I Am Diagnosed as a Medical Titan

Chapter 118: Chapter 114: Transformation

Chen Hao reported quickly as he walked:

"The patient’s right thorax is distended with diminished respiratory movement. Physical exam reveals jugular venous distention, tracheal deviation to the left, and hyperresonance on percussion of the right chest! I highly suspect a right-sided Tension Pneumothorax! His O2 sats are dropping, and he could go into cardiac arrest at any moment!"

The resident’s pace instantly quickened, and he practically jogged to the bedside.

Once he stopped, he took one look at the man’s neck and chest, then reached out to feel the position of the trachea in the suprasternal notch.

All the physical signs were exactly as the student beside him had reported.

He then shouted to a passing nurse, "Large-bore needle! Povidone-iodine swabs! Get them here now!"

The nurse immediately pushed a treatment cart over.

The resident didn’t have time to slowly lay out a sterile drape. He grabbed the povidone-iodine swabs and heavily swabbed the man’s second intercostal space at the midclavicular line on the right side twice.

Then he tore open the packaging of the large-bore needle, aimed, and plunged it in without hesitation.

The moment he withdrew the inner stylet.

HISS—

As the high-pressure gas escaped, the man’s distended right chest rapidly deflated.

The change was almost visible to the naked eye. Color began to return to the man’s previously cyanotic face. His desperate gasps for air subsided, and his chest began to rise and fall again.

He was going to live!

The resident used medical tape to secure the needle to the man’s chest wall and attached a simple one-way valve made from a glove finger.

After all this, the resident let out a long sigh of relief.

He turned, looked at Chen Hao standing beside him, and gave a slight nod.

In a place like the ER where every second counts, an accurate physical exam report can save a doctor crucial time on assessment and diagnosis.

And those few minutes could mean the difference between life and death.

The resident said, "You watch him. Make sure the needle doesn’t come loose. Call me immediately if anything changes. I have to get to the next one."

Without another word or any pleasantries, the resident turned and rushed into another patient bay.

In the hallway, Chen Hao stood by the gurney, looking down at the man on the bed whose breathing was gradually steadying.

The chaos of the ER still raged around him.

But Chen Hao’s own world was quiet.

He lifted his hands.

His palms were slick with sweat...

Before, he’d always felt that things like ’medicine’ and ’saving the dying and healing the wounded’ were concepts far removed from his own life.

But now, watching this life—pulled back from the brink of death because of his own timely diagnosis—Chen Hao’s eyes began to burn.

Then, he gave himself some serious praise in his head.

’All that time I spent busting my ass studying... it wasn’t for fucking nothing! It was all worth it!’

12:15 AM.

Outside the emergency department entrance, red and blue lights pierced through the heavy curtain of rain.

Accompanied by the thunder of footsteps, several teams of medical personnel in different uniforms rushed into the lobby, pushing equipment.

The emergency response teams from Provincial People’s Hospital and the Municipal Second Hospital, along with support from the Armed Police General Hospital, had finally arrived.

In the face of disaster, the state apparatus demonstrated its terrifying efficiency.

Before they arrived, Jiang He and the emergency team from Affiliated Hospital No. 1 had desperately held the line against the first wave, completing the initial triage and emergency treatment for all the injured.

Now, with a saturation-level injection of medical resources, the intensity in the emergency hall finally began to subside.

The injured were quickly sorted and redirected.

However, due to the downpour outside, many roads were severely flooded, making it difficult for ambulances to carry out stable, long-distance transfers.

This meant that all surgeries for critically ill patients had to be handled on-site at Affiliated Hospital No. 1.

On a gurney in a corner of the lobby lay a middle-aged man in his forties.

He had just been pulled out from under the chassis of an overturned bus by firefighters.

"Doctor, I’m fine."

The man’s voice was a bit hoarse, but he seemed to be in good spirits.

"I was just pinned under a seat for over an hour. My legs are a little numb now, and I’m really thirsty. Just give me some water, and go help the others."

The support doctor beside him glanced at the man’s legs.

There were no open wounds, and their bone structure looked normal.

He was just about to put a yellow tag on the man and send him to the observation area to wait.

But Jiang He reached out and stopped him. "Wait."

He stepped forward, lifted the thermal blanket covering the man’s legs, and pressed both hands directly onto his thigh muscles.

They were rigid to the touch.

As hard as a wooden plank.

Jiang He’s brow furrowed instantly. He immediately turned and asked the paramedic who had accompanied the ambulance, "Did you insert a urinary catheter?"

"We did. It’s hanging under the bed."

Jiang He bent down and lifted the drainage bag.

Under the light.

The liquid inside the urine bag was a murky, soy-sauce color.

Jiang He’s gaze sharpened. He said:

"This isn’t a simple soft tissue contusion. It’s crush syndrome. His muscles were under heavy pressure for a long time, causing extensive necrosis and rhabdomyolysis."

"His urine is currently full of myoglobin, which will soon block his renal tubules and trigger acute kidney failure."

"Start two IV lines immediately! One for sodium bicarbonate to alkalize the urine, and the other for rapid fluid resuscitation. Have calcium gluconate ready. If his potassium spikes and causes an arrhythmia, push it IV to protect the myocardium."

"Notify the dialysis unit. Have them bring a machine down to the ER on standby. He might need emergency hemodialysis at any moment."

The man couldn’t understand the medical terminology, but seeing the grave look on Jiang He’s face, his previously relaxed expression was slowly replaced by fear.

"Doctor... is it that... serious?"

"Cooperate with the treatment. Don’t move, and don’t drink any water," Jiang He reassured him. "You’re going to be okay."

The nurses began carrying out the orders methodically. Jiang He straightened up and let out a soft breath.

This was the tenth patient he had seen tonight.

The tenth life he had saved.

"Dr. Jiang."

The young ER nurse who had been assisting him handed over a few tissues and said softly,