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

"deal with!"

Once Qin Hai's name was mentioned, no one in the emergency room asked him a second time.

Nurse Zhao slapped the chest decompression pack onto the treatment cart; the sound of the packaging being torn open was like a short, sharp tear. Jiang Peng stood at the foot of the bed, his pen tip pressed against the emergency record sheet, his Adam's apple bobbing slightly.

The unconscious injured person lay on the bed, their hair mixed with blood and rainwater, and the right side of their chest was rising and falling less than the left. The oxygen saturation on the monitor dropped from 91 to 87, and their blood pressure was also steadily declining.

"name?"

The paramedic, panting, said, "We haven't found his ID yet. He's a man in his thirties, in the driver's seat. He hit his chest with the steering wheel and also hit his head."

"Press 'Anonymous Number One' first." Qin Hai put on gloves. "Lin Ye, continue reporting."

Lin Ye bent down to listen to the patient's heart, the stethoscope pressed against the patient's right chest, and the only sounds in his ears were the noise from the emergency room.

He forced himself to keep his voice steady.

"Breath sounds are significantly reduced on the right side, jugular veins are distended, trachea is not significantly deviated, blood pressure is 82.49, and oxygen saturation is 86."

Qin Hai continued working: "The evidence is sufficient."

Nurse Zhao handed over a sterile cotton ball: "Right side, fourth and fifth intercostal spaces, anterior axillary line."

Lin Ye glanced at her subconsciously.

Nurse Zhao didn't look up: "Why are you looking at me? You were being watched by the medical affairs department a few days ago. I'll read out your location for you."

The tense shoulders of several people relaxed by half an inch.

Qin Hai positioned, disinfected, and inserted the needle.

The moment the needle entered, a burst of gas shot out, and the patient's chest seemed to finally loosen up a little. The oxygen saturation on the monitor slowly climbed up.

Eighty-eight, ninety, ninety-two.

Jiang Peng took notes: "At 10:20 PM, Director Qin Hai was present. Emergency decompression of the right pleural cavity was performed, and oxygen saturation returned to normal."

Qin Hai glanced at him: "Write down the operator, write down the supporting documentation."

"Yes."

Qin Hai secured the needle, not letting anyone take this breath away as a victory: "The thoracic surgeons will assess the closed drainage later. Right now, we've just gotten through the most critical moment; it's not the end of the treatment."

Nurse Zhao had already torn off the tape: "Understood. Keep the monitoring on, and don't reduce the oxygen flow."

The system notification flashed briefly at the edge of the forest's field of vision.

[Patient No. 1 in the Red Zone: Entering effective treatment procedures.]

There was no applause, but no one relaxed.

Because the second bed was already messy.

"Chest and abdominal injury, blood pressure dropped!" Sun Zhiqiang shouted. "Systolic pressure 76, abdomen distended, abrasion on the lower left chest, suspected abdominal bleeding combined with chest injury!"

The second injured man was covered in blood, his clothes cut open, revealing a large bruise below his left ribcage. He was still conscious, his eyes wide open, gripping the bed railing.

"Where's my wife? My wife's in the back car!"

The paramedics immediately said, "He was in the passenger seat of the pickup truck, and he suffered a chest and abdominal impact. He kept calling for his wife on the way. There are still other vehicles on the road."

Sun Zhiqiang pressed down on his shoulder: "Don't move. Your blood pressure is dropping, we need to save you first."

The man, panting, said, "My wife is pregnant...seven months..."

Lin Ye's fingers tightened on the monitoring line, and he subconsciously looked at the third bed.

The pregnant woman was pushed to the back, her face deathly pale, her hands clutching her stomach tightly. The bloodstains on her trouser legs were few, but glaringly obvious. The young man who had come in the car stood at the entrance, stopped by security guards, his voice hoarse with anxiety.

"Doctor! Please see my sister first! She has a stomachache!"

Without turning her head, Nurse Zhao shouted, "Family members, step back! If you rush in again, security will take you out!"

"She's pregnant!"

"Everyone in the emergency room is on the verge of death!" Nurse Zhao's voice hardened. "You can't get a doctor to come out by arguing with them!"

Lin Ye only glanced at it before Qin Hai called him back.

"Lin Ye, Number One, continue monitoring the airway and circulation. We'll switch to CT scan once the neurosurgery team arrives. Don't get taken away."

This statement was like a bucket of cold water.

The most frightening aspect of multiple trauma is that not everyone is at risk.

Everyone is trying to pull the doctor closer to them.

Lin Ye nodded: "Understood."

Luo Jianping practically ran in.

His white coat wasn't buttoned up yet, and as soon as he entered, he saw the head injury and chest decompression needle on bed number one.

Who has a head injury?

"Number One," Lin Ye quickly reported, "Male, in his thirties, unconscious, with sluggish right pupillary response, head injury, and recently underwent right pleural decompression due to tension pneumothorax, oxygen saturation has returned, but blood pressure is still low."

Luo Jianping glanced at the monitor: "Stabilize the airway circulation first, then do the CT scan. Don't let someone die on the way just to get a scan."

Qin Hai nodded: "Has the anesthesiology team arrived yet?"

"On the way," Nurse Zhao said. "The ICU also called back."

Lin Ye stared at the breathing of the patient in bed number one. The system did not provide any further treatment plans, but only displayed a red border next to it.

[Patient #1 in the Red Zone: Requires continuous monitoring; high risk during transfer.]

Lin Ye stared at the red box and wrote it down in a sentence that could be written into the medical record: "Director Qin, blood pressure and oxygen saturation should be reassessed before patient number one is transferred. It would be best to wait until anesthesia is available before leaving."

Qin Hai looked at him: "Write it into the record."

Jiang Peng immediately wrote it down.

On the other side of the second bed, Sun Zhiqiang's voice was even more urgent.

"Bedside ultrasound shows free fluid! Where is the general surgery department?"

Meng Qingwei pushed the door open and came in: "You're here! Which one has abdominal bleeding?"

"Number two." Sun Zhiqiang handed over the probe. "Chest and abdomen impact, blood pressure dropped, bedside trauma ultrasound positive."

Meng Qingwei's face darkened as soon as he looked at the screen: "Prepare blood, open the operating room. The thoracic surgeons shouldn't leave either; they still need to examine the ribs and thoracic cavity."

The second injured man, upon hearing the news of the operating room, grabbed Sun Zhiqiang's sleeve: "My wife... Doctor, please see my wife first..."

Sun Zhiqiang grabbed his hand and said, "If you move again, you won't be able to get off the operating table yourself. Your wife has someone to take care of her."

The words were cold, but the hand never loosened its grip.

Lin Ye watched as Number Two was wheeled to the surgical preparation area, and another notification popped up on the edge of the system.

[Patient No. 2 in the Red Zone: Entering effective treatment procedures.]

Two people from the red zone are entering the process.

There's a third one.

The pregnant woman suddenly let out a suppressed cry of pain.

"My stomach... my stomach feels hard..."

Nurse Zhao had already connected her to a monitor, and her complexion was not good: "Blood pressure 92.58, heart rate 120, intermittent abdominal pain, and slight vaginal bleeding."

When the pregnant woman's brother heard the word "bleeding" outside the door, his legs went weak and he almost knelt down.

"Doctor, is there any chance of saving the baby?"

No one could answer him immediately.

When Shen Ruomei arrived, her hair was still a little wet, indicating that she had come from the maternity ward in the rain. As soon as she entered, she first looked at the pregnant woman's complexion, then at her abdomen, and then at the monitoring equipment.

"Week of pregnancy?"

The pregnant woman gritted her teeth: "Twenty-nine weeks..."

"Where did you crash?"

"My stomach was constricted by the seatbelt, and it's been hurting ever since..."

Shen Ruomei reached out and pressed on her uterus, her expression immediately changing: "The contractions are obvious. Where's the fetal heartbeat?"

Nurse Zhao looked at the fetal heart monitor that had been temporarily connected to the side.

The curve bounced a few times, the sound coming out intermittently.

"Around 110, it dropped to over 90 for a while."

Shen Ruomei's voice immediately turned cold: "Notify the obstetrics operating room and neonatal department. Consider the risk of placental abruption, don't just focus on the mother's blood pressure."

The pregnant woman burst into tears: "My child..."

Lin Ye stood next to bed number one, still holding the monitoring line in his hand, when a new notification suddenly popped up in his field of vision.

[Patient No. 3 in Red Zone: Blunt abdominal contusion in late pregnancy.]

High-risk factors: placental abruption, fetal distress.

[Risk window: 18 minutes 32 seconds.]

[Note: Joint evaluation by obstetrics, neonatology, and anesthesiology departments is required.]

Lin Ye's throat tightened.

The system is still only displaying the risk warning.

Two lives are trapped inside the red frame.

Shen Ruomei looked up: "Qin Hai, I'm taking the person away for evaluation. Has the anesthesia been administered?"

Qin Hai looked towards the door: "The anesthesia will last for two minutes."

Just then, the emergency room phone rang again.

Nurse Zhao answered the phone, listened for two seconds, and her expression turned even more unpleasant.

"Director Qin, the second batch of injured people has arrived. The ambulance says there's also a child."

Everyone in the emergency room paused for a moment.

The system taskbar refreshes silently.

[Current night shift: Night 1.]

[New red zone risk: No triage.]

Lin Ye looked towards the emergency room entrance.

Rainwater was being carried inside through the automatic doors, and the lights of the fourth ambulance were already illuminating the floor of the lobby.