(Thanks to Lao Huang for the motivational monthly ticket.)

This meal was quite enjoyable, and Liu Banxia ate very happily.

Once back at the emergency center, Liu Banxia directly took over from Qi Wentai and the others. It's time for them to have lunch; it's been a long time since Qi Wentai had such an early lunch.

At this moment, Liu Banxia's phone rang, showing a message from Xu Yino.

Upon opening it, good heavens, his beloved wife is standing in the middle with a big belly, Xu Yino and Liu Yiqing are on either side, next to them is a BMW car being tidied up.

These girls have plotted together, it seems they planned this with Qiaoqiao long ago. As for Qiaoqiao, she didn't say a word to him about it.

But it doesn't matter, Qiaoqiao is smiling happily, relishing the success of her prank. Let her enjoy it; with Xu Yino and Liu Yiqing accompanying her, it's fine.

"Ah... finally done with this wave of work, hopefully, the afternoon will be more relaxed." Huang Bo walked over at this point.

"Hang in there a bit longer, once they return from lunch, you'll get some relief." Liu Banxia said with a smile.

"Especially you three who just arrived, make sure to adjust your schedules. Otherwise, the work intensity might become overwhelming for your bodies."

The three mentioned are new trainees; they will spend three years here, which isn't easy.

The three of them are young and facing the deputy director of the emergency center now, appearing somewhat shy.

But that's okay, there's plenty of time, teaching will happen gradually.

"Director Liu, just got a call, three people suffering from heatstroke are being sent our way." The dispatch nurse called out.

"Heatstroke, huh? Prepare for routine treatment." Liu Banxia said.

Huang Bo nodded and began to prepare.

This routine treatment involves cooling, hydration, and electrolyte adjustment - a basic set. With the hot weather, cases of heatstroke occasionally happen.

It would be an exaggeration to say it occurs every day, but there are generally two to three cases weekly.

After waiting a while, the ambulance arrived.

"Body temperature 41 degrees, unconscious. Blood pressure 100/170, pulse 120. Undertook basic cooling and oxygen therapy in the ambulance, assessed as severe." The paramedic pushing the patient down stated.

Liu Banxia furrowed his brow, "The patient has leg twitching symptoms, Huang Bo, initiate a rapid response. Blood test, biochemistry, liver and kidney function, ice saline, ice mat cooling, then send to ICU."

"Okay." Huang Bo responded and rushed the patient's stretcher towards the emergency room.

Heatstroke can escalate into heat illness, which is extremely dangerous, looking at the patient's current condition, liver and kidney damage might be possible. If not treated promptly, it may be life-threatening.

"Body temperature 39, blood pressure 90/150, pulse 110." At this moment, the paramedic from the second ambulance also pushed a patient down.

"Li Hao, routine treatment." Liu Banxia said.

"Alright, follow me to Emergency Room 2." Li Hao called out, also pushing the patient's examination bed away. 𝚏𝗿𝗲𝐞𝐰𝚎𝕓𝐧𝚘𝘃𝗲𝐥.𝐜𝚘𝕞

"Body temperature 39 degrees, blood pressure 80/120, pulse 100. After oxygen therapy and fluid replenishment in the ambulance, the condition improved." The paramedic from the third ambulance said.

"This one has no serious issue, just cooling and fluid replenishment will do. Su Wenhao can take them." Liu Banxia said.

Su Wenhao nodded and directly pushed the examination bed away.

"Judging by their clothing, together, right?" Liu Banxia asked.

"Folks from a moving company, after moving, they sat inside the truck's cargo section. When they reached the destination, all three fainted." The paramedic said with a bitter smile.

"Ah... moving is exhausting enough, they were trapped in the truck compartment, not surprising they ended up like this. Didn't their company's leader come?" Liu Banxia asked.

"Said they'd come over later, need to sort out vehicles there, and arrange for staff to continue the moving job." The paramedic replied.

"Their families are also on their way here; the truck driver helped coordinate for them. The first patient's condition wasn't this severe initially; it's truly too dangerous."

Liu Banxia nodded and walked into Emergency Room 1.

"Teacher Liu, operations are mostly complete, should we transfer to ICU now?" Huang Bo asked.

"Yes, otherwise, his life might not be saved." Liu Banxia replied.

Huang Bo nodded and directly pushed the patient out.

"How's it going here?" After reaching Emergency Room 2, Liu Banxia asked.

"Temperature has dropped a bit, but need to wait for blood test results to see if there's liver or kidney damage." Li Hao replied.

Liu Banxia nodded, "Focus on cooling and fluid replenishment for now."

Approaching the examination bed, the third patient has the mildest condition among them.

"How are you feeling now?" Liu Banxia asked.

"Still a bit hot, a bit dizzy," the patient said.

"Don't worry, we're helping you cool down too. Your symptoms are mild, so cooling and fluid replacement should be enough. Do you have contact information for the first patient's family? You need to tell them to come quickly," Liu Banxia said.

"What happened? Is Old Geng not doing well?"

Hearing Liu Banxia's words, this patient asked somewhat excitedly.

"Judging from his current symptoms, it's severe heatstroke, and he could be in danger at any moment. We've already sent him to the ICU for treatment," Liu Banxia said.

"But it's also because he was brought in on time that the chances of saving him are relatively high. However, the costs in the ICU will be higher, including your treatment fees. You need to figure out a solution too."

"When you've recovered a bit more, you should also contact your company. With this kind of weather and operation, although I don't know your work policies, it's still something that happened during work."

The patient nodded.

"Did another critical patient come in at noon? Zhang Zhiyuan had just taken a few bites and ran back, saying we just sent someone over," Shi Lei and the others returned at this time.

"There was a heat illness case, the body temperature reached 41 degrees Celsius, and there were convulsions," Liu Banxia said.

"They are workers from a moving company, and logically they should have experience in this area. Why didn't they pay more attention and do a better job cooling off?"

"Carelessness, I guess. Usually, it's high-temperature workshops or people doing outdoor sports who might suffer heat illness. Even construction sites have paid great attention to protection in this aspect in recent years," Shi Lei said.

"The summer weather in recent years has repeatedly broken records. You'll be going to the marathon site later, right? You should be more careful; I estimate there will be quite a few cases of heatstroke."

Liu Banxia nodded. After treating these three today, he's no longer so relaxed.

The marathon isn't easy to run either; every year, there are some cases of heatstroke. Who knows what the weather will be like on that day? If it's cooler, everyone can be a bit more at ease.

After waiting a while longer, the examination report for the first patient came out.

"Send him to the ICU, this guy might really need a few days," Liu Banxia said after reviewing it.

"Exactly, heat illness combined with liver and kidney damage, electrolyte imbalance, and lactic acidosis," Shi Lei said.

"I estimate it will take at least five or six days, even thinking positively, and we don't know if the prior high temperatures caused brain damage."

Often people think with heatstroke, resting in a ventilated, cool place and drinking some water is enough. In reality, that's only suitable for mild heatstroke patients. If it's more severe, they must be taken to the hospital.

If you handle it improperly, it can easily escalate from moderate heatstroke to severe heatstroke, known as heat illness. It can be fatal; if brought in late, it may lose rescue value.

As for the recent patient, after being sent to the ICU, he needed a series of cooling measures. Every possible method must be used, such as ice saline infusion, ice saline enema, ice saline bladder irrigation, and other interventions.

Moreover, his body needs regulation, so CCRT is necessary to protect his kidneys. There's also a need to protect his liver, regulate electrolytes, and alleviate acidosis.

This patient's bodily functions were already imbalanced to a very dangerous level.

Because the essence of heat illness is the elevation of core temperature, affecting all organs and systems in the body — a comprehensive impact.

Any organ or system malfunction is dangerous, let alone this internal high heat.

The upcoming hour will be crucial in cooling down the temperature. If it's not cooled down, other measures, while effective, merely maintain stability.

As time progresses, the patient's condition will worsen.

The second patient is relatively lucky, not needing to go to the ICU. Though there's some kidney damage, it's not severe, adjustments can be made in the ward, just need careful observation.

After waiting a bit longer, a group of people rushed in from outside.

They correspond to the three patients, relatives arranging things, and for the critical patient, they explained the situation and brought up the cost issues.

Others might think bringing up medical expenses at a time like this seems cold-hearted. But this is necessary because it involves subsequent treatment issues.

Maintenance versus full-scale treatment are two different concepts, with different costs involved. Regardless of each family's discussion with the moving company, he can only ask the relatives for medical fees.

Now holding a critical condition notification in hand, it's uncertain if there will be another one.

"Sigh... finally done, quite exhausting," Liu Banxia said.

"I'll never get used to it; this time will cost quite a bit," Qi Wentai said.

"Indeed, I just asked, the temperature is lowering very slowly, ice saline enema and bladder irrigation have already been done," Liu Banxia said.

"Luckily, you were here; otherwise, I would need to seek approval," Qi Wentai said.

"Don't worry, you can make decisions in such situations next time to avoid delays. As for other conditions, finish all necessary operations first," Liu Banxia said.

Responsibility is always present; a moment's slip, and you might be tripped by it.