Chapter 218: Emergency First Aid!
“Professor Tong! Move!” Seeing this sudden scene, Lu Cheng immediately pulled Mu Nanshu, shouted, and hugged her tightly against the wall.
Tong Yuan’an had also noticed the approaching vehicle, of course.
The noodle stall where he was located was a roadside stall, with just a few tables and chairs set up!
Tong Yuan’an instantly transformed into a nimble fat man, and without a word, he side-stepped out and then used all his strength to roll on the spot.
After seeing the car drive past, Lu Cheng and Mu Nanshu quickly ran in the opposite direction, towards higher ground.
Mu Nanshu was so terrified that her soul had almost left her body, her pretty face was deathly pale.
“Should we go save them?” Mu Nanshu instinctively asked.
“Let’s save ourselves first.” Lu Cheng held Mu Nanshu tightly, almost carrying her up the stairs with his arm. After climbing twenty steps, Lu Cheng finally looked back.
The car crashed into the roadside stall, crushing tables, overturning chairs and three diners, knocking over the stall, and heading straight for the guardrail on the bridge.
Then, there was a ‘bang’.
The car broke through the guardrail, plunged straight down, then crushed through a small grove of trees and directly onto a small road below.
It completely left the scene.
…
All of this, though it sounds long, actually happened in about half a minute.
Lu Cheng put Mu Nanshu down, turned and ran back down, shouting, “Professor Tong, Professor Tong…”
“Teacher Tong, are you alright?”
“Lu Cheng, I’m here.” Tong Yuan’an, the fat man, had rolled under the tables of two other stalls while tumbling, and was covered in dust.
Lu Cheng hurried over and pulled Tong Yuan’an up from the ground.
“Are you okay? Teacher Tong, did your head get hurt?” Lu Cheng asked quickly, precisely checking Tong Yuan’an’s vital signs.
“I’m fine! My head didn’t hit the ground, but I bumped into something while rolling, it should just be a superficial injury.”
“Damn it, I almost died just now.” Tong Yuan’an trembled with lingering fear, his face gradually turning pale.
Lu Cheng began to check the openings in Tong Yuan’an’s clothes and pants. After finding no bloodstains, he continued to press on Tong Yuan’an’s abdomen.
“I should be fine, Lu Cheng. My abdomen and chest are not injured, only my hands and feet have impact injuries. If you have the strength, go check on the others,” Tong Yuan’an instructed after Lu Cheng helped him sit on the higher steps.
Mu Nanshu had calmed down by this time and immediately came to Lu Cheng’s side, also noticing that Tong Yuan’an was injured.
While bending down to examine Tong Yuan’an, she said, “Lu Cheng, quite a few people over there are injured, and one person was run over.”
As Mu Nanshu spoke, someone was holding a mobile phone up to their faces, filming and saying, “It’s over, it’s over… look quickly, this person almost died… several others died over there.”
This area is close to a scenic area, and there are public security officers stationed nearby. Upon hearing the commotion, police cars quickly sped over.
Moreover, there were also temporary medical personnel stationed near the scenic area, so the sirens of the 120 ambulance were also heard soon.
Security guards and police quickly began to seal off the scene, disperse the onlookers, and warn, “No filming!”
Lu Cheng took the opportunity to say to a policeman not far from him, “Officer, this person filmed us just now, I demand that he delete it.”
Lu Cheng pointed at someone. Although the middle-aged man was running, he couldn’t outrun Lu Cheng, who grabbed him.
“Are you alright?” The policeman initially wanted Lu Cheng to leave quickly too, but seeing Tong Yuan’an’s disheveled state, he shut his mouth.
He walked towards Lu Cheng, saying, “Stop, don’t run, delete the video.”
“I’m not posting it online,” the middle-aged man retorted.
He also yelled at Lu Cheng, “Don’t twist my arm, get out of the way.”
Lu Cheng retorted unceremoniously, “You filmed me? You almost shoved the camera in my face!”
“I’ll delete it! Get out of the way.” He tried to pull away from Lu Cheng’s grip, but found that Lu Cheng’s hand was holding on tightly, with great force.
As the other man raised his hand, Lu Cheng grabbed it again, “Try to hit me?”
“You f\*\*king wait?”
Lu Cheng roared, “You think I’m scared of you?”
The police quickly arrived and took him under control.
Lu Cheng immediately turned and walked towards Tong Yuan’an.
He said, “Officer, I am a doctor. This is my teacher, please send him to the hospital for an examination.”
Tong Yuan’an immediately said, “I’m fine, I can still help out here.”
“Teacher Tong, what help can you provide? You need to get checked first, just in case.” Lu Cheng cut Tong Yuan’an off.
“Are you doctors?” The policeman, upon hearing Lu Cheng reveal his identity, looked at him sternly.
Lu Cheng and Mu Nanshu both nodded.
The policeman didn’t ask where Lu Cheng was from and immediately reported it over his walkie-talkie.
A reply came back immediately: “Invite them in, continue the lockdown.”
“You go in. There are many people now, be careful not to get trampled. There are quite a lot of onlookers,” the policeman instructed, saying nothing else.
Lu Cheng and Mu Nanshu felt relieved after seeing Tong Yuan’an being transferred, and then hurried towards the scene of the incident.
The sound of the 120 ambulance was getting closer, but the road was blocked and surrounded, and it was difficult to disperse the traffic.
Lu Cheng and Mu Nanshu each went to two individuals. Lu Cheng squatted down and said to Mu Nanshu, “Let’s just confirm the basic vital signs for now, we don’t have any equipment.”
Mu Nanshu saw a shattered head and almost vomited. After gagging twice, she forced down her discomfort and began to examine another injured person.
“Save me.” Lu Cheng approached a young man, about twenty years old, who looked at him with a pleading tone full of terror.
Lu Cheng could see at a glance that he was lying on his stomach, his lower legs having been run over… a patch of blood.
He had crawled forward a good distance using his hands, and now he was lying at an odd angle, like a panicked hamster, at a loss.
“Don’t move anymore, you need to rest well now, calm down a bit, don’t get too agitated!~” Lu Cheng said.
“Save me,” the youth repeated.
Lu Cheng extended his index and middle fingers of his right hand and felt for his carotid pulse.
The pulse was strong and very clear.
Lu Cheng then looked at the back of his lower legs. The pants and skin had already burst, and the fat had been squeezed out, mixing with yellowish grease and blood.
However, there was no particularly large amount of bleeding.
“You’re okay for now. In your condition, you need to be transported by stretcher. Don’t worry, I’m a doctor. Try to remain calm and wait to be lifted onto the ambulance,” Lu Cheng said calmly.
“Save me.” He was truly scared out of his wits.
Lu Cheng ignored him.
He turned and walked towards another person!
Lu Cheng had seen the scene. This woman had been thrown out by the corner of the car. After landing, she had fallen unconscious.
Her left hand was completely deformed, with a fracture with a hundred percent certainty.
She must have rolled many times on the ground, her body was covered in dirt, and her face had many scratches. Her eyes were tightly closed, and her breathing was shallow.
Under her skirt, a large amount of blood was slowly seeping out.
Her pulse was thin and rapid, a clear sign of impending shock.
At the scene, no other personnel were participating in the rescue, but a volunteer had immediately brought a medical kit, which was now being opened.
Two policemen were standing there. After helping the less seriously injured patients away from the initial scene, they were temporarily unsure of what to do!
“Officer, please give me the medical kit,” Lu Cheng called out.
“Okay!” One of them immediately approached with the medical kit in both hands.
Lu Cheng immediately saw the gloves inside the kit.
As the onlookers were pushed further and further away by the police, Lu Cheng no longer cared about privacy and directly lifted the girl’s skirt to examine the wound.
Indeed, when the girl’s right leg was turned over, she had a deep, gully-like laceration on the inner side of her thigh, presumably from hitting something.
Lu Cheng no longer cared about putting on gloves, picked up a hemostat, and began to search for the femoral artery in the messy tissue.
With a wound in this location and such a large amount of bleeding, the femoral artery was definitely involved.
Lu Cheng’s movements were fast. In a short while, he precisely inserted two hemostats into the position of the femoral artery.
However, this hemostasis did not wake the woman.
Lu Cheng turned back again and looked at the girl’s breathing and facial features.
Blood was oozing from her nostrils and the corners of her mouth. This reminded Lu Cheng of something, and he immediately pried open her lips!
As expected, he saw many blood clots in her mouth. Given the amount of bleeding, her airway was likely blocked by these clots.
If she had been able to spit out the blood immediately, her airway would not have been blocked.
Lu Cheng quickly began to clear the blood clots from her mouth with a hemostat from the first-aid kit.
But the cleaning speed was slow and not very efficient.
Seeing the color of her lips and fingers change from pale to a bluish-purple, Lu Cheng could no longer afford to hesitate.
He immediately tore open a debridement pack from the medical kit and took out a scalpel to perform an emergency tracheotomy on the spot!
Lu Cheng’s actions were fast, decisive, and violent.
To outsiders, it even looked brutal.
First, he examined the wound on the woman’s thigh, then forcefully pried open the girl’s mouth to clear out blood, and now he was slashing directly towards her neck with a knife, like he was killing someone.
However, since Lu Cheng had revealed his professional identity as a doctor, the police didn’t really stop him.
The onlookers, however, began to question him, their voices growing louder. Before they could form a group,
Finally, after Lu Cheng cut open her trachea, the woman’s chest began to heave violently!
“Boom, boom, boom” The sound of turbulent air in the airway continued.
The woman’s expression became somewhat pained, but Lu Cheng knew this was a sign that her blood oxygen was gradually recovering.
Just then, medical personnel finally arrived at the scene, coming from the 120 ambulance in the distance.
Upon seeing them, Lu Cheng immediately shouted, “She has airway obstruction, I’ve performed a tracheotomy, get a tracheal cannula.”
The medical personnel who got out were professionals. They immediately saw the blood clots around the woman’s mouth and, knowing what had happened, quickly shouted, “Trach kit! Trach kit!”
More than one medical team arrived and began to enter the scene.
Lu Cheng continued, “The young man to my right has a lower leg injury, is conscious, and his vital signs are stable. You can handle others first.”
Mu Nanshu’s progress was a bit slower. She had only checked one person’s vital signs: “The one I checked has a non-open wound, but he is unconscious, possibly with a head injury.”
“Thank you for your hard work,” someone in green approached. “Which unit are you from?”
Lu Cheng replied, “I’m Lu Cheng from the Emergency Department of Long County People’s Hospital. My girlfriend and I were just visiting!”
Lu Cheng’s transfer had been approved but he hadn’t reported for duty yet, so he couldn’t claim to be a doctor from Zhou Hospital’s Emergency Department.
“Thank you. These two people are quite lucky.”
“On stretchers! Monitor immediately,” someone in green began to operate.
“Officer, come help carry,” the accompanying doctor from the 120 ambulance, accustomed to encountering police at scenes, called out fluently.
The police did not mind doing the heavy lifting.
Lu Cheng said, “I’ll go wash my hands first to clean up.”
The surrounding police, through Lu Cheng’s and the 120 doctor’s conversation, confirmed that Lu Cheng was a professional doctor and immediately said, “There’s mineral water here.”
“Go ahead and wash up. Protect yourself. And protect the other patients too,” the doctor understood his fellow professional.
Sometimes, it’s not that you don’t mind the dirt that allows you to do whatever you want.
Lu Cheng turned around, and the police had already opened a bottle of mineral water.
Lu Cheng had only taken a few steps when he heard panicked shouts: “It’s over! This is an arterial injury!”
“Why are you flipping him over?” an anxious, furious voice immediately exclaimed.
“How can we know where the injury is if we don’t flip him?” the first speaker retorted. “Quickly stop the bleeding!”
Lu Cheng quickly finished scrubbing his hands, didn’t even bother to dry them, and wiped them casually on his clothes before pulling out a mask, cap, and gloves from the first-aid kit.
While rushing towards the source of the commotion, he quickly put on examination gloves.
“Can you do it?”
“Can’t find the bleeding point!”
Another person in green approached, “Let Luo Lianzhong try. Luo Lianzhong? Luo Lianzhong.”
Someone said, “Luo Lianzhong has already taken people back in the car.”
“Where is it? Where is it?” the person in charge of hemostasis began to sound anxious, but was still dealing with it relatively calmly.
Just then, Lu Cheng approached and covered the patient’s upper groin with both hands.
As Lu Cheng pressed down, the bleeding from the wound instantly decreased significantly.
“Don’t rush, move in a little closer!” Lu Cheng said calmly.
“Inward?” The panicked, dazed person in green looked up. “Can you do it?”
“Yes, about one centimeter further inward, look for it from your side,” Lu Cheng said.
The person in green simply moved aside. “Why don’t you do it? I’ll help you press.”
Lu Cheng: “…”
“Give me a pair of hemostats,” Lu Cheng decisively raised his voice.
What the hell are you doing for me? If you knew how to apply pressure for hemostasis, what were you doing before?
Lu Cheng knew the outcome without even thinking about it.
The other person complied and gave Lu Cheng the hemostats. Lu Cheng had to shift his hands and use the heel of one hand to press down even harder on the proximal end of the femoral artery.
With his right hand, he took the hemostats from the person in green, precisely pierced the opening of the patient’s arterial sheath, inserted them directly, and then clamped to stop the bleeding!
“Give me another one!” Lu Cheng released his hand.
After clamping the proximal end of the femoral artery, there was no massive arterial bleeding. The distal arterial blood flow would not be large, so the proximal compression for hemostasis could be released to avoid compressing the artery and increasing blood flow.
The person in green complied, looking at Lu Cheng with astonishment and confusion.
For someone as young and inexperienced as Lu Cheng to perform instrument hemostasis without direct vision was not easy.
He had never even known such a technique existed.
Lu Cheng inserted two hemostats with a few clicks, and the biggest bleeding point was resolved.
The person in green then said, “Brother, there are quite a few bleeding points here. Why don’t you handle them all?”
“Apply pressure bandages to the elbow and calf area, other…”
Lu Cheng stopped speaking here and looked at the other patients. These people were either beyond saving or had already been transported away by stretcher.
Lu Cheng then said, “Alright, let’s do pressure bandages together.”
Lu Cheng did not dare to refute the assessments and treatments of other colleagues. They were also professional emergency doctors.
Perhaps if he had acted, he might have saved one more person, but it was meaningless, only a possibility.
They were all transferred promptly, what else could he say?
“Okay!~” The two people in green immediately nodded and began to deftly apply pressure bandages with gauze and bandages.
As the operation neared its end, one of them said, “Teacher, you’re not from our county, are you? You look unfamiliar.”
“Mm, I’m from the Emergency Department of Long County,” Lu Cheng replied, standing up.
At this point, the onlookers had not decreased; on the contrary, they were gathering in increasing numbers.
Only two bodies remained at the scene.
One was a middle-aged woman in her fifties, and the other was a young woman in her twenties.
They had been hit in the head, their bodies crushed, and had then rolled back and forth twice.
There was definitely no saving them.
There was no chance of rescue, and they would have to wait for the criminal investigators and forensic doctors to arrive.
This kind of deliberate car crash was not a traffic accident; it was a criminal case.
“Hello, Teacher. I am Zhang Tao from the General Surgery Department of Feng County People’s Hospital.”
“Today, thanks to you, Teacher,” Zhang Tao extended his hand for a handshake.
“We have very few specialized emergency doctors among the accompanying 120 doctors.”
“Many of the accompanying 120 doctors are surgeons or internal medicine doctors on rotation in the emergency department, not all of them are emergency doctors.”
“If there’s nothing else here, I’ll be leaving. A teacher of mine is injured, and I need to take him to the hospital for an examination.”
“Also, I need to register with the police to confirm my identity as a medical practitioner,” Lu Cheng said.
“Teacher, the registration process won’t be too troublesome. We can all vouch for you.”
A person in green replied, then said to the policeman, “Officer, this is a colleague from the Emergency Department of Long County People’s Hospital. They were likely here on vacation and are certainly professional doctors.”
The policeman nodded and said, “We are only responsible for registration, not for checking qualifications!~”
“Moreover, in this situation, it’s great that someone stepped forward promptly.”
Lu Cheng and Mu Nanshu registered their basic information. It was only basic information; no one carries their professional certificates and physician qualification certificates around.
With an ID number, one can check if they have a certificate.
In an emergency, Lu Cheng’s invasive procedures were permissible as long as he had a certificate. Mu Nanshu only helped confirm vital signs and only needed her ID.
They would not be held liable!
After registering, Lu Cheng and Mu Nanshu quickly left the scene with Tong Yuan’an.
After all, it was a county, and 120 resources were limited. Tong Yuan’an, being a non-contact accident case, would not be prioritized for vehicle transport.
Fortunately, Lu Cheng drove himself. After confirming that Tong Yuan’an’s abdomen and chest had no special issues, Lu Cheng drove Tong Yuan’an away from the scene.
…
