The Enhanced Doctor

Chapter 1251: Chapter 1251: On-Site Craniotomy and Drilling

"Traffic officer, could you please check if there’s a neurosurgeon on site? We need to perform an emergency craniotomy," Liu Banxia said.

The traffic officer quickly used the walkie-talkie to inquire.

Unfortunately, the doctors present were all emergency doctors from various hospitals, with no neurosurgeons.

At this moment, Zhang Hongfei arrived with some people carrying the patient, "Teacher Liu, we’ve administered mannitol, but the effect is not significant."

Liu Banxia flipped open the patient’s eyelids for a look; the pupils were not reactive, and the eyeballs were somewhat deviated to one side.

"There’s no other way, I have to perform the emergency craniotomy myself. Quickly shave and disinfect the area on the head where it was hit, and help find an electric drill. Is there an electric drill?" Liu Banxia shouted loudly.

His yelling startled the nearby people. Using an electric drill on someone’s head? Won’t that scramble the brain into tofu pudding?

"Banxia, are you sure you can do it? Is it too late to transport to the hospital now?" Zheng Yali asked worriedly.

Liu Banxia nodded, "It’s too late. The patient is already showing early signs of brain herniation. Transporting to the nearest hospital could take about half an hour."

"His conditions may worsen at any moment. What we can do now is make a hole in the head and drain the bleeding site, which can reduce the intracranial pressure."

"Doctor, will this electric drill work? The drill bit is new," a passenger approached with a small case.

"It works, as long as it’s an electric drill. Thank you, you might be saving a life," Liu Banxia quickly replied.

"Doctor, uh... if you mess up the drilling, it can’t be blamed on my drill," the young man said worriedly.

Liu Banxia smiled and nodded, "Don’t worry, I’m handling it."

Liu Banxia didn’t think much of the young man’s concern. Given how responsibility can be attributed to anyone involved nowadays, the concern was quite normal.

"Everyone who can move, gather around here and use our blankets to block the wind temporarily to prevent dust from entering the brain and causing infection," Liu Banxia added.

People nearby quickly sprang into action, led by Zheng Yali and her group.

"Teacher Liu, we don’t have the conditions for general anesthesia, I’ve only done local anesthesia," Zhang Hongfei said.

"Time is too tight now, keeping him alive is our top priority," Liu Banxia replied.

"Also, contact our hospital and prepare for admission. My technique can be rough; the detailed work will be up to them, and we might not even drill the first hole correctly."

Hearing his words, the people preparing nearby were stunned again.

The subtext suggested that Liu Banxia might have to drill several holes?

"The impact site is on the left temporal bone. We don’t have the equipment to check, so that’s our first choice," Liu Banxia continued.

"But there could also be a hematoma or swelling near the frontal lobe causing the current condition. We can only hope for luck, but if we don’t relieve the pressure, he’ll surely die."

Liu Banxia spoke calmly, but the people around him understood.

By this time, the human wall was set up, the strong flashlight was turned on, and the drill bit was disinfected.

It’s impossible to reach surgical room standards; all we can do now is provide some level of assurance for the patient.

His procedure will surely cause infections, which will need to be handled appropriately later.

"Okay, let’s make the incision, stretch the scalp outwards, and press down the surrounding hair," Liu Banxia instructed.

Zhang Hongfei quickly got to work; he was up to this task.

"Remember, this onsite craniotomy is a makeshift method. We’re using a regular drill, not a neurosurgeon’s craniotomy drill," Liu Banxia continued.

"A neurosurgeon’s drill stops automatically once it penetrates; to avoid brain damage, we have to rely on the feedback pressure we feel manually."

"The temporal bone is very thin, just a few millimeters, which makes our operation even more demanding. Huff... huff... huff..."

After speaking, Liu Banxia took a few deep breaths.

There’s no other choice; he’s forced to proceed.

He’s well aware that onsite craniotomy is much riskier than an abdominal operation, but without any means to check for the exact bleeding site, even simple puncture techniques are impossible.

Craniotomy and drainage are the only ways for the patient to temporarily escape life-threatening danger.

As the electric drill started up, the people around couldn’t help but tense up.

In their view, there were only two possibilities: either Liu Banxia resolved the patient’s current condition, or he might accidentally drill the patient to death.

Liu Banxia had just provided onsite teaching, mentioning how the neurosurgeon’s drill was sophisticated enough to stop on its own when drilling through.

But the current drill will keep going unless manually stopped.

The sound of the drill now seemed increasingly harsh, and the patient cried out in pain. Even imagining the scene was terrifying.

Just when everyone was on edge, the sound of the drill suddenly stopped, making everyone even more nervous.

"No damage to the brain tissue, but this hole is useless, we’ll need to make another one on the frontal lobe," Liu Banxia’s voice came through.

Just as everyone was starting to relax, they became even more tense.

"The bone of the frontal lobe is thicker, about five times thicker than the temporal bone, so the drilling will take longer," Liu Banxia’s voice came through again.

"This should be the right spot, Zhang Hongfei, what if we find the bleeding site after drilling? Give me a prediction."

"Uh... do we just use a syringe to draw the blood?" Zhang Hongfei hesitated and asked.

"That would be the best outcome," Liu Banxia said.

"If the bleeding has been going on for too long and coagulation has occurred, there might be a blood clot blocking it, so even if we drill the hole, it might not relieve the intracranial pressure."

"So if we encounter such a situation, we have to enlarge the hole to remove the blood clot, only then can we effectively treat the patient."

"When performing emergency first aid, we need to consider the situation more complexly so that we have enough confidence to face it, instead of thinking about what to do when a new situation arises."

"OK, I’m going to continue drilling. Remind me later to put a cranial drill in the ambulance in the future. It might not be used often, but it can save a life when really needed."

After saying that, the sound of the drill started again.

His words were also a form of teaching, even now Zheng Yali admired Liu Banxia’s composure.

During the last marathon, Liu Banxia performed an on-site surgery, and it was spontaneously done using available tools at the scene.

Although the patient had a prolonged hospital stay and underwent extensive anti-infection treatment, their life was saved.

This situation was more or less the same, only this time it was on the head.

She thought that even for a doctor like Liu Banxia, performing such on-site surgery was very stressful, almost like having the patient’s life in his hands.

If he failed to control it, and the drill went too deep, it would definitely damage the brain. Such brain damage could be fatal, even if it did not kill the patient immediately, there might not be much time for rescue.

This was her thought, and others were thinking the same.

Not every emergency doctor here today had the courage to drill a craniotomy on a patient.

Even if there was an operational error, there wouldn’t be much blame, but the operation itself was very stressful.

The rescue in the distance continued, but the basic treatment for the personnel was almost done, just waiting to be transferred to various hospitals for follow-up treatment.

Everyone on the scene was listening closely for the sound of the drill, paying great attention to the situation here.

The drill stopped, and Zhang Hongfei, who was flushing with saline, squeezed hard to wash away the gushing blood.

"Oh my, Teacher Liu, is this a blood clot?" After seeing clearly, Zhang Hongfei shouted loudly.

"My mouth, it’s like it’s been blessed today, let’s continue to enlarge the hole," Liu Banxia said with a hint of helplessness in his tone.

He had just wanted to teach, so he spoke a few more words. Who would have thought coagulation would really occur?

But this situation sounded different to others, what did it represent? It represented Liu Banxia’s excellent prediction.

Many times, it depends on the perspective from which you view an issue.

Now when people heard the sound of the drill again, there was no worry, instead, it was very pleasing.

Now they had more confidence than Liu Banxia himself; Liu Banxia had already completed such a difficult drilling, enlarging the hole would be no problem at all.

The sound of the drill stopped again, and everyone held their breath, wanting to hear what Liu Banxia would say next.

"The blood clot isn’t big, let me see, I think I can just scoop it out."

"Squeeze the saline harder, yes... there, it’s flushed out. Very fortunate, subdural hemorrhage."

"The amount of bleeding isn’t small, remind the neurosurgery team when you go back with the vehicle."

"This will do for now, quickly bandage the patient to reduce blood loss. We’ve temporarily succeeded in lowering the intracranial pressure and won some time."

Ping! Emergency surgery mission completed.

Gained 300 experience points, Glory Points +60.

This mission was rated as perfect, gaining 500 experience points, Glory Points +15 +80, and 1 solidified stone.

Liu Banxia’s heart was elated, this was a massive reward. It was enough to prove that this seemingly simple surgery contained a lot of potential dangers.

The system is always fair, it won’t be so generous with low-difficulty surgeries.

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