The distance was somewhat far, and Liu Banxia was panting heavily after running over with the emergency kit.

"Chief Director Xu, what's the situation? Why haven't we sent them directly to the hospital?" Liu Banxia asked, wiping the sweat from his forehead.

"The chest cavity bleeding is quite severe, and the blood pressure has dropped significantly. We can only initiate rapid fluid expansion, but the drainage output is too large post-intubation, suggesting arterial vessel injury." Xu Chengjun explained.

"Even if sent to the nearest hospital, considering today's traffic conditions, it would take at least thirty minutes, and without stopping the bleeding now, he wouldn't make it through."

Liu Banxia grimaced, understanding from Xu Chengjun's words and his look why he sought him out, hoping he could stop the bleeding on-site.

"Where's Doctor Qiu?" Liu Banxia asked after a brief consideration.

"He's attending to another patient with cardiac arrest, also undergoing resuscitation, and said he would come over post-rescue. However, he isn't confident in performing on-site hemostasis, hence they called you in." Xu Chengjun explained.

Liu Banxia was feeling a headache, thinking about his reputation. Not every hemostatic situation can be fixed, especially when this bleeding was clearly arterial.

"Teacher Liu, Teacher Liu, the drainage has decreased." At this moment, Su Wenhao caught up and shouted suddenly.

Everyone hurried to look, and indeed, the drainage from the tube had reduced significantly.

This wasn't a good sign. It didn't mean the patient's bleeding had stopped. It was likely coagulated inside the chest cavity, indicating a larger blood loss than anticipated.

Liu Banxia shook his hand, "Su Wenhao, prepare as first assistant. Gather more ice, lower the patient's body temperature. Arrange for more blood as backup."

No more time for second thoughts; without effectively managing this patient's bleeding, there are only two outcomes awaiting him: bleeding to death or brain death from insufficient cerebral blood supply.

The patient's blood oxygen level is already very low, with blood clots proving the situation has been unfolding for quite some time.

When it came to Liu Banxia's orders, Su Wenhao always carried them out resolutely without any hesitation. Although surprised by Liu Banxia's decision, others had to cooperate.

"Banxia, I've already consulted with the leadership and authorized you to perform surgery on-site." Xu Chengjun said.

Liu Banxia nodded, "Do what we can and leave the rest to fate. Arrange for road control promptly; ensure first transport to the hospital."

"We don't have a chest tray; we have to make do. Prepare for cooling, reduce blood flow speed, decrease bleeding. Disinfection, local anesthesia, and increase the blood and fluid replenishment."

With those words, Xu Chengjun led the rest of the team to step back, leaving Liu Banxia in charge of the scene.

"Liu... Teacher Liu, I've brought lots of ice cubes."

At this point, Xu Yino also ran over, drenched in sweat, her physical strength lagging behind Liu Banxia and Su Wenhao.

"Wear gloves, assist."

After Liu Banxia spoke, he picked up the scalpel and made an incision under the left rib of the patient.

This is the conventional choice for a thoracotomy, although there is no chest tray, there are people present to help somehow.

As the incision opened, dark red blood flowed out, mixed with semi-coagulated clots.

Ignoring whether this would shock others presently, Liu Banxia directly scooped out the clots with his hand, knowing they must be removed to proceed with the operation.

"Xu Yino, illuminate and prepare the hemostatic clamp. Su Wenhao, help expand the space." Liu Banxia instructed.

Xu Yino's task was relatively easy, whereas Su Wenhao's required spacing. His hand was now replacing the chest spreader, aiding Liu Banxia.

"Blood oxygen and pressure are still dropping." Xu Chengjun reminded.

After scooping two more handfuls of clots, Liu Banxia inserted his hand into the patient's left chest cavity.

"Preliminary judgment is post-rib fracture, puncturing the pulmonary artery causing alveolar and pulmonary artery damage. The total length is roughly one centimeter, with the rib fracture site not completely obstructing the opening." Liu Banxia commented after feeling around.

"Blood oxygen and pressure are rising, and heart rate has increased slightly." Xu Chengjun quickly reported.

Liu Banxia helplessly glanced at him, "My fingers can't completely block the bleeding point. It's only the replenishment exceeding the bleeding that has allowed for this temporary improvement."

"I'm currently able to perform emergency treatment to clamp the two ends of the pulmonary artery's laceration. Though able to stop bleeding, normal blood flow for the patient can't be assured."

"Transporting now means even if we reach the hospital, the patient will succumb to excessive blood loss. The damage is too severe; exerting too little won't hold, too much will sever the blood supply."

Upon hearing Liu Banxia's words, the people present fell silent.

If equipped in an operating room, this wouldn't be a challenge, merely involving a vascular bypass surgery, not particularly complex.

However, under current conditions, coupled with time constraints, making a choice here is incredibly difficult.

"How long until Doctor Qiu can get here? Can he handle the situation on the scene?" Liu Banxia asked.

"Let me check." Xu Chengjun responded, stepping aside with his walkie-talkie to inquire.

Meanwhile, Liu Banxia's mind was racing, trying to come up with a way to help the patient through this crisis. But given the current situation, neither suturing the blood vessel on-site nor performing a bypass seemed realistic.

"Banxia, Doctor Qiu isn't confident either. He's on his way here now, but you'll have to find a way yourself," Xu Chengjun said after consulting with him.

This was a matter of life and death.

It was the first thought that crossed Liu Banxia's mind. Being entrusted with such a decision, though an affirmation of his status, left him wondering what to do next.

"Teacher Liu, is it possible to temporarily seal the tear in the blood vessel? Even if there's some leakage, could it hold until we get to the hospital?" Xu Yino asked.

Liu Banxia kept silent, his brows furrowed tightly.

"Xu Yino, cut a one-and-a-half-centimeter section of the stethoscope tube and split it open in the middle," Liu Banxia spoke up.

The onlookers perked up. Did he have a plan? But why use a stethoscope tube?

"Sterilize the inside and outside of the tube thoroughly, then find a balloon, cut it open, sterilize it carefully, and sew it to the inner layer, leaving some ends exposed," Liu Banxia continued.

"What we can do now is temporarily seal this opening by placing the stethoscope tube over the tear and using the elasticity of the balloon to adhere it."

The listeners drew a sharp breath, and Xu Chengjun's eyebrows knotted tightly. It was dangerous, really dangerous.

Liu Banxia's method was simple, inspired by Xu Yino's suggestion, like fixing a water pipe.

If a pipe has a crack, you add a PVC pipe wall on the outside, seal the ends, and that ensures the pipe functions normally.

But now, we're dealing with a blood vessel, not a water pipe. The difficulty of completing this operation is incredibly high.

First, in these field conditions, you'd need to isolate the pulmonary artery; otherwise, how do you seal it with the stethoscope tube?

This isn't a surgery room with the chest open and assistants to help retract surrounding tissues. Even in a surgery room, this kind of isolation operation is high-risk.

Moreover, using a standard scalpel for dissection will inevitably cause more bleeding, unlike an electrosurgical knife in an OR that cauterizes wounds as it cuts.

Second, even if it's sealed. Will the stethoscope tube and balloon introduce other bacteria? Can comprehensive sterilization be achieved in such a short time?

And doing so might very well lead to large blood clots within the vessel. This could cause the patient to suffer a massive pulmonary embolism, still a life-threatening issue.

Liu Banxia's approach was extremely risky.

Others hesitated, but Xu Yino had no hesitation at all.

It was a habit cultivated over a long time; no matter that they weren't on an operating table, Liu Banxia's words were commands to be executed decisively.

Su Wenhao, standing nearby, didn't hesitate either, handing Liu Banxia a scalpel with his other hand. 𝘧𝓇ℯℯ𝑤ℯ𝘣𝓃ℴ𝓋𝑒𝑙.𝑐𝘰𝑚

The patient's condition was already critical, and time for Liu Banxia's operation was running out. Probably not even ten minutes, even with rapid blood and fluid resuscitation.

Liu Banxia took a deep breath and exchanged for a vial of potent stabilizing agent.

Ding! Successfully exchanged for a potent stabilizing agent, consuming 50 Glory Points.

Ding! Consuming the potent stabilizing agent; effects last 3 minutes. Gained 8 points of mental acuity; comprehension, memory, and focus increased by 14.29%. Gained 8 points of agility; stability, speed, and tactile awareness increased by 14.82%.

Liu Banxia had no confidence in his heart; fixing a blood vessel like a water pipe was really a desperate move.

Trying Xu Yino's suggestion might be worth a shot. Though suitable medical resources weren't immediately available, conditions could be created to use them.

No time to consider what others thought; the focus had to be on being precise and fast. Only fully isolating this blood vessel provides a chance for further procedures.

So he exchanged for the potent stabilizing agent; it was his last trump card.

Watching Liu Banxia work under such conditions, using faint light to isolate the vessel in the small cavity of the chest, even Xu Chengjun felt a pang of worry.

He shouldn't have called Liu Banxia over. His operation success rate was too low; it wasn't even one in a thousand, maybe not one in ten thousand.

It was likely the follow-up procedure wouldn't even happen; the patient might bleed massively and lose life signs during the dissection.

This situation can't really be handled on-site. He should have considered it more carefully then; now, no doubt, he dragged Liu Banxia into a perilous situation.

This was a deadly operation. Even with authorization for Liu Banxia to conduct on-site surgery, it would bring him criticism.