Chapter 2
"Garrett...?"
The young man glanced up, his eyes meeting his. Ignoring him, Wu Zhou hurried to the injured person's side, swiftly scanning the area
No table.
No stretcher.
Not a single thing he could use as an operating table, not even a slightly elevated platform...
Desperate times call for desperate measures! Wu Zhou gritted his teeth. For a surgeon, anything below the waist was akin to a contaminated zone, operating on the ground violated all sterile protocols. But in this dire setting, there was no room to fuss over sterility. Save the patient first, worry about the rest later!
As he observed, Wu Zhou began giving orders:
"You! Come here, press here on his arm! Press firmly, don't let go, that's it! And here, on the leg, where I'm pressing. Good, keep it tight! More pressure! You! Hold this spot! You! Get his clothes off!"
"I can't get them off..."
"Then tear them! Cut them!"
The deputy chief physician of the emergency department exuded an aura of absolute authority.
Around three or four people acted on his every command, rushing about. Applying pressure to stop bleeding, removing clothes, boiling watereveryone was frantic, darting in and out of the small room without a moment to spare.
Even the young priest was summoned by Wu Zhou to press on the patient's brachial artery with his left hand and the posterior tibial artery with his right. The awkward positioning had him kneeling on the ground, contorted into a strange shape...
There were doubts about whether he truly understood. But in moments of desperation, when one person confidently issued commands, the others instinctively followed suit: it was like struggling in a flood, grasping at anything even a strawto survive!
Wu Zhou's eyes were fixed on the patient as he barked orders, kneeling down, his right hand feeling the patient's neck. He regulated his own breathing, counting the patient's heartbeat:
The heartbeat was okay. Less than 100... But it was getting faster, likely indicating significant bleeding! The pulsation of the carotid artery weakened, the face turned pale, sweating, breathing shallow and rapid...
A series of information flashed through his mind rapidly, each one a problem. Blood pressure? No idea. There wasn't even a sphygmomanometer here!
Guesstimation was the only option!New novel chapters are published on
Thankfully, after years in emergency medicine and countless scenes with the ambulance service, Wu Zhou's intuition was sharp regarding the severity of the patient's condition and possible injuries. The way this patient looked, the probability of hemorrhagic shock was significant!
The patient's leather armor lay scattered on the ground. The shirt torn open revealed a horrifying wound on the abdomen. A long gash, nearly 20cm, slanting from the upper right abdomen diagonally down to the lower left!
Blood gushed out in waves. Wu Zhou took just one look and felt his entire body shiver, his blood pressure skyrocketing.
Left lobe of the liver, right lobe...
"Ah, so much blood!"
"Shut up!"
Wu Zhou frowned. In the center of the vivid red right lobe of the liver, there was a fissure, running downwards, continuously gushing bright arterial blood!
His initial assessment was accurate; there was massive internal bleeding in the abdomen, and it was from the liver!
Liver parenchyma laceration, depth... he didn't dare to estimate precisely, but it seemed to be no less than 1 cm deep, coupled with substantial active bleeding
This was definitely a Grade III injury! Not the worst, but...
"Save him..." The young priest was now a bundle of nerves, stuttering and incoherent: "S-s-save him..."
Of course, I have to save him! The issue is, in an emergency room, this injury would be manageable, but in the middle of nowhere, resources are scarce!
Wu Zhou's heart raced, nearly pounding his ribcage to bits. He bent over, left hand pulling the abdominal wall, right hand delving into the patient's abdominal cavity. Lifting the liver, maneuvering the stomach, moving the intestines...
"What are... you doing?"
The trembling young priest inquired. Judging by his tone, he was close to passing outyet still observing. Acknowledging his admirable courage, Wu Zhou didn't hesitate to explain a bit more:
"Checking other organs for major bleeding. Hmm, no gallbladder, no spleen, kidneys... they're further back, less likely to be damaged, but I still need to check... Hmm, no obvious active bleeding, that's great!"
"A-and then?"
And then?
And then comes the real challenge. Wu Zhou had been a doctor for over a decade, and only twice, out of sheer necessity, had he performed such a procedure. In their entire provincial hospital, you could count the number of doctors brave enough to attempt this on one hand.
Buddha, Three Pure Ones, God and Mother Mary, any deity... please, let this patient's anatomy stay predictable!
He took a deep breath, gingerly grasping the hepatic portal veins and arteries.
"Wow! The bleeding's stopped! It's slowing down!... Not bleeding anymore!"
The young priest cheered. The gushing blood from the patient reduced instantly, from a torrent to a trickle, then to a slow seepage. The hemostasis effect was visible to the naked eye.
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