This miracle doctor just wants to be fired!

Emergency room.

Zhou Cheng took a deep breath, raised his head, looked at the three senior physicians in front of him, and slowly said, "Teachers, I think we can't wait any longer."

"Although the patient's electrocardiogram does not show typical signs of a myocardial infarction, electrical injuries can still trigger coronary artery spasm or plaque rupture, leading to an acute myocardial infarction, albeit with atypical presentation. Currently, the patient's pain persists without relief, the ST segment remains elevated, and cardiac enzymes are rapidly increasing. Further delay could cause them to miss the optimal treatment window. I recommend immediate emergency coronary angiography to determine the condition of the blood vessels!"

The moment those words were spoken, the emergency room fell silent.

The three senior physicians all turned to look at Zhou Cheng, a hint of surprise flashing in their eyes.

No one expected that a young resident physician would raise a different opinion after three senior experts reached a preliminary consensus, and even boldly suggest performing emergency angiography?!

Chen Xi and Li Yang were also stunned. Their gazes toward Zhou Cheng were filled with surprise and admiration.

Zhou Cheng did not avoid the gazes of the three senior physicians and continued, "Emergency angiography can directly show the condition of the coronary arteries, whether there is a blockage or simply myocardial damage, it can be determined in one examination."

"If it is a myocardial infarction, we can immediately perform interventional treatment to open the blood vessel; if it is indeed myocardial damage caused by electric shock, we will continue to strengthen symptomatic treatment. This is both safe and avoids delaying the condition."

Looking at Zhou Cheng's determined eyes, and then at the patient struggling in pain on the hospital bed, Li Degang frowned deeply and fell into deep thought.

Zhou Cheng's suggestion was bold, but it also made sense.

The current treatment is indeed ineffective, and continuing to wait is too risky.

Chen Ming and Peng Fangcheng exchanged a glance, their eyes showing hesitation, before nodding. Clearly, they agreed with Zhou Cheng's assessment, but the final decision rested with Li Degang.

……

After a long silence, Li Degang finally broke the stillness in the emergency room and said in a deep voice, "Zhou Cheng is right, we can't wait any longer. We've been treating the symptoms for half an hour, but there's been no relief, and the myocardial enzymes are still rising. If we keep going, even if it's confirmed to be myocardial damage in the end, the myocardium will already be irreversibly necrotic. We must do an emergency coronary angiography immediately."

He turned to look at Dr. Chen Ming, the director of the cardiology department, and said with an unquestionable determination, "Dr. Chen, let's get the catheterization lab started. We can't delay any longer."

Director Chen Ming's brows furrowed even more.

Looking at the persistently elevated ST segment on the electrocardiogram, he pointed out the most pressing problem: "We've already notified the catheterization lab, but we simply can't gather enough people to perform the procedure. It's almost Chinese New Year, and all the interventional assistants in the cardiology department who can perform the procedure have gone on leave to go back to their hometowns. There's only one technician and one nurse on duty in the catheterization lab, and the only interventional physician who can help out lives in the suburbs. It would take him at least half an hour to get here from home."

"Given the patient's current condition, can we wait even half an hour? There's a constant risk of sudden ventricular fibrillation or cardiogenic shock. An emergency angiography cannot be performed by a single surgeon without a reliable assistant. The surgical risks will increase several times over. Who will be responsible if something goes wrong?"

Peng Fangcheng, who was in the ICU, frowned and nodded: "The patient's vital signs look stable now, but it's like walking a tightrope. Myocardial necrosis is progressing every minute. Every minute we wait, the prognosis will be worse. But the lack of assistants for the surgery is indeed an insurmountable obstacle."

The atmosphere in the emergency room fell silent once again.

On the hospital bed, the patient's groans grew louder and louder, and cold sweat kept pouring down his forehead.

On the monitor, the patient's heart rate began to rise uncontrollably, from 92 beats per minute to 115 beats per minute, and the blood pressure also showed a slight downward trend.

Chen Xi and Li Yang stood aside, somewhat anxious but unable to help. They could only stare intently at the monitor, fearing that a fatal arrhythmia might occur at any moment.

……

Just when everyone was at a loss.

Zhou Cheng took a step forward, looking directly at Chen Ming: "Director Chen, I can be your assistant."

These words plunged the emergency room into dead silence once again.

Chen Ming suddenly turned to look at Zhou Cheng, his eyes filled with surprise and even disbelief. He looked Zhou Cheng up and down.

"Zhou Cheng? You're an emergency room resident. Coronary angiography is an interventional procedure in cardiology, not a routine clinical procedure. Have you ever been on an interventional table? Do you know what the assistant is supposed to do? Every second counts on the operating table; there's no room for unfamiliarity or mistakes. This is no joke."

It wasn't that he didn't trust Zhou Cheng's emergency care skills.

However, interventional surgery is highly specialized, requiring a high degree of coordination between the surgeon and assistant.

The assistant needs to prepare the table in advance, prepare the instruments, assist the surgeon in inserting the guidewire and catheter, monitor the pressure curve, and deal with emergencies during the operation.

Without experience working on dozens of cases, one simply cannot fulfill the role of an assistant in emergency angiography.

"Director Chen, I understand your concerns." Zhou Cheng did not back down at all, meeting Chen Ming's gaze. "I have systematically studied the complete operating procedures for coronary angiography. During my residency in cardiology, I assisted in coronary angiography and interventional surgery. I am familiar with the operator's operating rhythm and will definitely not hold you back, nor will I make any mistakes on the operating table."

After speaking, Zhou Cheng paused, then looked at the increasingly distressed patient on the hospital bed: "The patient can't wait another half hour. Every minute of waiting increases the risk of myocardial necrosis, and could even lead to sudden death during the wait!"

Chen Ming looked at the unwavering determination in Zhou Cheng's eyes, and then at the increasingly unstable readings on the monitor.

He waved his hand sharply: "Alright! Zhou Cheng, I'll trust you this once! Activate the emergency catheterization lab immediately and get ready to go on stage!"

At the command, the entire emergency room sprang into action instantly.

"Director Peng, could you please arrange for ICU nurses to oversee the entire process, providing life support during the surgery, and ensuring that a defibrillator and resuscitation medications are readily available to respond to emergencies such as ventricular fibrillation or cardiogenic shock?"

"Old Li, you stay in the emergency room. Administer a 300mg aspirin + 180mg ticagrelor dual antibody loading dose to the patient. Complete the preoperative infectious disease and coagulation function tests urgently. Contact the on-duty nurse and technician in the catheterization lab; they must all be there within five minutes. Get the equipment started and tested!"

"Zhou Cheng, come with me to the catheterization lab. Change into your lead apron; we'll quickly review the surgical procedure and emergency plan before the procedure!"