121: Chapter 121 Dr. Lu, your technique has changed again recently.
Over the next two days, Lu Chen used his daily Suturing work to test the actual effects of his God-level skill.
The results surprised even him.
The speed was at least twenty percent faster than the perfect level, but that wasn't the most critical part.
The most critical part was the precision.
With every stitch, his fingers could precisely sense the tissue layer where the needle tip was, and he could even feel the interfacial tension between different layers.
The alignment of the wound was so perfect that it was difficult to see any traces of Suturing with the naked eye.
After Meng Yan observed once, she stood there in silence for a long time.
"Dr. Lu, your technique has changed again recently."
"How so?"
"It was already the best I've ever seen, but this... I don't know how to describe it. It just feels like something that shouldn't be possible for human hands."
Lu Chen smiled and didn't respond.
Wu Fan noticed it too.
One day, he specifically came over to watch Lu Chen suture a scalp laceration. After watching, he leaned against the doorframe and stood there for quite a while.
"Lu Chen, your Suturing level... do you want me to be honest?"
"Tell me."
"I've worked in the Emergency Surgery Department for so many years and seen plenty of Suturing masters—from the Provincial Hospital, the Military Region Hospital, and even those who returned from overseas training—but none of them can reach your current level."
"Brother Wu, you flatter me."
"I'm not flattering you; I'm stating a fact."
After Wu Fan finished speaking, he shook his head and left.
After walking a few steps, Sun Ji heard him mutter something.
"Just what is this kid's background?"
Sun Ji secretly repeated these words to Lu Chen.
Lu Chen didn't have much of a reaction.
"Brother Lu, aren't you curious about what Brother Wu thinks of you?"
"Not curious."
"Don't you care about other people's opinions?"
"I don't care."
"Can't you give me a longer answer?"
"No."
Sun Ji clutched his chest and took two deep breaths.
"I declare that the experience of chatting with you ranks dead last among all humans."
Shen Xiaoning poked her head out from behind.
"Then why do you still look for him to chat every day?"
Sun Ji turned to look at her.
"It's like knowing the food in the Cafeteria doesn't taste good, but you still have to eat it because there are no other options."
Shen Xiaoning wrinkled her nose.
"How can you compare Dr. Lu to the food in the Cafeteria?"
"I'm not comparing him to Cafeteria food! I'm talking about the chatting experience, the chatting experience!"
Sister Zhao's voice drifted over from the end of the hallway.
"You three, are you done chatting? It's time to change the dressing for the patient in bed three."
All three of them shut up at once.
...
The changes to the system panel this week were also quite significant.
Besides Suturing breaking through to the God-level, other skills were also steadily improving through daily high-intensity work.
Basic Surgical Operations rose to 71, Internal Medicine Diagnostics rose to 57, and Comprehensive Trauma First Aid rose to 28.
It wasn't fast, but it was steady.
The progress for Cardiopulmonary Resuscitation and Vascular Anastomosis was still zero because no cases requiring those skills were encountered this week.
But Lu Chen wasn't in a hurry.
In a place like the Red Zone, any kind of patient could be wheeled in at any time.
There would always be an opportunity.
As it turned out, he didn't have to wait very long.
...
Day eight.
The weather was clear, and the daily work of the Emergency Department proceeded in an orderly fashion.
1:40 PM.
The broadcast in the Emergency Department lobby suddenly sounded.
"Attention Red Zone, attention Red Zone. A 120 ambulance is delivering a severely injured patient, estimated to arrive in three minutes. Please prepare for reception."
Lu Chen put down his water cup and stood up.
Sister Zhao had already walked out of her office.
"What's the situation?"
Meng Yan held her walkie-talkie and quickly relayed the information.
"120 said it was a factory accident. A male worker had his right forearm mangled by a cutting machine, with massive bleeding."
"Initial hemostasis was performed on-site, but the effect was poor. The patient's consciousness has been gradually fading during transport."
Sister Zhao frowned.
"Vital signs?"
"Blood pressure is dropping, and the specific values are unstable."
Lu Chen had already started putting on gloves.
Two minutes later, the ambulance arrived.
The moment the stretcher was pushed in, Lu Chen saw the patient's condition.
A man in his thirties, his work pants were covered in blood.
His right forearm was wrapped in thick gauze, which was completely soaked through with blood, and fresh blood was still seeping out.
His face was pale, his lips were purple, and he was in a semi-comatose state.
The doctor accompanying the 120 ambulance handed over quickly.
"Male, 35 years old, right forearm mangled by a factory cutting machine."
"The wound is very deep, and there was massive bleeding on-site."
"We used a tourniquet and pressure bandaging, but the bleeding was too much. His blood pressure kept dropping during transport; the latest measured systolic pressure was only 75."
While listening, Lu Chen had already activated the Eye of Truth.
[Eye of Truth automatically activated]
[Eye of Truth scan complete]
[Patient Information: Male, 35 years old]
[Chief Complaint: Right forearm mangled by a cutting machine, massive bleeding for approximately 45 minutes]
[Eye of Truth Diagnosis: Deep open injury of the right forearm, tear of the distal brachial artery and proximal radial artery, multiple tears of muscle tissue, partial injury of the ulnar nerve, accompanied by hemorrhagic shock (Grade III), estimated blood loss approximately 1500ml]
[Danger Level: S-grade (Critically Ill)]
[Current Symptoms: Severe hemorrhagic shock, continuously falling blood pressure, compensatory increased heart rate (135 bpm), poor peripheral circulation, blurred consciousness]
[Warning: The patient's current circulatory state is extremely unstable. If bleeding is not effectively controlled, cardiac arrest is expected to occur within 8 to 12 minutes]
[Recommendation: Immediately establish large-bore intravenous access for rapid fluid replacement, urgent surgical exploration for hemostasis, repair damaged blood vessels; Vascular Anastomosis is required between the distal brachial artery and proximal radial artery to reconstruct blood supply]
S-grade.
brachial artery tear.
Cardiac arrest possible in 8 to 12 minutes.
Lu Chen's expression became extremely cold in an instant.
"Sister Zhao, the patient is in hemorrhagic shock with a blood pressure of 75. There's major vascular damage in the right forearm; both the distal brachial artery and the proximal radial artery are torn."
Sister Zhao's pupils constricted slightly.
"Are you sure it's the brachial artery?"
"Certain. The on-site tourniquet is only holding it temporarily; once it's loosened, there will be massive bleeding again. It must be surgically repaired."
Sister Zhao made a prompt decision.
"Meng Yan, notify the Operating Room to prepare. Open two large-bore intravenous lines, prepare blood, and start with four units of Type O red blood cells!"
"Shen Xiaoning, prepare the crash cart. Have Epinephrine, dopamine, and atropine all ready!"
"Lu Chen, you take the lead, I'll assist you!"
The Nurses moved into action rapidly.
Lu Chen walked to the patient's side and placed his right hand on the carotid artery.
The pulse was weak and rapid, thready and irregular.
Two intravenous lines were established within thirty seconds, and normal saline and plasma expander began to be rapidly infused.
The ECG monitoring was connected.
The numbers on the monitor made everyone's heart tighten.
Blood pressure 72/45.
Heart rate 138.
oxygen saturation 89%.
"Pressurize the fluid infusion, set the speed to the maximum."
After giving the medical orders, Lu Chen began to examine the wound.
He carefully loosened one end of the tourniquet and gently peeled back the blood-soaked gauze.
The wound was exposed.
A laceration about fifteen centimeters long ran from the mid to distal part of the right forearm, deep into the muscle layer. The tissue was rolled back, and broken muscle fibers and a section of white periosteum could be seen.
Deep in the wound, a pulsating bleeding point was clearly visible.
The distal brachial artery.
It was indeed severed.
Lu Chen reapplied pressure to the tourniquet and turned to Sister Zhao.
"The distal brachial artery is completely severed, and the proximal radial artery also has a partial tear. Vascular Anastomosis must be performed to restore blood supply to the distal end."
"Just stopping the bleeding isn't enough; if we don't reconnect them, this hand will suffer ischemic necrosis."
Sister Zhao's expression was very grave.
"Vascular Anastomosis... can you do it?"
"I can."
Sister Zhao took a deep breath and nodded.
"Alright, I trust you. Prepare to move to the Operating Room."