Holy crap, why is it a green train?

Damn bro, can you please stop blowing that cheap smoke at me?

Wang Xiao, who was used to taking bullet trains and high-speed trains, was not used to it. The six people were crammed into a small space and stared at each other.

But it's nothing, just bear with it, it'll only be a dozen hours, and we'll arrive in the evening.

Wang Xiao closed his eyes to rest, but then discovered that the seat could not be adjusted, and his shoulders and waist could only lean against one side.

I miss the high-speed rail, its fresh scent, comfortable seats, and reliable little tables. You only know how much you appreciate something when you lose it.

Even though the position was very uncomfortable, Wang Xiao was quickly hypnotized by the clattering rhythm of the train.

Suddenly, with a jolt, Wang Xiao's head slipped onto the shoulder of the girl sitting next to him.

Wang Xiao suddenly woke up with a start. The girl next to him blushed and smiled, "It's okay, we just went around a big bend."

It's quite cute. Wang Xiao was considering getting a QQ account when the car radio came on.

"Attention passengers! Attention passengers! On train K156 from Beijing to Kunming, an adult passenger in carriage 12 has choked on food and is experiencing sudden asphyxiation! We urgently need qualified medical personnel to assist in the rescue!"

If you are a doctor, nurse, or a passenger with relevant medical practice certificates, please contact the train conductor immediately after hearing the announcement, or proceed directly to the middle of carriage 12. Please keep your medical documents or equipment with you; the train will provide necessary assistance and support.

To ensure unobstructed access for emergency medical services, please refrain from gathering in carriage 12 to avoid crowding and hindering rescue efforts. Thank you for your kind assistance and cooperation. Let's work together to safeguard the lives and health of our passengers!

Wang Xiao felt a chill run down his spine. In his previous life, he had taken hundreds of flights and high-speed trains, but he had never seen anyone needing medical assistance during the journey.

Is this system cursed?

Does every episode have to feature a patient requiring emergency care?

Suspicious, Wang Xiao took out the equipment he was carrying; in fact, most of the suitcase was filled with his training equipment.

The train was packed with people the whole way, all crowding into carriage number 12. Were all these people doctors?

Carrying my equipment case, I finally managed to squeeze into carriage number 12, where I saw a group of train attendants surrounding the aisle in the middle.

A man who appeared to be over forty years old was being hugged from behind by a young woman. The woman clenched her right fist and punched the man in the upper abdomen.

A very standard Heimlich method.

Specialization: Orthopedics

Skills: Level 1 in Orthopedics; Level 1 in Emergency and Critical Care Medicine; Level 1 in General Surgery;

Operation: B+

Diagnosis: C-

Theory: B-

Scientific Research: C+

Collaboration: A+

Mindset: B

Recommendation: This young, inexperienced doctor possesses excellent communication skills and is suitable for recruitment as an assistant for further training.

Now that a doctor had arrived, Wang Xiao relaxed.

There's no need to step forward at this point. The more people there are, the more chaotic things will become. Doctors are also more likely to disagree, and without hierarchy, they might undermine each other.

Despite the female doctor's considerable strength, the patient's condition seemed dire, and no matter what she tried, she was unable to expel the foreign object.

Wang Xiao quickly asked the people around him what he had eaten.

A middle-aged woman in a floral shirt with disheveled hair rushed over and grabbed Wang Xiao's arm: "Doctor! Doctor! He ate too quickly and swallowed a large piece of meat with cartilage without chewing it properly!"

It's most likely stuck, and surgery is probably the only way to remove it.

At this point, the cyanosis on the patient's face had spread from the lips to the entire cheek and ear, and other measures had to be taken immediately.

The female doctor also realized that the situation was very dangerous and that an emergency airway had to be established around the throat.

She laid the patient flat on the ground, but he struggled violently in pain, and it took several flight attendants to subdue him.

Wang Xiao understood what she was about to do and immediately began disinfecting the equipment.

"Give me a scalpel!"

The flight attendant took out a small knife from the first aid kit that looked like it hadn't been used for over a decade.

"Use mine!" Wang Xiao slapped a gleaming No. 11 scalpel into the female doctor's hand.

【Ding! 】

[An impending surgery has been detected.]

[Perfect Surgical System activated.]

Ok?

Wang Xiao was puzzled as to why the system could be started even without his intervention.

Could it be because it touched the operator's hand?

It's a good thing the system has started, but what if something unexpected happens...?

Wang Xiao's eyes widened as she watched the female doctor make an incision into the patient's trachea.

Huh? Why would they need a tracheotomy?

There's no turning back now; the female doctor has already cut open the skin and subcutaneous tissue, attempting to separate the muscle tissue.

Tracheotomy, on the surface, is just cutting open the patient's trachea and inserting a tube, but in fact it involves deep cervical anatomy and requires precise differentiation of the trachea from key areas such as the common carotid artery, internal jugular vein, and thyroid isthmus.

Each patient's muscle development is different. Insufficient muscle separation can easily lead to deviation to one side, resulting in incomplete exposure of the trachea. Excessive separation can easily damage major blood vessels.

A standard tracheotomy is classified as a level 2 surgery, while an emergency tracheotomy in emergency situations, due to increased risks and operational difficulties, can even be considered a level 3 surgery.

Moreover, those who are truly skilled in tracheotomy are anesthesiologists or ICU specialists; it is not something that a doctor who only masters level one emergency surgery can handle.

The female doctor moved cautiously, cutting and separating the muscles little by little without anesthesia, for fear of damaging blood vessels.

The trachea was finally exposed.

The moment the female doctor made the incision, the patient suddenly convulsed. The scalpel not only cut open the trachea but also damaged the inferior thyroid artery.

The patient's vision was quickly obscured by blood as it flowed into the tracheal opening, causing him to cough violently.

【Ding! 】

The patient experienced asphyxiation and shock. The surgery failed.

[Start the time rewind module.]

[Current number of surgeries completed: 1]

Total backtracking attempts: 3

The world has crumbled and is reborn.

"No!" Wang Xiao pressed down on the female doctor's hand.

The female doctor looked up, her delicate face flushed with anxiety, as beautiful as a peach blossom.

Wang Xiao naturally followed the woman's face downwards. Having seen countless women, he judged that under the shirt that was about to burst, she was at least a 36D, and had a fit and healthy figure with both fat and thin parts.

I really want to see what such a voluptuous beauty would look like wearing a straight-cut scrub suit.

"What's wrong?"

"I'll do it!" Wang Xiao snatched back the scalpel, made a cut below the patient's Adam's apple, exposing the soft white cricothyroid membrane, and then used the tip of the blade to vertically cut the cricothyroid membrane about one centimeter wide, immediately producing the sound of gas being expelled.

Wang Xiao then took out the prepared rubber tube and inserted it into the trachea. She then took the simple respirator from the flight attendant, removed the mask, put the bag on the rubber tube, and began to squeeze it.

The entire procedure took no more than twenty seconds, and the patient's pain was immediately relieved.

A level one cricothyrotomy is much simpler than a tracheotomy, and it can also bypass the throat to establish an emergency airway.

However, the incision in the cricothyroid membrane is between the cartilages, and the gap is small, making it impossible to perform procedures such as suctioning. Therefore, it is not suitable as a long-term indwelling catheter.

The rhythm of the balloon compressions intertwined with the patient's gradually recovering breathing sounds.

The cyanosis of the lips faded little by little like the receding tide, the bluish-gray cheeks slowly regained a faint rosy hue, and the purplish-red of the earlobes gradually disappeared.

【Ding! 】

The surgery was successful.

[Current number of surgeries completed: 2]

It seems there are no rewards at all.

Wang Xiao chuckled inwardly; the reward had always been right in front of him.

"The patient's condition has stabilized. Notify 120 to come and pick up the patient at the next station."

Seeing this, the middle-aged woman who had been frantic knelt down before Wang Xiao with a thud, and thunderous applause erupted in the carriage.

As the onlookers gradually dispersed, Wang Xiao continued to press the balloon for the patient.

"Thank you for stopping me earlier. Let me do the pressure." The female doctor kept her head down beside Wang Xiao, feeling a little guilty for not being able to help earlier.

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