"Doctor, this is my coach, please, you must save him."
The young man looked at Zhao Heng, pleading.
"Hmm."
Zhao Heng nodded.
The situation of the middle-aged man before him was a very typical case of spontaneous pneumothorax, which is a rare condition.
Spontaneous pneumothorax refers to the rupture of lung tissue and visceral pleura due to lung disease, or spontaneous rupture of the sub-pleural bleb, allowing air to escape into the pleural cavity.
"His condition is a severe spontaneous pneumothorax. It has seriously inhibited breathing and may not last until the ambulance arrives at the hospital. We must act immediately."
Pausing, Zhao Heng quickly and methodically laid out the current situation.
This severe spontaneous pneumothorax had already severely suppressed breathing, to the point of suffocation. Without immediate emergency treatment, he surely wouldn't make it to the hospital by ambulance.
The round trip to the nearest hospital, even in optimal traffic, would take at least fifteen minutes. However, the middle-aged man was already showing signs of suffocation, and might not last fifteen minutes before hypoxia from respiratory arrest leads directly to brain death.
"Doctor, what should we do?"
The young man was already extremely anxious and couldn't help but ask urgently.
At this moment, the restaurant manager, a middle-aged man, rushed in hurriedly.
"Manager Wang."
Seeing the restaurant manager come in, the young man greeted him, appearing familiar.
"What happened to Coach Song?"
Manager Wang saw the middle-aged man lying on the ground, pale and seemingly lifeless, and asked anxiously.
"I am a doctor from Eastern Hospital. The patient is currently experiencing acute pneumothorax and cannot breathe. Immediate intervention is necessary. Can you provide some supplies?"
Seeing the manager arrive, Zhao Heng asked urgently but steadily.
"Yes, yes, of course."
Manager Wang was momentarily stunned but quickly nodded in response to Zhao Heng's request.
The thing that restaurant owners fear most is a situation like this.
Not to mention that the young man and the middle-aged man, Coach Song, have deep ties with the restaurant owner.
"A small knife, a piece of thin rubber tubing at least 20 cm long, a bottle, alcohol, and tape—can these be prepared?"
Zhao Heng nodded and continued.
"Yes, they can, I'll go prepare them."
Upon hearing this, Manager Wang, although clueless about Zhao Heng's intentions with these items, quickly nodded, got up, and stumbled out to prepare them.
As Manager Wang ran out, Xu Man Ni, who was also squatting by the side, spoke up, "You plan to perform a closed drainage?"
"Yes, given the current situation, we can only perform thoracic puncture for air evacuation."
Zhao Heng nodded.
"Alright, I'll assist you."
Xu Man Ni didn't say much more. Despite the high risk of performing a thoracic puncture under such rudimentary conditions, it was the only viable option in this scenario.
"Don't worry. Although spontaneous pneumothorax is rare, once we perform the puncture to evacuate air, he will recover quickly."
Seeing the handsome young man beside him looking panic-stricken, Zhao Heng couldn't help but reassure him.
"Yes, thank you, doctor."
The handsome young man felt slightly relieved after hearing Zhao Heng's reassurance.
He never imagined that his spontaneous idea to bring his coach to eat at a close friend's restaurant would result in such a situation.
In no time, Manager Li came back, sweating profusely and hurriedly.
"Doctor, do these items work for you?"
Manager Li handed a medical box to Zhao Heng and asked eagerly.
During the time he was gathering supplies, he had informed the waitress, who was currently on the phone with the owner.
The owner was also rushing over.
Zhao Heng took the medical box, opened it, and saw that it was quite well equipped, with gloves, alcohol, and gauze. The knife was a box cutter, along with transparent tape and a half-full bottle of white wine, which was sufficient.
"Yes, this will work. Give them to me."
Zhao Heng nodded.
Upon hearing this, Manager Li hurriedly handed over the items to Zhao Heng, not daring to delay.
"Start with disinfection."
Zhao Heng put on gloves and instructed Xu Man Ni, who was squatting by the side.
"Alright."
Xu Man Ni nodded, as an experienced operating room nurse with experience in highly complex surgeries. Although the current conditions were limited, she was more than capable.
Zhao Heng used the box cutter to cut open the T-shirt of the middle-aged man, exposing his chest.
Xu Man Ni, seeing this, opened the bottle of medical-grade alcohol and poured it directly onto the man's chest.
Seeing Zhao Heng and Xu Man Ni work with professional and fluid proficiency, the young man and Manager Li couldn't help but feel an inexplicable sense of trust, slightly calming their anxious hearts.
Next, Zhao Heng held the box cutter while Xu Man Ni, understanding his intention, poured alcohol on the blade to rinse it off. Zhao Heng then inserted one end of the rubber tube into the bottle with white wine and sealed the bottle and tube together with transparent tape.
Now came the crucial moment.
Zhao Heng lifted the box cutter and marked a spot on Coach Song's chest, searching for the precise incision point.
For Zhao Heng, who embodied the masterful surgical skills of Eastern Hospital's top surgeons, even under these circumstances, locating the puncture site was not difficult.
In just a matter of seconds, relying on an extensive reservoir of experience in his mind, Zhao Heng found the appropriate puncture point: the line through the second intercostal space at the midclavicular line.
Seeing Zhao Heng ready to cut directly into the chest with the box cutter, the young man and Manager Li's hearts leapt to their throats.
Such a graphic scene of cutting into a chest is extremely visually shocking to ordinary people.
The hearts of the young man and Manager Li were tightly gripped, with the young man clenching his fists so tightly they turned white.
Zhao Heng steeled himself, carefully lifting the box cutter, making a small incision with the tip at the determined spot, then gently enlarging it and inserting the rubber tube, sealing it with transparent tape.
Soon, slight movements appeared on the middle-aged man's chest, and bubbles began to rise in the bottle of white wine beside him.
This was a sign that the compressed air in the thoracic cavity was being expelled.
A moment later, the middle-aged man took a deep breath and suddenly opened his eyes.
Seeing this, the young man and Manager Li felt an overwhelming sense of relief as if they had narrowly escaped death themselves.
As for Zhao Heng, having completed such a high-risk maneuver under exceedingly basic conditions and saving a life, he remained calm and composed.
But that was to be expected; for Zhao Heng, scenes like this were simply routine!
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