Chapter 112 The Nanny's Niece's Counterattack 112 ...

The results of the previous person's examination also came back: "A foreign object was inserted into the brain, and surgery is needed to remove it."

"Another one has developed hemothorax." Both situations are critical.

Lin Wei also described the examination results: "One of the children is suspected of having heart failure, and the other has a neck fracture and cannot be moved easily."

The question now is who to save first?

Soon, a group of people began to act. Since an ambulance could only carry one patient, with the driver's assistance, they first put the person in the driver's seat onto a stretcher and took them to the hospital.

His wife, sitting in the passenger seat, looked at him with a hint of reluctance in her eyes, her gaze following the movement of the stretcher.

After the ambulance left, when the paramedics and nurses tried to treat her, she reacted violently, saying, "My child, save my child first." She clung tightly to the nurse's clothes, even though she was seriously injured and on the verge of death, she still gave this answer.

Because she was uncooperative, the two of them eventually ended up in the back seat.

Lin Wei made way for her and brought over everything she needed, including an oxygen mask, nitroglycerin, and even a neck brace to stabilize her neck.

The paramedics were surprised to see her assuming a sitting position for the child suspected of having heart failure. However, since this wasn't the time to ask questions, they took the items from her after noticing what she was holding.

Because he discovered that the symptoms were indeed as she described; the child did indeed have neck pain and suspected heart failure. The next second, oxygen was administered as needed, and sublingual medication was given as appropriate.

Seeing that they could handle the situation, Lin Wei stepped forward and said, "Don't worry, your child is fine for now, but if you don't treat this wound, something serious will really happen."

As he spoke, he put another oxygen mask on her and applied pressure to the wound with gauze to stop the bleeding. Although he avoided the shard of windshield, he didn't feel as relieved as he had imagined.

The worst-case scenario is a progressive hemothorax; if that's the case, it might be too late to get to the hospital. She glanced at the back seat and felt they were acting far too slowly.

Because of this, she asked the intern nurse to help hold it down, saying, "Just keep this position and pressure, don't move, be careful not to get cut by the glass, and don't let the glass go any deeper." After giving her these instructions, she went to the back to help.

The intern nurse in front of her looked on nervously, wanting to say something but unable to, staring at the wound in front of her and exchanging bewildered glances with the woman in front of her.

Seeing her eyes opening and closing, I was worried she might fall asleep. I told her not to fall asleep, because if she never woke up again, it would really give me nightmares when I got home.

Although Lin Wei didn't urge him directly, the 120 doctor knew that time was of the essence, so he sped up and quickly immobilized the neck.

But the ambulance still hadn't arrived by then.

The nurse immediately called to ask what was going on, "What's the situation on your end? Why haven't they arrived yet?"

Not far from the Affiliated Hospital of University A, three ambulances were stuck in traffic. "There's a traffic jam here, and the traffic police are clearing it. It will take fifteen minutes to get there."

"Fifteen minutes?" the nurse exclaimed in shock. "That long!"

The 120 doctor hurriedly took the phone and said, "The patient's condition is quite critical. I'm afraid something might happen in fifteen minutes."

But traffic jams are traffic jams, and even at the fastest speed, the time is limited, so there's nothing the ambulance driver can do.

After hanging up the phone, the group looked at the unconscious, half-dead wounded woman in front of them, hoping she could hold on. The main concern was her hemothorax, which required immediate treatment; the other two children weren't in such a rush.

At this moment, Lin Wei placed the thoracentesis kit she had taken from the ambulance in front of the 120 doctor, saying, "If her condition worsens, we'll perform a thoracentesis." This was the only option at the moment.

In her opinion, emergency room doctors should all do these things.

However, she happened to encounter someone who didn't know how. The paramedic froze. "Do you think I would be so nervous if I knew how?" His thoracentesis technique wasn't very good. In this situation, who would dare to perform the procedure without absolute certainty? What if something went wrong?

Lin Wei's gaze froze. That was truly terrible news. She had thought she had a good memory and had brought her thoracentesis kit with her, but it turned out that the other person didn't know how to do it at all.

At that moment, she began to wonder if she was qualified to perform this procedure. The answer was no. Logically, she was qualified for Level 3 surgery, so she should be able to perform Level 1 surgery as well, but she wasn't sure, and she wouldn't take any risks.

One can only pray that this person is lucky and that the small amount of hemothorax doesn't develop into progressive hemothorax.

However, it was clear that Lin Wei's pleas were useless. Soon, the intern nurse said nervously, "The patient seems to have stopped breathing," which startled them.

How could he not be breathing? Had his heart stopped beating? Or were there other symptoms that weren't detected during the examination?

Lin Wei and the paramedics went over to check on her and found that she was still breathing. They breathed a sigh of relief, but their hearts quickly tightened again. Although she was still breathing, it had become unusually rapid. They knew that the worst-case scenario they had imagined had occurred.

"If we don't deal with it promptly, her breathing difficulties will only worsen, and she could very well suffocate and die."

In particular, the nurse checked her blood pressure and found that it had dropped below the safe level.

At this moment, the 120 doctor looked at Lin Wei and asked, "Do you know how to perform a thoracentesis?"—a pointless question.

Lin Wei gave a forced smile. "Yes, I can." Just as the 120 doctor showed his delight, she added, "But I don't have a medical license." This immediately froze his smile on his face.

If she were qualified to practice medicine, she wouldn't need to find him; she could have started the procedure herself.

However, seeing that the person's condition was becoming increasingly critical, she made a decision: "We can't delay any longer, let's perform a thoracentesis." This was the only way to save her now.

The ambulance doctor asked blankly, "Who's here? Is there anyone here who can perform a thoracentesis?"

Lin Wei looked at him with a puzzled expression. "You, are you perhaps me?"

The paramedic felt he'd been scolded; it was the first time he'd ever been so harshly criticized by an intern. Despite his uncertainty, seeing the patient on the verge of death, he ultimately agreed to her suggestion and decided to take the gamble.

Are we really just going to watch her die?

The two people talked for what seemed like a long time, but it actually lasted less than 30 seconds.

Soon the 120 doctors started the procedure.

The initial steps of positioning, disinfection, and checking for damage to the puncture needle tubing went well, but when it came time to actually administer the anesthetic, I still hesitated.

"I've only ever operated on mannequins, and that was during a training session at the institute a while ago. I've never actually operated on a real person." I felt like crying.

What if something happens to the patient in his care? It's all over. What if he inserts the needle into a nerve or blood vessel that shouldn't be inserted?

Upon seeing this, Lin Wei sighed and asked the nurse to get her a sterile glove. "Alright, give me the glove. He can guide me through the procedure later." In any case, it was only he who could guide her, not the other way around.

The paramedic nodded, understanding the meaning behind the words, but was still somewhat worried. "How confident are you that the puncture will be successful? What if something goes wrong?"

Lin Wei glanced at it and said, "Then let's do tracheal intubation, resuscitation, and open-chest surgery on the spot." Each of them was more ruthless than the other.

However, a small hemothorax is unlikely to require surgery; removing the foreign object is more likely.

While the ambulance crew was still in shock, she immediately began administering the anesthesia, her movements appearing remarkably smooth. Lin Wei first created a small papule, then slowly inserted the needle, numbing the area where the anesthesia was intended.

Once the anesthesia wore off, gauze was used to secure the scapula. The puncture needle was then inserted vertically along the gauze. When a slight resistance was felt, the needle was pushed forward a little further, resulting in a feeling of emptiness. The person then looked at the person next to them and said, "Use hemostats to secure it."

"Oh, oh." The paramedic quickly grabbed hemostats to clamp the needle shaft, preventing it from going any deeper into the chest cavity. His eyes were still a little dazed. Was it really over? So simple?

Unaware of his surprise, Lin Wei slowly drew out the blood with a 50ml syringe. Watching the patient's breathing gradually stabilize, she then pulled out the needle and applied gauze to stop the bleeding.

This process didn't take much time at all.

The paramedics examined her and found that her condition had indeed improved significantly; her blood pressure had also risen slowly. They asked, "Did you learn thoracentesis before?" Wasn't she an intern? How could she perform this procedure, and so skillfully at it?

Lin Wei then deliberately said, "Do you want to hear the truth? This is my first time doing this, but I've seen others do it." She knows the human body structure perfectly, and no one knows what's in each part better than her, so there's no possibility of puncturing the lung.

However, when the 120 doctor heard this, he immediately clutched his heart and asked, "Are you serious?" If she had said this before, he would never have dared to let her operate.

However, Lin Wei reminded her again, "Speaking of which, it's all thanks to your excellent teaching, teacher. I was operating under your guidance." That was quite a clever way to shift the blame.

The only thing that made the 120 doctor feel fortunate was that Director Li was her mentor. If something really happened, he would be the one to take responsibility, and he would only be an afterthought. Thinking this way, he breathed a sigh of relief and never suspected that Lin Wei was lying to him.

She's afraid of dying and won't do anything she's not sure she can handle. If it ruins her career, it would be a huge loss. So, of course, she's had a thoracentesis, but compared to major surgeries, these minor surgeries are no longer on her list.

Fifteen minutes later, the ambulance arrived as expected, and all three patients were loaded onto it. Those who needed surgery underwent surgery, while those who needed intravenous fluids received conservative treatment. The patient with the fracture was taken directly to the orthopedics department for treatment.

Lin Wei saw the first patient brought in by the ambulance in the ward and asked in confusion, "His injuries are very serious, why isn't he being taken for surgery?" The longer it is delayed, the more dangerous his condition becomes, and the less ideal his postoperative recovery will be. Isn't this something everyone should know?

Dr. Su Xiaofang: "His injury is in a rather dangerous location. There are very few surgeons who can do it; those who can are already performing the surgery in the operating room."

"To be honest, he was just unlucky. There was another person who could perform the surgery, but before he came to the emergency room, there was another critically ill patient who also needed surgery, so in the end, there was no one left who could perform this major surgery."