82: Chapter 82 The mine collapse in the western suburbs: a large number of injured people are about to be sent there.
Meng Yan put down the walkie-talkie and turned to run towards Director Li Sen's office.
"Director Li!"
Director Li Sen was looking at some documents and looked up when he heard the voice.
"What is it?"
"A mine collapse in the western suburbs. A large number of casualties are coming. The first batch will arrive in fifteen minutes."
Director Li Sen stood up abruptly.
"Activate the Level 2 Emergency Response!"
He pushed open the door and strode toward the center of the Red Zone.
"Everyone, attention!"
His voice wasn't loud, but it reached every corner of the Red Zone clearly.
"There's been a mine collapse in the western suburbs. A large number of casualties are arriving. The entire department is entering emergency status!"
"Meng Yan, notify the Yellow Zone and Green Zone to pull personnel to support the Red Zone. Focus on Nurses, at least four people!"
"Zhao Yaqin, you are in charge of the Triage Desk. Triage the casualties as soon as they arrive. Send Red tags directly to the resuscitation bays, Yellow tags to the observation area, and Green tags to the Yellow Zone for processing!"
"Wu Fan, Sun Ji, you two cover one resuscitation bay each. Get the emergency carts and basic instruments ready!"
"Zhou Ze, transfer over from the Yellow Zone. You are responsible for coordinating follow-up consultations and patient transfers!"
Director Li Sen's coordination was fast and precise.
Then, his gaze turned to Lu Chen.
"Lu Chen."
"Yes."
"The Operating Room was just activated, and today you're already going to the battlefield."
"With mine collapse casualties, crush injuries, fractures, and internal organ damage are all possible. If any require emergency surgery, you go into the Operating Room to handle them."
"Understood."
Director Li Sen nodded.
"In addition, I will personally be your supervisor. If you need me during surgery, page me at any time."
"Okay."
The entire Red Zone began to operate at high speed.
The Nurses began to inventory emergency supplies, change sheets, and prepare IV stands and monitoring equipment.
Lu Chen walked to the door of the Operating Room and checked the status of the equipment once more.
Shadowless lamp, normal.
Monitor, normal.
Anesthesia machine, normal.
Laparoscopic system, normal.
The instrument cart was filled with various surgical instruments, and sterilization packs were arranged neatly.
Everything was ready.
Shen Xiaoning ran over.
"Dr. Lu, the Head Nurse asked me to pair up with you."
Lu Chen glanced at her.
"Are you nervous?"
"A little."
"Take a deep breath."
Shen Xiaoning took a deep breath, then slowly exhaled.
"I feel better."
"Today's situation will be quite complicated. You are responsible for two things: preparing the instruments and consumables I need as quickly as possible, and recording the changes in each patient's vital signs. Can you do it?"
"I can do it!"
"Good."
...
2:28 PM.
The sirens of the ambulances grew closer.
The first ambulance stopped at the entrance of the Emergency Department.
The second and third followed closely behind.
The doors to the Red Zone were pushed open, and stretchers were wheeled in.
The first batch of casualties had arrived.
Zhao Yaqin stood at the Triage Desk, quickly assessing every casualty wheeled in.
"This one, open fracture of the right lower limb, heavy bleeding, Red tag! Send to resuscitation bay number one!"
"This one, abrasions on the head and face, conscious, Green tag! Send to the Yellow Zone!"
"This one, chest crush injury, difficulty breathing, blood oxygen 87, Red tag! Send to resuscitation bay number two!"
Casualties were wheeled in one after another.
Most were covered in mud and dust, their work clothes tattered; some were groaning, while others were already silent.
Lu Chen stood in the center of the Red Zone, his gaze quickly sweeping over every casualty being wheeled in.
The Eye of Truth activated automatically.
Whenever a casualty entered his line of sight, the system would provide immediate diagnostic information.
The first person delivered to him was a miner in his forties.
[Eye of Truth scan complete]
[Patient information: Male, 45 years old]
[Chief complaint: Struck in the left chest and abdomen by falling rocks during the mine collapse, injured approximately 40 minutes ago]
[Eye of Truth diagnosis: Fractures of the 7th, 8th, and 9th ribs on the left side (with the 8th rib piercing the thoracic cavity), left hemopneumothorax, splenic contusion and laceration (Grade II), approximately 800ml of intra-abdominal hemorrhage]
[Danger level: Grade A (Extremely High Risk)]
[Current symptoms: Deformity and tenderness of the left chest wall, significantly weakened breath sounds on the left side, abdominal muscle rigidity, positive shifting dullness, blood pressure [data missing], heart rate 118 beats/min, blood oxygen 89%]
[Recommendation: Perform immediate left-sided Closed Thoracic Drainage to relieve hemopneumothorax; simultaneously, contact the General Surgery Department urgently for splenic injury treatment. Intra-abdominal hemorrhage requires close monitoring; if bleeding continues to increase, emergency surgery is necessary]
[Warning: Patient's splenic contusion and laceration carries a risk of further rupture; intra-abdominal hemorrhage is slowly increasing]
Grade A.
Lu Chen's expression darkened.
"Sister Zhao!"
He shouted.
Zhao Yaqin was busy at the Triage Desk and turned her head when she heard him.
"This patient has a combined thoracoabdominal injury, left hemopneumothorax plus splenic contusion and laceration, and intra-abdominal hemorrhage. I will perform the Closed Thoracic Drainage first, and at the same time, we need to urgently contact the General Surgery Department for a consultation!"
Zhao Yaqin walked over quickly and took a look at the patient's condition.
Blood pressure was dropping, and blood oxygen was below ninety.
"Okay, you handle the chest cavity first, I'll notify the General Surgery Department!"
She picked up the phone and dialed immediately.
Lu Chen turned to Shen Xiaoning.
"Closed Thoracic Drainage kit, local anesthetic, water-seal bottle—are they ready?"
"They're ready!"
Although Shen Xiaoning was nervous, her movements were not chaotic.
The instrument cart had already been placed next to the resuscitation bay in advance.
Lu Chen put on his gloves and quickly located the Puncture point.
The Eye of Truth had already marked the optimal Puncture position: the left sixth intercostal space at the mid-axillary line.
This patient had no history of pleural adhesions, so the Puncture difficulty was far lower than with Zhang Ge last time.
But speed was still essential.
Local anesthesia, skin incision, blunt dissection of the intercostal muscle layer, penetrating the parietal pleura—
Dark red blood and gas surged out simultaneously.
The drainage tube was inserted successfully.
The water-seal bottle was connected, the fluid level fluctuated normally, and bubbles emerged.
From start to finish, it took two minutes and forty seconds.
Shen Xiaoning was recording vital signs on the side.
"Blood oxygen is recovering, it's gone from 89 to 92!"
"Keep observing."
Lu Chen secured the drainage tube and checked the drainage volume.
In the first five minutes, about three hundred milliliters of bloody fluid were drained.
The amount was not small, but it was within a controllable range.
"Observe the abdominal situation conservatively for now. Check the abdominal circumference every ten minutes. If the abdominal circumference increases progressively or the blood pressure continues to drop, notify me immediately."
"Understood!"
Just after Lu Chen finished treating this patient, the second casualty was already being wheeled over.
It was a young miner in his early thirties.
His right forearm and right hand had been crushed by falling rocks; the skin on his palm was almost half torn away, revealing the tendons and bones underneath.
Fresh blood was gushing out continuously.
[Eye of Truth scan complete]
[Patient information: Male, 32 years old]
[Chief complaint: Right hand crushed by falling rocks during the mine collapse, injured approximately 35 minutes ago]
[Eye of Truth diagnosis: Open fractures of the 2nd and 3rd metacarpal bones of the right hand, ruptured finger extensor tendons (index finger, middle finger), ruptured deep palmar arch artery branch with active bleeding, superficial branch of the ulnar nerve injury]
[Danger level: Grade B (High Risk, risk of loss of hand function)]
[Current symptoms: Large area of soft tissue laceration on the right hand, active bleeding, inability to straighten index and middle fingers, decreased sensation in ring and little fingers]
[Recommendation: Hemostasis immediately; after thorough Debridement, perform tendon anastomosis and fracture fixation; emergency surgery is required. During surgery, pay attention to protecting residual nerve function]
[Warning: If surgery is not performed in time, prolonged ischemia will lead to necrosis of the distal finger tissue, facing the risk of amputation]