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

Chapter 628: Emergency Treatment of Renovation Workers – A Dangerous Situation!!

The young coworker, Xiao Liu, had a completely broken voice.

He knelt on the ground, holding his phone, trying to make a call, but his fingers were shaking so badly he couldn't press the keys accurately.

Old Wu collapsed next to a pile of planks and scraps, his face turning from dark to deathly pale, and his lips trembling.

The electric cutting tool had been left aside.

The saw blade stopped.

But people didn't stop.

Blood was still gushing out.

"Don't move! Don't move, Angkor!"

Xiao Liu panicked so much that tears welled up in her eyes.

He instinctively wanted to move the tools next to him away, but was afraid of touching his wound.

I froze on the spot, completely at a loss for what to do.

"Help! Is there a doctor?!"

"boom--"

Just then, the door next door was suddenly pushed open.

Zhang Lingchuan and Song Wanqing rushed in.

"What's going on!"

As soon as Zhang Lingchuan entered the room, his gaze immediately fell on Old Wu on the ground.

He hardly hesitated.

In that instant, all the fatigue in my mind vanished.

The doctor's instincts took direct control of the body.

"Zhang Laoshi!"

Song Wanqing had just followed in when she saw the situation on the ground, and her face turned pale instantly.

She'd seen resuscitation before, but the impact of someone collapsing to the ground just a second after renovations were happening next door was still too much.

"Don't panic."

Zhang Lingchuan's voice was deep.

"Comrade Xiao Song, call 120 immediately and tell them that the person injured by a chainsaw at the apartment building renovation site is male, unconscious, bleeding heavily, and suspected to have an open wound to the chest and abdomen."

"Tell them to bring trauma first aid equipment, oxygen, monitoring and hemostasis materials, and to give them the address clearly so they can meet you at the elevator entrance."

……

"it is good!"

Song Wanqing immediately took out her phone.

Her hand trembled slightly, but she quickly steadied it.

Zhang Laoshi is here.

She must not panic.

"you!"

Zhang Lingchuan looked at Xiao Liu.

"First, turn off the power, stop all tools, do not touch the cutting machine, and do not move the injured person."

Xiao Liu felt like he had finally found his pillar of support.

"well!"

He scrambled over and unplugged the power cord.

"Brother Wu, Brother Wu, hang in there! The doctor is here!"

Zhang Lingchuan squatted down next to Lao Wu.

At first glance, he knew the situation was very bad.

The wound was near the junction of the left chest and abdomen. It was a large open wound caused by the cut, and the surrounding clothes were stained red.

The key issue is that the location is too dangerous.

The upper part is the chest cavity.

Below is the abdominal cavity.

If the cut is just a superficial wound, it's fine. But if it damages the intercostal vessels, abdominal wall vessels, or even affects the diaphragm, spleen, or lower edge of the lungs, it can be fatal.

Old Wu was breathing rapidly.

He was breathing heavily.

My forehead was covered in cold sweat.

"Old Wu, can you hear me?"

Zhang Lingchuan patted him on the shoulder, and Old Wu's eyelids twitched.

"pain……"

The sound was very weak.

"Chest...stomach..."

He spoke haltingly.

"Don't talk, save your energy."

Zhang Lingchuan immediately spoke.

"Now I am the doctor, I will handle this."

He reached out and touched Old Wu's carotid artery.

Still.

But it's very fast, and very weak.

The radial artery is now very difficult to feel.

This means his peripheral circulation is already very poor.

It's not just simple pain.

It's shock.

"Damn it."

Zhang Lingchuan's heart sank.

The amount of bleeding and the location of the bleeding are extremely dangerous.

Similarly, the other party also had a familiar red tag hanging above their head.

System scan complete.

Patient Name: Wu Jianhe.

[Patient's gender: Male.]

[Patient's age: 46 years old.]

[Patient Status: The patient sustained an open wound to the left chest and abdomen due to the rebound of an electric cutting tool during renovation work. Currently, the patient is confused, pale, sweating profusely, breathing rapidly, and speaking haltingly. The carotid pulse is weak and rapid, while peripheral pulses are feeble, suggesting significant blood loss in a short period. Preliminary heart rate is estimated at 142 beats/min, blood pressure at approximately 78/45 mmHg (showing a decreasing trend), and respiratory rate at 32 breaths/min, indicating a risk of progression to hemorrhagic shock.]

[Patient Diagnosis: Open thoracoabdominal injury caused by a chainsaw, suspected deep vascular injury to the chest and abdominal walls, and injury to the thoracic cavity, diaphragm, and abdominal organs cannot be ruled out. The patient has entered the progressive stage of hemorrhagic shock and is classified as a high-risk patient with a red label indicating a critical condition.]

[System notification: The patient's injury site is sensitive, posing risks of continuous blood loss, pneumothorax or hemothorax, abdominal organ damage, shock progression, and circulatory collapse within a short period. On-site management should prioritize: ensuring environmental safety, maintaining an open airway, controlling external bleeding, keeping the patient in a stable position, avoiding blindly removing or pulling on foreign objects or wound tissue, and transferring the patient to a hospital with trauma surgery and emergency surgical capabilities as quickly as possible. If bleeding cannot be controlled or blood pressure continues to drop, the patient may experience loss of consciousness and cardiac arrest within a very short time.]

[Ding! Emergency out-of-hospital rescue mission activated! The patient is currently in a high-risk state of trauma and blood loss. Please do your best to maintain vital signs before the ambulance arrives. Successfully completing the on-site rescue and assisting in the transport will earn you corresponding rewards.]

Lines of text fell down.

Zhang Lingchuan's eyes darkened completely.

really.

I'm about to die.

"Comrade Xiao Song, have you gotten through to 120?"

"It's connected!"

Song Wanqing's voice was strained.

"They asked about the specific floor and the extent of the injuries!"

"Tell them about the chainsaw wound to the left side of the chest and abdomen, the risk of hemorrhagic shock, and request that an ambulance be dispatched as soon as possible."

Zhang Lingchuan speaks very quickly.

"Tell them not to go to the wrong building downstairs, and to call us immediately when they arrive."

"understand!"

Song Wanqing quickly repeated it.

"This is Chunshi... apartment building... which floor... yes, male, over forty years old, chainsaw injury, Dr. Zhang said it's suspected hemorrhagic shock, open wounds to the chest and abdomen, dispatch an ambulance immediately!"

Song Wanqing's voice trembled noticeably.

But she made it very clear.

This is a skill I developed after spending a long time with Zhang Lingchuan.

The more urgent the situation, the more important it is to clearly explain the key information.

Zhang Lingchuan's team has already begun a rapid assessment.

"Old Wu, don't move."

He looked up at Xiao Liu.

Do you have clean towels, gauze, or a first-aid kit?

"Yes, yes! We have gauze in our toolbox!"

Xiao Liu quickly replied.

"Bring them here, along with clean clothes and towels."

Zhang Lingchuan urged.

"it is good!"

Xiao Liu immediately went to look it up.

Zhang Lingchuan did not press directly on the center of the wound.

Because the cut site is complex, and the surrounding tissue may be torn.

If you press it down haphazardly, it may cause secondary damage.

But not pressing it won't work either.

Bleeding is ongoing.

He could only apply local pressure around the wound, avoiding obvious deep open areas, while using folded gauze and a clean towel to create a pressure surface.

"Don't move, just bear with it."

Zhang Lingchuan said in a low voice.

"what……"

Old Wu was in so much pain that his whole body convulsed.

"Hold on, don't move."

Zhang Lingchuan spoke sternly.

"If you move around now, the bleeding will start to happen faster."

Old Wu seemed to understand, his body stiffened, and he didn't even dare to breathe too hard.

Xiao Liu quickly brought over the gauze and a clean towel.

"Doctor, here!"

Zhang Lingchuan took it.

"Kneel here and do as I say, don't press down on me randomly."

Xiao Liu nodded repeatedly.

"Good good!"

"Put your hands here and hold them down."

Zhang Lingchuan guided his hand to a certain position.

"Keep the pressure steady, don't switch between light and heavy pressure. If blood seeps out, don't lift it up to check, keep applying pressure, understand?"

Lack of manpower.

If the other party can help, then we should let them help first.

"I know, I know!"

Xiao Liu's face turned pale, but he still did as instructed.

Zhang Lingchuan quickly took a moment to observe Lao Wu's breathing.

The asymmetrical rise and fall of the chest is not obvious, but the breathing is rapid.

No obvious airway obstruction was observed at the time.

The injury to the left side of the chest and abdomen could absolutely not rule out hemothorax or pneumothorax.

"Old Wu, look at me."

Zhang Lingchuan gently turned Lao Wu's head to one side to prevent oral secretions from affecting his breathing.

"Don't sleep, do you hear me? Don't sleep."

Old Wu's eyes were starting to glaze over.

"Sleepy……"

He said.

Even when you're tired, you can't sleep.

Zhang Lingchuan's voice turned serious.

Where's your wife? What's your family's phone number?

"I, my wife..." Old Wu's lips trembled.

"Deliver...deliver the materials..."

"what is it call?"

"Liu... Guifang..."

The sound grew weaker and weaker.

"Give me the phone!"

Zhang Lingchuan looked at Xiao Liu.

Do you know his wife's phone number?

"I know, I know!"

While pressing down, Xiao Liu said in a flustered manner.

"Sister-in-law Wu is delivering materials nearby downstairs. She just went to her car to get something!"

"Tell her to come up here."

Zhang Lingchuan said.

"But don't let her rush over and touch the injured person."

"it is good!"

Just as Xiao Liu was about to reach for his phone, Song Wanqing had already reacted.

"Give me the number, I'll call."

Xiao Liu immediately gave out the number.

While keeping in touch with 120 (emergency services), Song Wanqing also dialed Liu Guifang's number.

"Hello? Are you a family member of Wu Jianhe?"

Something's happened here. Are you downstairs right now?

"Yes, I'll be right up, but don't panic, Dr. Zhang is on-site providing emergency care."

Even when Song Wanqing said this, she herself was unsure of herself.

Because she could tell that Zhang Lingchuan's expression was very serious, more serious than any expression he had shown during the live broadcast.

"Mr. Zhang, the ambulance said it has already been dispatched and will arrive in about ten minutes at the earliest."

"Ten minutes."

Zhang Lingchuan's heart sank when he heard the time.

This kind of bleeding can last a long time, even ten minutes.

Very long.

Do you have a blood pressure monitor?

"No."

Xiao Liu's voice trembled.

"How could we possibly have that?"

"Where's the water? Do you have a thermal blanket?"

Zhang Lingchuan asked.

"There are clothes and coats!"

"Give it to me."

Xiao Liu quickly grabbed the thick coat next to him.

Zhang Lingchuan told him to cover Old Wu with the blanket.

Keeping warm is very important during hemorrhagic shock.

A drop in body temperature can worsen blood clotting.

This is a very troublesome vicious cycle in trauma care.

Bleeding.

Hypothermia.

Coagulation disorder.

Acidosis.

One inside the other.

"Dr. Zhang, is he dying?"

Xiao Liu was crying.

"Don't panic, he's still alive, we still have hope of saving him!"

Zhang Lingchuan gave him a serious look.

"Okay, okay, I'll hold it down, I won't let go."

Xiao Liu was startled by those words, yet they also seemed to sustain her, and tears streamed down her face.

Zhang Lingchuan continued to check the area around the wound. After applying pressure, the external bleeding decreased slightly.

But as a seasoned doctor, he knew that this didn't mean everything was alright.

If there is still internal bleeding, even if it appears to have less on the surface, the person will still collapse, and Lao Wu's mental state is deteriorating.

"Old Wu, tell me, are you having trouble breathing?"

Old Wu's lips moved.

"stuffy……"

"Chest tightness?"

Old Wu nodded slightly.

Zhang Lingchuan's heart sank.

Chest tightness.

Shortness of breath.

A wound at the junction of the chest and abdomen.

If a chest cavity injury does occur, it will be even more troublesome.

However, there was no monitoring, no oxygen, and no video recording at the scene.

He cannot perform blind, invasive procedures.

The most important thing now is to stay alive until the ambulance arrives.

"Comrade Xiao Song, go wait for the elevator at the entrance. Once the ambulance arrives, bring them up directly."

Zhang Lingchuan said.

"Also, tell them to prepare a stretcher and a trauma kit, as the patient's condition is deteriorating."

"it is good!"

Song Wanqing immediately ran out.

Just as she reached the door, a woman suddenly rushed up from the end of the corridor.

The woman was wearing a dusty coat and gloves for handling materials.

His face was full of panic.

"Jianhe!"

When she saw the scene in the room, she was completely stunned, as if struck by lightning.

"Jianhe River!!"

This woman was none other than Lao Wu's wife, Liu Guifang.

She was indeed moving materials downstairs.

The couple came to Chunshi from out of town to work; one was responsible for the renovation, and the other was responsible for delivering materials, moving goods, and helping out.

To put it bluntly, I rely on this hard-earned money to support my family.

Who would have thought that in just a short while, the person would collapse to the ground?

"Jianhe! Don't scare me!"

Liu Guifang cried and tried to rush over.

"Don't come any closer!"

Zhang Lingchuan shouted it out directly.

Liu Guifang was so frightened that she stopped in her tracks, and tears welled up in her eyes instantly.

"Doctor, doctor, please save him! I beg you, please save him!"

Her legs went weak, and she almost knelt down.

Song Wanqing quickly helped her up.

"Auntie, don't go over there! Dr. Zhang is saving someone's life. If you go over there, it will interfere with the rescue!"

Liu Guifang was shaking violently.

"He was perfectly fine this morning."

“He told me this morning that after he finished here today, he would call his child when he got home tonight.”

"How could this happen!"

"How could this happen?!"

She wept bitterly.

"Sister-in-law, it's all my fault, I didn't hold on properly..."

That sound made Xiao Liu break down as well.

"Alright, everyone, quiet down. This isn't the time to talk nonsense!"

Zhang Lingchuan frowned.

"Okay! I won't say anything!!"

Xiao Liu immediately stopped and quickly continued pressing.

"You're a family member, right?"

Zhang Lingchuan looked at Liu Guifang.

"I'm his wife! I'm his wife!"

Liu Guifang nodded frantically.

Does he have any underlying medical conditions? High blood pressure, diabetes, heart disease?

No, no!

Liu Guifang said, crying.

“He is usually in very good health. He can lift boards and move bricks. He has no illnesses at all.”

Do you have any drug allergies?

"I don't know, I didn't say that."

Have you been taking aspirin, warfarin, or anticoagulants recently?

"No, no, we've never eaten anything like that."

Liu Guifang shook her head.

She couldn't understand the names of the medicines.

But she knew that her husband usually wouldn't buy medicine even when he had a cold.

Do you know your blood type?

"do not know……"

Liu Guifang burst into tears.

"Doctor, do I know nothing? Am I useless?!"

He was so anxious he was shaking his leg!

"How could it be useless? Just remember one thing: keep your phone on. We'll go to the hospital to sign the papers later, and we'll do our best to save you."

Zhang Lingchuan said.

"Thank you, doctor! Thank you, doctor!"

As soon as those words were spoken...

Liu Guifang cried even harder.

Zhang Lingchuan didn't have time to deal with these things.

He checked on Lao Wu's condition again.

My consciousness has faded further.

His breathing became more rapid.

Skin feels cold and damp.

This is the shock progressing.

"Wu Jianhe! Can you hear me?"

Zhang Lingchuan raised his voice.