Sense - Chapter 21: Battlefield(3)
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Chapter 21: Battlefield(3)

Push down on the abdomen! Pressure! Pressure!

The male student lying on bed no. 2 was on the verge of death before being taken to the ambulance.

Emergency! Arent you going to secure the central vein?!

At the thoracic surgeon, Hwang In-gangs urging, the emergency surgeon, Yoon Jin Cheol, answered in bewilderment.

The veins diameter is too small. The needle isnt going in.

Cant you see that the blood pressure is all over the place? Dr. Seo! You come over here as well!

Seo Dae Jun, an orthopedic surgeon who was trying to stop the abdominal bleeding as well, pulled out a thick syringe with a frown. Then he walked to the side of the neck to secure a different vein from that of Yoon Jin Cheol.

The moment he was about to daringly stab the needle.

Stop.

Seo Dae Juns head turned in the direction of the quiet voice that halted his action.

If you stab there, the neck vein will burst. Its very swollen.

What the hell? Emergency is complaining that the blood vessels have shrunk.

Dowook illuminated the patients neck with the penlight hed been examining the patients pupil reaction with. A line of bulging blood vessels was revealed through the scratches caused by something heavy.

This patients veins and arteries arent in a good condition.

Seo Dae Jun swallowed his embarrassment.

D*mn. This place was a land mine.

Hey, Dr. Seo! Didnt I say to get the central vein!

At Hwang In-gangs shout, Seo Dae Jun showed a troubled expression.

We cant do it on the neck. The abdomen is that bad so the legs wont work either. In conclusion, theres only the collarbone. Emergency! Cant you secure one central vein?

Im trying to!

Regardless of the confusion, Dowook calmly finished the head examination. Then, he turned to gaze at the blood flowing from the stomach wound.

There were 4 minutes until cardiac arrest shock, no 3 minutes.

That was what Chief Jis experienced sense informed him.

Be-be-be-beep!

When the bleeding became unbearable, the vital monitor started to beep.

What are you all doing?! Hurry up with the blood transfusion! Am I the only one being serious here?!

Despite Hwang In-gangs scream, the situation showed no sign of improvement.

Meanwhile, Dowook put on sterile gloves and stood beside Yoon Jin Cheol. He looked below the patients collarbone where there were several marks from the unsuccessful injections.

Ill do it.

You?

Having already lost his confidence, Yoon Jin Cheol, took a step back. Dowook looked at the nurse.

Scalpel.

What?

When he asked for a scalpel in a situation that required a needle, the nurse gave him an incredulous look. But, she habitually grabbed the most used no.10 scalpel and passed it to him.

Holding the scalpel, Dowook placed it on the patients collarbone and followed it with the blade.

Hwang In-gangs eyes widened as he turned away from the stomach wound for a moment.

Hey, nerve! What the h*ll are you doing!

Im securing a central vein. Forceps.

Among the shocked people, Dowook calmly inserted the forceps into the incision.

I have the vein. Syringe.

Receiving the syringe with his other hand, Dowook gently stabbed it into the vein he had secured with the forceps.

Done.

Blood flowed into the syringe, indicating success.

Dowooks drastic response of making an incision to secure a vein directly was a skill that even emergency specialist Yoon Jin Cheol could not help but be disconcerted by.

It was a method of literally not thinking about procedures and aftermath. However, it was very effective.

Dowook quickly scanned the people who were currently not holding anything around the bed.

Emergency doctor, please insert a catheter. Orthopedic doctor, the staple. Ms. Nurse. Tape, quickly.

The instructions were precise and appropriate so everyone reflexively followed them.

After stapling the incised skin with surgical staples and attaching tape to it, a perfect central venous tube was mounted on the patients right clavicle.

The falling blood pressure was barely restored by the fluid and blood administered through the tube.

Seeing the monitor, Hwang In-gang finally relaxed.

Hoo, we almost sent the patient to the next world. We passed through a hurdle thanks to you, neurosurgery doctor.

Dowook shook his head at the signal from his hands.

Not yet. Theres less than a minute before this patient goes into cardiac arrest. We have to aggressively treat the wounds in the abdominal cavity.

The vitals have stabilized though. We have to continue stabilizing him in order to get him ready for surgery.

As long as there is a strain on the heart, thats not possible. Even if we send him up now, hell go into arrest before the anesthesia works.

Hwang In-gang quickly turned his head as he was pressing on the abdomen.

What nonsense do you keep spitting out? Is a neurosurgeon trying to tackle a heart problem in front of a thoracic surgeon?

Finding the question funny, Seo Dae Jun hid a laugh.

Thats true. Just because you stabbed a needle properly once doesnt make you an expert in thoracic surgery.

As Dowooks opinion was being insulted.

Be-be-beep!

The ECG readings fluctuated rapidly. In a hurry, Dowook went over to the stomach and shouted.

Keep increasing the blood transfusion levels!

Dowook scanned the dented wounds caused by sharp mechanical parts on the patients abdomen.

Here!

He put his fingers straight into a wound.

The nerve! This b*stard is!

Dowook responded calmly to Hwang In-gangs raised voice.

Ive grabbed the cut artery.

What?

Hwang In-gang, who had just picked up a trauma ultrasound device to check for internal bleeding, had an expression of disbelief.

You found it?

Im holding it.

Coldly answering him, Dowook looked at the nurse.

Give me a forceps. Its slippery, so it might slip out soon.

Dowook inserted the forceps between the fingers he put in the patients abdomen and grabbed the artery accurately.

One more.

Grabbing the opposite side neatly, the blood flowing out decreased visibly.

How.

In Hwang In-gangs knowledge, it was not possible to pick out a wound among several without the sophisticated tools in the operating room.

Dowook once again repeated his previous opinion to Hwang In-gang who was at a loss for words.

The patient is still young. His heart pumps faster than an adults. Thats the only reason blood pressure didnt drop. If we dont deal with it here, we have to send him on to the next world.

Umm

While the thoracic surgeon who should be leading the first aid operation was lost in thought, Yoon Jin Cheol, who had watched the process of Dowook exquisitely grasp the blood vessel, started to ask.

Dr. Park Dowook. What should we do now?

Yoon Jin Cheol looked utterly trusting. Seo Dae Jun also stepped away from Hwang In-gang and waited for Dowooks next instruction.

Thats.

Dowook couldnt say anything.

With Chief Jis sense, he was able to deal with the fatal situation actively. However, afterward, his fingers only twitched as his knowledge of chest surgery was lacking.

Just like with Lim So Yools calculations, he knew the feeling but didnt know what to say.

Its not like I can look through papers on serious trauma here.

The feeling pulsing from his fingertips implied it was only a matter of time before the bomb exploded.