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

"!!!"

"No! Tachycardia! What does 'arterial dilation' mean?! Doctors, you have to save him!!!"

Zhao Chong's entire face turned purple.

I don't understand what this means.

"My heart, my heart is tamponade!"

Yin Xiaoxiao, a nurse, looked towards Zhang Lingchuan in great surprise. If it was cardiac tamponade, he really wouldn't have made it to the ambulance.

Because cardiac tamponade can lead to death within minutes.

Something that's reached this stage might take two or three minutes.

"Yes, her window is extremely short."

Zhang Lingchuan nodded solemnly.

System scan complete.

The patient's scan results are also in.

Patient Name: Sun Linhong.

[Patient's gender: Female.]

[Patient's age: 30 years old.]

[Patient Status: 28 weeks pregnant (approximately 7 months), suffered severe chest and abdominal trauma due to not wearing a seatbelt after a car accident. Currently experiencing confusion, blood in the mouth, rapid breathing, pale complexion with mild cyanosis. Physical examination: Heart rate 142 bpm, blood pressure 90/60 mmHg, respiratory rate 24 breaths/min, oxygen saturation 92%. Significant jugular venous distension, muffled heart sounds, cold and clammy extremities, and prolonged capillary refill. Mild abdominal distension, increased uterine tone, and no fetal movement. Overall, the patient presents with progressive circulatory restriction, suspected to be cardiac compression.]

[Patient Diagnosis: Traumatic cardiac tamponade (cardiac tamponade) with suspected thoracic and abdominal visceral injury, late pregnancy with a risk of traumatic shock, life countdown 90 seconds.]

[System notification: The patient suffered blunt chest injury in a car accident, which may lead to intracardiac hemorrhage or rapid fluid accumulation, resulting in cardiac tamponade. In this state, cardiac diastole is restricted, venous return drops sharply, and cardiac output decreases rapidly, which can lead to circulatory collapse in a very short time.]

The patient is currently exhibiting typical symptoms: hypotension, jugular venous distension, muffled heart sounds, tachycardia and insufficient circulatory perfusion, and hematemesis suggesting possible lung or upper gastrointestinal damage.

Meanwhile, in late pregnancy, the enlarged uterus can further affect venous return, increase the circulatory burden, and put the fetus at high risk of hypoxia.

If not intervened in time, it may rapidly progress to: complete restriction of the heart's pumping function, circulatory collapse and cardiac arrest, maternal death and fetal death by intrauterine asphyxia.

Emergency handling recommendations are as follows:
Immediately establish airway support, administer high-flow oxygen therapy or endotracheal intubation if necessary, rapidly establish intravenous access, perform volume resuscitation to maintain circulation, urgently assess pericardial effusion using bedside ultrasound, and immediately perform pericardiocentesis for decompression (surgical thoracotomy if necessary), simultaneously initiate multidisciplinary resuscitation (emergency, cardiac, and obstetrics), continuously monitor fetal heart rate, assess fetal viability, and transfer the patient to an intensive care unit with comprehensive trauma and obstetric care capabilities as soon as possible.

[Ding! Emergency rescue mission activated! The patient is currently in the critical window of traumatic cardiac tamponade, a window of extremely short time. Any delay will lead to irreversible circulatory collapse. Please immediately perform decompression and resuscitation procedures. Successfully relieving the tamponade and restoring circulation can significantly improve the survival rate of both mother and baby!]

The scan results are complex.

But to sum it up in one sentence.

Decompression must be performed immediately to release the plug, otherwise the person will surely die!

"Then you must hurry and save him! This person is dying!"

Someone nearby also spoke anxiously.

He was slapping his thigh in exasperation!

After all, she was pregnant.

Anyone who sees this will feel it's a pity.

Two lives, one big and one small!
"What you're saying makes it sound like the doctors didn't want to save people. They didn't arrive in an ambulance and had no equipment, so how could they save lives!"

"Yes, yes, you need tools to save lives!"

Everyone nodded.

Who wouldn't want to save the lives of the pregnant woman and her unborn child as quickly as possible?

But some things can't be saved by being anxious.

"That's right, we don't have any tools at all right now. We need professional tools to save her! She has cardiac tamponade right now, and if we don't have the tools to puncture it, she might die in two or three minutes at most!"

Yin Xiaoxiao was writing.

She was as anxious as an ant on a hot pan.

But what can we do now that we're in such a hurry?
Make bricks without straw.

"Ah! Two or three minutes!"

The sky is falling.

Zhao Chong felt like the sky had fallen; the ambulance wouldn't arrive for at least ten minutes.

Two or three minutes? You're going to kill him!
Two lives!

"Doctor, is there anything we can do to help? We'll do everything we can to help!"

The kind man next to me asked.

After all, a woman was pregnant, and there was some food spilled in the passenger seat.

It might be delivering food to someone.

It must have been quite a difficult process.

If I can help, I will.

Survival is the best outcome.

"I have no choice... Dr. Ogawa."

Xiao Xiao shook her head.

She looked at Zhang Lingchuan.

I guess even Dr. Ogawa was powerless to do anything at this point!

"Xiaoxiao, do you have a syringe in your car? I remember you do!"

Zhang Lingchuan suddenly looked at Yin Xiaoxiao.

According to the system, immediately establish airway support, and if necessary, administer high-flow oxygen therapy or endotracheal intubation, quickly establish intravenous access, and perform volume resuscitation to maintain circulation.

He had no conditions for these.

Because this is the scene of a car accident.

Even immediate pericardiocentesis for decompression is difficult.

There are no tools.

Simultaneous activation of multidisciplinary rescue (emergency, cardiac surgery, obstetrics) is like a dream come true.

It's practically impossible.

Basically, the person is already dead before the process even starts.

However, if a syringe is available, it would be possible to perform a battlefield first aid operation.

"A syringe? We do have a syringe, but Dr. Ogawa, what are you going to do with that? You're not going to perform a pericardiocentesis here, are you?"

Yin Xiaoxiao looked at Zhang Lingchuan with disbelief.

Those eyes looked at him like he was a madman.

"Okay, go get it quickly! If we don't perform a pericardiocentesis, both of them, one big and one small, will die, so we have to do it now!"

Zhang Lingchuan nodded and said seriously.

He knew the situation was dangerous, but what could he do now?

Just to save his own two lives, he certainly wouldn't survive.

"No... Dr. Ogawa, this will ruin you. You have to think this through carefully! This is completely different from what you did before!"

Dr. Ogawa has experience with this and has done it before.

For example, the scene of the car accident last time.

But that's when there's professional equipment available.

There is simply no equipment available to support Dr. Ogawa in doing this.

Failure would destroy him.

Because there is no image guidance in this situation, the target cannot be seen. Using a needle to puncture a moving organ may result in the needle not entering the pericardial cavity, but directly piercing the myocardium or causing new bleeding points.

Pericardial hemorrhage will worsen instantly, causing the previously maintained circulation to collapse, and the patient may experience sudden cardiac arrest within seconds to tens of seconds.

Simply put, the original intention was to bleed to relieve pressure, but it ended up with more blood being drawn in.

Besides this, puncturing a coronary artery is an instant disaster.

At that time, a large amount of arterial blood will rapidly enter the pericardium, and the heart will be quickly crushed, causing acute tamponade, which is more dangerous than primary tamponade and leaves almost no time for rescue.

At that time, Dr. Ogawa will directly become the main person responsible for the accident.

Besides these two dangers, other problems include the puncture direction deviating into the chest cavity, or puncturing the liver.

Even if you're lucky.

This is the scene of a car accident.

Tools are generally not sterile.

Even if they survive, they may still become infected.

Such as purulent pericarditis and sepsis.

Most importantly, she's pregnant!!

The uterus enlarges and its anatomical position changes.

The operation is incredibly difficult, and if anything goes wrong, it could result in two deaths—who could bear the responsibility?!
Xiaoxiao really doesn't want Dr. Xiaochuan to risk his life here!

"It's too late, Xiaoxiao, tell me quickly where the syringe is? I'll go get it!"

Zhang Lingchuan was worried that the countdown was about to begin, because the pregnant woman had already fallen into a coma.

And the situation is getting worse!
"Sigh... Dr. Ogawa, I don't know what to say. This is both your strength and your weakness! Here, I'll go get it for you! You can do more tests here to try and increase the chances of success!"

Yin Xiaoxiao was very reluctant to see Dr. Xiaochuan take such a risky gamble.

Even if he was unwilling, given Dr. Ogawa's personality, he would definitely find a syringe to perform the puncture.

It would be better to let him check it more here.

Find the syringe yourself to increase your chances of success.

“Okay, Xiaoxiao, hurry up, I’m afraid I can’t wait that long.” Zhang Lingchuan nodded.

[The host is activating X-ray vision, currently targeting a pregnant woman. Radiation can be eliminated using points.]

The current host uses points to offset radiation.

He certainly knew how difficult it was for this pregnant woman.

The normal human body structure is completely different from that of a pregnant woman.

Since becoming pregnant, especially as the pregnancy progresses, various organs are subjected to pressure.

Then an offset occurs.

If you try to puncture using the normal method, it will almost certainly fail.

That's why Xiaoxiao is in such a hurry.

However, he has X-ray vision and ultrasound hearing (Type B).

The success rate of the puncture is still quite high.

[The patient is currently on the death countdown, 60...]

Just at this time.

Zhang Lingchuan had just finished his examination.

A sound suddenly appeared in my mind.

The woman in front of him had begun her death countdown.

"Sigh...this person hasn't made a sound at all."

"Her face was as pale as paper; it was impossible to tell whose daughter or wife she was."

……

Many people nearby shook their heads helplessly.

The pregnant woman who was breathing just a moment ago is now completely lifeless.

"Xiaoxiao! Hurry up!!"

Just then, Zhang Lingchuan reached out and called out to Xiao Xiao.

The countdown to death has begun; he must hurry, or he will face certain death!
"They're here! They're here!!"

Yin Xiaoxiao is sprinting in the 100 meters.

He was also holding a pack of syringes in his hand.

"What... what are they trying to do?"

Zhang Lingchuan disassembled the syringe.

Then he opened the passenger door.

There was also a prepared meal on the passenger seat.

However, due to the car accident, the food spilled on the floor mats.

Everyone looked a little bewildered when they saw Zhang Lingchuan go in.

"Dr. Ogawa, this needle is a bit short... are you sure it will work?"

Yin Xiaoxiao wanted to save people.

But I don't want Ogawa to be in the same dangerous situation.

"Perfect!"

There are 30 seconds left in the countdown.

Zhang Lingchuan directly inserted the syringe into his chest.

"hiss--"

The onlookers involuntarily gasped.

Yin Xiaoxiao's heart was in her throat.

Is there any blood coming out?

If no blood comes out, Dr. Ogawa is going to die this time!

No?

Really, no!

God!

It’s over! It’s over! !

When Yin Xiaoxiao saw that Zhang Lingchuan's syringe seemed unable to draw blood, her heart sank to the ground.

This means that Dr. Ogawa made a mistake in his judgment.

In other words, they were involved in a medical malpractice case.

Although it has a license, it may be revoked.

The main problem is that the difficulty level itself is incredibly high, almost impossible.

A pregnant woman, sitting in this position, her body structure is completely different from that of a normal person, and the syringe is so short.

Taking out any one of them would be suffocating enough.

How could it possibly succeed?

This level of difficulty is hellish!!

I should have advised Dr. Ogawa earlier not to gamble like that!
the other side.

Zhang Lingchuan's brows furrowed slightly.

Then press the syringe down harder!
at last.

Yin Xiaoxiao saw dark red blood gushing up.

"Little!"

Zhang Lingchuan handed the syringe filled with blood to Xiaoxiao, leaving the needle still in the pregnant woman's chest.

"coming!"

Yin Xiaoxiao took the syringe and handed another clean syringe to Dr. Xiaochuan.

"hiss--"

do not know why.

Everyone saw this scene.

It felt like we were sharing the pain.

I suddenly feel a pain in my chest.

Especially the way the needle was left inside.

He said it was short?
Actually, this is such a long needle!

They were all stuck inside that chest.

That's absolutely terrifying.

"Holy crap? Veterinarian Zhang!!"

Because the two cars completely blocked the roads on both sides.

As a result, more and more cars are forced to park in their respective lanes.

Then everyone wanted to come and see what was going on.

After all, the car is now parked almost half a kilometer away.

In some villages, the road exits were completely blocked, and no one could get out.

When someone came over, they were surprised to find that this person was Veterinarian Zhang.

"Zhang the veterinarian? He's a veterinarian? Wasn't he supposed to be a doctor at the People's Hospital?!"

I'm puzzled!
They introduced themselves when they first arrived.

Doctors in the emergency department of the People's Hospital.

How did you become a veterinarian?

"Holy crap! Dr. Zhang! You, you're Dr. Zhang! My ancestors' graves must have been struck by lightning! There's hope now! There's hope! Dr. Zhang can definitely save this person!"

Taxi driver Zhao Chong was shocked when he heard that the person who attacked him was Zhang the veterinarian.

His expression became extremely excited.

This man is the King of Hell's lifelong enemy.

As long as he is there, there is no one he cannot save.

"Saving people? Far from it!"

However, Zhang Lingchuan replied coldly at this moment.

Because the countdown continued even as I was having my blood drawn!

[10...9...]

Only nine seconds left!

Too much blood is trapped in the heart.

This pumping speed is too slow.

According to the treatment plan provided by the system, cardiopulmonary resuscitation must be performed after a puncture.

As it stands now.

There might not be enough time.

...(End of this chapter)