My Medical Skills Give Me Experience Points Chapter 1593 648: Unexpected, No Longer Needed

~6 minute read · 1,491 words
Previously on My Medical Skills Give Me Experience Points...
Zhou Can assesses Mr. Song's condition, noting neural atrophy due to immobility. He believes nerve repair through brain surgery is possible, despite the risks. When Zhou Can explains his treatment plan, Mr. Song becomes agitated and demands he leave, while Housekeeper Bian expresses concern about the patient's fragile state and the potential consequences.

Zhou Can really isn't just boasting.

The high ranking rate is indeed true.

Of course, it also has to do with the fact that he handles fewer critical cases.

In any case, his strength in this area is extremely strong, and that's a fact.

Even the directors of the Intensive Care Medicine Department often call Zhou Can for help in emergencies.

The Emergency Department and the Intensive Care Medicine Department are located close to each other.

If there's an issue, unless Zhou Can really can't leave, he rushes over at top speed to save lives.

"You... you're truly fearless out of ignorance! Who is Mr. Song? How could you let him be in a situation requiring rescue?"

Housekeeper Bian was so angry that his hands were trembling.

Indeed, what you fear will come true.

The nurse in the room opened the door, looking panic-stricken.

"Quick, quickly prepare an ambulance to take him to the hospital. Mr. Song's breathing and heart rate are severely compromised."

After speaking to Housekeeper Bian, the nurse shot a fierce glance at Zhou Can.

Her job security was threatened, and she might be facing even greater risks.

After all, she should be aware of the consequences Dr. Xu faced back then.

"The nearest hospital is twelve minutes away by car, and the strongest rescue capabilities in the province are at Provincial People's Hospital and Tu Ya, which are over twenty minutes by car. If anything goes wrong, it won't be in time. I've worked in intensive care, let me help with the rescue."

Zhou Can said to the nurse.

"Hmph, who do you think you are? I've won the Intensive Care Medicine Department nursing championship for three years. Director Cheng in there is a leading figure in intensive care medicine, famous nationwide."

Although the nurse didn't continue, her implication was clear.

With such talented intensive care specialists like her and Director Cheng handling the rescue, if even they couldn't manage, could a young man like Zhou Can succeed?

"I'm just a regular doctor, but according to the doctor's code, I have the obligation to participate when someone needs emergency care on the spot."

Zhou Can said, entering the room with her.

This time, Housekeeper Bian didn't stop him.

There was no time to care.

He was frantically calling for an ambulance and reporting to the family head.

Bringing Zhou Can in today was certainly with the family's permission.

Now something has gone wrong, a big trouble has been caused.

He was very fearful, worried about losing this steward position.

"Why did the blood oxygen saturation suddenly drop so low? Quickly measure the central venous pressure!"

Upon entering, Zhou Can glanced around, first checking the ventilator settings.

Director Cheng truly was highly skilled in intensive care medicine, as setting the ventilator settings in normal circumstances might be easy. But in emergencies like this, making the correct adjustments is crucial, and each tweak is very precise, testing the doctor's capability.

At least from Zhou Can's perspective, the ventilator settings adjustments were excellent.

Director Cheng only gave him an indifferent look without responding to what Zhou Can said.

What's the joke? Have him, a seasoned intensive care medicine director, listen to a young man's commands?

"You don't object to me measuring the central venous pressure, do you?"

Zhou Can had to handle it himself.

This operation is quite complex and carries certain risks.

"Get out!"

Director Cheng only uttered three words.

"In Mr. Song's current condition, he won't even make it to the hospital before he's gone. You won't keep your jobs, and you might face further repercussions. I need to measure the central venous pressure to understand the right atrial pressure, which is crucial. Based on experience, his right atrium definitely has some issues. Exactly what they are, I don't know; it could be a valve problem or myocardial hypertrophy..."

Before Zhou Can could finish, Director Cheng's gaze at him changed slightly.

"What's your purpose in measuring the central venous pressure?"

Clearly, Zhou Can pointing out the issue with the patient's right atrium directly made Director Cheng view him with a bit more respect.

Everyone here is a top expert in intensive care medicine, and professionals quickly recognize competence.

Zhou Can pinpointed the issue with only a glance, a skill far beyond that of a typical chief physician.

"To get the real data of the right atrial pressure."

Zhou Can answered crisply.

"Then what?"

"Of course, to understand the circulatory blood volume and heart function!"

"And then?"

Director Cheng inquired further.

"Rescue the patient symptomatically to save his life. Determine if cardiac support is needed."

Zhou Can added.

The nurse looked at Zhou Can with a surprised expression, then calmly assisted Director Cheng, demonstrating high-level nursing competence.

Anyone invited to care for Mr. Song must be exceptional!

How much compensation does it take to hire these two?

"Come over and take over my task, I'll measure the central venous pressure."

Director Cheng was convinced by Zhou Can.

The nurse looked at both of them again with astonishment.

Upon taking over, Zhou Can immediately displayed a highly professional rescue skill set, making the nurse and Director Cheng look at him with new eyes once more.

The central venous pressure was quickly measured.

Glancing at it, Zhou Can took less than half a second to say decisively.

"Immediately administer a cardiotonic! Increase the dosage by 0.5 times!"

At this moment, the patient's SCVO2 had dropped to about 40 and was still falling. According to critical care experience, an SCVO2 below 40 has a very high mortality rate.

No wonder the two highly skilled medical staff were so tense, prompting Housekeeper Bian to call for an emergency ambulance transfer.

Upon entering, Zhou Can noticed an ambulance already parked in the garage.

The Song family indeed was extravagant, truly an elite family.

"Are you sure administering a cardiotonic won't have adverse effects?"

"If something goes wrong, I alone will bear the responsibility."

Zhou Can stated firmly.

In rescuing critically ill patients, doctors and nurses often have no choice.

If they weren't willing to take the risk, even hesitating for just a second or two, the patient's life might slip away.

Without another word, Director Cheng signaled the nurse to prepare the cardiotonic immediately.

"I'll administer it."

Zhou Can almost snatched the syringe from the nurse's hand.

Then he directly injected it into the jugular vein.

The nurse next to him could not stop him in time, and at her age of over forty, she turned pale with fright.

Under normal circumstances, injections should either be intramuscular in the buttocks or administered via the radial vein.

Injecting directly into the jugular vein not only has high difficulty in puncture but also carries significant risks.

Of course, the benefit is faster efficacy.

Intramuscular injection in the buttocks is the slowest in effectiveness.

The radial vein, located in the arm, is a certain distance from the heart ventricle, and since the patient has lost much nervous system function, blood circulation in the hands is significantly slower than normal.

"Severe cases require aggressive treatment; without injecting into the jugular vein, he will surely die."

Zhou Can said just one sentence.

Having said that, the cardiotonic was administered, and he didn't immediately withdraw the needle.

Instead, he waited about two seconds before withdrawing it, gently pressing on the spot.

The whole process of puncture and injection was completed in less than a second. The injection skill exhibited was actually superior to the nurse who had won the skills competition three times.

Besides being in awe, the nurse was even more admiring.

This young man is truly remarkable.

His strengths in every aspect are simply overwhelming.

"SCVO2 is up, it's up!"

Director Cheng exclaimed excitedly.

Zhou Can seemed to have anticipated this result.

He walked to the ventilator and calmly adjusted the settings in real-time according to the patient's condition.

This time, surprisingly, neither Director Cheng nor the nurse stopped him.

They just watched quietly.

At any time, skill determines everything.

The capabilities Zhou Can displayed earlier needed no further explanation.

They immediately inspired trust in his abilities and competence from both Director Cheng and the nurse.

As the patient's vital signs fully recovered, Zhou Can remained calm. Director Cheng and the nurse, on the other hand, seemed to breathe a collective sigh of relief like they had dodged a bullet.

By this time, Housekeeper Bian had hurriedly walked in.

"The ambulance is ready, Mr. Song can be moved to the vehicle."

"No need to transfer anymore!"

Director Cheng replied.

"Ah... does that mean... Mr. Song has already..." Housekeeper Bian's face turned completely pale, his heart sinking to the depths.

He thought Mr. Song had already passed away.