Chapter 958: Chapter 958: Lessons Everywhere in Life

(Thanks to Zombie Return, Seven Generations of Three Kingdoms, Qinglian Sui Feng Piao, sincostgctg for the encouragement of the monthly ticket)

Early the next morning, Liu Banxia also got up early, took Tang Dou for a walk, and bought breakfast on the way.

Qiaoqiao and Qing Kewa are just genuinely lazy, they wouldn’t get up that early.

"Teacher Liu, I should charge you a fare, at least I’m the first man to sit in here," Xu Yino said pitifully on the way to the second hospital.

"No problem, but I also served as a driver, right? Substitute drivers should be paid too, right?" Liu Banxia retorted.

Xu Yino was quite distressed, feeling at a loss.

I must say, each car requires different handling techniques. Xu Yino’s car is considered a high-end model, performing well in both power and control aspects.

If it weren’t for the color of the car, Liu Banxia would have wanted to swap cars with Xu Yino for a couple of days.

"Thanks to Director Liu for the kebabs, keep up the good work."

As soon as they walked into the emergency center, Wang Chao smiled and said.

"Most of the kebabs were grilled by Su Wenhao. Boiled fish is my real skill. Let me put it this way, next time I’ll study the fish’s anatomical structure, and then I’ll be able to slice even better fish slices," Liu Banxia said.

"Alright, alright, we’re not picky anyway," Wang Chao said.

"Alright, I’ll go change into my white coat, and then I have to do some realignment massage for the VIP upstairs. It’s a hassle, when will I get a regular patient?" Liu Banxia complained.

"Haha, the capable do more work. Having more VIPs can also generate revenue for our emergency center. Otherwise, what’s the point of having idle wards? Everything should be put to use," Wang Chao said with a laugh.

"But don’t you have any thoughts about yesterday’s news? The city has given high praise and commendation. You’re estimated to be a shoe-in for outstanding youth honors, keep it up."

"Sigh... Let it be, either I get it or I don’t, not forcing it, just going with the flow," Liu Banxia sighed.

That’s a story in itself, if it weren’t for the complaints, he should have received it last year. Now, hearing this familiar term again, he feels somewhat conflicted inside.

He personally doesn’t care too much about this honor, at least not as much as last year. After all, it’s just an intangible thing, unlike the thrill of performing surgery on a patient in the operating room.

But after all, it is an honor. His parents would be happy, and so would Qiaoqiao.

He changed clothes and performed another realignment massage for Wu Shaoming. After these days of treatment, there has been some improvement.

However, injuries to the muscles and bones aren’t that easy to heal, and just the massage treatment by Liu Banxia isn’t sufficient, Wu also needs to be more careful in his future life.

Especially when filming, if he’s too strenuous, recurrence is inevitable, it’s just a matter of time.

These words were also told to Wu Shaoming, but Liu Banxia doesn’t think it will have much effect. Tang Feifei’s body was like that, and after everything, she still continued filming, right?

"How’s it going? Anything you need my help with?" Liu Banxia asked after returning to the hall.

"It’s all routine patients, and the internal medicine hasn’t called us over for consultation," Qi Wentai said with a smile.

"Sigh... now I’m kind of idle," Liu Banxia complained.

"Then you should just take a break, if you get busy, our patients waiting for surgery will definitely backlog," Qi Wentai said.

"It’s quite alright currently, we can utilize the operating room, and none of us are too exhausted. Our reception volume has increased a lot compared to before, if there are any more surgeries, we really won’t be able to handle it."

"Waiting for when winter comes will be the real test, right? Every time the season changes, it’s really taxing. Even people with normally good health can easily have issues."

Liu Banxia nodded, "Especially there are more patients with cardiovascular and cerebrovascular diseases to deal with then. By that time, the heart surgery and neurology departments will be extremely busy, and we’ll be somewhat less affected."

"President Qi, two burn patients will be sent over soon." At this time, the dispatch nurse called out.

"Alright, help call Doctor Xu from the plastic surgery department, we can also learn more about the emergency treatment experience for burn patients," Qi Wentai said.

"Indeed, in the past we would manage somehow, deal with the burns post-rescue, now we should really take a good look," Liu Banxia nodded.

Although there had been some competition between him and Xu Qixin before, that was a thing of the past. The deputy director position has now been appointed, so there aren’t so many complicated matters now.

In fact, this was all Vice Director Shen’s doing, Xu Qixin was also somewhat a victim.

The patients hadn’t been sent in yet, but Xu Qixin had already arrived. Compared to cosmetic surgery specialty hospitals, public hospital plastic surgery departments aren’t as heavily burdened.

"Doctor Xu, today we all have to learn together. There are indeed many aspects that need extra attention in the emergency treatment of burn patients," Liu Banxia said.

"Actually, it’s pretty much the same, the most basic thing is to check the airway. I’ll handle patients with severe burns, anyone interested can follow me in." Xu Qixin said.

Before anyone else could react, Liu Banxia himself put on a mask and gloves, clearly eager to learn.

This can be seen as a show of support for Xu Qixin’s work, with a very clear attitude.

Just then, the siren of the ambulance wailed as it approached, and everyone hurried outside the emergency center’s main door.

"Female patient, aged 37, large burns on both arms and abdomen, unconsciousness. Blood pressure 70/100, heart rate 110, oxygen and fluid administered in the ambulance." The paramedic said while pushing the patient down.

"Rescue room one." Xu Qixin said.

Liu Banxia and the approaching Liu Yiqing quickly pushed the patient towards the rescue room.

The other interns glanced over, and then thundered over in a hurry as well.

"When receiving burn patients, the most important thing is to ensure the airway is clear." Xu Qixin said.

"Many times we intubate immediately upon receiving the patient, but in fact, some patients’ airways are not damaged. My method of judgment is by observing the patient’s nostrils."

"If there is a lot of soot in the patient’s nostrils or signs of singed nose hair, intubation must be done immediately. The presence of a lot of soot and singeing indicates that many gases may irritate the patient’s throat, especially the vocal cords."

"Okay, one, two, three, move the bed. There is a lot of soot in this patient’s nostrils, so intubate. Many times, after the vocal cords are stimulated, there is a delayed edema phenomenon, which can cause airway closure and suffocation."

"After intubation and oxygen administration, try to avoid burnt areas when auscultating. Connect the ECG, the burns on both arms are about second-degree. Whoever’s got the skill, place a central venous line."

As Xu Qixin explained, the people in the emergency room began their operations.

Xu Qixin was quite curious, as the speed of their operations was truly rapid. It would be an exaggeration to say they completed everything right after he spoke.

However, their actions, whether it was connecting the ECG, placing the central venous line, or intubating the throat, were very smooth.

"Breath sounds are fine, give some pain relief medication, otherwise when she wakes up she’ll suffer." Xu Qixin said.

"Blood tests, there’s pretty much nothing else to worry about, heart and lung sounds are normal, just choked by smoke. What’s the next step in the emergency procedure?"

The last question was directed at Liu Banxia.

"Not much, the person who came with her should be her family. See if we can get any information from them, then it’s about debridement, which is still your job." Liu Banxia said.

"Alright, once it’s all done, just push her over, I’ll book the operating room." Xu Qixin nodded with a smile.

He had some ideas about burns, but his actual emergency experience was much less than Liu Banxia and the others. Even on duty in the emergency center, he only went when a consultation with the plastic surgery department was needed.

However, his basic knowledge was still intact, and everything that just happened in the emergency room had, in his view, met a very high standard.

The burn area now was not small either, meaning that the difficulty of some procedures increased, but everyone completed them smoothly.

"For such a large burn area, does that mean a skin graft is needed?" After exiting the emergency room, Liu Banxia asked.

"It depends on the patient’s choice. Luckily, her face wasn’t burned. Many patients choose not to have a graft due to the cost. If it can be covered and funds are insufficient, that’s how it is." Xu Qixin said.

Liu Banxia nodded, still the issue of money. Such a large area for a skin graft isn’t solved in one or two surgeries. And each surgery is a big expense.

"In fact, the difficulty of treating crowd victims at fire scenes has increased a lot now." Xu Qixin said.

"Many modern decorative materials contain a lot of chemical components, and when they burn, their irritation is intense. A friend of mine in the fire department said they’ve seen many cases where patients weren’t burned to death directly but died from asphyxiation."

"For residents in high-rise buildings, if there are fire passages, it’s better. Even if you can’t escape through them, lying on the floor of the passage gives a better chance of survival."

"Ah... water and fire are merciless. I’ve experienced a few fires; the first time, if not for someone’s rescue, I would have been done for." Liu Banxia sighed.

Though the firefighter’s subsequent surgeries were successful, injuries inevitably affect future life. This is where his guilt lies, as it was to save him.

"Alright, the patient is being pushed out now, I’ll prepare for the operating room, call me if needed." Xu Qixin said.

Liu Banxia nodded.

Still quite happy, he learned something new today. In the past, he’d directly check the throat when receiving patients, and if there was no edema, he’d leave it.

In future receptions, he can now closely observe the nostrils, using their condition for judgment.

Life is full of learning opportunities. Though he is an instructor, that doesn’t mean he knows everything. Delayed vocal cord edema is a very likely minor complication.