Chapter 284: Chapter 284

"My goodness, President Liu, why do you look so grim? What happened?" Wang Chao hurried over when he saw Liu Banxia return.

"Well... it’s hard to explain. We must be cautious about our work in the emergency department. We can’t allow any accidents. If something happens, it’ll be much harder for us in the future," Liu Banxia sighed.

"What happened? Is it because of the project we are going to submit? Isn’t that for the promotion of our hospital?" Wang Chao asked.

"It’s not about that, it’s something else. Just be aware and always be cautious. We need to be meticulous in patient reception and handle doctor-patient relationships carefully," Liu Banxia said.

"Given the low number of patients we’re admitting, if there were any complaints, it would be really unacceptable. We need to be cautious, more cautious, and alert, more alert."

Wang Chao was somewhat puzzled. He wasn’t sure why Liu Banxia had become so cautious upon returning. Although he considered himself well-informed, why hadn’t he heard any news?

Actually, Liu Banxia could share his troubles with the people in the emergency department, but it wouldn’t help much. Some of them had strong connections, so there was no need for them to spread the word for him. The root of the problem lay with the ever-restless Old Qin, who had truly become like a lingering ghost. But it didn’t matter. Old Qin couldn’t do anything to him when he was at the Second Affiliated Hospital, so Liu Banxia was even less afraid of him now. His conduct was upright; he wasn’t afraid of Old Qin’s dirty tricks.

"Banxia, get ready for a patient with high-altitude fall injuries. The patient has been intubated and an IV line started at the site, and it will be about ten minutes before they arrive at our emergency department," Wang Ying shouted at this time.

"OK, everyone start preparing. Qi Wentai, have you ever inserted a chest tube?" Liu Banxia asked while putting on his disposable surgical gown.

Qi Wentai shook his head.

"After the patient is brought in, examine the chest cavity. Patients with high-altitude fall injuries often suffer from pneumothorax and hemothorax," Liu Banxia said.

"Bring over the portable ultrasound, and prepare four bags of O-positive blood. You’re Zhou Qian, right? As soon as the patient arrives, quickly connect him to the monitor. And you, whose name I can’t remember, do a quick blood test and cross-match."

"Cao Peng, get ready to start an intravenous line. If one is not enough, Zhou Shangkai, you start another one. Brother Wei, how about letting Wang Chao handle the rapid trauma examination?"

Wei Yuan smiled and nodded.

"Did everyone hear that? Let’s get moving!" Liu Banxia shouted.

Despite the lack of verbal response, everyone immediately sprang into action, scampering out toward the waiting area. This was the best response.

"Brother Wei, after the examination, you take Wang Chao and the interns into the OR," Liu Banxia said.

"You’re not scrubbing in? It’s said to be a high-altitude fall, probably from higher than the sixth floor. Even with some cushioning, the situation may not be too good," Wei Yuan said.

"I operated on a patient just yesterday. Wang Chao also needs more practice. Among us, he gets the least time in the operating room and is mainly focused on appendectomies and gallbladder surgeries," Liu Banxia said with a smile.

Wei Yuan glanced at him helplessly. "Sounds like you’re as concerned as the director. Let’s see how it goes. If the patient is bleeding a lot, you have to come. I’m afraid we might not be able to stop the bleeding in time."

"That works too, let’s see how it goes," Liu Banxia said.

After waiting for a few more minutes, the ambulance arrived, sirens wailing, and the patient was pushed out.

"He fell from the ninth floor while installing windows. He broke his fall somewhat at the fifth floor but landed directly on the ground. Blood pressure is 70/90, the patient was intubated and IV fluids were administered at the scene, heart rate is 135," the paramedic said.

"Take him to Resuscitation Room One. Do as I said before. Have the accompanying person fill out the paperwork and contact the family. Xu Yino, what should be considered for high-altitude fall injuries?" Liu Banxia said.

"Ah... I... head, neck, chest, abdomen, and limbs," Xu Yino stammered, nervously calling out his answer.

"Steady on, be more specific," Liu Banxia said.

"Possible head trauma, fractures, injuries, cervical and thoracic spine fractures, hemothorax, pneumothorax, abdominal organ contusions, internal bleeding, and long bone fractures," Xu Yino quickly said.

"Help Wang Chao with the trauma examination," Liu Banxia nodded.

With Liu Banxia’s permission, Xu Yino rushed over.

Because the team had clarified the tasks in advance, and with so many people involved, the examination and treatment progressed quickly.

"Subcutaneous emphysema, hyperresonant percussion note, absence of respiratory sounds—these suggest tension pneumothorax, which requires a chest tube," Qi Wentai said, then looked at Liu Banxia.

"Multiple obvious fractures in the left leg and arm, abrasions on the head and face, dislocation of the right shoulder joint," Xu Yino reported.

"Vital signs are temporarily stable. Ultrasound of the abdomen shows effusion. Speed up the blood transfusion after the intravenous channel is opened," Wang Chao completed his diagnosis.

"We need to do X-rays for the cervical and thoracic spine, pelvis, arms, and legs. After that, move the patient directly to the operating room. Whether there’s brain damage or not, we can’t wait for a CT scan."

"Alright, let’s do it this way. You and Brother Wei scrub in, and I’ll get in touch with the X-ray room and operating room right now," Liu Banxia nodded again.

He had been watching during the examination process. Even if he had to make the call, it would have been the same.

Currently, the patient’s vital signs were stable, and timely blood transfusion would prevent a rapid drop. If the fractures of the cervical vertebrae, thoracic vertebrae, and pelvis couldn’t be confirmed, going straight to the operating room might harm the patient instead.

Speaking of the cervical and thoracic areas, they were very crucial. A little carelessness could result in high-level paralysis for the patient.

DING! Patient examination completed. Earned 50 experience points, diagnostic skills proficiency +60 points.

"Xu Dan, what are you still staring at?" Liu Banxia turned his gaze to Xu Dan on the side.

"Ah... I don’t have a task," Xu Dan said.

"Go to the operating room with them and familiarize yourself with the surgical process and the instruments," Liu Banxia advised.

"Alright," Xu Dan responded happily and trotted off after them.

"Teacher Liu, will it be our turn when we get another patient?" Liu Yiqing asked.

Liu Banxia nodded. "The next one is temporarily assigned to you. For an emergency surgery , too many people can disrupt spatial awareness and put pressure on the surgeon."

"Don’t worry, there will be more chances in the future. We only have a few people in the emergency department, so everyone will get their turn. Don’t rush; take it slow."

The remaining interns were happy. They knew this was the proper way to operate, but hearing Liu Banxia explain it clearly made them feel more at ease.

For example, just now, Liu Banxia hadn’t assigned tasks to either Liang Xiaolin or Qing Kewa because they had already had adequate training in this area; the opportunity had to be given to others.

"Banxia, your arrangements just now were excellent. Very mature and authoritative," Wang Ying smiled and said.

"Hehe, thank you, Sister Wang. Actually, the process is pretty much the same. We have so many people now, it’s easier to make arrangements," Liu Banxia said with a smile.

"Alright, no more gawking. We’ve got patients who need wound debridement. Speed up a little, but make sure to prioritize quality and complete the work thoroughly."

"Got it!" Liu Yiqing shouted happily.

"Believe it or not, having these young kids around makes me feel much younger. They’ve brought a lot of passion to the emergency department," Xu Hui approached after handling his patient.

"Indeed. When we first started, it was just us old folks sticking it out. So, how’s the house hunting going? This is the golden time of year; it should be easier for us to get a discount," Liu Banxia said.

"I’ve almost decided on mine, but it depends on Dr. Shi’s opinion. He’s still looking at properties today, but he should choose from the options I’ve given him," Xu Hui said.

"We can’t even consider houses in high school districts anymore; we can only look at primary and middle schools. Otherwise, it’s really too expensive, and there are no new houses, all are second-hand."

"Isn’t that just how it is now? But it seems like new developments all come with educational facilities. Even if it’s a branch school, it should be pretty good," Liu Banxia added.

"Anyway, you need to give Shi Lei a little nudge. He’s always so hesitant to spend money and keeps putting it off. If he finds a house he likes but is short on the down payment, let me know on the quiet." The rightful source is novel~fire~net

"No worries, I know you care about him. Whatever it takes, this matter needs to be wrapped up perfectly," Xu Hui said.

He knew Liu Banxia was putting in all this effort primarily for Shi Lei. That was fine; getting a free ride also worked, any saving was a good saving.

Otherwise, with so many schemes in property sales, whether a development was reliable or not was still uncertain. One couldn’t just rely on promotions; who knew what would happen when they actually moved in.

Originally, they had wanted to buy a completed flat that the property developers had just put on the market, but the price was a bit steep. So now, they could only aim for properties that were still under construction.

At this moment, Liu Banxia’s mobile phone rang. When he saw it was Qiaoqiao calling, it gave him a start. "Qiaoqiao, what’s up?"

"Nothing, we’re at the zoo. Do you remember Manager Qu from last time? One of his friends has leg pain and wants you to take a look," Qiaoqiao said.

"Alright, let them come over. How are you guys doing? Sorry for making you look after them; I didn’t have time to join," Liu Banxia said.

"Oh, no problem, it’s the same with me accompanying them. Alright, I need to go now, the swans are coming," Qiaoqiao said, then hung up the phone.

Liu Banxia, sometimes quite oblivious, hadn’t noticed the slight awkwardness in Qiaoqiao’s tone at the end. He simply assumed she was genuinely eager to watch the swans and didn’t have time to chat.

"Brother Hui, a friend of mine is coming over soon. He’s a patient with leg pain. I’ll see him first," Liu Banxia said after putting his phone back into his pocket.

"Alright, I’ll take a break then. Just a few more days and we’ll move to the new building. Wang Huan and I can finally have regular shifts and rest," Xu Hui stretched lazily.

He and Wang Huan were the only internal medicine doctors at present, so they had to alternate on 24-hour on, 24-hour off shifts. Occasionally, when there were many patients, Liu Banxia would help with consultations, so it wasn’t too exhausting.

However, the constant disruption to their biological clocks was not so easy to bear.