Chapter 67: Rh-negative!
If audio player doesn't work, press Stop then Play button again
Yu Yan hurriedly entered the revolving door to the hospital, she ran to the reception and then signed her name on the attendance book, she pulled off her black coat and hung it on her bag while she was running, she had a habit of wearing trousers and a shirt whenever she came to work but today she was a white off-shoulder top on blue jean, this is clearly something that the nurses at the reception had never seen her wearing.
"Surgeon Yu, are you okay?" one of them asked
"Yeah, I just ran from the parking lot so I am a bit hot, why did you ask?" She replied.
"You are dressed unusually today" the nurse answered
"ooh, it is a rather long story," She said then she left the reception, she entered the elevator and pressed the third-floor button. She took in a deep breath as she stood at the entrance of the office hoping that her team leader hasn't entered the office yet. She opened the door and looked inside the office, three pairs of her stared at her as she walked into the office and sat on her seat.
"Good morning," Yu Yan said and smiled awkwardly
"I don't think I will be very good when you meet the team leader," Xiaomeng said, the mood suddenly changed from a happy mood to a rather silent one.
"Did the team leader come in here?" Yu Yan asked
"She didn't but she called us to her office to lecture us because we were the last to arrive at the meeting arrive at the meeting but she didn't see you so I told her that you went to get coffee at the café," A Ke said
"We didn't come to work for six days, today is Thursday so she should have forgotten that" Yu Yan said
"Unfortunately for us, our team leader had a very good memory," Li Chen said.
"By the way, your mum called me last night to ask me if you were at work, where did you go last night?" An Ke asked
"seems like being an adult last born doesn't mean you can be totally free from being a mummy's girl and your dressing seems not like you today," Li Chen said
"tell me about it! I need to change my clothes, thankfully I always have spare clothes" Yu Yan said then she sighed, just then a nurse rushed into the office.
"There is a patient with a stab wound in the emergency department and he is in need of immediate treatment now," the nurse said.
"Seems like I don't get to spend the first thirty minutes in the office," Yu Yan said, then she grabbed her white coat from the hanger and took her hairband from her drawer, she tied her hair up as she hurried out of the office behind the nurse. When she got to the emergency department, she gasped.
A day never passes by without the emergency department being filled with patients…
She thought!
She hurried to the bed where the patient she needed to treat was lying on. The patient was screaming in pain when she got there, he was stabbed with a long square-shaped butcher knife, she gasped at the sight of a teenage boy lying on the bed, she has always hated treating patients with stab wounds especially gang members but this was the most brutal thing she has ever seen anyone do to a teenager since she has been working in this hospital.
"Explain the situation to me," Yu Yan said, she moved closer and brought out a pen torch from her pocket to examine the man eyes.
"He is a sixteen-year-old boy, according to the person who brought him in, he was going to register for a football competition, then he got stabbed by a maniac with a long knife," nurse wang said. While she was attending to the patient, Han Chen came into the emergency department, he was about to walk by but he saw Yu Yan in the emergency department so he just stood by the entrance and watched her.
"his pupils are already dilating, give me his vital signs," Yu Yan said as she tore his shirt apart, the knife in the boy's body entered his abdomen and came out of his back, the other end of knife prevented him from lying on the bed so they had to make him sit up. He was already sweating and blood was oozing out of his wound, he was groaning in pain and squeezing the sheets on the bed to endure the pain.
"The paramedics told us that his vital signs are very low, his blood pressure is 90mm Hg systolic blood pressure, his heart rate is 140 beat per minute" the nurse replied. Yu Yan bit her lips, she just couldn't see the boy going through such agonizing pain. She felt like she was sharing the pain with him, she was about to examine the wound but the boy held her hand tightly.
"Doctor please remove this knife, the…pain is too much for me to bear," the boy said
"child, I can't remove it now, just endure the pain, for now, I will end the pain for you as fast as I can, just try your best not to lose consciousness," Yu Yan said, she drew blood out of his vein then she turned to the nurse.
"I need two more nurses here, I need a CT scan of his central airways and bedside abdominal US, tachycardia reflects blood loss so he is in need of blood transfusion, take his blood sample, text his blood type and other variables for blood transfusion, inform his guardian and have them check for whoever has a blood type that matches his, and check his coagulation markers, give me two large-bore IV lines with one litre of crystalloid infusion," Yu Yan said, then they nurse hurried away, she turned back to the boy and held his hand.
"Don't worry, I will make you better, just do me a favour and breath slowly, try your best to endure the pain and remain awake?" Yu Yan said, she turned back when the two nurses she called for arrived.
"I need one of you to go to the blood bank department, I need four units of type O negative blood, the other one should get me as much gauze as you can and as fast as you can," Yu Yan said, just as the other two went on the missions, nurse song returned with everything she was asked to get. Yu Yan covered the boy's mouth with an oxygen mask connected to the electrocardioscope to monitor his vital signs, she saw that there wasn't much difference and they would lose the boy if they are not quick enough.
"I need you to administer 1ML of tranexamic acid per minute," Yu Yan said to nurse song, then she collected the CT scan result and the beside US test.
"seems like the knife penetrated his liver and stabbed through the thoracolumbar fascia if we pull the weapon out of his body, he will most likely lose a lot of blood, we need enough blood for transfusion, the bedside US test is not clear, seems like I will have to perform a diagnostic peritoneal lavage," Yu Yan said
"I will get another IV line for the blood transfusion and I have confirmed his blood type, he has an Rh-negative blood type so for now we can't find a donor for him and I don't think he can last until then".
"There is another way, draw my blood, I have an Rh-negative blood type," Yu Yan said, then she stretched out her arm. Han Chen who had been watching her from afar heard her saying that she wanted to draw her blood for him so he quickly ran to her.
"But…"
"No but, draw it now, we have a patient on the bed," Yu Yan shouted
"what is his blood type?" Han Chen asked, the two of them turned to look at him.
"Who are you?" the nurse asked
"Why are you here?" Yu Yan asked
"I have been watching you so I decided to give it a try since we can't have the doctor in charge feeling weak so why don't you check if I am suitable for the blood transfusion," Han Chen said
"I would have argued but right now someone's life is in danger so just do it, what is your blood type," Yu Yan said
"I am Rh-negative," Han Chen said, Yu Yan and the nurse glanced at each other.
The nurse quickly picked up a syringe and drew a sample of his blood then she hurried away.
"I would have questioned you but I am not in the mood," Yu Yan said then she turned back to the patient.
"Don't worry, you will be alright soon, just hold on?" Yu Yan said to the boy then he responded with a nod, he was already sweating profusely and the pain was already making him shut his eyes slowly, Han Chen noticed this then he moved closer to the boy.
"Just count the number of breath you take or sing your best song in your mind, it will help," Han Chen said then he smiled and stroked the boy's hair, Yu Yan watched him as he stroked his hair, she felt like he wasn't the same scumbag she had known. Then the other nurses came back.
"Good" Yu Yan said the nurses laid everything they needed in the medical trolley.
"His blood is compatible with the patient's blood," nurse wang said
"Alright then take him to draw his blood, w might be needing it very soon," Yu Yan said then the nurse walked away with Han Chen following behind her.
"Now we are going to get into action, the both of you should apply pressure to both sides of his abdomen while I pull out the knife," Yu Yan said.
Please report us if you find any errors so we can fix it asap!
Yu Yan hurriedly entered the revolving door to the hospital, she ran to the reception and then signed her name on the attendance book, she pulled off her black coat and hung it on her bag while she was running, she had a habit of wearing trousers and a shirt whenever she came to work but today she was a white off-shoulder top on blue jean, this is clearly something that the nurses at the reception had never seen her wearing.
"Surgeon Yu, are you okay?" one of them asked
"Yeah, I just ran from the parking lot so I am a bit hot, why did you ask?" She replied.
"You are dressed unusually today" the nurse answered
"ooh, it is a rather long story," She said then she left the reception, she entered the elevator and pressed the third-floor button. She took in a deep breath as she stood at the entrance of the office hoping that her team leader hasn't entered the office yet. She opened the door and looked inside the office, three pairs of her stared at her as she walked into the office and sat on her seat.
"Good morning," Yu Yan said and smiled awkwardly
"I don't think I will be very good when you meet the team leader," Xiaomeng said, the mood suddenly changed from a happy mood to a rather silent one.
"Did the team leader come in here?" Yu Yan asked
"She didn't but she called us to her office to lecture us because we were the last to arrive at the meeting arrive at the meeting but she didn't see you so I told her that you went to get coffee at the café," A Ke said
"We didn't come to work for six days, today is Thursday so she should have forgotten that" Yu Yan said
"Unfortunately for us, our team leader had a very good memory," Li Chen said.
"By the way, your mum called me last night to ask me if you were at work, where did you go last night?" An Ke asked
"seems like being an adult last born doesn't mean you can be totally free from being a mummy's girl and your dressing seems not like you today," Li Chen said
"tell me about it! I need to change my clothes, thankfully I always have spare clothes" Yu Yan said then she sighed, just then a nurse rushed into the office.
"There is a patient with a stab wound in the emergency department and he is in need of immediate treatment now," the nurse said.
"Seems like I don't get to spend the first thirty minutes in the office," Yu Yan said, then she grabbed her white coat from the hanger and took her hairband from her drawer, she tied her hair up as she hurried out of the office behind the nurse. When she got to the emergency department, she gasped.
A day never passes by without the emergency department being filled with patients…
She thought!
She hurried to the bed where the patient she needed to treat was lying on. The patient was screaming in pain when she got there, he was stabbed with a long square-shaped butcher knife, she gasped at the sight of a teenage boy lying on the bed, she has always hated treating patients with stab wounds especially gang members but this was the most brutal thing she has ever seen anyone do to a teenager since she has been working in this hospital.
"Explain the situation to me," Yu Yan said, she moved closer and brought out a pen torch from her pocket to examine the man eyes.
"He is a sixteen-year-old boy, according to the person who brought him in, he was going to register for a football competition, then he got stabbed by a maniac with a long knife," nurse wang said. While she was attending to the patient, Han Chen came into the emergency department, he was about to walk by but he saw Yu Yan in the emergency department so he just stood by the entrance and watched her.
"his pupils are already dilating, give me his vital signs," Yu Yan said as she tore his shirt apart, the knife in the boy's body entered his abdomen and came out of his back, the other end of knife prevented him from lying on the bed so they had to make him sit up. He was already sweating and blood was oozing out of his wound, he was groaning in pain and squeezing the sheets on the bed to endure the pain.
"The paramedics told us that his vital signs are very low, his blood pressure is 90mm Hg systolic blood pressure, his heart rate is 140 beat per minute" the nurse replied. Yu Yan bit her lips, she just couldn't see the boy going through such agonizing pain. She felt like she was sharing the pain with him, she was about to examine the wound but the boy held her hand tightly.
"Doctor please remove this knife, the…pain is too much for me to bear," the boy said
"child, I can't remove it now, just endure the pain, for now, I will end the pain for you as fast as I can, just try your best not to lose consciousness," Yu Yan said, she drew blood out of his vein then she turned to the nurse.
"I need two more nurses here, I need a CT scan of his central airways and bedside abdominal US, tachycardia reflects blood loss so he is in need of blood transfusion, take his blood sample, text his blood type and other variables for blood transfusion, inform his guardian and have them check for whoever has a blood type that matches his, and check his coagulation markers, give me two large-bore IV lines with one litre of crystalloid infusion," Yu Yan said, then they nurse hurried away, she turned back to the boy and held his hand.
"Don't worry, I will make you better, just do me a favour and breath slowly, try your best to endure the pain and remain awake?" Yu Yan said, she turned back when the two nurses she called for arrived.
"I need one of you to go to the blood bank department, I need four units of type O negative blood, the other one should get me as much gauze as you can and as fast as you can," Yu Yan said, just as the other two went on the missions, nurse song returned with everything she was asked to get. Yu Yan covered the boy's mouth with an oxygen mask connected to the electrocardioscope to monitor his vital signs, she saw that there wasn't much difference and they would lose the boy if they are not quick enough.
"I need you to administer 1ML of tranexamic acid per minute," Yu Yan said to nurse song, then she collected the CT scan result and the beside US test.
"seems like the knife penetrated his liver and stabbed through the thoracolumbar fascia if we pull the weapon out of his body, he will most likely lose a lot of blood, we need enough blood for transfusion, the bedside US test is not clear, seems like I will have to perform a diagnostic peritoneal lavage," Yu Yan said
"I will get another IV line for the blood transfusion and I have confirmed his blood type, he has an Rh-negative blood type so for now we can't find a donor for him and I don't think he can last until then".
"There is another way, draw my blood, I have an Rh-negative blood type," Yu Yan said, then she stretched out her arm. Han Chen who had been watching her from afar heard her saying that she wanted to draw her blood for him so he quickly ran to her.
"But…"
"No but, draw it now, we have a patient on the bed," Yu Yan shouted
"what is his blood type?" Han Chen asked, the two of them turned to look at him.
"Who are you?" the nurse asked
"Why are you here?" Yu Yan asked
"I have been watching you so I decided to give it a try since we can't have the doctor in charge feeling weak so why don't you check if I am suitable for the blood transfusion," Han Chen said
"I would have argued but right now someone's life is in danger so just do it, what is your blood type," Yu Yan said
"I am Rh-negative," Han Chen said, Yu Yan and the nurse glanced at each other.
The nurse quickly picked up a syringe and drew a sample of his blood then she hurried away.
"I would have questioned you but I am not in the mood," Yu Yan said then she turned back to the patient.
"Don't worry, you will be alright soon, just hold on?" Yu Yan said to the boy then he responded with a nod, he was already sweating profusely and the pain was already making him shut his eyes slowly, Han Chen noticed this then he moved closer to the boy.
"Just count the number of breath you take or sing your best song in your mind, it will help," Han Chen said then he smiled and stroked the boy's hair, Yu Yan watched him as he stroked his hair, she felt like he wasn't the same scumbag she had known. Then the other nurses came back.
"Good" Yu Yan said the nurses laid everything they needed in the medical trolley.
"His blood is compatible with the patient's blood," nurse wang said
"Alright then take him to draw his blood, w might be needing it very soon," Yu Yan said then the nurse walked away with Han Chen following behind her.
"Now we are going to get into action, the both of you should apply pressure to both sides of his abdomen while I pull out the knife," Yu Yan said.
Yu Yan hurriedly entered the revolving door to the hospital, she ran to the reception and then signed her name on the attendance book, she pulled off her black coat and hung it on her bag while she was running, she had a habit of wearing trousers and a shirt whenever she came to work but today she was a white off-shoulder top on blue jean, this is clearly something that the nurses at the reception had never seen her wearing. "Surgeon Yu, are you okay?" one of them asked "Yeah, I just ran from the parking lot so I am a bit hot, why did you ask?" She replied. "You are dressed unusually today" the nurse answered "ooh, it is a rather long story," She said then she left the reception, she entered the elevator and pressed the third-floor button. She took in a deep breath as she stood at the entrance of the office hoping that her team leader hasn't entered the office yet. She opened the door and looked inside the office, three pairs of her stared at her as she walked into the office and sat on her seat. "Good morning," Yu Yan said and smiled awkwardly "I don't think I will be very good when you meet the team leader," Xiaomeng said, the mood suddenly changed from a happy mood to a rather silent one. "Did the team leader come in here?" Yu Yan asked "She didn't but she called us to her office to lecture us because we were the last to arrive at the meeting arrive at the meeting but she didn't see you so I told her that you went to get coffee at the caf," A Ke said "We didn't come to work for six days, today is Thursday so she should have forgotten that" Yu Yan said "Unfortunately for us, our team leader had a very good memory," Li Chen said. "By the way, your mum called me last night to ask me if you were at work, where did you go last night?" An Ke asked "seems like being an adult last born doesn't mean you can be totally free from being a mummy's girl and your dressing seems not like you today," Li Chen said "tell me about it! I need to change my clothes, thankfully I always have spare clothes" Yu Yan said then she sighed, just then a nurse rushed into the office. "There is a patient with a stab wound in the emergency department and he is in need of immediate treatment now," the nurse said. "Seems like I don't get to spend the first thirty minutes in the office," Yu Yan said, then she grabbed her white coat from the hanger and took her hairband from her drawer, she tied her hair up as she hurried out of the office behind the nurse. When she got to the emergency department, she gasped. A day never passes by without the emergency department being filled with patients She thought! She hurried to the bed where the patient she needed to treat was lying on. The patient was screaming in pain when she got there, he was stabbed with a long square-shaped butcher knife, she gasped at the sight of a teenage boy lying on the bed, she has always hated treating patients with stab wounds especially gang members but this was the most brutal thing she has ever seen anyone do to a teenager since she has been working in this hospital. "Explain the situation to me," Yu Yan said, she moved closer and brought out a pen torch from her pocket to examine the man eyes. "He is a sixteen-year-old boy, according to the person who brought him in, he was going to register for a football competition, then he got stabbed by a maniac with a long knife," nurse wang said. While she was attending to the patient, Han Chen came into the emergency department, he was about to walk by but he saw Yu Yan in the emergency department so he just stood by the entrance and watched her. "his pupils are already dilating, give me his vital signs," Yu Yan said as she tore his shirt apart, the knife in the boy's body entered his abdomen and came out of his back, the other end of knife prevented him from lying on the bed so they had to make him sit up. He was already sweating and blood was oozing out of his wound, he was groaning in pain and squeezing the sheets on the bed to endure the pain. "The paramedics told us that his vital signs are very low, his blood pressure is 90mm Hg systolic blood pressure, his heart rate is 140 beat per minute" the nurse replied. Yu Yan bit her lips, she just couldn't see the boy going through such agonizing pain. She felt like she was sharing the pain with him, she was about to examine the wound but the boy held her hand tightly. "Doctor please remove this knife, thepain is too much for me to bear," the boy said "child, I can't remove it now, just endure the pain, for now, I will end the pain for you as fast as I can, just try your best not to lose consciousness," Yu Yan said, she drew blood out of his vein then she turned to the nurse. "I need two more nurses here, I need a CT scan of his central airways and bedside abdominal US, tachycardia reflects blood loss so he is in need of blood transfusion, take his blood sample, text his blood type and other variables for blood transfusion, inform his guardian and have them check for whoever has a blood type that matches his, and check his coagulation markers, give me two large-bore IV lines with one litre of crystalloid infusion," Yu Yan said, then they nurse hurried away, she turned back to the boy and held his hand. "Don't worry, I will make you better, just do me a favour and breath slowly, try your best to endure the pain and remain awake?" Yu Yan said, she turned back when the two nurses she called for arrived. "I need one of you to go to the blood bank department, I need four units of type O negative blood, the other one should get me as much gauze as you can and as fast as you can," Yu Yan said, just as the other two went on the missions, nurse song returned with everything she was asked to get. Yu Yan covered the boy's mouth with an oxygen mask connected to the electrocardioscope to monitor his vital signs, she saw that there wasn't much difference and they would lose the boy if they are not quick enough. "I need you to administer 1ML of tranexamic acid per minute," Yu Yan said to nurse song, then she collected the CT scan result and the beside US test. "seems like the knife penetrated his liver and stabbed through the thoracolumbar fascia if we pull the weapon out of his body, he will most likely lose a lot of blood, we need enough blood for transfusion, the bedside US test is not clear, seems like I will have to perform a diagnostic peritoneal lavage," Yu Yan said "I will get another IV line for the blood transfusion and I have confirmed his blood type, he has an Rh-negative blood type so for now we can't find a donor for him and I don't think he can last until then". "There is another way, draw my blood, I have an Rh-negative blood type," Yu Yan said, then she stretched out her arm. Han Chen who had been watching her from afar heard her saying that she wanted to draw her blood for him so he quickly ran to her. "But" "No but, draw it now, we have a patient on the bed," Yu Yan shouted "what is his blood type?" Han Chen asked, the two of them turned to look at him. "Who are you?" the nurse asked "Why are you here?" Yu Yan asked "I have been watching you so I decided to give it a try since we can't have the doctor in charge feeling weak so why don't you check if I am suitable for the blood transfusion," Han Chen said "I would have argued but right now someone's life is in danger so just do it, what is your blood type," Yu Yan said "I am Rh-negative," Han Chen said, Yu Yan and the nurse glanced at each other. The nurse quickly picked up a syringe and drew a sample of his blood then she hurried away. "I would have questioned you but I am not in the mood," Yu Yan said then she turned back to the patient. "Don't worry, you will be alright soon, just hold on?" Yu Yan said to the boy then he responded with a nod, he was already sweating profusely and the pain was already making him shut his eyes slowly, Han Chen noticed this then he moved closer to the boy. "Just count the number of breath you take or sing your best song in your mind, it will help," Han Chen said then he smiled and stroked the boy's hair, Yu Yan watched him as he stroked his hair, she felt like he wasn't the same scumbag she had known. Then the other nurses came back. "Good" Yu Yan said the nurses laid everything they needed in the medical trolley. "His blood is compatible with the patient's blood," nurse wang said "Alright then take him to draw his blood, w might be needing it very soon," Yu Yan said then the nurse walked away with Han Chen following behind her. "Now we are going to get into action, the both of you should apply pressure to both sides of his abdomen while I pull out the knife," Yu Yan said.
