The Enhanced Doctor-Chapter 818: The Critical Three Minutes
"Qi, what's the situation?"
Running to the emergency center, Liu Banxia asked.
"A gas leak explosion on the third floor of a residential building caused a fire. There are quite a few injured; you need to take Xu Yino and the others to the site. The ambulance is being equipped with oxygen and blood bags." Qi Wentai said.
"Alright, also inform Xu Qixin, as there will definitely be burn victims redirected to our place." Liu Banxia said.
Qi Wentai nodded, not minding Liu Banxia taking charge; he had indeed forgotten this situation.
"Xu Yino, Liu Yiqing, Su Wenhao, Huang Bo, come with me. Miao Rui, Li Hao, lead the interns at the emergency center to assist with admissions." Liu Banxia continued.
"Remember the most important thing: ensure the airway protection for burn victims. Bring more intubation kits, even if the judgment is unclear, non-invasive intubation is also an option."
"Banxia, Director Xie from the city hospital is also heading to the site. Coordinate with his work on burn patients. There are quite a few casualties on-site; currently, it's estimated that there are no fewer than thirty injured people." Zhou Shuwen also came out of the office.
"Rest assured."
After speaking, Liu Banxia led Xu Yino and the others to the ambulance.
He had already felt that all hospitals would need to provide support, as there would be many injured. Zhou Shuwen's words confirmed his thought, and these statistics of the injured were only at the beginning; surely, there would be more later.
He only had experience in rescuing fire victims that one time in Jinshui District, and this situation was slightly different, with potentially some explosion trauma patients this time.
The ambulance sped all the way and finally reached the site. By the time they arrived, several fire trucks were already there. With limited space, their ambulance had to park on the road, along with other ambulances.
"Director Xie, will you be in charge of the site?" Just after getting off the vehicle, Liu Banxia saw Xie Chunli also get out of a car, so he hurriedly asked.
"Burn victims are mine, and trauma patients are yours. There's a critical patient who was blasted from a room and impaled on the fence of a courtyard wall." Xie Chunli said.
Hearing his words, Liu Banxia took a deep breath; this patient might be in a really dire situation.
This was also an area of old buildings, seven stories high, and he could already see thick smoke billowing from a building not far away.
Xie Chunli went ahead with his team to attend to the evacuated injured, while Liu Banxia, led by firefighters, approached the patient who had been blown away.
Rescue efforts were already underway here. Firefighters were using hydraulic shears to cut the anti-theft fence on the courtyard wall.
"What's the condition of this patient?" Liu Banxia asked.
"Fluid resuscitation has already been done, but the abdominal injury is severe, and the prognosis isn't optimistic. He might not make it to the hospital." A nearby doctor said. 𝚏𝗿𝗲𝐞𝚠𝕖𝐛𝗻𝗼𝐯𝕖𝚕.𝚌𝗼𝗺
Liu Banxia frowned, "Su Wenhao, stay and help me. The rest go to the site to help Director Xu with triage. Bring the stretcher over, and tell the driver to try to move our ambulance closer. We might need to perform hemostasis on the ambulance."
This startled the people nearby. Surgery on the ambulance?
Others might have all sorts of thoughts, but not Xu Yino and the team, with not a hint of hesitation.
This also stemmed from the habit they had developed working with Liu Banxia—the unconditional trust.
As the firefighters were cutting, Liu Banxia moved closer to observe the patient's condition carefully. Two bars of the fence had pierced into the abdomen, with one visible through the back.
Some tissues were on them, suggesting that the left kidney couldn't be saved and that the abdominal cavity might be in a mess. He had no confidence.
"Are you really planning to perform surgery on-site?" the emergency doctor from earlier asked.
"I still need to assess the abdominal cavity, but the bleeding doesn't seem extensive, so maybe there's a chance." Liu Banxia said.
The emergency doctor looked at him, "Then I'll go triage the others. I have no confidence in saving him, and standing here is useless."
Liu Banxia nodded.
This was the usual procedure: once there are casualties, you determine the situation and prioritize triage. Now the patient was hanging on the wall; whether it was feasible depended on cutting the fence and removing the person.
With the second bar cut, the firefighters carefully placed the patient on a stretcher at an angle.
Liu Banxia cautiously cut open the patient's T-shirt and sighed in his heart. Some stomach contents were oozing from the wound's edges, possibly due to positional changes.
"Teacher Liu, blood pressure 60/80, unconscious, heart rate 120." Su Wenhao reported.
"Everyone, be careful. Start rapid transfusion while we steadily move him onto the ambulance." Liu Banxia instructed.
"Clearly, there's no time to get to the hospital. With stomach or intestinal damage, gastric contents are already leaking out. If the intra-abdominal bleeding isn't stopped, the patient won't last."
"Teacher Liu, is there still a chance?" Su Wenhao hesitated to ask.
"We must try; we can't just watch him die. Prepare the portable defibrillator once in the vehicle, as he could go into cardiac arrest at any moment." Liu Banxia said.
As a doctor, he had the final say in patient treatment.
Many were around watching the scene, now observing blood trickling down from the gauze on the wound as the patient was moved.
In their minds, this person was beyond saving, with two large fence spikes impaling the abdomen, one protruding from the back.
"Can someone come and help here? Since there's an object extending from his back, he can't lie flat, so someone needs to hold him." At the ambulance, Liu Banxia called out.
A firefighter took a look and jumped directly onto the ambulance.
"Okay, it's up to the three of us now. Let's hope for a miracle, it's definitely too late to get to the hospital," Liu Banxia said as he got into the back of the vehicle.
Even though Su Wenhao was usually known for being steady, today he was extremely tense.
On-site emergency surgery depends on the situation. With this patient's current condition, it had already surpassed the scope of typical on-site emergency care.
"Prop his body up with your leg, and then pump the blood bag and saline with your hands. Leave the rest to us," Liu Banxia instructed the firefighter while putting on gloves.
The firefighter nodded, his heart pounding with anxiety.
"Su Wenhao, once we open the abdomen, the intestines will definitely come out. It's your job to catch them. Hold the flashlight with your mouth to give me light," Liu Banxia continued.
Su Wenhao quickly turned on the flashlight and placed it deep inside.
It wasn't comfortable and it was a bit hard on his teeth. But given the conditions, it had to be done.
Ding! Successful exchange for a potent spirit stabilizer, consuming 50 Glory Points.
Ding! Consumed potent spirit stabilizer, duration 3 minutes.
Gained 8 mental points, now at 84 (understanding, memory, concentration increased by 50%). Gained 8 agility points, now at 84 (stability, speed, tactile sensitivity increased by 55.56%).
Liu Banxia calmed himself. Although he didn't yet know the extent of the patient's abdominal injuries, he had to take the gamble. The next three minutes were crucial; if the stabilizer couldn't help him save the patient, there would really be no hope.
"Alright, I'm going to start the incision," Liu Banxia said, and then made the cut between the patient's two wounds.
Blood, gastric contents, intestines, all gushed out the moment he made the incision. Thanks to Liu Banxia's earlier warning and Su Wenhao's preparation, the intestines didn't spill onto the ambulance floor.
"The left kidney is definitely gone. I'll pull out this iron rod first. Brother, press the blood bag faster," Liu Banxia said as he slowly and steadily extracted the tip of the fence post.
"The kidney can't be saved. I'll separate and clamp the renal artery. Don't panic, don't panic. He's quite lucky; the intestines are fine."
"The other rod pierced the stomach. We'll remove the kidney first, then clean the gastric contents and do a simple suture to minimize bleeding."
"Su Wenhao, see if you can pull out that fence spike, so this brother can focus on blood and fluid replacement."
"Beep beep beep... beep beep beep..."
Just as Liu Banxia finished speaking, the ambulance's cardiac monitor started beeping.
"Damn it, use the bag as support, charge to 150 joules, start CPR," Liu Banxia cursed.
Another iron spike was still inside the patient, and his side's renal artery hadn't been clamped yet, when cardiac arrest occurred.
"Mmm mmm mmm..."
Su Wenhao, biting the flashlight, made a few muffled noises.
"Hold on, hold on, continue compressions. I know you're charged," Liu Banxia muttered, his hands never stopping.
Both the firefighter and Su Wenhao were anxious, aware that Liu Banxia was managing the abdominal bleeding. If the bleeding couldn't be controlled, even restarting the heart wouldn't do much good.
The patient's blood loss was so severe that resuscitation and fluid replacement couldn't keep up with the bleeding.
"Okay, it's clamped. Everyone back off, prepare for defibrillation."
After more than ten seconds, Liu Banxia finally spoke.
"Zap!"
With the portable defibrillator's shock, the patient's body jerked, but the heart did not resume its activity.
"200 joules, again."
After saying that, Liu Banxia personally performed CPR on the patient.
"Doctor, the light is on," the firefighter alerted him.
"Okay, back off."
"Shock."
"Zap!"
"Hahaha, he's back, the heartbeat's back, let's handle the stomach now. Oh no, the shock tore a bit of the intestines, do a quick stitch, then we'll rush to the hospital."
Su Wenhao felt utterly drained, even though he was sitting down.
It was extremely dangerous just now. Only Liu Banxia could have opened the abdomen and stopped the renal bleeding in just over two minutes; with anyone else, the patient wouldn't have survived.
