115: Chapter 115 The Strongest Resident Physician, that title is truly awesome!
Lu Chen didn't really take it to heart.
How it spreads online is a matter for the internet; he couldn't control it and couldn't be bothered to.
For him, the biggest gain yesterday wasn't some trending search, but the progress of Ultrasound-Guided Puncture soaring by over thirty points.
That was the real deal.
Can words on a trending search turn into money? No.
Can skill levels turn into money? Yes.
At this moment, Shen Xiaoning trotted over from the Yellow Zone.
She was wearing a clean Nurse uniform today, her hair tied in a ponytail, and the smile on her face could be seen from afar.
"Dr. Lu, good morning!"
"Morning."
Shen Xiaoning saw the printout on the table and curiously picked it up to take a look.
"Ah, I saw this last night!"
"You saw it too?"
Shen Xiaoning nodded vigorously, her eyes bright.
"So many people in the comments section are praising you, and some even made a mashup video, editing your previous defense against the thugs and this Puncture together. The title is something like… it seems to be 'Jiangcheng's Strongest Resident Physician'."
Sun Ji added sourly from the side.
"Strongest Resident Physician, this title is really awesome!"
Shen Xiaoning looked at him seriously.
"Dr. Sun, you can start by striving for the 'Strongest Late-Night Snack King'."
Sun Ji opened his mouth, hesitated for a moment, and finally chose silence.
Lu Chen's mouth twitched slightly.
"Alright, stop looking, get ready for work."
Shen Xiaoning immediately put away her phone and obediently followed behind him.
...
At 9 AM, the Red Zone started to get busy.
An elderly person with acute chest pain was pushed in. Lu Chen scanned them with Eye of Truth, confirmed it was unstable angina, and quickly transferred them to the Cardiology Department after treatment.
Immediately after, a Middle-aged man with alcohol poisoning arrived, having difficulty breathing due to aspiration of vomit. Lu Chen decisively intubated to clear the airway, finishing in ten minutes.
Sun Ji was helping by handing over items, watching Lu Chen's operation, and couldn't help but shake his head.
"Brother Lu, has your feel for intubation become even steadier? Why do I feel it's faster than last week?"
"Maybe."
"What do you mean by 'maybe'? Can you give me a definite answer?"
"No."
Sun Ji sighed.
"Talking to you is really exhausting."
Lu Chen continued writing medical orders.
Around 10:30, the emergency phone rang.
After answering the phone, Meng Yan's expression changed slightly.
"120 notification: fall from a height, male, 32 years old, fell from a fourth-floor scaffold. Preliminary judgment is multiple injuries, expected to arrive in five minutes."
Lu Chen looked up.
"How are the vital signs?"
"Blood pressure is low, heart rate is over 120, consciousness is blurred, and one intravenous access has already been established pre-hospital."
"Prepare the rescue bed, open the No. 2 rescue position, notify Sister Zhao."
"Received."
Meng Yan immediately made arrangements.
Shen Xiaoning had already started checking if the items on the rescue cart were complete.
Three minutes later, Zhao Yaqin walked quickly out of the office.
"What's the situation?"
Lu Chen reported briefly.
Zhao Yaqin nodded.
"You lead, I'll be on the side."
This was the rule set by Director Li Sen last week: in the presence of a superior physician, Lu Chen was allowed to independently lead the rescue.
Five minutes later, the ambulance arrived.
The siren sound approached from afar, and the stretcher was quickly pushed into the Red Zone.
Lu Chen saw the patient's condition at first glance.
A man in his early thirties, wearing the kind of work clothes with reflective strips from a construction site, most of which were soaked in blood.
There was an obvious laceration on his head still bleeding, his right leg was bent at an unnatural angle, and his abdomen was distended.
The accompanying emergency doctor quickly reported the pre-hospital treatment and vital signs.
While Lu Chen took over, Eye of Truth had already activated automatically.
[Eye of Truth scan complete]
[Patient information: male, 32 years old]
[Chief complaint: fall from a height, falling height about 12 meters, landed on the right side]
[Eye of Truth diagnosis: multiple injuries, right femoral shaft closed fracture, intra-abdominal hemorrhage (Grade II splenic rupture), left 6th, 7th, 8th rib fractures combined with a small amount of hemothorax, scalp laceration (about 5cm long, no skull involvement, no intracranial hemorrhage), right distal radius fracture]
[Danger level: Grade A (High risk)]
[Current symptoms: early stage of hemorrhagic shock, blood pressure continuously dropping, intra-abdominal hemorrhage volume about 800ml and still increasing]
[Suggestion: Immediately establish dual-channel large-bore intravenous access for rapid fluid resuscitation, emergency treatment of intra-abdominal hemorrhage is the highest priority, simultaneously fix all fracture sites to prevent secondary injury, closely monitor changes in vital signs]
[Warning: Patient's intra-abdominal hemorrhage speed is accelerating; if not effectively controlled within 30 minutes, will enter decompensated stage of hemorrhagic shock, extremely high risk of death]
Lu Chen's pupils contracted slightly.
Grade A high risk.
Multiple injuries.
Intra-abdominal hemorrhage is still increasing.
His brain ran at high speed.
The knowledge system of perfect level Comprehensive Trauma First Aid unfolded instantly in his consciousness. In the treatment of multiple injuries, the most critical thing is not which wound looks the most frightening, but which one is the most fatal.
"Open another large-bore intravenous access on the opposite arm, rapid infusion of normal saline, run both at the same time!"
Lu Chen's voice was calm and steady, his instructions clear.
"Temporary fixation of the right leg with a splint, move gently, pay attention to protecting blood vessels and nerves!"
"Pressure bandage for the scalp laceration, don't suture, leave it for now!"
"Cross-match blood, notify the Operating Room to reserve an emergency table!"
"Ultrasound scan, abdomen first!"
Shen Xiaoning skillfully inserted the second intravenous access, Meng Yan directed another Nurse to cooperate in fixing the right leg.
Lu Chen grabbed the ultrasound probe and quickly scanned the patient's abdomen.
The screen clearly showed a large amount of free fluid in the abdominal cavity, and obvious rupture marks could be seen in the spleen area.
Zhao Yaqin glanced at the screen.
"Spleen?"
"Yes, Grade II rupture, bleeding is still continuing, the amount of blood in the abdominal cavity is still rising."
Zhao Yaqin frowned.
"Should we push directly to the Operating Room?"
Lu Chen shook his head.
"Blood pressure 85/50, heart rate 130. In this state, sending directly to the Operating Room, they might not hold on the way."
He put down the probe and made a quick judgment.
"Stabilize vital signs first."
"While doing pressure infusion, I will first perform abdominal Puncture and drainage to decompress, lower the intra-abdominal pressure, and once the return blood volume increases, the blood pressure can stabilize, then transfer to the Operating Room."
Zhao Yaqin looked at him.
"Are you sure about doing Puncture decompression here?"
"Sure, the intra-abdominal pressure is too high. If we don't decompress, it will press on the inferior vena cava, the return blood volume will continue to drop, and the blood pressure will collapse even faster."
Zhao Yaqin was silent for a second.
"Do it."
Lu Chen put on gloves.
This is the core value of perfect level Comprehensive Trauma First Aid.
It is not a single operation, but the systematic judgment and prioritization of the entire multiple injury scenario.
Save lives first, then treat injuries.
Distinguish clearly what should be done first and what can wait.
He precisely found the Puncture point under ultrasound guidance, avoiding all possible intestines and important blood vessels.
One needle into the abdominal cavity.
Dark red blood gushed out along the Puncture needle.
"Connect the drainage tube."
Shen Xiaoning handed over the drainage tube, Lu Chen connected and fixed it, and the blood began to drain slowly.
The pressure in the abdominal cavity was dropping little by little.
On the monitor, the blood pressure started to go up.
Eighty-eight.
Ninety-one.
Ninety-four.
"Blood pressure is returning," Meng Yan reported.
Lu Chen did not relax.
"Right rib fracture combined with hemothorax, the amount is not large, no drainage for now, just continuous monitoring."
"Right distal radius fracture, temporary immobilization with a brace."
"Scalp laceration has stopped bleeding, continue pressure bandage."
He gave medical orders while quickly checking the patient's whole body.
Every wound was treated with the most efficient emergency measures.
Scalp laceration, fixed with a bandage after pressure gauze.
Right femoral shaft fracture, firmly fixed with splint and bandage.
Right distal radius, brace put on for immobilization.
Every step was crisp and neat, with no extra movements, and no hesitation.
Zhao Yaqin stood on the side, not intervening from beginning to end.
Not that she didn't want to help.
It was just not needed.
Lu Chen's treatment process was too complete; the judgment of priority for every link was precise and in place, with no omissions and no wasted time.
This ability cannot be honed just by experience.