I'm just a veterinarian! You've unlocked the Great Physician System!

Chapter 462 The Bathing Boy's Ending: Assessment Rating A, the Answer is Revealed! [Seeking Monthly Tickets]

In the operating room.

More and more people went in.

At this moment, they are all struggling with the King of Hell for a boy who doesn't listen to the doctor's orders.

Some people might think that simply taking a shower is no big deal.

After all, the mechanical heart valve replacement surgery is performed inside the body, and it's covered by skin on the outside. Simply taking a shower won't touch the inside.

So it's okay to wash it.

There is indeed a chance that they won't die, but the probability is that they will.

To reiterate, all the current medical standards are based on the fact that someone has paid the ultimate price.

Cardiac surgery ward area.

"Gulu——"

Upon hearing this news, a female college student with braids silently swallowed.

Then I planned to completely go three months without showering.

of course.

Zhang Lingchuan, who was taking an assessment in the system space and didn't have to go to work, was unaware of this matter. However, as a doctor, he could only say that he had seen many patients who disobeyed medical advice and ended up with serious consequences during his medical career.

The case of the guy who smoked and ended up losing his finger is a typical example.

"Beep beep-"

Three ambulances arrived at the scene at the same time.

"The motorcycle debris indicates a three-vehicle collision. Teacher Zhao, please take some people over there quickly to check if anyone is injured. If so, bring them over immediately and provide prompt medical attention!"

After getting off the bus, Zhang Lingchuan immediately pointed to the marks on the ground and made arrangements.

He immediately took out his phone and dialed Dr. Fang Yuan's number.

"Ah? Good, good, good!"

Dr. Zhao is a man who weighs 180 pounds.

He was a little slow to react after hearing Zhang Lingchuan say those words.

After all, it was very dark, and it was three in the morning, so he really couldn't see clearly.

"Hey! Xiaochuan! How's it going on the scene?"

Outpatient emergency center.

Fang Yuan has already dispatched three vehicles, which is highly irregular.

However, out of trust in Xiaochuan, he ultimately allowed Dr. Zhao from the outpatient emergency preparation surgical team E to go with him.

"Director Fang, the situation is not good. There appears to be a three-vehicle collision at the scene, including a motorcycle. The rider's injuries are likely quite serious."

Zhang Lingchuan said into the phone.

"My God! Teacher Zhao, there really is some motorcycle debris here, it looks like a fender."

While Zhang Lingchuan was on the phone, a stretcher bearer from Group E said in shock.

"Follow Dr. Ogawa's instructions, quick, quick, quick!!"

Dr. Zhao also saw some motorcycle fragments on the ground.

But it's just a small piece, mixed in with the car debris, and you can't tell the difference if you're not careful.

Everyone got off the bus at the same time.

Dr. Ogawa's observational skills are simply outrageous.

After all, the three-car collision was analyzed in just 0.1 seconds.

Group E quickly rushed towards the direction of the motorcycles.

"Three cars have collided!"

Fang Yuan's expression in the command room became more solemn.

"Yes, there's a white Tesla, a white Honda SUV, and a motorcycle about 100 meters away. Currently, the three people in the white SUV are not wearing seat belts, including two children. Their injuries are estimated to be very serious. I need to send an ambulance over immediately."

Zhang Lingchuan gave a rapid report.

Based on the on-site observations and numerous simulated tests, he could roughly deduce that when two cars collided head-on and a motorcycle was about 100 meters away, one of the cars was trying to avoid the motorcycle and accidentally collided with the other car. The motorcycle narrowly missed the other car, lost some parts, and finally, unable to pass the bend, it crashed into the guardrail and broke apart 100 meters away.

"Where's Dr. Ogawa's far-sightedness??"

Xiao Fang, the nurse next to Xu Mengli in Group B, asked in a daze.

They had just reached the car and were breaking the door when Dr. Ogawa saw it clearly.
Are you kidding me?
"Tesla, two people, internal bleeding is suspected."

The moment the door of the white SUV opened, Zhang Lingchuan had already finished his report in just a few dozen seconds.

"The little boy had no breath, no pulse, and his heart had stopped."

The emergency responders noticed the little boy immediately.

After removing the device, they found that the patient was connected to an electrocardiogram monitor, blood pressure monitor, and blood oxygen monitor, and discovered that the patient had no breathing, no heartbeat, and no pulse.

"Let's try to save him first!"

Xu Mengli made the arrangements.

The principle of emergency care is that if pre-hospital resuscitation lasts for more than 10 minutes, there is no recovery of circulation, and brainstem reflexes are absent, the patient can be considered dead.

After all, he's such a young child.

We should at least give it a try.

"I'm coming, Teacher Xu."

Just then, Zhang Lingchuan arrived beside the little boy.

"???"

Then they witnessed an unbelievable scene.

Dr. Ogawa calmly cleared the blood clots and vomit, opened the airway, and then performed chest compressions. After a little over a minute, the boy's electrocardiogram monitor actually showed a response.

"Teacher Xu, remember to protect your cervical spine and get you into the ambulance."

Actually, this is caused by the tongue falling back and blood blocking the airway after the person lost consciousness, resulting in hypoxia. So as long as this is dealt with, the person can be sent to the hospital for treatment as soon as possible.

"The girl is not breathing, her carotid artery has a slight pulse but her blood pressure is extremely low, suggesting internal bleeding, and her abdomen is distended."

Yin Qiao'er was also helping out here.

Emergency trauma triage mnemonic.

Don't rescue those who can walk first; clear the way for those who aren't breathing. Rescue those who can breathe and move later; rescue those who are seriously injured but can be saved first.

"There is a bulge on one side of the chest, with tympanic percussion and no breath sounds. This is a tension pneumothorax. Qiao'er, get the tools. I need to perform acupuncture to relieve the pressure on the spot."

Zhang Lingchuan used a thick needle to puncture and expel air through the midclavicular line in the second intercostal space.

Immediately afterwards, the cardiopulmonary resuscitation electrocardiogram monitor once again produced a miracle.

Although many of his detection skills are unusable.

But he still has the skills he needs.

So he still performs perfect CPR.

"?"

"???"

Everyone was dumbfounded.

"Teacher Xu, please transfer these two directly to the hospital."

The two people were saved, but more than three minutes had passed.

She's going to be too late.

"Ventricular fibrillation! This patient has ventricular fibrillation!!"

Just at this moment.

Dr. Zhao and his team's backup E group pushed a motorcycle driver and shouted.

They received very professional emergency treatment there, and the person was finally stabilized temporarily, but unexpectedly, ventricular fibrillation occurred.

"Qiao'er, prepare for defibrillation."

He had seen this scene dozens, if not hundreds, of times.

Therefore, Zhang Lingchuan quickly got the hang of it.

"Wow! Dr. Ogawa!!"

Dr. Xu and his team's ambulance had already left home, and the ventricular fibrillation had stabilized.

There are still two ambulances at the scene.

But there are still so many patients.

"Dr. Zhao, this elderly man appears to have a blunt chest injury and cardiac tamponade. You are skilled in pericardiocentesis, so please do it."

Jugular venous distension, muffled heart sounds, and decreased blood pressure are the typical triad of cardiac tamponade.

Dr. Zhao was someone he specifically brought over; he's a doctor who can perform pericardiocentesis.

"Then you can have this one, I'll give it a try first."

Not long after, Dr. Zhao drew out dark red blood.

The nurse administered intravenous fluids to maintain blood pressure and provided ventilation using a portable breathing bag.

"Fuck——"

Turning around in a flash, Dr. Zhao was a little dumbfounded.

He discovered that Dr. Ogawa was performing abdominal surgery on the female passenger in another car.

"Dr. Zhao, liver rupture with bleeding >2000 mL."

Yin Qiao'er recounted the situation at the scene.

"hiss--"

Upon hearing this, Dr. Zhao felt a sense of suffocation, because it meant that the success rate of non-surgical hemostasis was almost zero.

Therefore, in this situation, if one continues to wait for ambulance transport, the heartbeat will stop within 5 minutes, and death will follow immediately.

There's no way to save them.

Opening the abdomen to stop the bleeding is the only option.

Why is Dr. Ogawa's approach to stopping the bleeding so aggressive?

At this moment, he used the lower edge of the ribcage as a boundary to make an incision of about 10 centimeters with a knife, quickly inserted his palm, and used the base of his palm or a gauze roll to directly press on the liver area. Then he tightly stuffed clean gauze into the ruptured liver.

"Dr. Zhao, please take this and the elderly person to the hospital."

Zhang Lingchuan arranged for the two more people to be transferred.

His car then transported the motorcyclist and the driver of the white Honda. The Honda driver, who had suffered internal bleeding, only experienced ventricular fibrillation once, and was saved with a single precordial thump.

He held on until he was hospitalized and never relapsed.

Just leave one person behind to receive the ambulance.

There was a window of opportunity of about five minutes. The remaining individuals were the passenger in the Honda and the driver of the Tesla; neither was in serious danger, suffering only minor injuries.

And the police cars arrived at that moment.

"it is good."

Dr. Zhao drove away.

"Qiao'er, Sun Hong, Mingjie, let's transfer to the car too."

At this moment, Zhang Lingchuan spoke.

"clear."

An ambulance is generally only allowed to accommodate one person at a time.

However, there are times when principles are not followed.

It was precisely because of this action that he received a B-level rating, setting a new record for the assessment.

The "Sequence of Life" test showed that the order of death was: motorcyclist (five minutes), little boy and girl (five minutes), elderly person (seven minutes), and woman in the Tesla's passenger seat (ten minutes).

So he prioritized rescuing the motorcyclist, the little boy, the little girl, the elderly person, and the Tesla's passenger, followed by the driver, passenger, and Tesla driver of the white SUV.

Zhang Lingchuan had previously rescued motorcyclists, little boys, little girls, and elderly people, and one person died, earning him a D-level rating.

It was later discovered that the Honda driver had internal bleeding.

A ventricular fibrillation will occur.

Later, I learned that the woman in the Tesla's passenger seat was the most seriously injured, requiring surgery to stop the bleeding, which is why she always died in the ambulance.

He later went to the hospital with the woman in the Tesla's passenger seat in an ambulance. After successfully stopping the bleeding, he received a C rating.

He then transported the female patient in the Tesla's passenger seat to the hospital in his ambulance. Although she survived each time, she was repeatedly classified as a Class C patient, unable to make any progress.

After that, he tried to get someone else to drive the ambulance.

When I switched to being a motorcyclist, I was on my way to the hospital when a ventricular fibrillation emergency was performed. After arriving at the hospital, I received a grade B rating.

After dozens more attempts, there was still no progress.

It remains forever at grade B.

He was replaced by other people during that time.

It has returned to Grade C.

Only motorcycle drivers are classified as Class B.

Actually, after going through all this, he had a lot of doubts in his heart.

Why does a motorcyclist get a Class B rating when he's in his Group A ambulance and taken to the hospital, while others get a Class C rating when they're in his ambulance?
If the assessment is about survival rate in a hospital operating room.

So it's impossible for the assessment to end every time I go to the hospital.

He should at least be given the opportunity to enter the operating room.

Therefore, this motorcycle must hold the key to this assessment.

"Could it be?!"

The vehicle starts!

An inexplicable thought suddenly popped into Zhang Lingchuan's mind.

Could this motorcyclist also have some kind of allergy history?
Just like during the first assessment, we need to wake the person up, understand the situation, and then get the hospital ready in advance.

Thinking of Zhang Lingchuan made his head buzz.

If it were any other system, Zhang Lingchuan would think this was too outrageous.

But when it comes to his own system, he believes things are quite reasonable!

"Ventricular fibrillation! Dr. Ogawa!!"

Just as Zhang Lingchuan was considering the possibilities.

Ventricular fibrillation has returned.

Of course, they were defeated by him and Yin Qiao'er working together.

I wonder if the Honda driver also wanted to join in the fun.

My heart started acting up too.

However, Zhang Lingchuan defeated him with a single punch.

"Phew—, one after another, it was terrifying!"

Yin Qiao'er wiped her sweat.

The space inside the car is already small.

This tremor will continue until the next one finishes.

"Qiao'er, administer a short-course injection of hypertonic saline, 23.4% low dose!"

I've recovered.

Zhang Lingchuan decided to try waking up the motorcyclist.

His aim in doing this was to reduce the motorcyclist's intracranial pressure, alleviate brain herniation, and possibly improve consciousness in the short term.

"it is good!"

Although Yin Qiao'er didn't understand why it had to be arranged this way.

But I did it anyway.

Finally, before reaching the hospital... the motorcyclist slowly woke up.

“Help…Help…”

He tried to make a sound.

Zhang Lingchuan gestured for them to remove their breathing masks first.

Finally, they understood what the young man was saying.

"We're here to save you, don't worry! We're on our way to the hospital!"

Yin Qiao'er comforted him after hearing him say those words.

The car arrived at the hospital.

I am filled with doubt.

Zhang Lingchuan's gaze also drifted upwards.

He knew that he had failed the assessment again.

But the young man's expression was indeed a bit puzzling.

[Task Title: The Sequence of Life]

[Task Summary: The host demonstrated strong organizational skills and performed almost flawlessly in all assessment points. Furthermore, through trial and error, the score was improved to "Good." However, you still lack some observational ability; you can continue to try.]

[Task Rating: B (Completed Well)]

This is the interface in front of Zhang Lingchuan.

He originally wanted to sleep.

But now it's about to touch the edge.

I have no desire to sleep anymore.

It went directly into the system space.

Once, twice, three times.

11 o'clock, 12 o'clock, 1 o'clock.

……

"Help—Help—"

The young man's waking time was getting longer and longer; at this moment, he was shaking his head and shedding tears.

"this???"

The other passengers on the bus looked a little bewildered.

"There are still people in your car!!!"

Suddenly, in the next instant.

Zhang Lingchuan had an unbelievable idea!
Could there be other people in his car?!
The words fell.

His entire perspective took off again.

……

[Task Summary: In this mission, the host demonstrated exceptional coordination and life-priority judgment, achieving rapid differential diagnosis and triage decisions. They possessed strong clinical reasoning, etiological analysis, and crisis response capabilities, exhibiting high precision in treatment, strong teamwork, and a degree of meticulous observation. Therefore, their rating has been further promoted.]

[Task Rating: A (Excellent)]

……

"My God!!"

Zhang Lingchuan felt as if his head was about to explode.

The rating has been upgraded.

Why did the rating go up?
This is clearly not just one person on the motorcycle, it's two people!

Who's the last one?

Look at the time.

It's 1:30.

He really couldn't stand it anymore.

After all, we have to record a show tomorrow.

The hospital leaders tried their best to tell me to rest well and recharge, as it wouldn't be appropriate to go out with dark circles under my eyes tomorrow.

Sleep when you should.

I'll plan the strategy tomorrow night.

While he was sleeping, a man and a woman waited anxiously outside the operating room of the hospital's emergency department.

"Squeak—"

Finally, the operating room doors opened.

It was Deputy Director Niu Jiang who came out.

It's clear that their son's surgery has yielded results.

"Director Niu! How is my son? Is everything alright?!"

The couple immediately surrounded Niu Jiang when they saw him.

No one knew that they had been waiting so long that their hearts were breaking.

……

(End of this chapter)