This miracle doctor just wants to be fired!
Chapter 5 Rescuing the Wounded
The emergency center dispatcher's voice was noticeably hurried.
"Dr. Zhou Cheng, are you near Minghu Residential Area right now?"
"A multi-vehicle collision occurred at the Minghu intersection, 2 kilometers away. Three vehicles collided, and five people have been confirmed injured so far."
"Two of them are unconscious with head bleeding, and one has an open fracture of the lower limb. You are the closest, so hurry over to provide assistance. The other ambulances won't arrive for another twenty minutes!"
"Received! We're on our way!" Zhou Cheng replied instinctively.
He was about to explain to the woman when she suddenly grabbed his arm and shouted, "No! You can't leave!"
"You need to take me to the hospital to be admitted first!"
"I already told you I feel unwell, my heart is pounding. What if something happens to me if you leave?"
"Are you going to take responsibility?"
Zhou Cheng patiently explained, "Auntie, there's been a car accident up ahead. Two people are unconscious and bleeding from their heads. If they aren't rescued in time, their lives could be in danger. I have to get there first."
At the same time, he took out his phone and showed her the dispatch information from the emergency center.
"Auntie, look, this is a dispatch order, I didn't leave on purpose."
"Your situation isn't urgent. I can contact another ambulance now. They'll be there in ten minutes at most. A doctor will take you to the hospital, and you can be admitted there."
"I don't care about any dispatch orders! I just want you to take me!"
The woman persisted, leaning forward as if she were about to pounce on Zhou Cheng.
"If you dare leave, I'll file a complaint against you at the hospital! I'll say you ignored the patient's life and death! I'll see if you still want your job!"
As soon as the word "complaint" left his mouth, Zhou Cheng's heart suddenly stirred.
If he prioritizes treating more critically injured car accident patients, and the woman complains about him out of dissatisfaction, wouldn't that be considered a complaint caused by actively provoking the patient?
He immediately asked the system in his mind: [Does prioritizing the treatment of critically injured car accident patients, leading to current patient complaints, violate the rules?]
[Situation detected: The car accident patient suffers from life-threatening injuries such as "traumatic brain injury and coma" and "open fracture," meeting the medical principle of "prioritizing the treatment of critically ill patients."]
The host has fulfilled their obligation to inform and contact alternative rescue, and their actions have not violated medical ethics.
[Patient complaints are based on personal subjective will and have no direct causal relationship with the host's professional decisions; therefore, they do not trigger any penalty mechanisms.]
The system's response delighted Zhou Cheng.
Isn't this exactly what he wanted?
He stopped arguing with the woman, gently pushed her hand away, and said firmly but politely, "Auntie, I'm sorry, but prioritizing critically ill patients is a medical principle. I must go and save the unconscious wounded first."
"Your ambulance is on its way."
"By the way, I am Zhou Cheng, an emergency room doctor at the First People's Hospital of the city, employee number 020451."
After saying that, he quickly wrote his name and employee number on a sticky note and stuffed it into the woman's hand so that she wouldn't be unable to find him if she went to file a complaint.
Seeing this, the woman was furious and jumped up and down, shouting from behind, "I'm definitely going to complain about you! You'll be fired!"
Without turning his head, Zhou Cheng got into the ambulance and immediately told the driver, "Turn on the hazard lights and siren, take the shortest route, we should be there in five minutes!"
After saying this, he paused slightly, then turned to Zhao Wenqi beside him and said, "Prepare an intubation kit and a defibrillator, just in case!"
"Okay." Zhao Wenqi nodded.
The ambulance set off again with its siren blaring.
……
Ten minutes later, the ambulance arrived at the scene of the accident, and the pungent smell of gasoline and blood hit the driver.
The three cars collided, and the front of the car in front was completely deformed, with its windshield shattered all over the ground.
In the back seat, a girl in a school uniform lay face down on the seat, her hair soaked in blood, motionless.
The door of the SUV next to it was smashed open, and the driver was leaning against the seat with a large gash on his forehead. Blood was flowing down his cheek to his collar, and he appeared to be unconscious.
Three other injured people were sitting by the roadside. One of them, a middle-aged man, was holding his deformed right leg. His trouser leg was soaked in blood, and he was trembling with pain.
Zhou Cheng took a deep breath, opened the car door, and rushed forward.
He rushed to the most critically ill, unconscious driver: "Sister Zhao, please take this patient's blood pressure first, I'll check his airway!"
"Received!" Zhao Wenqi replied with a serious expression and immediately began to cooperate with Zhou Cheng's rescue efforts.
Zhou Chengxian reached out and checked the man's carotid artery; the pulse was very weak and irregular.
"Sister Zhao! Bring the laryngoscope and endotracheal tube, and also prepare a bag of saline solution, quick!"
As Zhou Cheng spoke, his hands began to move.
He gently lifted the man's chin, trying to keep his neck in a neutral position to avoid aggravating his condition due to cervical spine injury. With his other hand, he opened the man's mouth and shone a flashlight into his throat.
The tongue was found to have fallen back and blocked the airway, which was the key reason for the weak breathing.
Zhao Wenqi quickly handed over the emergency equipment. Zhou Cheng took the laryngoscope, held the handle with his left hand, and slowly inserted the lens into the man's mouth.
Gently lift the epiglottis to clearly see the glottis, then pick up the endotracheal tube with your right hand and insert it quickly and smoothly into the glottis.
Next, Zhou Cheng immediately connected the simple respirator and closely observed the rise and fall of the man's chest while squeezing the balloon to confirm that the chest could expand normally with each squeeze.
Maintain a respiratory rate of 12 breaths per minute to ensure effective ventilation.
"What's your blood pressure?" Zhou Cheng asked Zhao Wenqi while pressing the balloon.
"Systolic blood pressure 85 mmHg, diastolic blood pressure 50 mmHg, blood pressure is low!" Zhao Wenqi's voice carried a hint of tension.
She hadn't encountered many such bloody car accident scenes.
Zhou Cheng's gaze swept over the wound on the man's forehead, where blood was still seeping out.
He immediately picked up a sterile gauze pad, folded it into a thick pad, and pressed it against the wound with the heel of his palm, gradually adjusting the pressure from light to heavy until the bleeding rate slowed down significantly.
"The wound is a scalp laceration. Temporary pressure is enough to stop the bleeding and stabilize circulation first."
"Sister Zhao, first establish an intravenous line and start infusing normal saline at full speed, then administer an injection of adrenaline!"
Just then, shouts came from the surrounding crowd: "Doctor! There's a child in the back row! And he's not moving either!"
Zhou Cheng's heart tightened, but his hands didn't stop moving.
The driver's breathing and circulation are on the verge of failure. The most critically ill patient must be stabilized first, otherwise, if the golden rescue time is missed, it will be too late.
"Don't touch the child yet, keep the scene still, I'll be there as soon as I'm done with this!"
He shouted to the crowd around him, then focused his attention back on the driver.
"Now, a few more people, help me move him onto the spinal board, making sure to keep his torso straight."
"The four people should lift their heads, shoulders, waist, and lower limbs respectively, exerting force in unison, without twisting their bodies."
Zhou Cheng loosened his hand from pressing the wound, replaced it with a sterile bandage to wrap it in a ring and secure it, ensuring that the wound would stop bleeding, and then directed Zhao Wenqi and the traffic police who came to provide support to work together.
The four men carefully lifted the man from the driver's seat, keeping his neck and torso on the same plane throughout the process to avoid secondary injury to his cervical and thoracic vertebrae.
After placing the person securely on the spinal board, Zhou Cheng used restraint straps to fix the limbs to prevent displacement during transport.
Zhou Cheng quickly said to Zhao Wenqi, who was standing next to him, "Sister Zhao, you take this patient back to the hospital first and directly contact the emergency room. I'll stay here to handle the rest of the patients."
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