Chapter 3 Emergency Storm (2)

  The scene of the traffic accident was chaotic, with cries and shouts filling the air. On the highway, two buses, a truck, and a sedan were involved in a chain collision, with one bus overturning on the side of the road and the truck crashing through the guardrail, half of it hanging outside. Emergency vehicles from 110, fire trucks, cranes, and ambulances from various hospitals were at the scene. In the distance, three ambulances from Tengyang City People's Hospital arrived. As soon as they stopped, Tang Xiaofeng jumped out and shouted, "Zhang Wei, bring the emergency kit and follow me!" Zhu, the director, and two others, Zhao Yong and a nurse, also got out of their vehicles. Everyone was shocked by what they saw at the scene. Just as Zhu was about to assign tasks, he heard Tang Xiaofeng's shout and followed him with Zhang Wei, carrying an emergency kit, to the side of a young girl who had just been rescued. They were momentarily stunned. Then, Zhu directed, "Dr. Zhao, let's split up and act separately. Nurse Wang, go to Tang Xiaofeng over there," pointing to where Tang was. "Be careful with patient classification." With that, everyone sprang into action.

  "Little girl, where does it hurt?" Tang Xiaofeng asked with concern. "It hurts here!" The little girl pointed to her stomach and then to her left leg. "This also hurts." Tang Xiaofeng listened with a stethoscope and looked at her left leg before concluding: "There may be internal bleeding in the abdomen, we need to do an ultrasound. Her left leg is fractured, Zhang Wei, first immobilize her left leg." "Ah, okay." Zhang Wei replied. "Tang Xiaofeng," Nurse Wang hurried over. "Stretcher." "The stretcher is here." At this time, the driver brought over the stretcher and helped put the little girl on it. "Be careful, come, lift her onto the car." Tang Xiaofeng instructed. The little girl was lifted onto the car, and Tang Xiaofeng and Nurse Wang also got on. Before getting on, Tang Xiaofeng called out to Zhang Wei: "Zhang Wei, go help Director Zhu with the patients who have minor injuries and bandage their wounds." "Oh." Zhang Wei responded. Tang Xiaofeng said: "Driver, let's head back to the hospital first, drive carefully."

  Emergency room Tang Xiao Feng and the head nurse pushed a little girl in. Sun Feng led the nurse to meet them, "Left leg fracture, possible internal bleeding in the abdomen, needs to do a puncture." "Okay, let's take over." Tang Xiao Feng followed the nurse back to the ambulance and rushed back to the accident scene. "Hello, Wang Hui," the head nurse stretched out her hand to Tang Xiao Feng, who shook hands with Wang Hui and said, "Tang Xiao Feng."

  "Wishing you a pleasant time in the emergency department." "Thank you."

  Rushing back to the scene of the accident, Tang Xiao Feng and his team immediately joined forces with Director Zhu. Zhao Yong also returned to the hospital in an ambulance. Zhang Wei was helping a young man who had only suffered minor scratches clean up the wound on his forehead. Director Zhu was also assisting a middle-aged woman dress her wounds, while the head nurse took over. The scene of the accident had been largely dealt with, and as it happened, there were more lightly injured patients, plus many ambulances from various hospitals at the scene, so all the seriously injured patients had already been transferred away.

  Suddenly a firefighter came running over and said, "Doctor, there's still one in that car!" Tang Xiao Feng immediately followed the firefighter as they ran over. Director Zhu couldn't help but think to himself, "How can this kid run so fast?" No one was following him, what could he possibly do by rushing over alone? Just then, he called out and brought Nurse Long and Zhang Wei along with him as they rushed over.

  "Where is it?" "It's here!" Another firefighter shouted, and Tang Xiaofeng went over to pat the injured person on the shoulder: "Comrade, comrade, can you hear me?" But the injured person lying down had no reaction. Tang Xiaofeng listened with a stethoscope, "No heartbeat." "Just after being rescued, there was still breathing and consciousness." A firefighter said.

  "Zhang Wei, prepare for endotracheal intubation, I'll do chest compressions." Tang Xiaofeng shouted loudly. Zhu Director rushed over and asked, "What's the situation?" "Cardiac arrest." Zhu Director said, "I'll do the endotracheal intubation." After completing the intubation, Zhu Director listened with a stethoscope and said, "Intubation successful, bag valve mask." Zhang Wei hastily handed over the bag valve mask. Tang Xiaofeng was still doing chest compressions. "Administer 1mg of adrenaline IV." "Administer 1mg of adrenaline IV," Wang Hui repeated. "Cardiac recovery, there's a response!" Wang Hui shouted happily. "Stretcher, back to the hospital." Zhu Director said. The driver and Zhang Wei lifted the patient onto the stretcher and put him in the car. Zhu Director said, "Let's all go back to the hospital, there are no more severe patients here."

  Doctor's office Tang Xiao Feng and Zhang Wei sat on the sofa, Director Zhu and Deputy Director Sun looked at them. Deputy Director Sun said: "Assign work to you two, Tang Xiao Feng, you will start following Director Zhu for internship from tomorrow, Zhang Wei, you will start following me for internship from tomorrow." Director Zhu said: "Now you two go rest, formal internship tomorrow, don't worry about the pre-job training, I have already talked to Director Wang of the Teaching Department."

  …….

  Outside the emergency room, Tang Xiao Feng looked up at the gloomy blue sky, and his eyes wandered over the unfamiliar faces. He couldn't help but let out a deep sigh, gradually accepting reality. "What's wrong?" Zhang Wei asked in surprise. "Nothing, let's go eat something." After a busy morning, it was already past 1 pm. Emergency doctors, no matter where they were, indeed had no stable daily routine. The two of them went to the hospital cafeteria together and ordered braised pork and a tomato and egg drop soup. After finishing their rice and braised pork, they each ladled themselves a bowl of tomato and egg drop soup. Zhang Wei blinked his eyes and said, "After we finish eating, I'll head home to take a look around and pack my daily necessities. Once tomorrow's formal internship starts, there might not be so much time." Tang Xiao Feng gave him a sideways glance: "What's the rush? You think you're a resident doctor with shifts divided into day, night, and graveyard? Interns are always on day shift."

  Tang Xiao Feng left the cafeteria with Zhang Wei, Zhang Wei wanted to go back to the dormitory to pack his things and head home. Thinking that he didn't have anything else to do in the dormitory either, he decided to go take a look at the emergency room instead.

  "Tang Xiaofeng!" Nurse Wang called out. "Yes, Nurse Wang," Tang Xiaofeng replied with a smile. "Why didn't you go rest? Didn't we say that formal practice starts tomorrow?" "Nothing to do in the dorm either."

  Just then, the emergency room door was pushed open hastily. Sun Feng and a nurse were pushing in a patient. "Patient Chen Wei, 27 years old, left upper chest injured by a car 10 minutes ago,"

  Blood pressure 80/50 mmHg, pulse 148 beats/min, respiratory rate 40 breaths/min. Mentally clear." The nurse reported.

  "Rescue room one, Tang Xiaofeng, you come too." Sun Feng said.

  "Get the blood work, type and cross-match, ECG, stat!" Tang Xiao Feng said as he quickly caught up. He warmed the stethoscope with his hand before carefully listening to the patient's heartbeat, using a flashlight to observe the patient's light reflex: "The jugular vein is not significantly distended, the left chest is full, breathing movement is weaker on the right side, and there is a bone friction sound on the left chest wall."

  "Chen Wei, I'm going to examine you. If it hurts, just shout." Tang Xiaofeng started pressing the patient's chest. "Ouch! Doctor, it hurts!" "Does it hurt here?" Then he observed the patient's subcutaneous tissue, "From the neck to the chest and abdomen, there is subcutaneous emphysema everywhere." "The left chest is drum-like, breath sounds are absent, no rales heard. The right lung has a coarser breath sound, no rales heard." "The abdomen is soft and flat, no tenderness or muscle tension, bowel sounds normal, liver and spleen not palpable, lower limbs without edema, all four limbs move normally." Tang Xiaofeng continued to report the patient's symptoms to Dr. Sun.

  "Traumatic shock, multiple rib fractures, and tension pneumothorax." Director Sun made a decisive diagnosis after hearing this.

  "Immediate chest puncture, closed thoracic drainage, chest X-ray in anteroposterior and lateral positions, ECG, continuous blood pressure monitoring, blood gas analysis." Doctor Sun gave the order.

  "Good!" Tang Xiao Feng and Wang Hui immediately began making preparations.

  "Has the blood arrived? Blood transfusion, 5% glucose 500ml drip." Sun Feng said while writing a prescription.

  "5% glucose 500ml drip." Wang Hui repeated.

  "Oxygen inhalation." Dr. Sun continued.

  "Director Sun, use antibiotics to prevent infection and also fix the chest," Tang Xiaofeng said to Director Sun in a questioning tone.

  "Okay! Prepare for skin test, 800,000 units of penicillin."

  "Patch test, 800,000 units of penicillin."

  The two were busy with their heads down when Director Zhu came in, and neither of them looked up. It wasn't until Director Zhu walked to Sun Feng's side that they saw him.

  "How is it?" Director Zhu asked.

  "Not bad! No major issues. I've got a capable person here, so I can worry less too! You'd better let me take this kid as well." Sun Feng glanced at Tang Xiao Feng and then looked at Director Zhu, who smiled and replied, "You're thinking beautifully."

  Tang Xiaofeng looked up at Deputy Director Sun, smiled and continued to treat the patient.

  "Blood pressure is back up, breathing is normal." Wang Hui glanced at the display screen.

  "Alright, push EICU, closely monitor the patient's breathing and heart rate." Sun Feng said, "What? Looking for me with something?"

  "It's not you I'm looking for, but my student." said Director Zhu with profound meaning.

  "Check blood type, prepare for transfusion and get ready for surgery." The director instructed after taking a look at the medical record. "I'll go find the patient's family to sign the consent form," Wang Hui said before walking out.

  "Who is Chen Wei's family member?"

  "I am a nurse. How is my husband?" a woman asked anxiously.

  "We need to operate on him immediately, sign here!"

  "Alright, you must save my husband."

  Don't worry!

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