Team Saber (1)
[Uses the Must Save skill.]
[Activates the awakening CPR mode.]
“Teacher. Please save my child!”
The guardian, who got off a beat late, complained in tears.
“Okay. Please register first. Youngho. Let’s go!”
“yes!”
Choi Ki-seok ran into the emergency room with the child in his arms.
Physical strength: 3/10
Main symptom: Apnea / Cardiac
arrest Painful area: Heart
Diagnosis: Respiratory arrest / Cyanosis / Ventricular fibrillation / Pulmonary valve regurgitation / Ventricular septal defect
Current status: Emergency
Progress: Poor History
: Tetralogy
of Fallot Seeing a child through the eyes of Hippocrates I looked and frowned.
The condition was worse than expected.
As Choi Ki-seok laid the child on the bed, Lee Young-ho connected the patient monitoring device like lightning.
Is it because of the cold effect of the frozen heart?
Youngho Lee quickly accomplished what was not instructed.
Choi Ki-seok intubated the child and placed an oxygen mask on the child. And immediately began chest compressions.
First, place the index and middle fingers of your right hand on the child’s chest, and then press the two fingers with the thumb of your left hand.
There are differences in chest compression techniques for children and adults.
Sigh! Sigh! Sigh!
Every time I applied pressure, the child’s body shook like a wave.
“Sir, there is no breathing or pulse. Looking at the EKG, it looks like ventricular fibrillation.”
“know.”
Choi Ki-seok bit his lip and continued speaking.
“Bring 0.01mg/kg of epinephrine and 5 D/S.”
“yes!”
While Lee Young-ho left, Choi Ki-seok stopped chest compressions and stood in front of the defibrillator.
No matter what you do, making your heart beat is the priority.
Let’s go together.
By turning the defibrillator button, I set the charging voltage and applied gel to the patch.
“I brought you my senior.”
“You will do the chest compressions from now on. In the meantime, I will hold the line and place the IV.”
“Really? Are you serious?”
Youngho Lee’s body shook.
“Why? Is there a problem?”
“You can do chest compressions, but that would make it difficult to get a line. Moreover, since it’s a newborn, you won’t be able to see the blood vessels.”
“Now is the time to worry about the child, not me. Do as you are told.”
“But…”
Youngho Lee stared somewhere with a lukewarm expression.
Ride, ride, ride.
Guardians who had completed registration were approaching this way.
“Lee Young-ho! Come to your senses and listen to me!”
“…I don’t know. I’m going!”
Sigh! Sigh! Sigh!
When we started chest compressions, the child’s body started shaking again. However, Choi Ki-seok calmly found the blood vessel, disinfected it, and held the catheter in his hand.
There is no hesitation or fear about treatment.
All we need now is the desire to save the patient.
Fuuuuuk!
The catheter pierced the blood vessel.
[The vampire title effect has been activated.]
[The injection kill probability becomes 100%. The pain felt by the patient is reduced by 50 percent.]
In addition to the notification, red blood collected on the catheter needle.
Youngho Lee succeeded in holding the line even while performing chest compressions. Ki-Seok Choi removed the needle, connected 5 D/S, and then administered epinephrine intravenously.
‘this!’
My face was crumpled like a piece of paper.
Breathing is gradually returning, but the heart that caused ventricular fibrillation is still a problem.
“I’m going to use the defibrillator from now on. Just charge it the way I set it. Okay?”
“yes.”
Ki-Seok Choi placed one patch on the child’s right chest and the other on the left sternum.
“2J/kg!”
“Charge!”
“Clear!”
thud!
The child’s body was shaking due to the electric current flowing from the patch.
“2J/kg!”
“Charge!”
“Clear!”
thud!
I used the defibrillator four times in a row and stared at the monitor.
The child is still in VF (ventricular fibrillation, a condition in which blood is not pumped from the ventricles, resulting in circulatory failure).
“senior.”
Youngho Lee said briefly. It looks like he can’t speak properly because the guardian is watching the treatment from the side.
Nevertheless, Choi Ki-seok was able to fully sense the words hidden behind them.
What do I do now?
Lee Young-ho’s eyes said that.
There is no longer any way to save the child.
“Bring more epinephrine. This time it’s 0.2 mg.”
“0.2? That’s too much…”
Lee Young-ho closed his mouth while observing his guardian’s gaze.
Considering that the previously administered epinephrine dose was 0.01, this is a huge increase.
That’s a whopping 20 times difference.
“There is also something called high-dose treatment in pediatric CPR. Don’t waste time, get it quickly.”
Choi Ki-seok pressed the child’s chest with two fingers.
There is no way that chest compressions are comfortable while looking at a child’s face distorted in pain. However, as my heart ached, my sense of duty to save my child grew even stronger.
“I brought you epinephrine.”
“rotation!”
While Lee Young-ho performed chest compressions, Choi Ki-seok administered epinephrine.
Followed by defibrillator treatment.
“4J/kg!”
“Charge!”
“Clear!”
thud!
A defibrillator was used at twice the voltage compared to before.
Afterwards, the two people performed CPR as if spinning in a treadmill.
After about 20 minutes of CPR, including chest compressions, drug administration, and use of a defibrillator, the two people’s bodies became covered in sweat.
‘shit!
‘At this point, it’s time to explode.’
Ki-Seok Choi bit his lip and looked at the status window.
The lifesaver title received from Choi Mi-soon has the effect of temporarily resurrecting patients.
In fact, through the resurrection effect, Lee Joo-hee (the pediatric patient who was given the legendary item ‘Beyond Time’) was saved.
However, this time the resurrection effect did not appear.
“Senior! Monitor!”
Lee Young-ho, who was charging the defibrillator, shouted at the top of his voice.
Ventricular movement was observed on the EKG.
Is it because I didn’t give up on CPR?
Ventricular fibrillation was gradually improving.
When I placed my finger on the artery in my wrist, I could feel a faint pulse.
Choi Ki-seok stopped CPR and looked closely at the patient monitoring device.
Five minutes passed like that.
The child finally started circulating spontaneously.
The child who had wandered through the underworld has returned to this world.
The nervousness and anxiety I had suppressed while treating the child disappeared, and the pleasure of saving the child enveloped my entire body.
“Thank you, teacher. Hehehehehe.”
The child’s mother collapsed on the floor and sobbed, and the child’s father hugged her tightly.
How severe was the emotional distress these two people must have suffered….
“Thank you both for your hard work.”
Choi Ki-seok gathered his emotions and said one thing.
* * *
The next morning.
Ki-Seok Choi read the paper sent by Myeong-Jin Song and practiced housework in his hideout.
The steps heading to the ward were particularly heavy.
‘Whoa… I’m going crazy.’
I sighed and placed my hand on my forehead.
It’s already been 50 days since I started working on duty.
Due to reading papers, housework, practicing, studying English, treating emergency patients, etc., his average sleep time was less than 3 hours. So far, I have been able to endure well thanks to the patient’s physical strength recovery ability and the synergistic physical strength recovery effect obtained from the reverse treatment group, but now it seems that I have reached my breaking point.
‘I need to stand up quickly.’
I muttered after checking the status window that my stamina was 2.
Upon arriving at the ward and examining the patients, I found Kim Se-chan, who was waiting for a heart transplant, awake.
I remembered what we couldn’t talk about yesterday and went inside.
“hello.”
“Yes, hello sir.”
When Choi Ki-seok said hello, Kim Se-chan and guardian Yang Seo-hee also greeted him.
“How are you feeling?”
“Well, it’s the same. It’s difficult to breathe, I’m tired, I’m coughing…” A
bitter smile appeared on Kim Se-chan’s lips.
“But, teacher, can’t I be discharged from the hospital?”
“He says that again!”
Yang Seo-hee frowned at Kim Se-chan’s words.
“Why do you want to be discharged from the hospital?”
“Honestly, I don’t know when I’ll get a heart transplant. It’s already been a year since I was put on the waiting list. I’d rather live comfortably outside and die than let my blood dry in the hospital.”
“I know it’s hard for you, but it’s still too early to give up.”
Choi Ki-seok continued calmly.
The waiting period for a heart transplant is determined based on the patient’s level of emergency and the waiting period so far.
In the case of Kim Se-chan, the emergency level increased due to his recent heart condition, and the waiting period was also long.
There was a high probability that I would receive a heart transplant soon.
“Can I live a normal life if I receive a heart transplant?”
Kim Se-chan stared at Choi Ki-seok with lifeless eyes.
“You can’t live like normal people. You have to take immunosuppressants for the rest of your life and you have to always pay attention to your health. But you will be much better than before you got the transplant.”
“….”
“Have you heard my story from Mr. Kim?”
“Are you talking about Mr. Choi?”
Kim Se-chan shrugged his shoulders.
“I guess you didn’t hear. Actually, I also had a heart transplant.”
Choi Ki-seok continued speaking with his hand on his chest.
“After the surgery, I was able to continue my career as a doctor. So Se-chan, don’t despair easily. It’s hard right now, but opportunities will definitely come.”
Kim Se-chan’s expression brightened somewhat at his words.
“But… the surgery fee…”
“It’s okay. What’s the problem with money if you want to get healthy?”
“But the cost of the surgery isn’t just a penny or two. I heard it costs about 340 million won…”
“Don’t worry. Mom will figure it out somehow.”
Yang Seo-hee gently wrapped Kim Se-chan’s hand.
“Mother. Do you have any insurance, Mr. Se-chan?”
“Yes. When I was about 20 years old, I purchased actual cost insurance and some strange insurance in addition.”
“Are you still maintaining it?”
“yes.”
“Call your planner today and find out what’s covered. You may
be covered by C.I (Critical Illness insurance).”
“
What is C.I Insurance?”
“This is insurance that covers surgical expenses for five major organ transplant surgeries in addition to cancer and stroke. If you
are enrolled in C.I insurance, the financial burden will be less.”
“Yes. I will find out.”
After talking with the two people, Choi Ki-seok visited the conference room.
“hello.”
Kang Sang-joong, who came first, bowed his head.
“What are you doing at this hour?”
“I woke up earlier than usual to study for CTD.”
“What about treatment?”
“I finished it ten minutes ago.”
“Did the sun rise in the west today?”
Choi Ki-seok joked and sat down.
What I did yesterday definitely worked. Seeing him finish treatment and study at such an early hour.
Choi Ki-seok organized the surgery schedule, entered the prescription, and held the plush toy in his hand.
Whirly rirric.
We started practicing suturing in earnest.
My body was tired, but my hands moved brilliantly.
I was able to feel the fear of habit once again.
Soon, the staff entered the conference room one by one and the meeting began.
First, the inpatient briefing began.
“Last night, a 4-month-old patient visited the emergency room with VF. After 30 minutes of CPR, spontaneous circulation returned, and the subsequent examination showed severe pulmonary valve regurgitation. This was a sequelae of a previous tetralogy of Fallot surgery at Sewon University Hospital. It looks like there’s some leftover.”
Ki-seok Choi finished his explanation and displayed the test results on the projector.
“Hmm. Is this too serious?”
“Isn’t it possible to have reoperation at that level?”
Several staff members expressed their opinions.
Tap! Tap! Tap!
Jo Ji-hwan knocked on the table and the conference room became quiet.
“I may need a reoperation, but in that condition, I think I’ll die during the surgery, right?”
“I think the same thing. The patient is too young and has previously had surgery for Tetralogy of Fallot. Even if the surgery is successful, the outcome cannot be guaranteed.”
Jang Hyuk-pil agreed with Jo Ji-hwan’s words.
“Mr. Choi.”
“Yes, Chief.”
“After examining the condition for a day or two, I explain to the guardian that surgery is not possible.”
“But…”
Choi Ki-seok bit his lip without realizing it.
Tossing away a patient who had barely survived yesterday…
Kwon Il-soo, who had been silent in the tense meeting room, opened his mouth.
“Chief, please leave this patient to the Norwood team.”
