Chapter 219: Director Liang
Ambulances, along with the accompanying doctor and nursing team, did not dare to delay. After transferring the patient to the 120 ambulance, they quickly began advanced life support.
Although as the rear door of the 120 ambulance slowly closed, many of the accompanying doctors still had their minds full of doubts as they looked at Lu Cheng’s figure at the scene, they had no time to decipher them.
Phenomena like “curiosity killed the cat,” where one relentlessly pursues an unanswered question regardless of the time, are impossible in reality.
The duty of the 120 accompanying doctor is to transport the patient from the scene to the 120 ambulance and then deliver them to the hospital safely.
Beyond that, even if they have doubts, they must hold them in.
“Doctor Su, the blood pressure measurement results are out. The systolic pressure is only 92. What should we do?” After the nurse, with the help of the stretcher bearer, measured the vital signs, she noticed that Su Lin had not yet given any medical orders and spoke up to remind him.
“Let’s start an IV infusion, give some colloid first.”
Su Lin came back to his senses, saw that the patient’s blood oxygen was low, and connected the ventilation tube to oxygen. He then looked at the wound on the patient in front of him.
“Bad luck, but also really good luck. If it had been half a minute later, there wouldn’t have even been a chance for rescue.” Su Lin muttered while continuing to perform simple cleaning of the inside of the mouth of the patient with a tracheotomy.
Although the stretcher bearers are not doctors, they are long-term attendants and have a lot of experience. One stretcher bearer said cautiously, “Doctor Su, the on-site treatment of this patient is the most efficient I’ve seen in all my years.”
“That doctor from Long County has great ability,” Su Lin nodded.
“Two of you, please help clean the bloodstains on his face and head. I’ll take another look at the bleeding from the wound.”
“Okay, Doctor Su.” Although the two porters couldn’t do particularly professional work, they were proficient at helping to wipe away bloodstains.
Su Lin opened the emergency dressing kit and then looked at the tricky angle at which the hemostat was inserted under the skin, becoming increasingly incredulous.
This Long County is also one of the eight counties and cities of Xiangzhou, he knew that much. But Long County is much more remote than Feng County, and its economic level certainly cannot compare to Feng County, yet there could be such a skilled doctor?
Su Lin was confused, and naturally, he had no way to solve it.
After calmly transporting the patient to the Emergency Department of Feng County People’s Hospital, the patient was immediately transferred to the resuscitation area…
In the Emergency Department, an electrocardiogram monitor and a more standard tracheotomy tube were immediately applied!
Because ventilation was already established, the patient’s current blood oxygen level had risen to 97%, although blood pressure was still a bit low, the systolic pressure had reached 97.
Su Lin made a rapid handover: “There was an acute arterial injury at the scene, but it has already been urgently handled by other colleagues. However, he needs to be taken to the operating room as soon as possible.”
The on-duty doctor in the Emergency Surgery department of Feng County People’s Hospital was an attending physician. Hearing this, he said, “Okay, I’ll immediately request a consultation from Orthopedics.”
“What exactly is going on? I received a call saying more people will be sent here?”
Su Lin was familiar with the on-duty doctor: “There was a car accident near the scenic area. I heard the driver intentionally crashed into the crowd!”
“Two people died on the spot, and the remaining people will be transferred here one after another.”
“Hurry up and make a report.”
The on-duty doctor said, “The 120 dispatch center called our hospital’s Medical Affairs Department long ago. The Medical Affairs Department has already organized emergency teams from various specialty departments. They will be here soon.”
“Director Liang from our department is also on his way.”
“There were only two people who deliberately retaliated?”
“In May this year, I heard that in a town in Long County, next to our prefecture, a man took six lives over a bride price issue.”
Su Lin said irritably, “If the luck is bad, this one would be 100% gone. The remaining few are also in a very dangerous state. For now, there are only two, and their heads were completely crushed…”
The on-duty doctor complained, “I mean, if there are only two, then you don’t need to report it. After all, if the number reaches a certain level, the provincial government must send someone.”
“I don’t know what’s going on now, but these things are happening more and more frequently. Are they afraid our Emergency Department won’t write enough reports?”
As they were speaking, Director Liang of Feng County People’s Hospital’s Emergency Surgery department hurried over. He didn’t even have time to put on his white coat and just put on a set of work clothes at random before rushing over.
“Han Gaofeng, what’s the situation?” Director Liang’s voice was trembling slightly.
Su Lin saw Liang Yunchao and said, “Director Liang, my handover is complete. There are still lightly injured patients at the scene. I may need to pick up another person.”
“What’s going on?” Liang Yunchao asked.
“I don’t know. I only heard hearsay, and there’s no basis for it. We should know the reason after a while.” Su Lin dared not spread rumors at this time.
The accident had already happened; how could he accurately guess the specific reasons and motives?
…
Lu Cheng slowly stopped the car at the entrance of the Emergency Department after applying the brakes and said, “Shu Dai, you take Teacher Tong in for a detailed examination first. I’ll go park!”
No matter what, getting the examination done sooner would bring peace of mind sooner.
Sometimes, saving a few seconds could save a life.
It wasn’t necessarily that Tong Yuan’an was seriously injured, but Lu Cheng knew that under the emergency circumstances at the time, Tong Yuan’an had activated his survival instincts, and his rolling speed was quite fast. He didn’t know if he had bumped into anything.
After all, if he didn’t roll, there was only death. At that time, Tong Yuan’an had definitely used all his strength.
Mu Nanshu and Tong Yuan’an were in the back seat. Tong Yuan’an finally came to his senses and said, “Mu Nanshu, I can get out of the car myself.”
“It’s alright, Teacher Tong, I’ll help you. It’s this time already, don’t try to be strong.”
After Mu Nanshu helped Tong Yuan’an into the building, she said, “Teacher Tong, give me your ID card. I’ll go register for you right away, and you can go directly to the entrance of the Surgical Clinic…”
“What’s wrong with you two?” The guide nurse had already received instructions from the hospital and came out from the guide desk. Seeing Tong Yuan’an’s dishevelled state, she quickly came forward to help him.
Once an accident occurs, saving even one life can fundamentally change the nature of the situation.
“It was a non-contact car accident. Please take my teacher to the Surgical Clinic. I’ll go register for him. Thank you, sister.” Mu Nanshu handed Tong Yuan’an over to the guide nurse efficiently.
“Are you from the scenic area?” Feng County isn’t large, and there were orders. The guide nurse quickly asked.
“Yes.” Mu Nanshu had already gone to the registration window for the surgical clinic.
Mu Nanshu put down her ID card and was about to open the payment code when the cashier inside said, “No need to pay the registration fee for now. Hurry up and get your examination done, don’t waste time.”
“When other 120 patients arrive later, you might have to wait. Take advantage of the fact that there are fewer people now and get your examination done early.”
“Okay, then I’ll bind my teacher’s ID card and pay through the system.”
When Lu Cheng arrived at the Surgical Clinic, Tong Yuan’an had already completed his preliminary examination. Han Gaofeng from Surgery cautiously suggested, “If you are concerned, we recommend an abdominal ultrasound and a head CT scan!”
“Okay, it’s fine, let’s do it first.” Tong Yuan’an himself was also worried about his health.
He is a doctor and understands the cost.
More than money, Tong Yuan’an felt his own life was much more important. What if there was a hematoma, and it turned into an uncontrollable emergency?
Han Gaofeng quickly wrote out two examination requests, marked the general examination items with a pen, and then wrote “st” in red before handing them to Tong Yuan’an: “Do the CT scan first, then the ultrasound, and come back after you’re done.”
“Other doctors here will see you then.”
“Are you sure you don’t have symptoms like dizziness, vertigo, or severe abdominal pain?” Han Gaofeng cautiously asked again.
Tong Yuan’an thought carefully before shaking his head: “No.”
“Alright, then you go for your examinations. Family members, please pay attention. We recommend using a wheelchair. They can be rented for free at the guide desk outside.” Han Gaofeng said.
Lu Cheng and Mu Nanshu then took Tong Yuan’an outside.
Currently, based on Tong Yuan’an’s specific performance, it can be confirmed that there is no intracranial hematoma, no massive intra-abdominal bleeding, and no fracture or dislocation. A wheelchair is not necessary; the priority is to get the examination done and rule out hidden injuries.
Tong Yuan’an entered the CT room alone. Lu Cheng and Mu Nanshu exchanged a look and then let out a faint wry smile.
Lu Cheng said, “I didn’t expect to encounter something like this while out playing. I was so scared my scalp went numb at the time.”
Mu Nanshu also felt lingering fear. At that time, whoever the driver hit was unlucky. Mu Nanshu felt very fortunate that Lu Cheng immediately pulled her up the stairs, thus getting out of danger.
But witnessing such an incident at the scene could still make one tense all over. Even now, recalling it, Mu Nanshu felt her blood running cold, her cerebral cortex in a state of fearful stimulation.
“Me too, I was scared silly.”
“Let’s pray Professor Tong is alright.” Mu Nanshu closed her eyes.
While the two were waiting, they suddenly heard noisy sounds from the resuscitation room: “It’s over, it burst!~”
“Quick, hold it down. Hold it down.”
“Can’t hold it anymore.”
“Gauze.”
“Can’t find the bleeding point.”
“The patient is in shock.”
“…”
When Lu Cheng finished listening to this and walked a few steps closer to the source of the sound, he heard all the voices stop.
Then, two men in white coats covered in blood walked out of the door, clearing the crowd as they said, “I’m going to wash up. You guys quickly push the body out.”
“More people should be coming soon!”
“Fill out the death certificate for those who need it. Time of death: 10:39 AM. Cause of death: Traumatic hemorrhagic shock.”
As the middle-aged man’s voice fell, a gurney covered in even more blood was pushed out of the resuscitation room.
The two nurses and one doctor pushing the gurney were also covered in bloodstains: “Should we take him to the morgue? Doctor Lu.”
“Yes. Did you get the death certificate?” the person called Doctor Lu asked.
“It’s at the nurse station. Go tear one off, 《Death Medical Certificate》, but the patient’s basic information might have to wait for the police to arrive before it can be confirmed,” said the nurse pushing the gurney.
As the three quickly pushed the body past Lu Cheng, Lu Cheng recognized him as one of the patients lying on the ground groaning whom Lu Cheng hadn’t had time to attend to at the scene.
He must have been in extreme pain at the time, but now he was no longer in pain.
When Lu Cheng was free, this patient had already been placed on a stretcher. Perhaps there was a delay on the 120 ambulance, which caused him to arrive at the hospital slightly later than them.
As the gurney passed by, no one knew that Lu Cheng had once seen him and known him.
After Mu Nanshu and others had passed, she said in a low voice, “This person was the furthest away and shouted the loudest. I thought he was fine.”
“Some hospitals are counter-intuitive, but it’s not always counter-intuitive. Regardless, in that situation, he was relatively lightly injured, especially since he could shout.”
“He wouldn’t be the first priority for rescue,” Lu Cheng said to comfort her.
Hospitals and doctors have their own ‘judgment.’ The patients who make the most noise are relatively less dangerous; this is already one of the ironclad rules of emergency medical response at the scene.
Even if isolated cases break this stereotype, they cannot correct or refute the general trend.
“That’s three.” Mu Nanshu said.
Tong Yuan’an came out and heard Mu Nanshu say, “Three what? Three died at the scene?”
Mu Nanshu shook her head, “No, Teacher Tong, one more person died in the resuscitation room.”
Tong Yuan’an’s expression immediately became stern: “Their deaths have nothing to do with you. This is not the scene of the incident.”
“You don’t have the right to emergency avoidance, so don’t practice beyond your scope.”
Lu Cheng smiled and said, “Teacher Tong, let’s go for the ultrasound next. How are you feeling now? Do you have any subtle symptoms related to peritoneal irritation or meningeal irritation?”
Tong Yuan’an is a professional doctor, so Lu Cheng could ask him more professionally without treating him as a medical novice patient.
“No, just wish me well!” Tong Yuan’an shrugged his eyebrows.
About twenty minutes later, all of Tong Yuan’an’s examination results were out.
Tong Yuan’an and Lu Cheng carefully reviewed the abdominal and head CT scans and the abdominal ultrasound, which confirmed that Tong Yuan’an only had superficial injuries and no damage to his head or organs.
Tong Yuan’an immediately walked out of the Emergency Department. The moment he saw the sunlight outside, Tong Yuan’an’s mood finally relaxed completely: “This is f**king scary. How can you people from Xiangxi be so barbaric?”
“I’m scared.”
This was not the first time. The day Lu Cheng returned to Long County from Hanshi City, a group of young people were fighting, and now this happened with someone intentionally crashing into people.
Lu Cheng said, “Teacher Tong, this kind of thing has nothing to do with where people are from. In recent years, these cases of intentionally crashing into people with vehicles have been happening frequently.”
“I just heard someone at the nurse station gossiping that the people who died at the scene were a mother and daughter, and the person who hit them was the woman’s husband. They got divorced a month after getting married…”
“Is this the legendary fraudulent marriage?”
Tong Yuan’an said, “You’re asking me, who am I supposed to ask? When I was having the ultrasound, the female doctor there also gossiped with me, saying that the woman had scammed the man abroad and he lost nearly two million.”
“Last week, the man went to report it to the police, but it wasn’t accepted. He said he would resolve the issue in his own way.”
“He posted it on his WeChat Moments, and it’s visible in their work group.”
The gossip Tong Yuan’an was talking about was indeed gossip. Lu Cheng was slightly surprised: “It wasn’t accepted? Impossible, right?”
Tong Yuan’an said, “Whether it’s true or not, I don’t know. But hearsay at a time like this can be more truthful than official announcements.”
“This time, fortunately, you are here and have learned some of Chen Song’s skills. Otherwise, it might have had to be reported to the provincial government.”
If there is one death and above 3 people, or 11 serious injuries and above, or 1 death and 8 serious injuries and above, or 2 deaths and 5 serious injuries and above, or property loss of 60,000 yuan and above, related information needs to be reported to provincial relevant departments.
But it does not include 3 people.
When Lu Cheng was performing rescue at the scene, although Tong Yuan’an was just an observer, he could still judge that without Lu Cheng, there might have been several fewer survivors.
Lu Cheng said, “Teacher Tong, what are your plans for later? Are you going back to the hotel to rest, or…?”
Tong Yuan’an shook his head vigorously: “Me? I’ll wait for my wife and child to come, and then we’ll go back to Shashi.”
“After something like this happened, I have no mood to play anymore. I need to go back and recuperate.”
Lu Cheng then said, “Teacher Tong, shall I drive you to the hotel to get your luggage, and then take you to the high-speed rail station?”
“Okay, I’ll call my wife.” Tong Yuan’an got into the back seat again.
Tong Yuan’an said, “Wife, I’m telling you, I almost died just now…”
Mu Nanshu was now in the front passenger seat. She looked at Lu Cheng, who was just driving diligently.
After Lu Cheng took Tong Yuan’an to the high-speed rail station and met his wife and daughter, before Lu Cheng could even exchange pleasantries, he received a call from a region in XX Prefecture.
“Teacher Tong, I’ll take this call.” Lu Cheng reported.
“You’re just eating noodles? And you encountered all this?” Tong Yuan’an’s wife’s voice was full of worry.
“Yes, at that time, I was scrambling and crawling. My adrenaline must have been at its peak. I was terrified…”
“I think this trip has bad feng shui. Why don’t we just go back? Let’s plan to go out again next time?” Tong Yuan’an suggested.
Tong Yuan’an hadn’t even changed his clothes. Seeing him like this, his wife also lost the mood for tourism.
Tong Yuan’an’s daughter, who was about eight or nine years old, saw the bloodstains on his hand and cried out in fright, “Dad, you’re bleeding.”
This shout made the family of three a bit nervous again. Only then did they discover it was a very small abrasion, a minor wound that could be treated with a bottle of povidone-iodine. They then started looking at tickets on the spot.
…
“Hello?” Lu Cheng asked.
“Is this Doctor Lu Cheng? I’m from the Feng County government. I received feedback from the traffic police at the accident scene outside the ancient city. You provided medical assistance there, correct?” The other party’s voice was relatively polite.
“Yes. I am Lu Cheng, and you are?” Lu Cheng nodded.
“My name is Zhao Hetong. After receiving the accident report from our county’s traffic police, I have some specific details I’d like to ask you about.”
“You arrived at the scene of the accident immediately and provided first aid. Therefore, you should have been the first medical personnel to arrive at the scene. However, you did not choose to rescue the most critical patient first. Is there any reason for this?” Although Zhao Hetong’s voice was polite, it carried an underlying trap.
Lu Cheng said, “What do you mean by that?”
Zhao Hetong said, “I received the full account of the accident. After receiving the report, I immediately reported it to the prefecture’s traffic management department. Of course, we also immediately investigated the cause of the accident and the follow-up treatment.”
“We received a report that a patient at the People’s Hospital had an arterial injury and eventually died from traumatic shock.”
“Doctor Lu, I don’t mean anything else. I just want to ask the main reason why you didn’t choose to save him first.”
