9:40 PM.

Emergency Department.

As the saying goes, rescuing in an emergency is like fighting a fire. After receiving the resident doctor's report, Liu Ziang immediately pulled Zhao Heng and rushed from neurosurgery to emergency.

Why did Liu Ziang pull Zhao Heng? On one hand, it was a joke, but more importantly, because Zhao Heng is a doctor with a high level of professional and psychological quality, especially in emergency handling, his skills are exceptional.

When Zhao Heng and Liu Ziang arrived at the emergency room, the patient was already lying in the emergency ward, intubated with monitoring of blood pressure and heart rate all set up.

As soon as they entered the emergency room, attending physician Li Yang came forward immediately. Seeing Zhao Heng and Liu Ziang together, Li Yang was a bit surprised.

More than a month ago, Li Yang was thinking that if a young doctor like Zhao Heng, with such a solid foundation, could get the assistant director position and come to emergency, it would be great.

What Li Yang did not expect was that the world changed so quickly. In just over a month, Zhao Heng's rapid advancement left everyone who knew him feeling caught off guard.

He's already mingling with a big shot like Liu Ziang now.

"How is the patient's condition?"

Liu Ziang asked in a deep voice.

Upon hearing it's acute craniocerebral trauma, Liu Ziang did not dare delay and pulled Zhao Heng to come over.

"The patient is a 60-year-old male, who suffered a serious car accident, causing acute mechanical trauma, severe craniocerebral damage, with a history of hypertension. Autonomous respiration is 6 times/minute, blood pressure 80/60mmHg. Suspected subarachnoid hemorrhage and skull fracture."

Li Yang introduced the patient's condition quickly and professionally.

It could be said that this patient's condition is indeed very critical, hardly hanging on to life.

"Subarachnoid hemorrhage? Skull fracture?"

Upon hearing Li Yang's words, Liu Ziang touched his chin and fell into brief contemplation.

Given the patient's history of hypertension, it's very likely that during acute trauma, the blood pressure sharply rose, causing cerebral vessel rupture and hemorrhage.

But it's also possible that the skull fracture damaged the vessels, causing hemorrhage. Specifically how, I'm afraid only acute craniotomy and opening up the skull will reveal.

"Seems like craniotomy is necessary. Junior, anesthesia is up to you."

After brief contemplation, Liu Ziang decided the surgical plan, turned around, patted Zhao Heng's shoulder, and said.

"Okay."

Zhao Heng swiftly agreed. This patient is almost hanging by a thread. Not only is the surgery risky, with a high chance they might not survive the operation, but anesthesia carries equally great risk.

Liu Ziang entrusting him with this task is also a testament to his trust and recognition.

Though Li Yang didn't know why Zhao Heng and Liu Ziang appeared together, seeing Liu Ziang trust the anesthesia for such a critical patient to Zhao Heng, Li Yang was amazed.

Li Yang is well aware that Liu Ziang's skill is profound and unfathomable. Unless Zhao Heng truly possessed the capability to anesthetize such a critical patient, Liu Ziang wouldn't delegate it to him.

Thus, Li Yang was shocked by Zhao Heng's rapid improvement in skill.

After that, Liu Ziang and Zhao Heng together introduced the patient's condition to the family and explained the surgical risks.

Though the patient's family felt grief, seeing the patient barely hanging on, they expressed acceptance of the risk and signed the pre-surgery informed consent form.

After preparations were done, the patient was quickly sent to the operating room, with the emergency surgery about to begin.

Zhao Heng first entered the operating room to prepare. As he entered, the instrument nurse Tian Zhen looked at him in surprise.

At this hour, shouldn't Zhao Heng have finished his shift? Why is he in the operating room again?

"Weren't you done for the day?"

Tian Zhen asked, somewhat puzzled.

"Don't mention it, Director Liu pulled me in."

Zhao Heng said somewhat helplessly. Given this patient's condition, looks like he'll be busy until three or four in the morning.

"That's because of your strength; that's why he sought you."

Tian Zhen smiled and said.

"Let's not talk about that; prepare the sufentanil and rocuronium besylate, along with propofol. Ensure sufficient quantities."

Zhao Heng shook his head slightly, indicating he didn't want to discuss why Liu Ziang pulled him in, and quickly issued commands to Tian Zhen.

"Hmm, okay."

Tian Zhen did not hesitate. Her cooperation with Zhao Heng was exceedingly smooth, as evidenced in previous surgeries.

While Zhao Heng was preparing anesthesia for the surgery, the patient was soon wheeled into the operating room.

Once the patient was sent in, Zhao Heng immediately, with Tian Zhen's cooperation, switched the patient to controlled respiration, setting up cardiac monitoring. Their smooth and rapid coordination left Liu Ziang amazed.

Though he's done numerous surgeries, he'd never seen an anesthesiologist and instrument nurse cooperate so well and seamlessly.

After completing these preparations, Zhao Heng began pre-operative anesthesia checks on the patient.

"The patient's left pupil is dilated, light reflex is absent."

After checking the patient's signs, Zhao Heng solemnly reported to Liu Ziang.

This dilated pupil, absent light reflex indicates damage to the oculomotor nerve or brainstem injury. No matter which, it suggests the patient is at death's door, critically endangered.

"We can only give it our all."

Liu Ziang nodded, saying in a deep voice.

Such situations in neurosurgery are not new to Liu Ziang, not for him to handle for the first time.

"Let's begin, 20 micrograms of sufentanil, 10 milligrams of rocuronium besylate, 80 milligrams of propofol intravenously induce, execute immediately!"

Zhao Heng quickly instructed the circulating nurse Sun Meng already standing by.

Previously, the circulating nurse wasn't in place, so it was the instrument nurse Tian Zhen assisting Zhao Heng. Now, with the circulating nurse ready, Tian Zhen focused on preparing surgical instruments.

In the operating room, roles are clearly defined.

"Alright."

Sun Meng immediately complied and began executing Zhao Heng's commands.

Next, Zhao Heng did a right internal jugular vein puncture and catheter insertion and right radial artery puncture for invasive blood pressure monitoring, also preparing an autologous blood recovery machine.

Seeing Zhao Heng's orderly and precise operations, Liu Ziang couldn't help but nod, admiringly looking at Zhao Heng.

To him, such complex operations, in entire Eastern Hospital, only Zhao Heng could execute so efficiently.

With excellent anesthesia, the chief surgeon feels confident, complementing each other.

Ten minutes later, circulating nurse Sun Meng said, "Dr. Zhao, blood pressure 125/60mmHg."

"Hmm, deliver 0.4 milligrams of norepinephrine intravenously."

Zhao Heng nodded. Since the patient's blood pressure had been stabilized, continuous maintenance was necessary, a prerequisite for surgery.

Another ten minutes passed, Sun Meng said, "Blood pressure 140/70mmHg, end-tidal carbon dioxide pressure 34."

Upon hearing Sun Meng's report, Zhao Heng nodded and said to Liu Ziang, "Surgery can begin."

"Alright, let's start."

Liu Ziang nodded and said to the resident doctor Xiao Sun who had been waiting by the side.

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