Chapter 44 (1/2)

Chapter 44: Mission: A Buddha to All

The robotic female voice reverberated through s.p.a.ce. However, it was not in response to Zheng Ren’s shout. It was here to deliver a mission.

[Emergency Mission: A Buddha to All

[Mission Details: Rescue management of ma.s.s poisoning cases in the emergency department

[Mission Reward: 300 skill points, 1 silver chest, 30000 experience points for every 100 patients successfully rescued.

[Mission Duration: 1 day.]

The System was more generous this time around. Zheng Ren was dumbfounded by the mission. Its rewards were unbelievable. He did not know what the silver chest contained but the 300 skill points and 30000 experience points were enough to entice him.

However… Zheng Ren cursed. The System Shop had no central venous catheterization training.

‘Are you f*cking kidding me?’ Zheng Ren thought.

Every wasted minute, no, every wasted second could cost the patient’s life.

Suddenly, the panicking Zheng Ren was blessed with an idea. Interventional surgeries usually started with an artery cannulation, right?

What he wanted to perform was a central venous catheterization, and while they were not the same procedure, the principles were similar.

Why not give it a try?

There was no time to debate the matter. Zheng Ren selected the interventional surgery training module and out came some options, the first of which was vein and artery cannulation.

Without a second thought, Zheng Ren selected it. He was no longer calculative, expending all 14076 of his experience points on intensive training time.

234.6 minutes; not even four hours. That was all the time Zheng Ren could afford.

The System’s operating theater rose from the ground. Zheng Ren entered without further delay. Taking a deep breath to calm himself, he started the intensive training.

…

…

Another patient was brought in from the ambulance, in just as severe a condition as the first patient—circulatory shock due to poisoning.

When the patient was pushed into the emergency room, Old Chief Physician Pan had just opened up the first patient’s skin and was separating the subcutaneous tissue to find the semblance of a femoral vein.

“Venous catheterization kit, prepare for disinfection,” Zheng Ren said in a scratchy voice, just waking up.

“Bring in a patient, stat!”

The patient was lifted onto the emergency bed as fast as possible and Zheng Ren got to work.

The patient was in supine position with their feet elevated 15 to 25 degrees above their head to increase venous pressure and blood flow.

This was to ensure venous pressure remained higher than atmospheric pressure, minimizing the risk of an air embolism during central venous catheterization.

Zheng Ren tore open the patient’s top. His show of strength was nearly animalistic. He placed a 500ml water bottle between the patient’s shoulder blades. As they were a tad underweight, Zheng Ren switched the water bottle out with a softer bottle of saline solution.

The aim of the bottle was to open up the chest area, allowing the shoulders to fall back and elevate the section between the clavicles. It would push the subclavian vein nearer to the clavicle and further away from the apex of the lung.

Then, Zheng Ren turned the patient’s head to face him. This placement reduced the angle between the subclavian and jugular veins, making it easier to guide the catheter downward in the direction of the superior vena cava.

“Look here. Make sure the next patient is in the same position.” Zheng Ren wanted to shout the words, but his sore throat made it impossible. The few nurses around him were his only audience.