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

Qin Hai suppressed the call from the triage desk about abdominal pain.

"Take his blood pressure a second time, and don't let him sit on the ground. Someone's watching him; I'll be over here in two minutes."

After the phone call ended, the nurses' station fell silent for a moment.

Nurse Zhao hadn't finished tearing off the tape in her hand, Qin Hai had three records pressed down in front of him, and Lin Ye's pen hadn't left the paper.

Beside Feng Jianping's bed, Nurse Zhao had used tape to attach a small label to the markings on the stoma bag.

After she finished pasting the paper, she pushed the record sheet in front of Lin Ye.

"At 11:15 PM, there were about 20 milliliters more in the bag, but the color was still cloudy. Don't write 'improvement,' write 'continued drainage.'"

Lin Ye followed what he wrote.

Feng Jianping's wife was standing at the foot of the bed. When she heard "twenty milliliters," she couldn't help but look up.

"If something comes out, will the fever go down?"

The infectious disease doctor happened to walk by, holding a prescription.

"It might gradually subside, or it might fluctuate. The culture hasn't returned, and the treatment for infection depends on kidney function. Don't focus on the temperature reading tonight."

The woman's lips moved.

"Then what should I look at?"

Nurse Zhao shoved her phone into her hand.

"Check your phone. The doctor is calling you; don't miss it."

This statement is more effective than words of comfort.

The woman turned her phone volume up to the maximum, the screen so bright it was blinding.

On the other side, the intensive care doctor was talking to Liang Shumin's family.

The man stood very straight, but his shoulders were slumped.

"The blood pressure medication dosage hasn't been lowered yet."

The intensive care doctor showed him the bedside records.

"It's not that there's no hope right now, but it's not that the situation is stable either. Right now, we're monitoring blood pressure, urine output, electrolytes, and acid-base balance. The nephrologist is evaluating the patient, but it's not like we'll immediately put them on a machine just because of low urine output."

Liang Shumin's son's Adam's apple bobbed.

"Can I interpret that as him still robbing me?"

The intensive care doctor nodded.

"That understanding is correct."

The man turned and glanced back at his mother, who was sitting on the bench.

The old lady held the bent access card in her palm and didn't ask again whether the card was awake or not.

She asked in a low voice.

"Doctor, shall we wait here tonight?"

"wait."

The intensive care doctor spoke very calmly.

"Don't turn off your phone, and don't wander off. We'll let you know if anything changes."

Lin Ye added these sentences to Liang Shumin's page.

The family is aware that the patient is still under emergency observation and cannot report that she is safe at this time.

He had just finished writing when he received another call from the patient with the dental infection.

This time it wasn't a visiting nurse.

The voice of the on-call oral and maxillofacial surgeon came through the speakerphone; he sounded tired, but his speech was still clear.

"Please help me schedule the transfer to the emergency department. The patient is currently on a tube, and there is still purulent discharge from the neck drain. The temperature is 38.9 degrees Celsius. The anesthesiologist said that the airway edema is still severe, and we are not considering removing the tube tonight."

Qin Hai asked, "What about blood oxygen?"

"Around 95% under oxygen-inhaled conditions."

"What did the family say?"

There was a pause on the other end of the phone.

"They just asked me why the tube hasn't been removed even though the abscess has been cut open."

Nurse Zhao looked up and cursed.

"They're all cut from the same cloth."

Qin Hai put his phone on the table.

"Let him repeat himself. Save his airway first, the infection isn't over yet, and the tube can't be pulled out just like that. Once you've finished speaking, the ER won't change your story."

"Know."

The phone hangs up.

Lin Ye completed the page about dental infections.

With tubing.

The drainage tube is in place.

Continue to monitor for airway edema.

Infection indicators need to be re-examined.

Three sheets of paper were placed side by side on the nurses' station counter.

Liang Shumin's page was pressed against the bedside record of the critically ill patient.

Feng Jianping's page contained the markings on the stoma bag.

The page about dental infections also had the operating room callback time posted.

At the edge of the field of vision, a blue text box lights up.

[Stage Feedback: Multiple high-risk cases have entered the subsequent treatment process.]

[Current Status: Safety feedback conditions not met.]

[Risk Warning: Subsequent handover errors, misunderstandings by family members, and inconsistent performance indicators.]

Lin Ye glanced at it and then looked away.

Lin Ye turned his gaze back to the paper and added a line after each name: "Continue to observe."

Qin Hai lined up the three sheets of paper and tapped the top line with his pen.

"Look carefully."

Lin Ye looked up.

"It's not enough to just wheel someone out of the emergency room after they've been saved."

Qin Hai threw the pen back into the pen holder.

"If you only ever try to grab the first ten minutes, sooner or later someone will come after you with those ten minutes."

Lin Ye did not refute.

He recalled the face of Liang Shumin's son just now.

When he first arrived at the hospital, his voice was loud enough to fill the corridor.

Now, people are standing at the entrance of the ICU, repeatedly touching that bent access card.

When Zhou Min, the deputy director of the day shift, arrived, she was still holding a half-finished bottle of water.

She didn't sit down, nor did she ask who deserved the credit.

She looked at three pieces of paper first.

"Are the emergency room section, specialist section, and family notification separate?"

Qin Hai pushed the paper over.

"We broke up."

Zhou Min flipped through the pages very quickly.

When she turned to Feng Jianping's page, she saw "After returning to the emergency intensive care unit after puncture and fistula creation, his blood pressure was still low," and paused in her movement of turning the page.

"This sentence is retained."

Lin Ye looked at her.

Zhou Min put the paper down.

"When the family hears that they've been transferred out, they think they can finally breathe a sigh of relief. But that's when things are most likely to go wrong."

Nurse Zhao, leaning against the side, added a comment.

So don't say it's nothing.

Zhou Min nodded.

"right."

She looked at Lin Ye.

"Also, don't put your name at the very top of every page. Write down what you did, and where others make the decisions, write their names."

Lin Ye responded.

"I'll change it."

"It's not about making it look better."

Zhou Min handed him the pen.

"It's written in a way that the next successor won't be able to guess."

Lin Ye took the pen, moved his name one space to the right, and added the on-duty doctor and the department he was taking over next to it.

This time it took even longer to write than before.

A brief commotion came from outside the nurses' station, near the triage desk.

Nurse Zhao looked up.

"The one who had stomach pain just now?"

The triage nurse pushed a wheelchair over, followed by a woman in her forties.

The elderly man in the wheelchair was over sixty years old, his back was hunched, and his hand was pressed against his stomach.

The sweat on his face didn't look like it was from heat.

It was a layer of cold sweat.

The woman explained as she walked.

"He just had a stomachache. He ate something cold for dinner, and when his number was called just now, he said his legs were weak and he couldn't stand up."

Qin Hai didn't rush to reply.

He first looked at the old man's hand pressing his stomach.

His hands were pressed very tightly.

When the triage nurse reached out to help, the elderly man cried out again.

"Don't touch it, don't touch my stomach."

Lin Ye came out from behind the nurses' station.

The edges of the field of vision did not light up immediately.

Only the newly affixed triage label on the elderly person's wristband shone brightly white under the light.

Nurse Zhao stepped on the wheelchair brakes.

"Has your blood pressure been rechecked?"

The triage nurse handed over the form.

"10462, heart rate 112. Blood sugar 6.1. Body temperature not high."

The woman breathed a sigh of relief upon hearing that her body temperature was not high.

"See, I told you it wasn't an infection."

Qin Hai glanced at her.

"Emergency rooms don't just check if a patient has a fever."

Lin Ye's gaze fell on the inside of the old man's wrist.

There is a ring of old watch markings there.

The veins on the back of his hand were bulging.

The old man wasn't breathing heavily, but each breath he took seemed like he was enduring something.

The triage nurse added a sentence.

"He has atrial fibrillation, and his daughter said that she stopped taking anticoagulants a while ago because she found it troublesome."

Lin Ye looked up.

Qin Hai's expression also darkened slightly.

This time, the blue text frame slowly lit up at the edge of the field of vision.

[Emergency Room Warning: High risk of non-infectious abdominal pain.]

[Insufficient publicly available evidence: Vital signs have not yet collapsed, abdominal examination is pending, blood gas/lactate levels have not returned.]

[Key abnormalities: The intensity of pain may not match the initial physical signs; atrial fibrillation and history of discontinuation of anticoagulation.]

Lin Ye did not report his illness.

He pushed the triage form in front of Qin Hai.

"Don't put it back on the waiting chair yet. Get a bedside blood gas analysis and check lactate levels."

Qin Hai glanced at him.

This time, I didn't yell.

"Push to the entrance of the red zone. Check your body first."

As soon as the wheelchair started moving, the old man suddenly bent over.

He gripped the handrail, his voice forced out through clenched teeth.

"The pain isn't right."

The phone at the nurses' station was still ringing.

But this time, the quietest person in the emergency room was the first to be wheeled in.