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

The night Lin Ye officially started working on the emergency team, the emergency department held a very short meeting for him.

It was called a meeting, but in reality, Qin Hai just stood at the door of the emergency room, holding a schedule in his hand.

Sun Zhiqiang, Nurse Zhao, Ma Hao, Jiang Peng, and several other night shift doctors and nurses were all there.

Qin Hai posted the duty roster on the wall: "Starting tonight, Lin Ye will be rotating into the emergency team."

Nurse Zhao led the applause.

The applause was sparse, interspersed with Ma Hao's shouts: "The night shift's devil is on duty!"

Qin Hai glanced at him, and Ma Hao immediately shut up.

"Let me make this clear from the start," Qin Hai said, looking at Lin Ye. "The emergency room isn't a place for you to show off. It's a skill to be able to identify risks. But the emergency room is full of risks. Once you're here, patients don't come one by one; they might come by the truckload. You can't just rely on your own judgment, you can't just focus on one diagnosis, and you certainly can't bypass the team."

Lin Ye hung the stethoscope back around his neck: "Understood."

Qin Hai continued, "Your tasks are: First, identify the danger. Second, find evidence. Third, call the right person. Fourth, make a record. Fifth, get off work alive."

Nurse Zhao whispered, "The fifth one is the hardest."

Qin Hai glanced at her: "You too."

Someone in the emergency room chuckled, their tense shoulders relaxing for half a second.

Sun Zhiqiang handed a new medical record folder to Lin Ye: "For emergency team use only. Don't write like an electrocardiogram anymore."

Lin Ye accepted it: "Thank you, Teacher Sun."

Ma Hao leaned closer: "From now on, should I call you Teacher Lin?"

"Need not."

"That's Lin Yan..."

Nurse Zhao slapped his arm: "If you can't speak properly, go get your blood pressure checked."

Jiang Peng stood to the side, not joking, and simply said, "I'll be with you tonight."

Lin Ye looked at him.

Jiang Peng hung up the stethoscope: "I'm not just here to watch the show, I'm here to really learn."

Lin Ye nodded.

Before 10 p.m., the emergency room was relatively stable.

Several people had fevers, two had fallen and injured themselves, one was drunk, and one was under observation for chest pain. Lin Ye handled the situation according to procedure; there were no red alerts in sight, nor was there a call from the supervisor.

Nurse Zhao glanced at the time: "Isn't it too quiet tonight?"

Sun Zhiqiang immediately said, "Don't say things like that in the emergency room."

The phone rang just as he finished speaking.

Nurse Zhao answered the phone, listened for a few seconds, and her expression slowly turned serious.

"High-speed multi-vehicle collision? How many people were involved?"

Everyone in the emergency room stopped what they were doing.

Nurse Zhao repeated the information from the phone call: "The ambulance has already sent three seriously injured people, and there may be more later. One is unconscious, one has chest and abdominal injuries, and one is a pregnant woman with abdominal pain."

Qin Hai came out of his office: "Notify the surgery, orthopedics, neurosurgery, obstetrics and gynecology, anesthesiology, and intensive care unit. Clear out the resuscitation beds."

Lin Ye opened the medical record folder he had just received.

The pen was held between my fingers, and my fingertips felt a little tight.

One emergency bed after another was wheeled out.

The oxygen inlet was unscrewed.

The monitoring cable was dragging on the floor. Nurse Zhao bent down, picked it up, and draped it over the headboard.

This is not a night that can be calmed down by an aortic CTA or an electrocardiogram.

The sound of an ambulance siren approached from afar.

The first car door opened, and the unconscious, injured person was pushed out.

The second vehicle arrived shortly after, carrying a patient with chest and abdominal injuries covered in blood.

In the third car, a pregnant woman was clutching her belly, her face was deathly pale, and there was blood on her trouser legs.

The lights at the emergency room entrance shone brightly in the rain.

The system notification popped up in front of Lin Ye almost simultaneously.

[Emergency room alert activated.]

[Identification of high-risk scenarios involving multiple patients.]

[Task generated: Complete a "zero-mortality ER week" across seven consecutive night shifts.]

[Current night shift: Night 1.]

[Objective: All patients in the red zone will enter an effective treatment process.]

[Limitation: The system only alerts to high-risk cases and does not provide treatment options.]

Lin Ye's breath hitched.

This is not a risk for a single patient.

The entire emergency room was pushed to the point of surgery.

Qin Hai's voice came from the side: "Lin Ye!"

"exist."

"For the unconscious patient, you and Jiang Peng will work with the neurosurgery team. For the chest and abdominal injuries, Sun Zhiqiang will work with the general surgery and thoracic surgery teams. For the pregnant woman, notify Shen Ruomei; conduct a trauma assessment according to the established protocol until she arrives. Nurse Zhao, divide the areas!"

"receive!"

The emergency room sprang into action instantly.

Lin Ye rushed to the first bed.

The unconscious victim had blood on his head, a sluggish right pupil, and unsteady breathing.

The system at the edge of Lin Ye's vision was flashing, but it did not give him any medical advice.

He reached out to feel the carotid artery, reported vital signs, and used a flashlight to check the pupils to confirm the location of the injury.

"Unconscious, head injury, sluggish right pupillary response, prepare for cranial CT scan, monitor airway and circulation before neurosurgery arrives."

Jiang Peng, who was taking notes, spoke in a much steadyer voice: "Time: 10:17 PM."

On the second bed, Sun Zhiqiang shouted, "Chest and abdominal wounds, blood pressure is dropping, prepare blood!"

On the third bed, a pregnant woman cried out, "My baby, my baby..."

Nurse Zhao's voice boomed, "Family members, leave the emergency area! Immediate family members and those who can contact family members, stay here. Everyone else, don't block the way!"

The phones in the emergency room, resuscitation room, CT room, and operating room rang simultaneously.

In the group chat for the directors, Qin Hai only sent one message.

[Emergency resuscitation team, multiple trauma cases; all departments responding according to pre-arranged protocols.]

The group was silent for two seconds.

Zhou Mingyuan: [On standby in Cardiac and Vascular Surgery.]

Luo Jianping: [Going downstairs from the neurosurgery department.]

Shen Ruomei: [The obstetrics and gynecology department has departed.]

Tang Zhendong: [Keep this in mind for cardiology.]

Jiang Shumin: [The airway needs to be activated on demand.]

Liang Xiulan: [Pediatrics on standby.]

Han Qing: [Communication regarding endocrine support testing.]

Lin Ye didn't look at his phone.

He looked at the unconscious injured person in front of him, at the numbers jumping on the monitor, at Jiang Peng recording the time, and at Qin Hai standing in the center of the emergency room directing everyone.

All the hospital directors' phones lit up.

The emergency room had lights on.

Lin Ye held the stethoscope, his fingertips touching the cold metal edge.

My palms are still sweaty.

He took half a step forward and pressed his stethoscope against the injured man's chest.

Outside the emergency room, the rain was pouring down harder and harder.

Lin Ye pressed the stethoscope against the injured man's chest, looked up and called out:

"Deep breath sounds on the right side, and blood pressure is dropping! Dr. Qin, please rule out tension pneumothorax first!"

Qin Hai turned to look at him.

"Give me your evidence!"

"Chest trauma, weak breath sounds on the right side, distended jugular veins, decreased blood pressure, and low oxygen saturation!"

Qin Hai nodded.

"deal with!"

The first night officially begins.