Lin Jie arrived at the car accident scene and saw shattered car window glass all over the road, along with broken pieces of car exterior.
There was also a disheveled woman holding an unconscious man sitting on the roadway. While crying out, she kept shaking the man in her arms.
With her shaking, the man coughed up blood continuously.
A few meters away on the curb, there was a motorcycle that had been deformed by the crash.
Around this woman, a few people were standing or sitting scattered in threes or fours.
"If you keep shaking him, your boyfriend is going to die!"
Lin Jie quickly approached the woman and said sternly, "Put him down quickly, I'm a doctor, let me check him first."
The woman immediately snapped out of it, hurriedly laying the man in her arms flat on the ground and cried, "Doctor, please save him, please, I beg you."
Just as Lin Jie squatted down to check the man, the strong stench of alcohol hit him directly from both the man and the woman.
He couldn't help but frown.
Damn, hopefully, this wasn't caused by drunk driving.
Lin Jie endured the nausea triggered by the alcohol smell. After finding that the man's carotid pulse and breathing were relatively normal, he began to examine the man's skull, cervical spine, chest and ribs, and pelvis.
During the examination, Lin Jie found that the only injury was two broken ribs on the man's right side.
Judging by the frothy blood coming from his mouth, the broken ribs must have pierced the right pleura, injuring the right lung.
This injury has to be treated at the hospital.
After checking that the abdomen was soft with no fluid accumulation or bleeding, Lin Jie moved on to examine the man's thighs and calves.
When he examined the right calf, Lin Jie discovered a closed fracture of the tibia, and the calf was quite swollen.
As he continued his examination downwards and felt the ankle area, Lin Jie noticed there was no pulse at all, a sign of lack of blood supply below the calf.
Compartment syndrome!
Lin Jie instantly made a diagnosis. It's the early signs and symptoms of acute ischemia and hypoxia within the muscle and nerves of the osteofascial compartment formed by bones, interosseous membrane, intermuscular septum, and deep fascia.
This condition is usually caused by hematoma and tissue edema resulting from traumatic fracture, which increases the volume inside the compartment, or tight external bandaging that compresses and reduces the volume of the compartment, leading to increased pressure within it.
When the pressure reaches a certain point, it can shut off blood flow to the muscles, creating a vicious cycle of ischemia, edema, and further ischemia.
If the ischemia is prolonged, it will cause most of the muscle and nerve tissues to die, leading to contracture deformity, severely impacting limb function, and in severe cases, directly causing amputation or even death.
The treatment for this condition is relatively simple—immediately cutting open the fascia to relieve pressure and restore blood circulation.
Lin Jie shouted loudly to those around, "Who has a knife, who has a knife, I need a knife, any kind will do!"
"Oh, a knife?! I have one, I have one!"
A middle-aged man standing a few steps away quickly unhooked a bunch of keys hanging on his waist and jogged over, shouting, "Doctor, doctor, see if this small knife will work?"
A small folding fruit knife, about five or six centimeters long, was hanging on the keychain.
"It'll do!"
Lin Jie took the keychain and pulled out the blade.
In such a moment, there was no condition for sterilization; he could only manage with what he had.
Just as he was about to cut open the man's right calf skin, his arm was suddenly grabbed by someone.
Lin Jie looked up and saw it was the woman who was holding the man earlier.
She had some abrasions and bloodstains on her right cheek, making her face look somewhat sinister. She loudly questioned, "What are you doing?"
Lin Jie explained, "He has compartment syndrome in the bone and fascia. We need to cut open the skin and muscle over the calf hematoma to relieve pressure and restore blood circulation, or else his leg will be ruined."
This statement caused the woman to hesitate.
She scrutinized Lin Jie and asked, "Are you sure if you don't cut open his calf, it will definitely be ruined?"
"Hmm... How old are you?"
"Where do you practice medicine?"
"Where did you graduate from medical college?"
"What's your medical license number?"
Question after question poured out of the woman's mouth.
As she continued asking, her expression became resolute. Without waiting for Lin Jie to respond, she decisively said, "You can cut open his leg, but if anything happens to my husband, you'll be entirely responsible."
Hearing her words, Lin Jie felt quite angry inside.
Damn it, I'm trying to save your boyfriend's leg, okay?
Despite his inner grumbling, Lin Jie understood one thing: his face looked too young and indeed didn't look like the face of someone with a medical practitioner's qualification.
Lin Jie suddenly noticed something and asked, "He's your husband, not your boyfriend?"
The woman nodded and said, "We just registered at our hometown last week. We haven't had a ceremony yet, but legally, we are already married."
If they were just boyfriend and girlfriend, she wouldn't be considered his legal next of kin. In an emergency treatment situation, Lin Jie could independently make some treatment decisions without requiring her consent.
But now, the situation was different.
This woman has the right to decide what kind of treatment this man receives, especially when the man is in a coma.
Lin Jie said solemnly, "That couldn't be better."
He raised his voice a bit to let the surrounding people hear, and said, "I can tell you that I am a licensed doctor."
"Now, your husband needs a fasciotomy to relieve compartment syndrome, otherwise, his right lower leg is very likely to become useless."
"This is an emergency surgery on-site, there's no way to sterilize properly, which can quite likely lead to a series of bacterial or viral infections."
"As his lawful wife, I need your authorization."
Lin Jie earnestly asked, "Do you agree to let me perform this surgery?"
The woman stared at Lin Jie, looking at him for a moment, then angrily shouted, "You're shirking responsibility, you're trying to shirk responsibility."
"I know your little trick. You're unsure of your treatment methods, so you're seeking my consent to shift all the responsibility onto me."
Just then, the sound of an ambulance siren faintly came over.
The woman was delighted and shouted, "You go, you go!"
"I don't want you to operate on him, I want to wait for a real doctor to save him..."
Lin Jie held back his anger and reiterated, "You must understand, if surgery isn't performed soon, his leg will really be wasted."
Hearing the ambulance sirens getting louder, the woman shouted at Lin Jie, "Go away, I don't want you to save him!"
"I don't trust you!"
Even a clay figurine has three parts humanity, and Lin Jie had never faced such treatment before.
At this moment, Lin Jie, filled with anger, handed back the keys to its owner and no longer paid any attention to the couple, shouting, "Are there any other injured people?"
"Yes, yes, doctor, here, come here quickly!"
Lin Jie looked in the direction of the voice and saw a shirtless man supporting a large-bellied man, sitting on the curb.
The shout came from the shirtless man.
The large-bellied man was holding a bundle of cotton T-shirts to his face, but the entire T-shirt was soaked with blood, looking quite frightening.
Lin Jie ran over, and upon inspection, found it was a false alarm.
The large-bellied man had a tear on his forehead about five or six centimeters long, and a fractured nose.
Although seemingly a lot of blood, they were all minor injuries.
Lin Jie set his nose, simply bandaged the forehead wound, and asked, "How exactly did this accident happen?"
The shirtless man pointed at the couple on the road and angrily said, "They rode a motorcycle and suddenly rushed into the motor lane. My brother had to swerve sharply to avoid them, and then we got hit by the car behind us."
"My brother's face hit the steering wheel, and that's what happened."
Upon hearing the cause of the accident, Lin Jie was even less fond of the couple.
The ambulance siren continued, but the first to arrive were two motorcycle-riding traffic policemen...
Lin Jie checked the other few people and found they also had minor injuries.
After treating them simply, Lin Jie walked towards Zhang Yufei who had been waiting by the roadside.
Although he was visibly anxious, Zhang Yufei didn't interrupt while Lin Jie treated others.
This patience was quite commendable.
"Expert Lin, I originally wanted to apply for a medical helicopter rescue!"
Zhang Yufei approached Lin Jie, suppressing his inner anxiety and anger, and explained, "But the airspace control in the Capital City is very strict, my application was not approved."
"Expert Lin, we'll need to jog a bit more."
He reminded, "From the three hours you mentioned to arrive at the hospital, we have less than an hour and a half left, but we've only covered half the distance."
"And the remaining half..."
Lin Jie pointed at the traffic police's motorcycle, interrupting him, "Over ten minutes have passed, and we keep hearing the ambulance siren but don't see the vehicle, indicating the road ahead is also heavily congested."
"Yet the motorcycle-riding traffic police arrived ahead of time..."
Zhang Yufei's eyes lit up, "Oh...right, right!"
"Motorcycles, motorcycles, why am I so stupid..."
Before he could finish, he looked around and quickly spotted two large motorcycles on the roadside.
Zhang Yufei immediately ran towards the motorcycles...
No one knew what generous offers Zhang Yufei promised, but two motorcyclists in their twenties happily carried Lin Jie and Zhang Yufei, speeding quickly on the right motor lane, overtaking one car after another...
Lin Jie originally intended to ride a motorcycle himself.
Although he had never ridden one, Shen Lanruo said she had and was quite good at it.
Based on past experiences, Lin Jie should be able to ride too.
However, now wasn't the time to experiment, so with his helmet on, Lin Jie obediently sat on the back seat of the motorcycle, letting someone else drive.
Another fifty-plus minutes passed, and the neon sign of "First Military Medical University Affiliated Hospital" on the top of a tall building came into Lin Jie's view...
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