The Enhanced Doctor

Chapter 1283: Chapter 1283: Compressions for Survival

Early the next morning, Liu Banxia arrived at the emergency center bright and early.

Last night, when heading home, he talked a bit about receiving a "top-priority" level patient, just to give Qiaoqiao a heads-up.

After all, things are somewhat different in this household.

In most families, there’s a strict father and a loving mother, but in this household, it’s probably reversed with a strict mother and a loving father.

This issue has been discussed quite a bit by everyone, and currently, the two little ones only know how to drink from their bottles, but there’s still an elder one.

Qiao Yu has become the prime focus of everyone’s instructions, and in an instant, he thinks that this lovely brother-in-law has lost all his charm.

"How’s the patient from yesterday? How’s our tetanus patient doing?" Liu Banxia asked.

"The patient with endocarditis was diagnosed with Staphylococcus aureus, and their blood oxygen levels have improved now. But there were two incidences last night where their blood pressure dropped rapidly, so we gave a micro pump," Su Wenhao said.

"Our tetanus patient seems to be recovering well, there were no spasms last night. However, they still have a very weak constitution, and the symptoms of heavy sweating have not been alleviated," Xu Yino said.

"And the other patients?" Liu Banxia continued to ask.

"All other patients are stable, and the families understand that the hospital is a special environment. A part of them will be leaving by car today," Li Hao said.

"The liver transplant patient with cirrhosis also shows significant improvement in body indicators. It was finally decided that his son will donate the liver. This is a consensus reached by the family, and today the son will complete the admission formalities for the patient."

He’s the attending physician upstairs today, so he’s responsible for providing a unified report.

Liu Banxia nodded with satisfaction, "Very good, at least everything in our department two is stable. Make sure the discharge procedures for today’s patients are thorough, and inform them early about the timeline for any medical record copies they need, to avoid unnecessary back and forth."

"In the inpatient department, I’ve encountered such issues before. Not everyone lives in Binhai City; some patients are from surrounding counties, so traveling back and forth is not easy."

"That’s all then, get ready for today’s reception work. You are the main force now, accumulating more experience is good. Young comrades, keep it up."

"Teacher Liu, how did you tell your wife last night?" Liu Yiqing came over.

"I just said it directly, why?" Liu Banxia asked.

"Hehe, nothing," Liu Yiqing giggled and dashed into the elevator.

Liu Banxia shook his head helplessly; this girl probably spent too much time with Xu Yino and has gone slightly mad.

Just as he was heading down, Liu Banxia’s phone rang.

"Chief Director Xu, this early?" After answering the call, Liu Banxia said.

"Just a moment ago, two patients were sent to your hospital by helicopter for emergency treatment, one of them in critical condition. Give it all you’ve got, don’t worry about the cost," Xu Chengjun said.

"What’s the situation? Which department needs to be called for consultation?" Liu Banxia asked.

"Both are hypothermia cases, one quite severe, as our emergency staff arrived at the scene, the patient was conscious, but lost pulse upon reaching the emergency vehicle," Xu Chengjun explained.

"The family is quite wealthy, called for a helicopter straightaway after getting in touch, and I recommended your hospital. Do your best, I believe they also know President Qiu."

"Alright, I’m just about to arrive at the lobby," Liu Banxia said and hung up the call.

Xu Chengjun was indeed considerate, recommending the emergency center. Successfully rescuing the patient would definitely add to the center’s reputation.

"Director Liu, you’re just in time; two emergency patients are being sent here, both with hypothermia," Qi Wentai called out just as he stepped off the elevator.

"I just got a call from Chief Director Xu. Huang Bo, Su Wenhao, Xu Yino, Liu Yiqing, follow me to the platform for reception, while the rest of the interns prepare downstairs for emergency care of hypothermia patients," Liu Banxia nodded.

Receiving hypothermia patients is not a first or second occurrence, the emergency center has accumulated some experience in this regard.

Liu Banxia led the team, pushing the gurney to the rooftop helipad. As soon as they arrived, two helicopters were approaching in the distance.

Knowing that the cost of helicopter rescue is quite high, just for this, tens of thousands could easily be spent.

"I have to say, wealthy people are really something. Should we separate for receiving them?" Xu Yino asked.

"Strive to make money sure, just hope never to enjoy this service. Split up, two by two," Liu Banxia said.

"Not sure what happened, the weather isn’t particularly cold now, how did they end up with hypothermia. Be prepared for CPR, one of the patients has no pulse left."

After he spoke, Su Wenhao and Liu Yiqing hurried to the side helipad.

No one expected two helicopters to bring patients here, the other patient’s condition is probably not easy either.

In less than three minutes, the helicopters landed separately.

However, Liu Banxia saw the people in the cabin waving at them, pointing to another helicopter.

"The patients are on that helicopter, hurry over." Liu Banxia shouted loudly.

Huang Bo and Xu Yino quickly pushed the hospital bed and ran to the other side.

But because the wind from the helicopter rotor was quite strong, they couldn’t run smoothly.

This was a minor communication error, probably the dispatch hadn’t considered that one of the helicopters was carrying the patients’ family members.

"How are things going on your side?" Liu Banxia looked at Su Wenhao, who was performing cardiopulmonary resuscitation on the patient.

"This one is a patient with cardiac arrest, resuscitation has been ongoing in the helicopter, their core temperature should be very low," Su Wenhao replied.

"OK, Huang Bo, get ready on the hospital bed, then push the patient to the emergency room together with Liu Yiqing." Liu Banxia shouted.

Huang Bo jumped onto the hospital bed. At that moment, Su Wenhao withdrew his hands in time, handing over the CPR to Huang Bo, while he and Liu Yiqing pushed the patient towards the elevator.

"How is this patient doing?" Liu Banxia shouted loudly at the paramedic.

"Also has hypothermia, current body temperature is 33 degrees Celsius, and hallucinations have already occurred," the paramedic said, pressing the patient’s arm.

"OK, leave it to us, this isn’t a big issue; timely recovery of body temperature will solve it. How’s the head trauma?" Liu Banxia asked.

"No time for a check-up, time is tight. But it’s a blunt contusion, needs a supplementary CT," the paramedic shouted back.

Liu Banxia made an OK gesture, then moved the patient onto the hospital bed and pushed the patient to the elevator with Xu Yino.

After being moved, the patient was restless, tossing the blanket aside and using his hands to remove his clothes.

The nearby paramedic hurriedly picked up the blanket and wrapped it back around the patient, then helped to secure the arms.

This is because the patient exhibited hallucinations due to hypothermia, or abnormal undressing behavior.

When the body’s temperature drops, blood redistributes quickly, causing the core temperature to fall faster than the surface temperature.

At this time, the central nervous system is also affected, leading the patient’s residual consciousness to misjudge, thinking they are very warm.

In many cases, some patients who freeze to death wear very little and have a smile on their face, due to this hallucination of warmth. After undressing, they feel "very comfortable."

Currently, it’s still manageable. Although the patient’s core temperature is very low, it hasn’t fallen below the critical threshold of 32 degrees Celsius. If it dropped further, the patient would fall into actual coma; now, even if some hallucinations occur, they can still be adjusted.

"Director Liu, right? Chief Director Xu recommended you, save both." A fifty-something man said as he entered the elevator with Liu Banxia.

"Are you this patient’s family member?" Liu Banxia asked.

The man shook his head, "He’s a friend of Dong, Dong is in a more critical condition, according to the field doctors, chances of survival are slim. Director Liu, if you save Dong, I’ll worship you at home."

"Once we move this patient to the emergency room, I will go check on Dong," Liu Banxia nodded.

Nonetheless, as a family member of the patient, he didn’t only think about his son but also his friend. For this, Liu Banxia still admired him.

Truly wealthy people, you can see from their clothes and accessories. Since Chief Director Xu recommended, the fate of his son is next.

The hypothermia case of his son is highly challenging to rescue, potentially involving a series of issues. Whether his heart can successfully restart is also an issue.

The current patient is left to Xu Yino and the team to rescue, his issue isn’t too severe, slowly warming up will do.

"How’s this patient’s condition?" After arriving at rescue room one, Liu Banxia asked Shi Lei, who was overseeing the rescue.

"Currently, there’s no other way, the hypothermia is too severe. We’re using bilateral intubation, warm saline lavage for warming. Preparing for abdominal lifting resuscitation, chest compressions cannot stop, or it’s really over," Shi Lei said.

"That’s all we can do, take turns. Abdominal lifting, each person, one round, three minutes," Liu Banxia said.

"Teacher Liu, is that all we can do now?" Xu Zhenkai asked.

"That’s all for now, although he isn’t dead yet, it’s only through heart compressions that limited blood circulation is maintained," Liu Banxia replied.

"And his core temperature is still so low, unless we raise it, his heart can never be expected to restart. It might need one to two hours for the temperature to gradually rise."

"Will the patient’s brain be affected?" Xu Zhenkai asked in surprise.

"Cannot say for certain, but given his current state, it’s all we can do. This is extending life, whether it truly extends depends on your efforts and his luck," Liu Banxia said.

The interns’ expressions quickly turned serious, rolling up their sleeves, lining up by the side.

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