Chapter 1392: The Six Youngsters Can Hold Their Own Now

Chapter 1392: Chapter 1392: The Six Youngsters Can Hold Their Own Now

Heart puncture, this isn’t Liu Banxia’s first time. Last time, he performed a pericardial puncture, and it scared him enough to break out in a cold sweat.

This time, it’s a right ventricular puncture, meant to siphon the foamy blood from the right ventricle to allow the heart to function normally.

The foamy blood resulted when air entered the bloodstream, reached the right ventricle, and was beaten into bubbles by the strong contractions of the myocardium.

His judgment is based on the patient’s thoracic injury, which could have already damaged the pulmonary vein, allowing air to gradually get to the right ventricle.

By the time they reached the emergency center, the accumulated air was too much, causing the patient’s current symptoms.

But performing a puncture on the right ventricle isn’t necessarily easier than a pericardial puncture. There’s no such thing as an easy puncture on the heart.

After glancing at the screen, Liu Banxia took the puncture needle handed to him by the nurse and inserted it directly.

Everyone in the emergency room was tense; if the needle was misplaced, it would not only delay treatment but also put the patient’s life at risk.

With his suction, a lot of blood foam quickly gathered in the syringe.

Everyone sighed in relief, indicating they hit the right spot.

As the air was drawn out, the patient’s heart resumed beating.

"Move the bed, prepare the chest tray, and get ready for a thoracic tube insertion. Zhang Pengfei, check the abdominal cavity," Liu Banxia said after removing the puncture needle.

"I’ll take over from here," Liang Xiaolin, who had just arrived, said.

"The pulmonary vein might be injured, should I schedule the operating room for you?" Liu Banxia asked.

"Okay, how’s the abdomen?" Liang Xiaolin asked as she took the intubation kit.

"Zhang Pengfei, how is it?" Liu Banxia asked.

"There are no organ ruptures in the abdominal cavity, but there is a small amount of free fluid and a hematoma near the intestines," Zhang Pengfei quickly reported.

"Then it’s not too bad, let’s focus on the thoracic cavity first. See if there’s a chance for a CT to clarify the hematoma," Liu Banxia said.

"I’ll check the fracture first; the issue isn’t severe, circulation is normal, and blood vessels are unharmed. We can call orthopedics for fixation later; now we focus on the abdomen."

"Should be close enough, drainage from the thoracic cavity isn’t significant, maybe the bleeding site has clotted. How’s the blood pressure and oxygen levels?" Liang Xiaolin asked after completing the chest tube insertion.

"Blood pressure is 100/70, oxygen saturation is 93 percent," the nurse reported.

"No worries, conduct an urgent combined chest-abdominal CT so that we have a safer position for surgery," Liang Xiaolin said.

Zhang Pengfei hurriedly led the nurse and patient toward the CT room, realizing that while they had a bit of time, it wouldn’t be long, considering the lung injury.

Ding! Admission task complete

Gain 100 experience points, Glory Points +10

"How are the others doing?" Liu Banxia asked after stepping outside.

"So far, not too bad. Apart from the newly admitted driver’s severe injuries, everyone else’s wounds are minor, which is why they all came here," Qi Wentai said.

"Though some need bone-setting, you’re needed. Orthopedics is also swamped. They’re suffering, as hydrogen peroxide is quite potent,"

"What can we do, they all dressed up like this; without hydrogen peroxide, we wouldn’t see the real injuries," Liu Banxia said.

After saying this, he approached a young man with a dislocated arm.

The young man was quite "impressive" himself, with a kitchen knife sticking out of his head.

"What event are you guys hosting? There are quite a few people," Liu Banxia asked with a smile.

"We were gathering for a private party, planning to have a house party outside, so everyone did makeup at home beforehand. We never expected an accident," the young man said with a bitter smile.

But Liu Banxia couldn’t quite see the bitterness on his face.

"Your makeup looks good, did you do it yourself?" Liu Banxia continued asking.

The young man nodded, "I learned from a professional makeup artist before, but of course I’m not as good as them. It’s decent now, just for fun...hiss..."

As the young man was speaking, Liu Banxia reset his dislocated shoulder joint.

"Next time, put on makeup where you’re going, otherwise this group might scare people into calling the police," Liu Banxia said with a smile.

"Someone did call the police when they saw us getting out of the car. But what could we do, everyone was terrified. Doctor, is my arm okay?" the young man asked.

"It’s fine, just use a sling for a few days. We’ll take a supplementary CT scan; it’s normal for a reset," Liu Banxia nodded.

There were other patients needing treatment, and the next patient was equally "remarkable," appearing as a zombie with a genuinely fractured arm and a significantly swollen wrist.

"You’re lucky, some makeup got wiped off, providing some protection. But you’ll need to treat the abrasions on your face," Liu Banxia said.

"Your wrist is pretty much a Colles’ fracture. It’s definitely going to hurt when we reset it later. There’s already some swelling, and there are just too many injured people today."

"Doctor, how much is it going to hurt?" the patient asked.

"How much will it hurt? It’s hard to say. It depends on your pain tolerance. Some kids only shed two or three tears, while some people don’t even make a sound. Do you know why?" Liu Banxia said with a smile.

The patient shook his head blankly.

How could I know why? Can they really tolerate pain that much?

"Because they fainted from the pain," Liu Banxia gave the answer.

"Doctor, you... ah..."

The patient had just spoken halfway when Liu Banxia set the bone back directly.

The shout was loud, and it really hurt.

"Doctor, which kid can endure pain like that?" the patient asked after holding back the pain.

"I made that up, just to distract you. I’ll put a splint on you later. If you’re good at controlling it, you won’t need a cast. It’s up to you to choose." After Liu Banxia finished speaking, he moved on to treat the next patient.

This was his treatment habit, chatting with patients while setting the bone. After distracting the patient’s attention, he would then proceed with the operation.

However, each situation is different. He’s always paying attention to the patient’s condition. This is also a skill that every orthopedic doctor needs to have, otherwise, the patient truly suffers.

After a flurry of activity, all the patients here were taken care of.

Unfortunately, despite a series of bone settings, no experience points were gained. For him now, this really isn’t much of a challenge.

Perhaps some open fractures, or fractures with bone fragments, could provide some experience points and skill proficiency, otherwise, there’s no chance.

"How are you guys doing?" Liu Banxia asked.

"Teacher Liu, we’re almost done. There aren’t any severely injured, but there are quite a few patients needing debridement. The accident wasn’t very serious, just the driver got injured heavily," Xu Yino said.

"That’s good, organize yourselves then. There’s no need to admit anyone here, right?" Liu Banxia asked.

"No, there isn’t," Xu Yino replied.

That’s it for today. If Xu Yino and her team couldn’t handle such a small scene, they wouldn’t be worthy of being called the six cubs of the emergency center.

Moreover, with so many patients today, the handling was fast with the help of many interns.

It’s just that their makeup was too complicated, so there was some chaos when they first arrived. After using hydrogen peroxide, even though there were cries in the emergency center, their grasp of the wounds was still quite good.

"Just now, Liu Yiqing was muttering that her skill isn’t bad either," Shi Lei said with a smile.

"Not bad, considering that although there were many people, only one needed surgery. You have a class tomorrow, right? If there’s nothing else, you should get some rest early. I’ll keep an eye on things here," Liu Banxia said.

"How can I sleep so early? Was there nothing wrong with that patient’s abdominal cavity?" Shi Lei asked.

"There’s one hematoma. Let’s see how the situation develops. If it really needs treatment, let Li Hao join in. The main problem is still the thoracic cavity; the lung is also injured," Liu Banxia said.

"The performance of those six has indeed been quite good recently. Without them, our emergency center would have been half-paralyzed in recent days. We should train them well and not slack off," Shi Lei said.

"I plan to assign two new interns to each of them when they arrive. They should be able to manage. The rest is up to you to arrange. I can’t lead them anymore; I’m really too busy," Liu Banxia said.

"Alright, isn’t the Jinshui District Hospital and your hometown hospital sending in regular training doctors this year? How will they be arranged? They’ve given us such great benefits; we must give them some attention," Shi Lei asked.

"Let them rotate, focusing on seeing emergency patients and surgeries," Liu Banxia said.

"Basically, if they can adapt to these tasks, there will be no problem when they return. Li Tianyang is performing very well right now. Although he doesn’t usually make waves, his surgical skills are on point."

"However, he only has a year, and this is as far as he can go. But when he goes back to Jinshui District, he’ll be ready to be used directly. When you go there for surgery, just guide him a bit more, and it should be fine."

Shi Lei nodded.

This is also another aspect of relationships. With collaborations with these two hospitals, we must pay special attention to the people they send over.

It’s still the same principle; there’s not that much fairness. It’s not that we ignore others, but on the basis of normal teaching, we keep a closer eye on them.

"Teacher Liu, that patient’s hematoma looks like it’s getting bigger," Zhang Pengfei ran over at this time.

"Call Li Hao and have him come up," Liu Banxia casually said.

"Got it."

Zhang Pengfei responded happily.

"Ah, I feel like time really flies. Just think, when the six cubs first arrived, they looked so flustered. Now? They can handle things on their own," Shi Lei remarked.

"Haha, that’s what they call changing times," Liu Banxia said, feeling pleased.