Chapter 1641: Chapter 1641

"Director Tan, are you closing the incision or should we?" Little Five asked.

Director Tan was unsure if his hands would shake: "Let you handle it, I’ll assist."

"You can rest, the two of us are enough." Little Five began rinsing the surgical area.

"Your hook placement just now was different from how we usually do anterior cervical surgery?" Director Tan had noticed.

Zhang Lin said casually, "Oh, we’re using Zhang’s Hook Method and Lu’s Hook Method. It works better combined with our patented hooks; better exposure, less tissue pressure."

But they deserve it; their hook technique is indeed excellent. The golden and silver hooks from the Institute are well-renowned.

"Let them handle it, we’ll rest."

Yang Ping didn’t take off his gloves. The nurse brought a stool, and Yang Ping sat nearby.

Director Tan also sat down by the side.

"This patient is quite critical. His heartbeat had already stopped in the emergency department and was resuscitated through CPR." Director Tan recalled.

"Anesthesiologist, how are the vital signs now?" asked Director Tan.

The anesthesiologist immediately reported the vital signs were currently stable, suggesting that life could be temporarily sustained. However, it’s uncertain if recovery will follow; rescue is about solving present issues first and assessing later.

"Was the artificial blood vessel implanted in the emergency department?" Yang Ping asked.

Director Tan said, "Director Ji did it. During emergency CT, he directly pierced through the CT machine to insert the artificial blood vessel and expand simultaneously, preserving part of the blood flow, otherwise, the surgery couldn’t be performed."

It’s both bleeding and ischemia. Bleeding could cause hypovolemic shock; ischemia might lead to brain infarction.

"Many vasoactive drugs were used but ineffective. We had no choice but to let Director Ji intervene to clear the vessels, establishing a channel in one vertebral artery to ensure blood supply to the head." Director Tan said; he directed the whole rescue process.

In fact, his plan was excellent, possibly the only correct one. Any misstep wouldn’t allow successful resuscitation.

After the surgery, Yang Ping came out of the emergency operating room. The emergency department was still bustling; this place was never quiet, and Xiong Sihai’s trademark loud voice could be heard from afar.

"Over here, over here!"

"Take him to the emergency CT room!"

"Yes! Directly to the chest pain center."

"Start closed thoracic drainage first, urgently call for a thoracic surgery consult."

Since Yang Ping was there, he took a look around to see if any help was needed.

The emergency department seemed busy today; the rescue room beds were all occupied. Director Xiong Sihai stood in the hall like a tower, commanding the emergency response.

A tattooed man raised his hand and cursed loudly: "Damn, what kind of doctors are these? I’ve been waiting for half an hour, no one cares, where have they all gone?"

His hand was wrapped in gauze, which was blood-stained, perhaps not seriously injured since the bleeding had stopped. The emergency department was very busy, with many waiting for life-saving treatment, and the doctors and nurses were overwhelmed, unable to attend to him.

Seeing no one paid attention, he stopped a hurriedly passing doctor: "Stitch me up."

Upon seeing this, Director Xiong immediately walked over, grabbed his collar, lifted him with one hand, and tossed him aside: "Get lost, wait somewhere else. Can’t you see doctors are busy saving lives? We’ll deal with your injury after we’ve finished here; you’re not going to die now."

Xiong Sihai had such temper and operated in a rough manner, yet it’s this rough demeanor that helps control the chaotic environment in the emergency department.

The tattooed guy was also street-smart, but even he couldn’t handle such humiliation, being carried off like a chick in front of everyone, embarrassing him and potentially ruining his reputation among his peers.

He wanted to retaliate but seeing Xiong Sihai, whose arms were thicker than his legs and who stood at 1.92 meters, packed with firm muscles likely capable of killing a bull with one punch, he swallowed his curses, dared not utter a word, legs frozen unable to take a step forward.

"Make way, make way, stay in the waiting room, don’t block the way here."

Xiong Shihai ignored the tattooed guy’s reaction, casually pushing him, nearly causing him to fall, but without a trace of anger, he shuffled into the waiting room without causing a further scene.

At the entrance of the rescue room, an elderly woman frantically pounded the door. Unsatisfied, upon seeing no reaction inside after a bout of pounding, she kicked it then collapsed, weeping loudly, got up again and continued banging on the door.

The rescue room door was designed to be thick and explosion-proof precisely to withstand family members’ violent assaults frequently encountered during emergencies, sometimes even rushing inside, severely affecting the rescue operations.

"What are you doing? They’re providing treatment inside!"

Xiong Shihai walked over to maintain order.

"What am I doing? The doctors just said they’re going to use electric shocks, you’re treating human lives recklessly, even if they don’t die they’ll be electrocuted." The old woman retorted.

"That’s defibrillation, the heartbeat has stopped and requires defibrillation, standard rescue procedure. No need to worry."

"I certainly worry; it’s not your family. You definitely won’t worry. I know lives don’t matter in this place; he’s my only son, if he has any problems, I won’t let you off."

Straightforward words, Director Xiong didn’t bother to engage, letting her bang at the explosion-proof door to her heart’s content. If injured, she has only herself to blame.

"Doctor, doctor, hurry up, save him!"

An ambulance was pushed in.

"What’s the situation?" Xiong Sihai asked.

"He’s drunk, vital signs stable, observe in the observation room, a shot of naloxone will suffice."

"Alright, take him there."

"What kind of attitude is this? Not taking him to the rescue room, just the observation? No doctors around, just a nurse glancing occasionally then disappearing." Nᴇw ɴovel chaptᴇrs are published on NoveI★Fire.net

"Just drunk, vital signs stable. Awaiting sobriety. More critical cases need saving."

"Is this irresponsibility?"

The woman took out a badge: "I’m a reporter, swiftly call a head doctor here, or I’ll expose you."

Damn, seems like everyone has a badge nowadays, Xiong Sihai ignored her.

Your badge’s intimidation doesn’t work?

She immediately took out her phone and started recording.

Explaining wasn’t working, Xiong Sihai dealt unceremoniously: "Stop recording; you’re disrupting rescue efforts, back off."

The woman was relentless.

"Look, she’s preventing doctors from saving lives; soon this patient will perish." With that, Xiong Sihai pushed her aside, smashed the phone hard against the ground, then stamped on it with his leather shoe.

"Move, hurry to rescue."

This woman met her match today.

"I’ll deal with you later, if this patient dies, responsibility lies with you. We’ll remember; your delay cost him minutes, captured on many videos. If I hadn’t shoved you aside and destroyed your phone, you would’ve delayed longer." Xiong Sihai pointed, scolding her fiercely.

The woman initially wanted to fuss, but hearing Xiong Sihai, she indeed felt frightened, glancing in the direction the stretcher was just pushed, but it was already gone.

Security then approached, and Xiong Sihai said: "Get her name, phone number, and home address, call the police, record surrounding witnesses. We’ll settle this later."

Without the likes of Xiong Sihai, this emergency department would be far more chaotic. Over the years, Xiong Sihai swiftly dealt with various disturbances, opting for fast resolutions, without dragging issues, avoiding indecision, rough yet effective.

"Towards a woman..." commented the man next to the reporter, trying to stand up for her.

Xiong Sihai didn’t respond, retorting as he walked away, "We’ll settle with you later too, for supporting her in indirect manslaughter."

The emergency department scene was truly spectacular.

"Professor, please take a look at a patient for us."

PS: This recent case from the cervical surgery department at Shanghai Changzheng Hospital was also covered in news, deemed exceptionally classic, a world-class emergency cervical surgery case, so it was borrowed for use as a case study, in tribute to the surgical team.