microphone.

"They sounded quite anxious, so ask them calmly."

Lin Ye took the phone, laid the registration form on the table, and placed the pen tip in the first column.

Someone on the other end of the phone was shouting at the scene.

He waited until the noise subsided before speaking.

"I'm Lin Ye from the emergency room of the First Municipal Hospital. Please speak."

"Two electricians were working in the power distribution room when they got electrocuted."

The voice on the other end of the phone sounded urgent.

"The first one collapsed on the spot, but he's awake now and says he has chest pain. The second one tried to pull him up, but he was also shocked and burned his hand, but he can walk on his own."

Lin Ye wrote down the time on the registration form without stopping.

"First child, how old are you? Do you have a history of heart disease?"

"Thirty-seven, unclear questions, confused, slow to answer."

"How are you feeling now?"

"It's sometimes good, sometimes bad. I just asked him his name again, and he got it right."

"Are there monitoring devices and oxygen supplies on the vehicle?"

"Yes, they all are. They just got on the bus and haven't left yet."

"Was it a doctor or a nurse accompanying you?"

"doctor."

"Has the second vehicle arrived yet?"

"The dispatcher just sent an extra vehicle, which has already entered the power distribution room yard, and the stretcher is being carried inside."

"Can you manage the airway?"

There was a pause on the other end of the phone: "Yes. He just came out of the emergency room."

"Okay. The first one goes first. Don't disconnect the monitor on the way. Report the heart rate to this number, including the time. If the monitor shows abnormalities, the patient's consciousness drops further, or breathing and circulation become unstable, handle the situation according to the pre-hospital procedure and report it in advance. The second one will also be put on cardiac monitoring when the second vehicle arrives and transported separately. Once he/she is in the vehicle, report his/her age, level of consciousness, and heart rate immediately."

Lin Ye added a sentence.

"Don't wait on the road."

"clear."

The phone hangs up.

Lin Ye flipped the registration form back to the first page and added a line in the blank space of the first patient's column: "Electric shock, fell to the ground, consciousness fluctuates, complains of chest pain, the on-board doctor can handle the airway."

He looked up at Nurse Zhao.

"Sister Zhao, both of them suffered electric shock injuries. The first one collapsed, so prepare for cardiac arrhythmia risks. Keep one resuscitation bed available, prepare two cardiac monitors, and move the defibrillator to the foot of the bed. Notify the second-line cardiology team and tell them that the patient experienced fluctuations in consciousness and complained of chest pain after the electric shock."

"You're taking the electric shock to heart?"

"He collapsed, his consciousness was fading, and he complained of chest pain. We need to be on the lookout for arrhythmia." Lin Ye spread out the second form. "It's better to have something prepared that you don't need than something you don't have when you need it."

Nurse Zhao had already gotten through on the phone. She told the person on the other end that she was in the cardiology department's second line of support, then hung up and called the front desk again to request a monitor and a defibrillator.

After finishing the two tasks, she glanced back at Lin Ye.

"This time you've thought it through more thoroughly."

Lin Ye didn't stop writing. In the "pending verification" column of the second form, he wrote: "Second patient, age, consciousness, and heart rate pending."

"Once the second person gets on the second vehicle, the monitoring also needs to be connected."

"He was electrocuted when he went to pull people away. He can't just sit there and wait just because he can walk."

"Should we also prepare a second one based on the weight?"

"Wait until the car arrives for face-to-face verification."

The night shift resident physician returned from the observation area.

Lin Ye handed over two registration forms, pointing to the first one: "Thirty-seven years old, collapsed after being electrocuted, experiencing fluctuations in consciousness and chest pain. The first vehicle has already left. Monitors, defibrillators, and second-line cardiologists are all on standby."

He then pointed to the second photo: "The second one is a hand burn from electric shock. The second vehicle just arrived at the scene. We'll report the age and heart rate after the driver gets in the vehicle."

The night shift resident took the form: "Okay, I'll keep an eye on it."

Nurse Zhao pushed the cardiac monitor to the side of the emergency bed: "Everything is ready."

Lin Ye nodded: "Sister Zhao, thank you for your hard work."

Are you working the night shift next Monday?

"Um."

"Let me check the schedule."

Nurse Zhao's voice carried a hint of laughter.

"Don't be in the same class as you. When you get busy, you don't even care about your own family."

Lin Ye didn't turn around, his voice carrying a hint of amusement.

"Okay, Sister Zhao, I'll try my best to recognize people when I'm busy."

The light in the handover room at the end of the corridor was still on, and the newly added "Postoperative transfer to thoracic intensive care unit" sign at the bottom of the whiteboard was still there.

He finished his day shift at 7:30.

Lin Ye put the shift handover clipboard into the inner pocket of his white coat and walked towards the changing room.

The curtains on the bed for emergency treatment were half-drawn, the cardiac monitor was placed at the foot of the bed, and the defibrillator was placed beside the bed.

The first ambulance has already set off, and the second ambulance with a stretcher has just entered the power distribution room yard.