Chapter 218 On-site First Aid!
"Professor Tong! Move aside!" Seeing this sudden scene, Lu Cheng immediately pulled Mu Nanshu aside, shouted, and then hugged Mu Nanshu tightly against the wall.

Tong Yuan'an, of course, also noticed the approaching car.

The noodle stall where he was eating was just a roadside stall, with only a few tables and chairs set up!
Tong Yuan'an instantly transformed into a nimble fat man, and without saying a word, he jumped to the side and then used all his strength to roll on the spot.

After seeing the car drive by, Lu Cheng and Mu Nanshu quickly started running towards higher ground in the opposite direction.

Mu Nanshu was so frightened that her soul almost left her body, and her pretty face turned deathly pale.

"Should we go and rescue them?" Mu Nanshu asked instinctively.

"Save your own life first." Lu Cheng held Mu Nanshu tightly, almost carrying her up the stairs with his arms. He didn't turn around until they had gone up twenty steps.

The car crashed into a roadside stall, crushing tables, overturning chairs and three diners, knocking over the stall, and heading straight for the bridge railing.

Then a loud bang was heard.

The car crashed through the guardrail and plunged straight down, then drove over the grove of trees and sped off down the path below.

They left the scene completely.

……

All of this, though it sounds long, actually happened in about half a minute.

Lu Cheng put down Mu Nanshu, turned around and ran downstairs, calling out, "Professor Tong, Professor Tong..."

"Teacher Tong, are you alright?"

"Lu Cheng, I'm here." Tong Yuan'an, the fat man, rolled over and ended up under the tables of two other stalls, covered in dust.

Lu Cheng quickly ran over and dragged Tong Yuan'an up from the ground.

"Are you alright, Teacher Tong? Is your head injured?" Lu Cheng asked quickly, while carefully observing Tong Yuan'an's vital signs.

"I'm fine! My head didn't hit the ground, but I hit something when I rolled, so it should just be a superficial injury."

"Fuck you, I almost died just now." Tong Yuan'an trembled with lingering fear, his face gradually turning pale.

Lu Cheng began to check the openings of Tong Yuan'an's clothes and pants. After finding no bloodstains, he continued to press on Tong Yuan'an's stomach.

“I should be fine, Lu Cheng. My abdomen and chest are unharmed, just some impact injuries to my hands and feet. 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 calmed down and immediately went to Lu Cheng's side, where she also noticed that Tong Yuan'an was injured.

While bending down to examine Tong Yuan'an, he said, "Lu Cheng, there are quite a few people injured over there, and one person was run over."

As Mu Nanshu spoke, someone held up their phone to film the faces of several people, saying, "It's over, it's over... Look, this person almost died... and several others died over there."

This place is close to the scenic area, and there are police officers stationed nearby. Upon hearing the commotion, police cars quickly drove over.

Moreover, there were temporary medical personnel stationed near the scenic area, so the 120 emergency call rang out quickly.

Security guards and police quickly cordoned off the area, dispersed the crowd, and warned, "Don't take pictures!"

Taking the opportunity, Lu Cheng said to a policeman not far from him, "Officer, this guy just filmed us. I'm asking him to delete it."

Lu Cheng pointed at a man. Although the middle-aged man was running, he couldn't outrun Lu Cheng, and Lu Cheng grabbed him in one go.

"Are you alright?" The police officer originally wanted to wait for Lu Cheng and let him leave quickly, but after seeing Tong Yuan'an's disheveled state, he shut his mouth.

Walking towards Lu Cheng: "Stop, don't run, delete the video."

"I won't post it online," the middle-aged man argued.

And she was also glaring at Lu Cheng: "Don't mess with me, move aside."

Lu Cheng retorted without any politeness, "You took a picture of me? You almost shoved it right in my face!"

"I'll delete it! Move aside." He tried to pull Lu Cheng's hand away, but found that Lu Cheng's hand was clenched tightly and with great strength.

As the other person raised his hand, Lu Cheng grabbed his hand again: "Try hitting him?"

"You fucking wait?"

Lu Cheng roared, "You think I'm afraid of you?"

The police arrived quickly and took him into custody.

Lu Cheng immediately turned around and headed towards Tong Yuan'an's location.

He said, "Officer, I am a doctor. This is my teacher. Please take him to the hospital for a check-up."

Tong Yuan'an immediately said, "I'm fine. I might be able to help if I stay here."

"Teacher Tong, what can I do to help? You need to get checked out first, just in case." Lu Cheng cut off Tong Yuan'an's words.

"Are you doctors?" Upon hearing Lu Cheng reveal his identity, the police officer immediately gave Lu Cheng a serious look.

Lu Cheng and Mu Nanshu both nodded.

The police didn't ask Lu Cheng where he was a doctor; they immediately reported it over the walkie-talkie.

The reply came immediately from the other end: "Invite them in and continue the blockade."

"You can go in now. There are quite a lot of people here, so be careful not to get trampled. There are quite a few onlookers," the policeman instructed, without saying anything else.

Lu Cheng and Mu Nanshu were relieved to see that Tong Yuan'an had been transferred to another hospital, and then they rushed to the scene of the incident.

The sound of ambulances kept approaching, but the road was blocked and surrounded, making evacuation impossible for the time being.

Lu Cheng and Mu Nanshu approached the two people separately. After Lu Cheng squatted down, he said to Mu Nanshu, "Just confirm the most basic vital signs first. We don't have any tools."

When Mu Nanshu saw a head that had exploded, he almost vomited. After faking vomiting a couple of times, he suppressed the discomfort in his stomach and began to check on another injured person.

"Save me." Lu Cheng approached a young man around twenty years old. Upon seeing Lu Cheng, the young man's voice was filled with pleading and fear.

Lu Cheng could see at a glance that he was lying face down, his calves crushed and covered in blood.

He crawled forward for quite a distance using his hands for support, and now his head was tilted to the side, like a fleeing hamster, completely lost.

"Stop moving. You need to rest now, calm down a bit, and don't get too excited!" Lu Cheng said.

"Save me," the young man repeated.

Lu Cheng extended the index and middle fingers of his right hand to test the pulse in his carotid artery.

The pulse was strong and very clear.

Lu Cheng glanced at the back of his calf again. His pants and skin were torn open, and fat was squeezed out, with yellowish grease mixed with blood.

However, there was no particularly large amount of bleeding.

"You're alright for now. In your condition, you'll need to be transported on a stretcher. Don't worry, I'm a doctor. Try to stay calm and wait for someone to lift you into the ambulance," Lu Cheng said calmly.

"Help me." He was truly terrified.

Lu Cheng ignored him.

He turned and walked towards another person!

Lu Cheng saw the scene of the accident. The woman was thrown off by the corner of the car and fell unconscious after landing.

Her left hand was completely deformed and was 100% fractured.

She must have rolled around on the ground many times, covered in mud, with many scratches on her face. Her eyes were closed, and she was breathing rapidly.

Beneath her skirt, a large amount of blood was slowly seeping out.

His pulse was rapid and weak, a clear sign that he was close to shock.

No other people were involved in the rescue at the scene, but volunteers brought a medical kit immediately and are currently opening it.

Two police officers were standing there. After helping the patients with relatively minor injuries walk away from the scene, they were unsure of what to do next.
"Officer, could you please give me the first-aid kit?" Lu Cheng called out.

“Okay!” One of them immediately approached with the medical kit in both hands.

Lu Cheng immediately noticed the gloves in the box.

As the police pushed the crowd further and further away, Lu Cheng no longer cared about privacy and directly lifted the girl's skirt to examine the wound.

Sure enough, after the girl's right leg was turned over, there was a deep, long, ravine-like cut on the inside of her thigh, indicating that she must have hit something and been scratched like that.

Lu Cheng didn't bother with gloves; he grabbed the hemostat and started searching for the femoral artery in the messy tissue.

Such a large amount of bleeding from this opening definitely indicates a problem with the femoral artery.

Lu Cheng moved quickly, and in no time, he precisely placed the two hemostats into the femoral artery.

However, this hemostasis did not wake the woman up.

Lu Cheng turned around again and looked at the girl's breathing and facial features.

Blood was seeping from her nose and the corners of her mouth, which reminded Lu Cheng of something, and he immediately pried open her lips!
Sure enough, we saw a lot of blood clots in her mouth. Judging from the amount of bleeding, her airway was probably blocked by the blood clots.

If the blood is vomited out immediately, it will prevent airway blockage.

Lu Cheng quickly used the hemostat from the first aid kit to clean the blood clots from her mouth.

However, the cleaning process was slow and not very efficient.

Seeing that the color of her lips and fingers had changed, turning pale and bluish-purple, Lu Cheng finally couldn't care less about anything else.

They immediately tore open the wound cleaning kit in the medical kit, took out a scalpel blade, and began to perform a tracheotomy on the spot!

Lu Cheng's actions were swift, decisive, and violent. To outsiders, they even appeared somewhat brutal.

First, they turned over the woman's thigh wound, then violently pried open the girl's mouth and started scooping out blood. Now they took a knife and slashed directly at her neck, which looked like murder.

However, since Lu Cheng had revealed his professional identity as a doctor, the police couldn't easily stop him.

The onlookers began to question the situation, and their voices gradually grew louder before they could form a large enough group.

Finally, after Lu Cheng cut open her trachea, the woman's chest began to heave violently!
The sound of turbulent airflow in the airways was incessant.

The woman's expression turned somewhat pained, but Lu Cheng knew that this was a sign that her blood oxygen levels were gradually returning to normal.

Just then, medical personnel finally arrived at the scene, coming from a distant ambulance.

Upon seeing this, Lu Cheng immediately shouted, "Airway obstruction! I've already performed a tracheotomy and put in a tracheostomy tube."

The medical staff who got off the ambulance were all professionals. They immediately noticed the blood clots around the woman's mouth and knew what had happened. They immediately became anxious: "Tracheotomy kit! Tracheotomy kit!"

There was more than one medical staff member; they were divided into many teams and began to enter the site.

Lu Cheng continued, "The young man to my right has a leg injury, but he is conscious and his vital signs are stable. You can deal with the others first."

Mu Nanshu was a little slower; she only checked one person's vital signs: "The one I checked has a non-open external injury, but the person is unconscious, so there is a possibility of traumatic brain injury."

"Thank you for your hard work." A man in green approached: "Which unit are you from?"

Lu Cheng said, "I'm Lu Cheng from the emergency department of Longxian People's Hospital. I just happened to be here with my girlfriend!"

Lu Cheng's personnel transfer has been finalized, but he hasn't reported for duty yet, so he can't yet consider himself a doctor in the state hospital's emergency department.

"Thank you, those two people are quite lucky."

"Put him on a stretcher! Monitor him immediately." A uniformed officer in green began to operate.

"Officer, come help me lift this up." The 120 ambulance medics often encounter police officers at the scene, so they are very skilled at calling for help.

The police won't mind if it's manual labor.

Lu Cheng said, "I'll go wash my hands first and clean them up."

Based on Lu Cheng's conversation with the ambulance doctor, the onlookers confirmed that Lu Cheng was a professional doctor and immediately said, "There is bottled water here."

"Go wash up first, take care of yourself and the other patients." Doctors understand their colleagues.

Sometimes, you can't just do whatever you want just because you don't mind getting dirty.

Lu Cheng turned around, and the police had already opened the mineral water bottle.

Lu Cheng took a few steps and then heard panicked voices: "It's over! It's an arterial injury!"

"Why are you flipping through his files?" came an immediate, furious voice.

"How will we know where the injury is if we don't check it?" the person who spoke first retorted. "We need to stop the bleeding on the spot!"

After quickly rubbing his hands together, Lu Cheng didn't even have time to shake them dry. He just wiped his body a few times and then took out a mask, a hat, and gloves from the first-aid kit.

As they rushed toward the source of the sound, they quickly put on their examination gloves.

"Will it work?"

"No bleeding point found!"

Another person in green approached: "Let Luo Lianzhong try. Luo Lianzhong? Luo Lianzhong."

Someone said, "Luo Lianzhong has already taken his men and gone back."

"Where? Where?" The person in charge of stopping the bleeding began to sound anxious, but remained relatively calm as they continued their work.

Just then, Lu Cheng approached and covered the patient's groin area with both hands.

Lu Cheng pressed it, and the bleeding from the wound, which was bleeding, instantly decreased.

"No rush, let's move a little further in!" Lu Cheng said calmly.

"Inside?" The flustered, lifeless man in green looked up. "Do you know how?"

“Yes, about one centimeter further in, look inwards from where you are,” Lu Cheng said.

The woman in green simply stepped aside: "Why don't you do it? I'll help you hold it down."

Lu Cheng: "..."

"Get me a pair of hemostats," Lu Cheng said, raising his voice decisively.

You son of a bitch, if you knew how to apply pressure to stop bleeding, why didn't you do it sooner?
Lu Cheng knew the outcome without even thinking.

The other party complied and handed the hemostat to Lu Cheng. Lu Cheng could only switch from using both hands to using one hand, pressing harder on the proximal end of the femoral artery with the heel of his palm.

With his right hand, he took the hemostat from the green-clad man and precisely broke through the opening of the patient's arterial sheath, inserting it directly and then clamping it to stop the bleeding!

"Give me one more!" Lu Cheng released his grip.

After clamping the proximal end of the femoral artery, there will be no large amount of arterial bleeding, and the amount of blood returning from the distal artery will not be large. You can release the pressure on the proximal end to stop the bleeding and avoid compressing the artery, which would increase the return flow.

The woman in green did as she was told, staring at Lu Cheng in astonishment, her face full of confusion.

For someone as delicate and beautiful as Lu Cheng, performing hemostasis with instruments without a field of vision is not an easy task.

He didn't even know that such a procedure existed.

After Lu Cheng inserted two hemostatic forceps, the largest bleeding point was resolved.

The man in green then said, "Brother, he has quite a few bleeding points. Why don't you take responsibility and treat them as well?"

"Apply pressure bandages to the elbows and calves, and the rest..."

As Lu Cheng finished speaking, he glanced at the other patients. These people were either already dead or had already been transported away on stretchers.

Lu Cheng then said, "Alright, let's do the pressure bandaging together."

Lu Cheng dared not refute the assessments and decisions of his colleagues. They were also professional emergency room doctors.

Perhaps by taking action, I could save one more person, but it would be meaningless and only a possibility.

The people have all been transferred away in time, what else can you say?

"Okay!" The two men in green nodded immediately, opened the gauze and bandages, and began to skillfully apply pressure.

As the operation neared its end, someone finally said, "Teacher, you're not from our county, are you? You look unfamiliar."

"Yes, I'm from the emergency department in Long County," Lu Cheng replied, standing up.

At this point, the crowd of onlookers not only did not decrease, but instead became more concentrated and larger.

Only two bodies remain at the scene.

A middle-aged woman in her fifties and a young woman in her twenties.

They were shot in the head, their bodies were crushed, and then they rolled back twice.

This is definitely beyond saving.

There was no chance of saving her; we had to wait for the criminal police and forensic doctors to arrive.

Such a deliberate car accident is no longer a traffic accident, but a criminal case.

"Hello teacher, I am Zhang Tao from the Department of General Surgery at Fengxian People's Hospital."

"I'm so glad I had you here today, teacher." Zhang Tao said, taking the initiative to shake hands.

"Among our accompanying doctors, there are very few professional emergency room doctors."

Many of the doctors accompanying ambulances are surgeons or internists who take turns working in the emergency department, not all of them are emergency room doctors.

"If there's nothing else here, I'll head over now. One of my teachers is injured, and I need to take him to the hospital for a check-up."

"By the way, I also need to register with the police to confirm my status as a doctor," Lu Cheng said.

"Teacher, the registration process won't be too complicated. We can make the certificate for you."

After the officer in green finished speaking, he said, "Officer, this is a colleague from the emergency department of Longxian People's Hospital. They must be here for sightseeing, and they are definitely professional doctors."

The police officer nodded and said, "We are only responsible for registration, not for checking qualifications!"

"Moreover, in this situation, it's already good enough if someone steps forward in time."

Lu Cheng and Mu Nanshu registered their basic information. They only had basic information; neither of them would carry their professional licenses and medical qualification certificates around.

With an ID number, you can check whether someone has an ID card.

For emergency evacuation, Lu Cheng's invasive procedures only require a certificate. Mu Nanshu only needs to help confirm vital signs; an ID card is sufficient.

You won't be held accountable!
After Lu Cheng and Mu Nanshu finished registering, they quickly left the scene with Tong Yuan'an.

After all, it's a county, and 120 resources are limited. For non-contact accidents like Tong Yuan'an's, there's no way to arrange for a car to pick him up and drop him off.

Fortunately, Lu Cheng drove himself. After confirming that there was nothing wrong with Tong Yuan'an's abdomen and chest, Lu Cheng drove Tong Yuan'an away from the scene.

……

(End of this chapter)

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