"Doctor, what should we do now? Will my sister be in danger?"
The older sister of the girl looked at Zhao Heng anxiously and asked.
After hearing Zhao Heng's series of questions, she also realized that there might have been an operational mistake at the previous hospital, inserting the gastric tube into the trachea.
Though she was filled with anger, the most crucial thing now was whether her sister could be saved. As for the hospital's previous mistake, she would seek an explanation after her sister was rescued and her parents returned.
"It's now almost certain that the patient has been poisoned by an overdose of benzodiazepines. Since effective gastric lavage wasn't done earlier, the patient is showing clear signs of respiratory suppression and acidosis, so be mentally prepared."
Zhao Heng spoke with a grave face. Honestly, it was his first time encountering such a situation.
"Doctor, you have to save her. She's only fourteen!"
The older sister pleaded with tears in her eyes.
"Don't worry, we'll do our best."
Zhao Heng nodded reassuringly.
"Dr. Liu, do you have a moment?"
Pausing, Zhao Heng spoke to Liu Meng, who stood by with a sympathetic expression.
"Yes."
Hearing Zhao Heng's question, Liu Meng quickly nodded. She knew that although Zhao Heng was technically just a fellow resident like her, his skills were unmatched by typical resident standards.
Therefore, being able to assist Zhao Heng in rescuing the patient was also a valuable learning opportunity for her.
"Given the current situation, we must perform a central venous catheterization on the patient. Dr. Liu, please assist me."
Zhao Heng said.
Given the situation, Zhao Heng strongly suspected that at the local hospital, the emergency doctor mistakenly connected the endotracheal tube to the lavage machine. The required fluid volume for gastric lavage is substantial, and according to Zhao Heng's estimation, at least 400-500 milliliters of fluid had been pumped into one of the girl's lungs before being suctioned out. Honestly, the fact the girl had managed to endure this long was quite remarkable.
"Okay."
Without a second thought, Liu Meng agreed. She was eager to witness the reputed skills of Zhao Heng.
There's a buzz around the hospital saying that Zhao Heng from the Anesthesiology Department is the top emergency handler at Eastern Hospital, especially in critical care and emergencies.
Regardless of where the notion originated, hardly anyone disputed it, as Zhao Heng's handling of critical patients time and again had cemented his status as the top emergency doctor at Eastern Hospital.
Before long, Liu Meng and Zhao Heng prepared the hemofilter, hemofiltration machine, and central venous kit together.
"Dr. Zhao, are you preparing for central venous catheterization? But with the patient's lungs filled with so much fluid, in a state of pulmonary edema, won't it be challenging to ensure a clear surgical view?"
Seeing that Zhao Heng was preparing for central venous catheterization, Liu Meng couldn't help but ask skeptically.
Given the circumstances, while central venous catheterization would be the most direct and effective treatment, the severe pulmonary edema made the procedure significantly more challenging. For her, performing central venous catheterization in such conditions was beyond capability.
Moreover, she believed that even among the emergency department's doctors, few could perform central venous catheterization under such dire and complex situations.
"In this situation, there's no clear visualization for puncture; we have to do a blind puncture."
Zhao Heng explained.
Blind puncture, a seemingly magical technique, may occur only once in a lifetime for some doctors. However, for Zhao Heng, who had assimilated a vast array of medical skills, it had almost become a routine operation.
"Alright."
Liu Meng nodded, eyes wide with anticipation; in the many storied accounts of Zhao Heng, there were several instances of blind punctures performed without any surgical visualization.
She was eager to see how this remarkable feat was executed.
Very quickly, Zhao Heng prepared for the puncture.
However, to Liu Meng, it seemed like he was doing it in complete darkness, without the slightest hint of a visual guide for the puncture.
"Dr. Liu, please hand me the puncture sheath."
Zhao Heng almost instantaneously determined the puncture spot and instructed Liu Meng.
"What? Dr. Zhao, have you already determined the puncture site?"
Liu Meng looked incredulous.
For her, almost everything seemed like a blind spot. With her experience and skills, she couldn't fathom how one could determine the puncture site in such conditions.
But Zhao Heng just took a glance and made the decision?
This was truly extraordinary—the ability to make such rapid and accurate judgments was something she believed even Song Siming, the chief of the emergency department, might not possess.
She wondered how Zhao Heng had honed such remarkable skills.
"Alright, we can begin. Dr. Liu, please hold the puncture sheath in place."
Zhao Heng calmly instructed with an air of inevitability.
For him, this level of blind puncture wasn't particularly challenging.
After integrating and assimilating so many physicians' skills and experiences, Zhao Heng's anatomical judgment had reached a point where he almost functioned like a human-shaped 3D imaging machine.
While others needed various imaging tests to locate anatomical positions, Zhao Heng could directly determine them through experience, with accuracy that even surpassed machines.
Of course, it was only through integrating and assimilating skills from so many doctors at Eastern Hospital that Zhao Heng possessed such phenomenal abilities, which were essentially non-replicable.
"Okay."
Liu Meng paused for a moment, then nodded. Her eyes widened, not daring to blink.
Soon after, Zhao Heng proceeded with the operation. As if blessed with X-ray vision, his procedure adhered to the essence of precision, certainty, and swiftness, without the slightest hesitation. With deft and accurate movements, Zhao Heng completed the puncture. The entire process was executed smoothly and was visually pleasing, akin to viewing an exceptional performance of art, leaving Liu Meng utterly awestruck.
To achieve such surgical prowess was truly astonishing in Liu Meng's eyes!
After completing the puncture, Zhao Heng activated the hemofiltration machine and soon began the first blood perfusion for the girl.
It was safe to say that until now, the girl, after overdosing, was finally receiving effective treatment.
As blood perfusion continued, the girl's condition gradually stabilized, allowing Zhao Heng and Liu Meng to breathe a sigh of relief.
Standing nearby, the girl's older sister seemed less panicked than before.
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