When the Doctor Uses A Hack

Wang Qian felt tense, making this choice today was truly the biggest step he had ever taken!

He was stepping out of his comfort zone to become a real emergency medicine doctor!

But when he saw how fragile life was in front of him, he felt very guilty and helpless.

Because... at this moment, he was at a loss!

When he reported the blood pressure!

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Chen Cang’s pupils constricted, and he turned to shout, "Old Yang, bring the stretcher over!"

The driver, Old Yang, upon hearing Chen Cang’s command, pushed the stretcher over without hesitation, and Chen Cang took a deep breath and said to a somewhat tense Wang Qian:

"On to the ambulance!"

"Who’s in charge here, come to the hospital with us."

At this time, a bald man and a worker in camo gear came out from the crowd.

"I’ll go!"

The two hurriedly boarded the ambulance.

Clearly, the bald man seemed to be the person in charge, and the camo-clad worker seemed to be a fellow villager.

But Chen Cang dared not entertain any thoughts at this time, he had just boarded the vehicle and told the driver Old Yang, "Yang, drive steady but fast!"

It was a seemingly contradictory request, but to Old Yang, who was already accustomed to it.

Chen Cang glanced at Wang Qian, "Set up the ECG monitor, get ready for pericardiocentesis!"

Wang Qian nodded immediately, at this moment Chen Cang became his pillar.

His hands moved quickly and smoothly.

While Wang Qian was setting up the ECG monitor, Chen Cang opened the pericardiocentesis needle, preparing for the puncture!

Diagnosis: blunt chest trauma, accompanied by sudden deceleration of the body!

Symptoms: sternum fracture, sudden drop in blood pressure, rapid breathing, aortic murmur, abnormal S1 heart sound, second aortic area on auscultation...

Various possibilities kept surfacing in Chen Cang’s mind.

All the symptoms and signs were like variables, leading to one possible diagnosis!

When all the conditions came together, Chen Cang thought of several possibilities!

But the most likely was a traumatic injury of the great vessels inside the chest!

Moreover, it was highly likely that it was an injury to the thoracic aorta, and based on the heart sounds, it was likely not at the aortic isthmus!

If not there... then it was at...

The more Chen Cang pondered, the more fearful he became.

Who could have expected that on his first call-out, he would encounter such a thorny case.

Proportionally speaking, the patient had a one in ten chance of survival!

Chen Cang looked up at the two who had followed in the vehicle, "Contact the family, inform them the patient is in life-threatening condition, they could die at any time!"

Hearing Chen Cang’s words, the two went pale!

After all, including up until now, the patient was still breathing, still struggling, still...

The worker’s hand, gripping the phone, was clearly trembling.

And Baoshan swallowed hard, his eyes darting around quickly, unsure of what to think.

"Doctor, you’re not joking, right?"

Chen Cang retorted, "Joking?"

Then he said no more!

If he hadn’t guessed wrong, the patient could be suffering from a closed rupture of major blood vessels in the chest, and such closed wounds have an 80% likelihood of occurring at the aortic isthmus, but... this patient might just be in the unfortunate twenty percent.

That twenty percent are the most unlucky ones, whose injury might have occurred at the very beginning of the aorta, that is, at the ascending aorta.

What did this mean?

According to the latest medical reports!

This kind of injury meant there was only a 10% to 20% chance that the victim would make it to the hospital!

And the remaining eighty percent would die of massive bleeding either at the scene or on the way to the hospital!

A rupture at the starting point of the ascending aorta could lead to acute cardiac tamponade, which is difficult to distinguish from cardiac injuries.

Now, all the symptoms were based solely on Chen Cang’s own judgment!

Just as Chen Cang was preparing for pericardial puncture,

the cardiac monitor was connected.

And various alarms began to ring out incessantly.

Chen Cang looked up and saw the systolic blood pressure was actually below 50!

Could it be damage to the heart?

With that thought, where was Chen Cang still preparing for any pericardial puncture?

Because whether he punctured or not, the outcome would be death!

Not puncturing would also mean death!

What to do?

Chen Cang simply couldn’t bear the thought that he would fail a rescue on his first day on the job!

With that thought, Chen Cang steeled himself!

He said to Wang Qian, "Call Director Li and tell him I need to operate now!"

Upon hearing Chen Cang’s words, Wang Qian’s face changed dramatically!

He hurried to start reporting the situation!

Li Baoshan and the others had already been anxiously waiting.

When Wang Qian’s phone rang, Li Baoshan quickly asked, "Wang Qian, what’s the situation? What happened?"

A series of questions left Wang Qian unsure of how to respond because... apart from the blood pressure, he knew nothing else!

What should he say?

Chen Cang took the phone and said directly, "Director Li, I suspect a closed large vessel injury within the thorax. The patient suffered a violent impact to the left chest, with rib fractures at the second, third, and fourth levels! I now seriously suspect a tear at the ascending aorta’s origin, and the patient’s systolic pressure is now less than 50 and still dropping!"

"If I don’t perform a thoracotomy to stop the bleeding now, the patient might not even make it to the hospital in five minutes!"

No sooner had he spoken than Li Baoshan was still unable to react, while Tao Zi and Xia Gaofeng widened their eyes, their expressions changed, and their brows furrowed tightly.

Seeing Li Baoshan dazed, Tao Zi grabbed the phone and urgently said to Chen Cang, "Chen! Rescue him with all your might. Go ahead and do what you need to do. I’ll call the dean and file for you! Don’t delay even a minute!"

After speaking, she hung up the phone with a click!

Li Baoshan was immediately taken aback. "Director Tao, what’s going on?"

Tao Zi’s expression was grave!

"Based on Chen’s description, the patient’s condition is extremely critical. There’s an eighty percent chance that the patient will die on the way!"

"If we don’t perform surgery, the patient might already be gone by the time we reach the hospital!"

That comment left Li Baoshan completely stunned.

Xia Gaofeng nodded, "If Chen’s judgment is correct, the patient has less than a twenty percent chance of survival, and... that’s the highest estimate!"

"If the damage extends to the heart, the patient has less than a five percent chance of survival!"

Li Baoshan was dumbfounded. He hadn’t expected that Chen Cang’s first callout would involve such a patient.

Even Tao Zi and Xia Gaofeng exchanged solemn glances.

"To encounter such a case on the first run is really tough for the new guy!"

After saying that, Tao Zi immediately dialed the Department of Medical Affairs to start preparations.

Meanwhile, Li Baoshan immediately organized the emergency rescue efforts.

There was so much more to be done now!

Chen Cang passed the phone to Wang Qian and took a scalpel from the emergency kit.

Perhaps...

At this moment, trusting in God was less reassuring than trusting in the scalpel in hand!

Seeing this, Wang Qian quickly began to disinfect!

The two bystanders were filled with trepidation...

This might be the only time in their lives they would be on the scene of a surgery, seeing a human heart...

...

...

ps: Thank you to Silent Figure in the Drifting Snow for the reward of 10,000, much appreciated!

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