From the rescue team (1)
“You came from Meijo. We just arrived too.”
A firefighter approached Ki-Seok Choi.
“The patients are over there. We did what we could at our level, but…”
“I understand.”
Choi Ki-seok ran to the place pointed by the firefighter.
Five patients were lying on rescue stretchers.
As the firefighter said, only simple treatment such as bandaging or applying a splint has been completed.
Ride, ride, ride.
The rescue team staff arrived a little later than Choi Ki-seok.
“What are you going to do now?”
Charlie nodded and asked the patient, and Choi Ki-seok examined the patient with the eyes of Hippocrates.
The diagnosis and symptoms were clear at a glance.
“Charlie and Greg, please take care of the two patients on the left. Fix the male patient’s cervical spine and spine. The female patient’s side is bleeding continuously, so put a bandage on top of the bandage. The female patient is suffering from respiratory failure, so use an ambu bag. “I do.”
“….”
“Charlie. Didn’t you hear me?”
“Oh… no.”
“Then what are you doing? Kill it quickly!”
Hearing his yelling, Charlie and Greg quickly ran to the patient.
“The instructions are quicker than I thought?”
“I agree.”
Charlie nodded at Greg’s words.
The most important virtue in emergency rescue.
That is patient classification.
Patient triage mainly uses triage’s four-level classification, which is in the order of emergency, emergency, non-emergency, delay.
However, Choi Ki-seok divided the patients and gave precise instructions in an experienced manner that was not new.
‘We still have to wait and see.’
Charlie glanced at Choi Ki-seok, who was taking action, and went about his business.
Meanwhile, Choi Ki-seok first looked at the patient on the far right.
The patient was experiencing severe breathing difficulties.
“Oh my…”
I tried to get a view with the laryngoscope and insert the tube, but the tube did not advance as if something was blocking it.
I tried a few more times, sweating, but the result was the same.
Choi Ki-seok looked back at Church calmly.
There is nothing wrong with the person intubating the trachea.
In that case, it could only be seen that the burns resulted in both airway damage and airway obstruction.
“Scarlett. Please prepare for the tracheostomy.”
“Do you want to do it here?”
Scarlett’s eyes fluctuated.
Tracheostomy is usually performed in the operating room under general anesthesia.
This is not a treatment that can be done on site.
“Hurry up? Can’t you see the patient who is dying?”
Choi Ki-seok raised his voice.
As securing the airway was delayed, the patient’s face became increasingly blue.
“all right.”
Scarlett laid out her surgical kit and put on surgical gloves. And after confirming that Choi Ki-seok was wearing gloves, he lifted the povidone cotton with forceps.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
Red disinfectant was smeared around the patient’s neck.
[You have used the Killer skill. The patient’s physical pain is reduced by 70 percent.]
“Scalpel.”
Choi Ki-seok used the skill and held the scalpel in his hand.
Although I have encountered many patients with respiratory failure, I have never performed a tracheostomy. There are actually not many cases in which tracheal intubation is impossible, and even if there were, they were treated at the ENT department.
‘I also do CABG (coronary artery bypass grafting). At least this much…’
He cast a spell on himself and cut the patient’s throat with a scalpel.
Fuuuuuk.
The feeling of my skin cracking was vividly conveyed to my fingertips.
An organ revealed when the skin is cut horizontally.
Ki-Seok Choi used moderate force to cut open the trachea and insert a tube through it.
After inserting the tube, the external tube was secured with a string, a Y-shaped gauze was placed, and a dressing was completed.
“Wow. I did it!”
“It’s still too early to be happy.”
After checking the patient’s breathing, Choi Ki-seok asked Scarlett to remove foreign substances such as phlegm.
click. click.
The sound of scissors being cut rang out cheerfully.
When the patient’s top was cut with scissors, third-degree burns were visible on the chest.
The skin on the chest had turned red, and thick necrosis was developing in the surrounding area.
Ki-Seok Choi washed the patient’s wound with saline solution.
Empty!
An empty container of saline solution was lying on the floor.
After washing, I soaked a towel in moderately cold water and covered the affected area. If the burn is severe, cold compresses may actually worsen the condition.
‘I quickly put out the fire.’
Choi Ki-seok’s eyes turned to a middle-aged patient. There was a small iron bar stuck in the man’s abdomen, and a bloody bandage wrapped around his head.
“Uuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.
A sorrowful moan flowed from the man’s mouth.
“Scarlett. How is the incision patient’s condition?”
“It’s a lot more stable now.”
“Then, please bring N/S and IV fluid set Demerol over here.”
Choi Ki-seok gave instructions and held the bandage in his hand.
Whirring.
The iron bar inserted into the abdomen was firmly fixed with a bandage.
This is to prevent secondary damage that occurs when the rebar moves.
After completing the abdominal fixation, the patient’s head was tied again with a triangle tendon.
Just then, Scarlett came back with a first aid kit.
“Please hold the patient’s fluid line and mix Demerol.”
“I understand.”
“Charlie. When you’re done caring for the patient, please bring me the cervical spine immobilizer. N/S and cyanide antidote as well.”
Choi Ki-seok immediately looked at the next patient.
The patient was a rather young-looking female patient, but she suffered from a leg fracture and difficulty breathing.
After securing the patient’s airway, the ambu bag was squeezed.
My whole body was covered in sweat as I was examining patients one after another, but I was not tired. The effect of patient recovery was evident not only in surgery but also in on-site treatment.
“Charlie is weaving an ambu bag.”
Choi Ki-seok left the treatment to Charlie and placed an intravenous line.
Fuuuuuk.
As the catheter pierced the skin, blood pooled at the needle site. Accordingly, an IV set was connected and an antidote for cyanide poisoning was mixed.
Finally, treatment for all patients was completed by fixing the fractured area using a splint.
“Let’s transfer them quickly. The patient with penetrating abdominal wounds and the patient treated last need surgery.”
“yes.”
Charlie and Greg Scarlett began loading the patient onto the stretcher and into the ambulance.
The rear of the ambulance was specially modified so it could accommodate up to five people.
Meanwhile, Choi Ki-seok briefly wrote down the patient’s condition and treatment details on paper.
Jiiiing.
Just as I was about to take a breather, the call phone I had placed in my gown rang.
“Yes. This is Rescue Team 1 Ki-seok Choi.”
[This is Sylvia from the rescue team situation room. Have you finished treating the fire scene?]
“I’m just about to return.”
[A patient has fallen nearby. Could you please take a look? It’s about two blocks away from the scene.]
“Ha… That’s…”
Choi Ki-seok frowned and stared at the ambulance.
The back of the ambulance was already full of patients. It is difficult for even one rescue team member to enter.
“I’ll go first. Treatment is possible, but transport is not possible, so please call another rescue team.”
[All right. thank you I will send you the address via text message.]
Choi Ki-seok hung up the phone and approached the staff.
“You three, please leave first. I have to go see another patient nearby.”
“Another patient?”
“Yes. I just got a call from the situation room. It’s close to the scene, so I think I should go there.”
“How do I return?”
“You’ll have to take care of another team’s ambulance.”
Ki-Seok Choi answered and packed the necessary treatment tools, including a first aid kit.
“See you at the hospital.”
After parting ways with my teammates, I ran down the street.
When I used the Tyrant’s Descent skill, my running became faster and faster.
How much time has passed?
Passers-by were gathered around one place.
“Stop! Don’t do anything!”
The movement of passers-by stopped at Choi Ki-seok’s shout.
“The doctor is here?”
“What’s wrong? Shouldn’t this person be moved?”
“I… No way! Just leave it alone.”
Ki-Seok Choi stood next to the patient and took a deep breath.
“Haha… haha… fixing the injured part is much more important than moving the patient.”
Examining with the eyes of Hippocrates, the patient had damage to the cervical spine and spinal cord due to the fall.
Additional damage occurs when such trauma patients are carried on their backs or by lifting their limbs.
A typical example is additional cervical spine damage caused by the neck being bent.
Therefore, the first priority in treating trauma patients is to immobilize the body.
‘It’s not that easy this time either.’
Choi Ki-seok unfolded the first aid kit and looked down at the patient.
Blood was flowing from the collapsed temporal area, and cerebrospinal fluid was flowing from the ears and nose.
Whirring.
The patient’s bleeding area was covered with a bandage.
Afterwards, I raised the patient’s head and slightly lifted his legs using the two blankets I brought with me.
This is a posture to help the patient’s circulation.
The primary treatment was completed by supporting the patient’s lower back with a cervical spine fixation splint.
‘Not yet?’
Ki-Seok Choi examined the patient again with Hippocratic eyes and furrowed his eyebrows.
The patient’s blood pressure dropped and his breathing became increasingly unstable.
So I started injecting vasopressors through IV and squeezing ambu bags.
Pop. Pop. Pop. Pop.
Sweat poured down my face like rain, but I didn’t care.
It was okay to pour out all the sweat of one’s body as long as this sweat could save the patient.
Weeeeeee. Weeeeeee.
The siren sounded and the staff got out of the Mayjo ambulance.
“Were you the doctor who said he would treat you first?”
Nikolai came to his side.
“First aid is over, so all we have to do is transport. Please help us move the patient.”
“okay.”
Choi Ki-seok and Nikolai carefully moved the patient onto the stretcher. The patient was then placed in the back of the ambulance and returned to Mayjo Clinic.
“It looks like you’ve been in a war?”
“Yes. It was war.”
Choi Ki-seok chuckled and looked at himself.
The gown was covered in the patient’s blood and dust, and the sweat-soaked bangs hung down like seaweed stalks.
I was only wearing a gown, but I didn’t look like a regular person.
‘It’s not bad. This feeling.’
As part of the rescue team, he was only dispatched twice. However, it felt 180 degrees different from when I worked in the ward.
I guess it’s the tension that comes from an urgent and vivid scene.
A patient with red skin due to a burn, a patient who suffocates right in front of his nose, a patient whose head is broken in a fall accident, etc.
Most of the patients treated today were emergencies.
I was able to reflect on the meaning of being a doctor through the breathtaking treatment that continued during the golden time.
“This was your first time out, right?”
“That’s right. Although it lost its meaning because the player was taken away from you.”
“You better be prepared. The rescue team is not easy.”
While I was talking with Nikolai, an ambulance pulled into the Mayjo Clinic.
“Dr. Choi. Thank you for your hard work.”
Scarlett spotted him and waved happily, while Charlie and Greg who were nearby bowed.
“What happened to the patient?”
“As soon as you arrive, you start looking for patients. Two of them went into emergency surgery and the rest are under observation in the emergency room.”
“That’s right.”
Ki-Seok Choi nodded slightly.
“By the way, the director of the emergency department was really surprised?” ”
Yes? Why?”
“I said this was the first time I saw a resident performing a tracheostomy in the field. He also joked that if he had failed, he would have tried to take off Dr. Choi’s gown.” ”
That won’t be a joke.”
Ki-Seok Choi trembled as he thought of Parker.
“I’ll change my gown and take a shower.”
“Yes. Go ahead.”
I went into the emergency room, finished personal maintenance, and headed back to the ambulance.
Then, as if I had been waiting, the call phone rang.
[This is Sylvia from the situation room. A triple collision has occurred on Kane Street. Rescue Team 1 and Rescue Team 8 are dispatched to the scene together. You can do it.]
“Yes. I’ll go right away.”
Choi Ki-seok hung up the phone and informed the staff of the situation.
The ambulance left the hospital again.
“Charlie. Do you still not trust me?”
Charlie remained silent for a long time when asked his question. Then he suddenly blurted out,
“Out of all the doctors I’ve ever met, he’s the best. At least so far.”
