Level Up Doctor - Chapter 238
In the middle of the mountain (3),
two patients were lying under a telephone pole, a little distance away from two fellow workers who were working.
“You’re alive! Here comes the doctor!”
“Here! Here!”
The workers waved their hands urgently.
“Haa… haa….”
Choi Ki-seok approached the patients with heavy breathing and used the Eyes of Hippocrates.
Both people suffered from shock, ventricular tachycardia, burns, and trauma caused by high-voltage electric shock.
“I was working on the wires. Suddenly there was a loud bang and two people fell to the floor.”
“Are you both going to be okay?”
The workers said one word at a time, and in the meantime, colleagues came to the site with treatment tools.
“
Let’s start with V.T (ventricular tachycardia) treatment. Scarlett, please help me, and Greg and Charlie, please take care of the patient next to me.”
“yes!”
As the staff split up, the full-scale treatment began.
Ki-seok Choi even applied the awakening CPR buff to himself after using the Must Be Saved skill.
‘Let’s stop the bleeding first.’
With Scarlett’s help, I carefully lifted the patient’s head.
Blood flowed profusely from the back of his head, which was broken in the aftermath of the fall. So I started to stop the bleeding with a pressure bandage.
“Dr. Choi. The bandage is already wet.”
“There’s nothing we can do. All we can do is add more.”
Choi Ki-seok wrapped the bandage on top of the bandage again. After about three treatments, the traces of bleeding were greatly reduced.
“CPR is starting. Please prepare the defibrillator.”
puck! puck! puck! puck!
Every time he compressed the chest, the patient’s body shook.
‘Can I do that?’
Scarlett, who was preparing the defibrillator, looked at Choi Ki-seok with concerned eyes.
Rib fractures are inevitable during chest compressions.
If you don’t apply your strength properly, you won’t be able to see the effects of a proper heart massage. However, even taking that into account, Choi Ki-seok’s chest compressions felt excessive.
hook! hook! hook!
After completing chest compressions, Choi Ki-seok checked the patient’s vitals and began squeezing the ambu bag.
While CPR was repeated twice, the defibrillator was ready.
“Caesar.”
“yes!”
Choi Ki-seok cut the patient’s top with scissors and took it off. Then, the patient’s chest area was cleaned with dry gauze.
This is to prevent the current from the defibrillator from spreading.
“Pads have been applied. Heart rhythm is being analyzed.”
“Scarlett take care of the defibrillator. I’ll focus on CPR.”
Ki-Seok Choi pressed the patient’s chest again.
[Heart rhythm analysis has been completed. Defibrillation is needed.]
“Everyone, get out of the way.”
At Scarlett’s words, the workers, including Choi Ki-seok, narrowed the distance between themselves and the patient.
thud!
When the defibrillation button was pressed, an electric current flowed and the patient’s body shook.
As treatment using CPR and a defibrillator continued, the patient’s pulse revived.
My heart was beating and I could barely breathe.
Ki-seok Choi placed the patient in a cervical spine immobilizer and examined his right hand, which had suffered burns.
The skin turned black due to the high-voltage current.
This is the identity of the smell of grilling meat that I smelled every time I took a deep breath.
‘At this level, I might have to amputate… No. Don’t be foolish. ‘I will save you no matter what.’
Ki-seok Choi bit his lip and washed off the burn with saline solution.
Gurgling. Empty.
I threw the used saline solution bottle on the floor and poured another bottle of saline solution.
“It’s big.”
The patient, faintly awake, groaned and twisted his body.
The patient was suffering from pain due to burns. Pain killer was used to reduce the patient’s pain.
“Scarlett. Please give me an IV Hartman (a type of fluid). I will continue treating the burns.”
“yes.”
After finishing his instructions, Choi Ki-seok took a quick look at Charlie and Greg.
The two people were still concentrating on CPR. It seems that spontaneous circulation does not return easily.
‘Why on earth…’
I suddenly felt nauseous and dizzy.
My sixth sense, which had been activated for the first time in a long time, sent an ominous signal.
Does this mean that the patient will die or that another accident will occur?
As my thoughts deepened, the signal from my sixth sense became stronger.
Ki-seok Choi bit his lip and looked down at the patient.
We still don’t know the meaning of the sixth sense. For now, it’s best to focus on the patient.
Ugh.
He threw the third container of saline solution on the floor and took out a sachet and surgical gloves.
“Scarlett. You got all the lines, right?”
“yes.”
“Help me. I think I need an escharotomy.”
“Isn’t that something that needs to be done at the plastic surgery clinic after the transfer?”
Scarlett blinked.
“If you don’t treat it properly, your hand may be amputated. Surely that’s not what Scarlett wants?”
Scarlett nodded at his provocative words.
Ki-Seok Choi put on surgical gloves and wiped the burn area widely with a cotton pad soaked in chlorhexidine.
The basis of disinfection is to wipe from the center of the wound outwards. This allows foreign substances on the wound surface to be pushed out.
“Meth.”
After completing the first disinfection, I held the scalpel in my hand.
The burned area was covered with black crust (dead skin).
When crusts form severely, skin tissues swell and further cause problems with blood vessels.
And if a problem occurs in blood vessels like this, a situation arises where the arm needs to be amputated due to ischemic symptoms.
“Whew…”
I took a deep breath and looked down at Gapi.
In the past, I had training in dermatology while working as an intern. At that time, I had only seen escharotomy performed twice, but had never actually performed it.
Because escharotomy was the job of dermatology residents.
“Dr. Choi. Are you okay?”
“Okay, let’s get started.”
Choi Ki-seok nodded as if he had made up his mind.
Although I have never performed escharotomy, I clearly remember the tips.
“Povidone.”
After marking the location of the incision with a povidone solution, the scalpel was drawn vertically along it.
If the scalpel goes deep, blood vessels and nerves will be damaged, and if the incision is too thin and short, escharotomy is meaningless.
Choi Ki-seok focused all his attention on protecting key points.
Eventually, incisions were made on both ends of the eschar, creating space for the skin to breathe.
As a result, the ischemic symptoms at the wound area disappeared.
The escharotomy was successful.
An overwhelming feeling welled up deep in my heart, but I held it back.
It’s still too early to get excited.
“That’s it now. Please give me a cotton swab soaked in antibiotic ointment. After dressing and applying ointment, I cover the wound.”
“all right.”
After completing the treatment, Ki-Seok Choi used the Eye of Hippocrates on the patient.
A patient who was an emergency returned as a non-emergency.
All you have to do is transport the patient to the hospital and receive treatment for burns.
Choi Ki-seok immediately approached the patient a little distance away.
Just then, Charlie and Greg finished CPR. It appears that the patient has regained spontaneous circulation.
‘this. also!’
I bit my lip without realizing it.
The ominous signal from my sixth sense became even stronger.
I couldn’t ignore this any longer, so I stopped and looked around.
Chijijijijik.
I looked overhead, following the annoying sound. Sparks were flying from one of the wires.
He belatedly realized what his sixth sense wanted to say.
“Charlie, please control the area around the telephone pole. No one can come.”
“Isn’t treatment more important?”
Choi Ki-seok pointed to the wire with his index finger without answering, and Charlie’s face hardened when he saw this.
“Then Greg and I will take care of the situation, so please take care of it.”
Following his instructions, Charlie and Greg took control of the surrounding area.
Meanwhile, Choi Ki-seok and Scarlett moved the patients to a location far away from the telephone pole.
Now only one patient needs treatment.
“Scarlett, please just put a heart on this patient as well. I’ll give him a mix of painkillers.”
“yes!”
Choi Ki-seok gave instructions and examined the patient.
In this case, the symptoms are milder than the patient I saw earlier.
The burns were slightly shallower and the head trauma was minor.
However, the damage to the eyes is fatal.
The area around the eyes was torn and bleeding, and there were bruises and swollen eyes.
Click!
The patient’s eyelids were lifted and illuminated with a light.
The white part of the eye turned red.
This is anterior chamber hemorrhage and conjunctival damage due to eye trauma.
Gurgling.
Ki-seok Choi washed the patient’s eyes with saline solution and held a cotton swab in his hand.
“Scarlett’s treatment is over, right?”
“Yes. I just finished.”
“Please hold the patient tightly for a moment. We need to remove foreign substances from the conjunctiva.”
Choi Ki-seok carefully placed the cotton swab on the conjunctiva.
My hands, which had been tightened with all kinds of sutures, did not tremble at all.
Of course, the cotton swab did not come close to the black cornea.
“done!”
Ki-Seok Choi treated the cotton swab with foreign substances and then administered steroid eye drops to the patient.
“Doctor Choi. Is it still bleeding from here? Should I apply pressure?”
Scarlett pointed to the cut near the bleeding eye.
“No. If you put pressure on him carelessly, it will damage his eyes. Just put on an eye patch and transfer him right away…”
Choi Ki-seok was unable to finish his sentence.
thud!
A wire fell to the floor with a loud sound.
The broken wire made an electric sound and wriggled like a snake.
If treatment had continued on the spot, not only the patient but also the staff would have been at risk.
“This side is also over.”
The situation was resolved with Charlie putting the telephone pole in a corner with a wooden stick.
“I’ll come back quickly.”
Choi Ki-seok put his colleagues and the patient in the ambulance and headed to Mayjo Clinic.
“Dr. Choi, do you have any precognitive abilities?”
Charlie, who was driving, asked.
In a situation where only paying attention to treatment was not enough, Choi Ki-seok discovered an unstable front line.
It was truly an extraordinary multitasking ability.
“I have a good sense of humor.”
“I would like to borrow it if I could. That’s the feeling.”
Charlie burst out laughing.
While we were talking, an ambulance arrived in front of the emergency room.
Rescue Team 1 staff entered the emergency room pulling a stretcher car.
“I’m reporting the treatment of the first rescue team.
Choi Ki-seok began briefing the resident in charge of the rescue team about the patient.
The resident quickly called the plastic surgery resident.
“Are these patients?”
The plastic surgery resident was shocked while examining the patient. “Who treated
this patient? “The escharotomy has already been done?”
“I did it.”
“The escharotomy was done on site? A new resident?”
The resident’s eyes widened.
“This guy is Mr. Choi. They say they do all kinds of treatment on site. Last time, I even had a tracheotomy.”
“…I understand. First, I’ll take these two patients to the plastic surgery department.”
As the patients left the emergency room, the rescue team’s work was over.
Choi Ki-seok went to the break room to take a breather.
Tiring!
[You have succeeded in treating a patient with electric shock in a hidden mission. As a reward, 100
P.P is provided.]
[Your physical strength is greatly restored by the effect of Wishing a Patient.] [
Awakening CPR buff ability unlocked. You can now use the Awakening CPR buff on colleagues, not just yourself.]
Choi Gi-seok checked the notification . I laughed and leaned back on the sofa.
Once you start a rescue mission, you will feel exhausted, but you will definitely receive a reward.
Drurr.
While I was drinking a can of coffee, Morgan came inside.
“What’s going on? You came first?”
“Because I left first.”
“That makes sense. How was this deployment?”
Morgan asked, sitting across from him.
“I received two patients with high-voltage electric shock. I went out after studying first aid, so if I hadn’t gone out, I would have been in big trouble.”
“I
was in a T.A (traffic accident). It was a triple collision, but the patients were better than I expected.”
Choi Ki-seok talked with Morgan about the rescue team’s activities. However, during the conversation, I discovered something that bothered me.
That’s the strange part.
“It happens first.”
He pulled out a can of coffee to give to his colleagues and left the break room. Then, I approached and spoke to the resident in charge of the rescue team.
“Teacher, I have a question. Can you confirm it?”