Chapter 6 (1/2)
Please let me know if you spot any errors as it has not been proofread yet
Chapter 6: Back to reality
”Such a nosy looser. Are you going to ruin the day when everybody has gathered?”
”come back right now!”
At Taeho's shout, Giseok turned around.
Taeho's face softened by that sight.
”Hey, you think helping someone in need is nosy looser?”
Giseok glared at Taeho.
Then he realized instinctively. Now is the time to say goodbye to Taeho's circle of friends.
”You call yourself a doctor when you ignore a patient. Shame on you”
Giseok poured sharp words at Taeho.
”Get lost!”
Giseok, after giving a piece of his mind, approached the collapsed quickly.
BANG!!!!
Taeho disappeared, leaving the loud noise behind.
”Are you alright?”
Giseok repositioned him and shook his shoulder.
A male, somewhere in his mid-40s, was completely unconscious.
Sensing gloomy foresight, Giseok used the eye of Hippocrates on him.
Physical: 3/10
Chief complaint: Chest pain/breathing difficulty/low blood pressure/slow pulse
Area: Heart
Current status: Urgent
Progress: Very bad (near death)
[Due to low pa.s.sive level, more detailed a.n.a.lysis is unavailable]
The chill ran through his spine after studying the patient.
Giseok then did thorough a.s.sessment on the person.
He estimated his temperature, putting his hand on the person's forehead then checked his breathing and pulse.
The temperature is normal.
The breathing was so faint that it was about to stop and the blood pressure hit the bottom. Despite of this, his pulse was running like a wild horse
Pulse being this high means there is a problem with ejection volume.
Unable to ignore a nagging feeling, Giseok took the person's top off.
There was a big, blue bruise on his left chest.
'oh&h.e.l.lip;&h.e.l.lip;&h.e.l.lip;&h.e.l.lip;&h.e.l.lip;&h.e.l.lip;..'
Giseok let a groan pa.s.s, without realizing it.
The person was suffering acute cardiac tamponade (pressured heart).
When there is pooled blood around pericardium, the heart is pressed against the pressure. Therefore, the ejection volume decrease and the pressure on pericardium increase.
Based on the bruise on his chest, it is cardiac tamponade.
”119. I am at the corner of 00 bar&h.e.l.lip;.”
Giseok looked around after calling EMS.
This requires pericardiocentesis. Using a very sharp tool, the blood around pericardium has to be removed. But he had no such a tool to pierce the chest and get the blood out.
Giseok ran to the closest pharmacy like a mad person.
If he waits until the 119 arrives, the person will die.
”Please give me the syringe, needle and phobidone”
”Excuse me?”
The pharmacist started at Giseok with surprised look.
”Syringe, needle and phobidone!”
”Wh..what are you going to with them?”
”There is person dying. Gauze and plasters as well. Quick!”
Giseok's pressing voice made a suspicious pharmacist got what he needed.
Giseok paid for the goods and went back to the person like a bullet.
[Encouragement skill failed. Encouragement can't be used on unconscious person.]
[Must Save skill is in use]
[Skill levels, including surgical and clinical skills are increased by one level.]
[Cold-heartedt skill is in use]
[Worry, anxiety, nervousness disappeared]
[Now you can a.s.sess the situation clearly]
After using his skills, his head cleared.
His heart swell with confidence that he can save this person.
Giseok first sat the patient up against the wall. Then he applied phobidone on the skin liberally.
Then he held a syringe, out of its packaging.
Now he has to perform pericardiocentesis without ultrasound. If the needle pierce lungs, not a heart then it can't be reversed but he must do it.
Giseok smoothed his breathing and looked at the wallet, beside the man.
In it, there was a picture of his family with bright smiles on their face.
Only if I can save those smiles&h.e.l.lip;.
'Go!'
Giseok's eyes sparked with brightness.
The area is between left chest bone and 5/6 th rib cage.
PSHUUUUU
The needle pierced and entered the chest in a decisive manner.
Piercing feeling was lingering on the tip of his fingers but the treatment was not done yet.
[Successful emergency treatment. You succeed on pericardiocentesis]
[With acquired bonus, Body buff is in action temporarily]
[Steel-strength Physical: Your physical will decrease at lower rate temporarily]
He felt as if he was saved.
There was no mistake.
The needle pierced the pericardium with precision.
Giseok slowly pulled the plunge back now that the needle is in place. The syringe was holding red pericardiac sample.
Pericardiocentesis was success.
He felt like as if he came from the death.
Then he realized he was drenched in cold sweat.
He pulled the needle and syringe back, sterilized the scar with phobidone and covered with gauze.
Physical: 2/10
Chief complaint: Cardiac arrest/no breathing
Status: Urgent
Progress: Very bad (near death)
[Due to low pa.s.sive skill, more detailed a.n.a.lysis is unavailable]
”s.h.i.+t”
Giseok bit his lips after a.s.sessing the patient again.
It's not done yet.
The heart stopped beating from complication of pericardiocentesis.
Giseok secured the man's airway and placed his laced hands on the chest
Pus.h.!.+Pus.h.!.+Push
He started on chest compression (CPR)
Each push made the man's body fluttered like a wave.
This is the reason why many people's rib cages are fractured.
Giseok swiftly performed 30 CPR and blow air to the man's mouth twice.
His arms getting sore and his forehead produced large sweat bubbles but CPR didn't slow down.
Thanks to Steel-strength physical, CPR was bearable.
'not any more&h.e.l.lip;'
Giseok's face darkened.
Even with proper CPR, breathing and pulse weren't coming back to normal.