Chapter 960: Chapter 960: Never Compete with Liu Banxia

(Thanks to Piaofu Bansheng, szxzx, Little Demon God’s Tentacle for the monthly ticket encouragement)

"Teacher Liu, this... this..."

The current condition of the patient frightened Huang Bo, who was receiving the patient.

Normally, after completing the cooling process, the patient should be directly transferred to ICU, as there is a high possibility that the patient’s liver and kidney functions have already been impaired.

Recently, there have also been cases of heat stroke patients, even heat stroke cases, this is not the first one. But these symptoms of eyes, nose, and mouth bleeding simultaneously, is something he has never experienced, and now he feels very uneasy.

Not to mention Huang Bo, even Li Hao, who came in together, was extremely nervous. The patient looks very scary now.

"Why are you looking at me? Why is there bleeding?" Liu Banxia asked, his voice slightly louder than usual.

"Because... because of the high body temperature." Huang Bo tried to calm his mind.

"Why is there bleeding?" Liu Banxia repeated.

"High body temperature, accelerated blood circulation, causing partial capillary rupture." This time, Huang Bo answered quickly.

"So what should we do?" Liu Banxia continued to ask.

"Stop the bleeding, no, cool down..."

Di di di... di di di... di...

While Huang Bo was speaking, the electrocardiogram monitor emitted a string of alert tones followed by a continuous tone.

"Cardiac arrest, I’ll perform CPR, prepare the defibrillator." Huang Bo hurriedly said.

"Why did cardiac arrest occur?" Liu Banxia did not participate in the rescue but asked a new question.

By now, Huang Bo had lost effective thinking, the earlier words were actually the result of long-term experience in rescuing patients, and seeing the patient’s cardiac arrest, he just blurted it out.

"Blood is actually amazing. Many times when we bleed, our immediate thought is to stop it and coagulate. But what happens after bleeding? We also need to consider the possible formation of blood clots." As Liu Banxia spoke, he moved over the portable ultrasound.

After applying the couplant on the patient’s chest, he operated directly.

"From the current ultrasound, what do you see?" Liu Banxia asked.

"Myocardial damage, pulmonary embolism, thrombolysis is needed immediately." Huang Bo hurriedly said.

"No, the patient’s internal organs might also have bleeding. If we administer thrombolytic drugs, it might worsen the bleeding."

"Yes, it may worsen the bleeding, but with such a large pulmonary embolism, if we don’t address it, we won’t even have the chance to consider whether it’s serious." Liu Banxia said as he injected a dose of alteplase into the patient.

"During the rescue of the patient, the first thing we need to do is to ensure the patient’s survival. If we can’t ensure life, what’s the meaning of rescue? Start rapid blood transfusion, and give two units of cryoprecipitate."

At this moment, everyone in the emergency room was looking at the screen of the monitor, because even Liu Banxia didn’t know if the thrombolysis could be successful.

"There is a heartbeat, back to normal, the thrombolysis was successful." At this point, Li Hao shouted excitedly.

Ding! Emergency reception completed

Gained 200 experience points, Glory Points +1

This task is rated as perfect level, gaining 400 experience points, Glory Points 5 points +2 points

Even Liu Banxia breathed a sigh of relief, patted Huang Bo on the shoulder, "Send to ICU, our luck was quite good."

"Everyone should also take note, during our emergency response, we will often encounter dilemmas. Just like this patient, with both bleeding and thrombus, which one should we address?"

"As I said just now, we must ensure the patient’s life as our primary principle. However, our operations must have corresponding indications."

"In the past, most of what we’ve dealt with are traumas, so after a patient starts bleeding, the first element we think of is to stop the bleeding. But this patient’s condition is different, he has hyperthermia."

"Such a high temperature will not only accelerate the flow of blood within his vessels but also cause the proteins in the blood to denature, turn into deposits, and form thrombus." 𝒇𝙧𝙚𝓮𝙬𝙚𝓫𝒏𝓸𝓿𝓮𝒍.𝓬𝙤𝓶

"When the patient was admitted, the blood pressure was not very high. I think there might have already been corresponding bleeding points, releasing the pressure in his vessels."

"But it wasn’t enough, so during our rescue process, there was a further extensive bleeding. Because of his high body temperature, the deposits formed from previous bleeding quickly accumulated in rapidly flowing blood, forming a large thrombus."

"After this thrombus formed, it also caused myocardial ischemia, leading to cardiac arrest. If we used conventional rescue methods, it might work, but the chances of failure would be much higher."

"The patient this time is considered a special case, involving blood and hyperthermia factors, so it can easily confuse everyone during diagnosis."

"But overall, it’s still quite good. Even though Huang Bo is not here, we should give him some praise. Even when I asked questions, he didn’t seem too flustered, just a bit normally flustered."

"However, I have expectations for him and all of you, hoping that you can make your thinking more flexible in the future. It’s not just about looking at the symptoms in front of you, but also thinking about the causes of these symptoms."

"Thank you, Teacher Liu."

Li Hao and the other interns said in unison.

People outside were startled, not knowing that even though the patient had been transferred to the ICU, they were still bustling about in the resuscitation room.

Liu Banxia walked out from inside, feeling slightly embarrassed after seeing the expressions of those outside.

"Director Liu, what were you doing in there? Why was it so lively?" Wang Chao came over.

"Well, it’s been a long time since I’ve handled emergency patients seriously at the emergency center, got a bit carried away." Liu Banxia said.

"Oh... actually, I used to think that handling emergencies was too tiring and stressful. But recently I’ve been a bit idle and miss that adrenaline rush."

"Anyway, everyone, get back to your own tasks. I’m off for the first wave of lunch, then the second shift can have a good afternoon break, keep it up."

After finishing, Liu Banxia headed to the locker room to change clothes with long strides.

Even with thick skin, one can still feel shy. This guy, Li Hao and the others, made it feel like a morning meeting for store guides.

"Li Hao, come over here, what exactly just happened?" Wang Chao called Li Hao over.

"Teacher Wang, I always admired Teacher Liu before. But now? I practically worship him," Li Hao said with a smile.

"When we receive patients, although emergency responders report some patient indices, often we just listen and that’s it."

"We just pay attention to whether there’s any medical history, the general trauma area, or whether blood pressure is high or low. Then, in the resuscitation room, we still rely on examination results to make our diagnoses."

"Yes, isn’t it like that?" Wang Chao nodded.

"Emergency responders might have a preliminary understanding of the patient, but the patient’s condition can change at any time. To make a correct diagnosis, we should rely on our examination results."

"Teacher Wang, normally that’s true," Li Hao said with a smile.

"But today this heatstroke patient was unusual, once in the resuscitation room, he started bleeding and had cardiac arrest. We all panicked, but Teacher Liu didn’t. He was already attentive to the patient’s detailed condition upon receiving him."

"After doing an echocardiogram on the patient, it was determined to be a pulmonary embolism, so he immediately administered a thrombolytic. The patient’s heart restored blood circulation, and it started beating again without defibrillation."

"Hmm... he’s something else, finish up and go eat." Wang Chao nodded.

Li Hao chuckled and rushed towards the locker room, needing to catch up with Liu Banxia for lunch. The experiences of today gave him a more rigorous attitude towards medicine.

Watching Li Hao’s retreating figure, Wang Chao let out a long sigh. Because he knew, if it were him over there, the first emergency measure he’d take would also be defibrillation.

And what would the result be? He might have directly sent the patient away.

So he didn’t dare say much; saying more would affect his image in the minds of the interns.

"Were you surprised too?" Qi Wentai came up beside him.

Wang Chao sighed with a wry smile, "We eat in the same canteen, work in the same place, but why is there such a big gap?"

"Ah... just learn from me, I’ve already given up early on." Qi Wentai patted his shoulder in shared sentiment.

"I really didn’t think much of him before, didn’t take him seriously. Always joking around, chatting with the nurses whenever he had time. But not anymore, this guy has left us far behind."

"It’s not about acceptance or not, we need to learn more from him. His observation skills and reactions are first-rate, though he usually seems carefree, there’s substance in his eyes."

"Just now I listened to the interns too, I don’t know when I would have thought of a possible thrombosis if I were on site. In less urgent situations, I don’t know how fast my thinking could adapt."

"But just look at these two days, yesterday blocking a vessel, today rapid thrombolysis, you’re right, he’s a beast, not something a person could do."

On this point, the two reached a consensus, with their determination clear, never to compare themselves with Liu Banxia. Compete with him? You’ll certainly be the one getting hurt.

Whenever there’s time, just take the opportunity to gain some advantages from him, like extorting a dish or asking him to bring some skewers or boiled fish from home, or learn more surgery techniques, that’s quite fine.

Actually, it’s inevitable; they came up together after all. They’ve been together for so long, even though Liu Banxia is now a deputy director, it still feels pretty much the same as before."

It’s just suddenly looking up, they realized Liu Banxia wasn’t slowly walking behind them after all, but had long since left them several places behind.