The scene in the emergency hall was horrific.
Amputated limbs, blood splattering, and brains spilling over.
If this were a TV show, this part would have been censored.
Some interns stood frozen in place, while the nurses rushed about in a frenzy.
All the attending physicians in the emergency department were busy in the resuscitation room.
At this moment, no one noticed Fang Zhiyan.
He quickly put down his belongings and found a break room, where several white coats and relevant gear hung on the wall.
Rushing to change, he stepped confidently into the emergency hall.
"What are you standing there for? Hurry and push the other patients back to their rooms!"
Seeing an intern frozen in place, Fang Zhiyan shouted.
The intern, still dazed, could only follow orders and perform mundane tasks.
Outside, an emergency gurney was hurriedly wheeled in.
As they pushed it into place, a nurse called out to Fang Zhiyan, "Come check this out! The patient has massive hemorrhaging and we've already performed emergency compression to stop the bleeding."
Fang Zhiyan smoothly integrated into the rescue team.
"What's the pulse and blood pressure?"
"Pulse rate 137, blood pressure 70/50, pressure differential 20," the attending nurse anxiously yelled.
Fang Zhiyan quickly checked the patient's neck, ensured there were no cervical spine injuries, then turned the patient's head to the side.
This condition was typical for a patient in shock—if they didn't act quickly, the patient could die at any moment.
Turning the head helped prevent choking from vomiting while unconscious.
Every move Fang Zhiyan made had a purpose.
"Quick, take him to the resuscitation room!"
"Establish two IV lines!"
"High-flow oxygen!"
"Immediately perform blood gas analysis, check electrolytes, creatinine, and blood urea nitrogen!"
"Get the ECG set up and start cardiac monitoring, quickly!"
With Fang Zhiyan's commands, the nurses moved into action.
The patient was soon hooked up to various devices.
"Administer 2000ml of Ringer's solution urgently!"
"Give low molecular weight dextran, 200ml every ten minutes."
"Push 10mg of Diazepam intramuscularly!"
Drawing from his past life's experience, Fang Zhiyan methodically handled the situation before him.
The life of the patient hinged on a knife's edge.
As a result, everyone felt the tension in the air.
A moment's inattention could cost the patient their life.
But with everyone coordinating well, using the correct medications, and seizing the moment, the patient could be pulled back from the brink.
Each intervention was a struggle against death.
As the medications started to take effect and vital statistics began to stabilize, cheers erupted within the resuscitation room.
However, there were more patients waiting.
Fang Zhiyan didn't have time to celebrate and moved on to the next patient.
Among those brought in from the car accident, there were also victims suffering from shock.
For instance, this elderly man in his seventies, who had a history of heart disease, was frightened during the accident which triggered acute left heart failure!
The cardiac monitor was already in use.
Fang Zhiyan took a brief glance and absorbed all the information.
Heart rate at 140 beats per minute, atrial fibrillation, oxygen saturation at eighty-five percent, and blood pressure at 200/100 mmHg.
"Doctor, please, save my father!"
"Please!" cried a woman who had come with the gurney, likely the man's daughter.
Fang Zhiyan placed a reassuring hand on her shoulder.
"Please remain calm; we will do our best to save him. Don't distract us."
With that, Fang Zhiyan picked up the stethoscope and began his examination.
Soon, he was greeted by the sounds of bubbling and wheezing, and he frowned.
This patient's situation was quite complex. Given his age, there was no guarantee he could be saved; only conservative treatment was an option.
Moreover, he couldn't remain in the emergency department—he needed to be transferred to the appropriate specialty department.
With such clear signs of acute left heart failure, the situation was extremely critical.
Thinking quickly, Fang Zhiyan declared, "Administer 0.2mg of digoxin and 20mg of furosemide."
"High-flow oxygen, and bring over a ventilator."
With just a few commands, the nurses were already working furiously.
At that moment, an intern finally seemed to register what was happening and stared at Fang Zhiyan in disbelief.
"Wait, aren't you from our emergency department?"
Fang Zhiyan shot him a glance but didn't engage; he continued checking the patient's status.
All the necessary medications for treating heart failure had already been applied.
The patient's condition slowly began to improve.
"Take him upstairs!" Fang Zhiyan commanded decisively, not hesitating for a moment, and continued toward the next resuscitation room.
The intern stood there, bewildered and unsure of what to do next.
Fang Zhiyan ignored his confusion.
As a doctor, he understood that his actions might not be proper.
But with so many patients in such danger, was he supposed to just watch them die?
Or let an inexperienced intern handle the crisis?
Besides, he needed an opportunity to prove himself!
Just then, the next patient was wheeled in.
"Rapid pulse, cold skin… this person is going into shock!"
This next patient had not yet been taken into the resuscitation room; instead, he remained in the queue.
The emergency department seemed to think his condition wasn't urgent enough, delaying his turn.
But after one look at the patient, Fang Zhiyan's expression darkened.
A glance at the patient's left leg showed massive hemorrhaging!
Based on the swelling and the body's response, the estimated blood loss was around eight hundred milliliters!
If bleeding wasn't stopped promptly and blood volume wasn't replenished, the results would be catastrophic!
"He's not even one of our hospital's doctors!"
Just then, the intern suddenly shouted out.
Even amidst the chaos of the tumultuous emergency hall, this caused a momentary hush.
Everyone's attention shifted to Fang Zhiyan.
Fang Zhiyan frowned; he hadn't expected to be exposed so quickly.
But it didn't matter!
"This patient is bleeding heavily; we need to stop the bleeding immediately!" he asserted.
The intern shot him a scowl, then rushed over to begin applying pressure.
As he finished cleaning the wound, he hastily stuffed a piece of gauze into the opening.
After completing the task, he let out a breath of relief and then asked, "Who are you exactly? Why are you intervening in our emergency department?"
"The bleeding hasn't stopped!" Fang Zhiyan interrupted before he could finish.
The intern looked down, and to his horror, he saw a small trickle of red beginning to seep through the pristine white gauze.
In the blink of an eye, the once pure white cloth was saturated with blood.
"This… this!"
Panic gripped the intern, perspiration beading on his forehead as he wondered what to do next.
Fang Zhiyan shot him a pointed look and quickly patted his shoulder. "Let me handle it."
"You? How can you?" The intern couldn't help but retort.
But before he could finish his sentence, Fang Zhiyan plunged his hand into the wound and applied direct pressure to stop the bleeding.
The next moment, the torrent of blood that had been flowing suddenly ceased.
The intern's words caught in his throat, leaving him speechless as he regarded Fang Zhiyan with wide eyes.
"Don't touch him!" a nearby nurse admonished.
The patient's condition had been already precarious before.
Now, Fang Zhiyan's quick actions had succeeded in halting the bleeding, indicating he had identified and restrained the source of the hemorrhage!
He had done this with bare hands!
It's worth noting that direct pressure to stop bleeding was an emergency method used in wartime.
It had long since been replaced in modern medicine by clamps and bipolar coagulation.
But now this man displayed such remarkable skill?
At that moment, a voice called out from one of the resuscitation rooms.
"What's going on?"
As the voice came closer, a doctor wearing a white coat emerged.
Upon seeing him, Fang Zhiyan flinched slightly—what a coincidence!
This doctor in a white coat was none other than He Dongfang, the very examiner from his earlier interview!
Fang Zhiyan hadn't expected to run into him in the emergency department so soon after just stopping by the TCM hospital.
Now, his cover was on the verge of being blown.