(Thanks to Tianxia Wudi Daxia for the reward and monthly ticket encouragement, thanks to book friends 20210301106500295002, Be Gentle with Me, and Idle People for the monthly ticket encouragement)

Ding! Emergency care admission completed

Experience points gained: 200, Glory Points +2

The task rating for this time is Flawless, experience points gained: 200, Glory Points 3+2

As the surgery concluded, the system awarded Liu Banxia for this task.

Although it was not much, Liu Banxia didn't mind. The effort and reward are proportional, and this time he didn't operate, just observed.

If it weren't for him being present from the beginning of the admission and giving necessary judgments, he probably wouldn't have received any rewards. To him, this surgery was just a minor one.

"Feeling more confident in the future? You all need to slowly handle things independently," Liu Banxia said.

"What's the trendy saying now? Don't panic when something happens. You don't have to post to WeChat immediately, but you must calm your mind."

"The two of you were a bit flustered. If your minds were calmer, you could've stopped the bleeding for this patient more than a minute earlier."

"It doesn't take much, just one minute can make a big difference. It can save surgery time and significantly reduce the patient's blood transfusion needs."

Huang Bo and Liu Yiqing didn't dare to speak out; they were comparing themselves to experienced emergency doctors. If compared to Liu Banxia, the time wasted on this surgery could be more.

Perhaps before the abdominal cavity was even fully suctioned, he would have clamped it successfully. He's done it before, even able to pinch blood vessels directly.

"Send the patient back, take a head CT, and then send them to the ICU for overnight observation," Liu Banxia continued.

The patient's condition was somewhat complex, considering the abdomen was polluted for so long and the thorax underwent a pulmonary lobectomy. Sending them to the ICU would be safer and more convenient for medication if needed.

When they came out, they saw Xiao Jun and the others coming out as well.

"How's your patient?" Liu Banxia asked.

"Not very well, hit their head on the car window, and the hematoma is large. It's quite tragic, and the family hasn't arrived yet?" Xiao Jun said.

"I'm not sure, they probably haven't yet. We just finished here, a family of three, but the child's injuries are lighter," Liu Banxia replied.

"But I heard the driver responsible has been detained, which is somewhat good; at least there's coverage for their medical expenses. Otherwise, such a series of surgeries would cost a fortune."

The cost is always an unavoidable topic; even if the surgery succeeds, charges apply. That's a unique aspect of healthcare, often leading to conflicts.

When they returned downstairs, they noticed the little child was now with the nurses on the examination bed, with the broken leg fixed, and no other major issues.

However, being just a child, recovering from the fright isn't easy.

"Family still not here?" Liu Banxia asked.

"They are from out of town, they won't arrive until tomorrow morning at the earliest," Qi Wentai replied.

"Sigh… have the nurses pay special attention tonight. The parents' surgeries went okay, but they are both in the ICU as well, so this child needs care first," Liu Banxia sighed.

"I heard the dump truck driver was drunk-driving, and this issue won't be easily resolved, might lead to disputes," Qi Wentai said.

"Oh my, how brave can someone be? Isn't this lawlessness!" Liu Banxia exclaimed.

"Brave people exist in all times; it's not something you can control," Qi Wentai said.

Don't drink and drive is an ironclad rule all competent drivers must follow. But this driver? Driving a fully-loaded dump truck while drunk? His audacity is sky-high.

He likely drives recklessly daily, assuming that at night everyone gives way to such trucks and no one would dare to check. After this incident, nighttime drink-driving checks will probably intensify.

In any case, Liu Banxia feels that frequent checks are good; they could regulate driving discipline and prevent avoidable accidents.

Cutting in, road rage syndrome, turning without signaling—these require regulation.

At this time, the inebriated crowd had made their entrance. As previously ordered by Liu Banxia, interns and trainee doctors were to face them.

Liu Banxia made a small round, noticing their nervousness during admissions but they managed to complete the tasks smoothly.

Liu Banxia was satisfied, seeing how today's assessment met his goals.

Admissions for intoxicated patients aren't really complex, they just require attention. And as a doctor, being attentive is essential.

"You did a good job tonight, it's commendable." After everything was settled, Liu Banxia called everyone over.

"But for us, there's still a long way to go to handle this wave of drunken people. Even when the weather gets cooler, people will still get drunk, just not as many as now."

"I don't have much else to say. Those who are staying to watch over, go find a place to rest. Work needs to be done, but sleep is necessary too. Otherwise, how can you keep up with the learning tomorrow without energy?"

Listening to him, the interns breathed a sigh of relief.

The tension of admitting patients seemed far less than the tension felt with Liu Banxia observing not far away. Without him saying anything, just being watched from afar was enough to make them break out in sweat.

This can be considered an affirmation; they didn't make any mistakes tonight, which is quite good.

"What do you think of their performance?" After the interns expressed themselves, Liu Banxia asked the six little ones.

"They performed very well. When I first arrived, if there was such a large volume of patients, I probably wouldn't have been able to manage it." Li Hao said.

"Teacher Liu, you should take a rest as well, since there's nothing much happening now." Huang Bo suggested.

"I'm not really tired yet. Haven't been on duty for a while, it's not easy to fall asleep even if I want to." Liu Banxia replied with a smile.

"Have you also communicated privately? Basically, this period serves as an evaluation for you all. Admission skills, surgical skills, etc., need to be comprehensively addressed."

"Although we previously had some training in communicating with patients' families, it was overly passive. Now you need to be more proactive, regardless of the condition, effective communication with patients and families is essential."

"Especially for serious illnesses, whether to directly inform the patient or to help them need temporary judgment from you."

"There's no fixed standard, but it will be an essential lesson for you to become real doctors. Xu Yino had this experience today, but it's not enough; more involvement is necessary in the future."

"Teacher Liu, I understand. But what if the patient comes alone for consultation? How should we judge then?" Xu Yino asked.

"Just go with the situation on the site; that's the main thing." Liu Banxia replied.

"Some people can face it positively, leading to better treatment outcomes later on. Some face it negatively, resulting in poorer outcomes, but these are just probabilities."

"Like the esophageal cancer patient I encountered last time. His family's financial situation was average, and they had lost hope for treatment. I felt that no matter if he could accept it or not, he should be informed."

"My consideration is that while the eating function isn't significantly affected, he should eat more of what he desires."

"There's also the situation where telling him directly can allow him to manage his affairs, leaving fewer regrets."

"But if there's a family accompanying him, I think communicating with the family first and leaving the decision in their hands is better."

"Many times, it's actually quite simple. Even if we hide things from patients, they can judge from the situation. It's just because they want to maintain a hopeful imagination and refuse to believe it."

The six little ones nodded, acknowledging this aspect is difficult when practicing medicine.

Announcing such news to patients or their families is inherently challenging, requiring consideration of so much makes one's head spin.

But knowing Liu Banxia wants to strengthen training in this aspect means it will be implemented.

In this work, willingness or not doesn't matter; it will be experienced sooner or later.

"In the future, we can also further grant surgical permissions to them." After the six little ones dispersed, Liu Banxia said.

"At least initially, even without a chief surgeon around, rescue work shouldn't be halted. However, strict assessments are required to prevent possible medical disputes."

"You can handle this yourself, I won't worry about it." Qi Wentai said with a smile.

Liu Banxia chuckled, seeing nothing else happening, he followed suit and took a nap.

Of today's patients, the only one needing more attention is the young child. The concern is about embolism following a long bone fracture, nothing else needs much attention.

Just as he was sleeping soundly, someone shook him awake.

"Teacher Liu, a patient with acute abdominal pain was just admitted, it seems like acute pancreatitis." Seeing him open his eyes, Su Wenhao quickly said.

Liu Banxia rubbed his face, "Is it serious?"

"From the CT scan, a certain degree of necrosis is visible." Su Wenhao responded.

Hearing this, Liu Banxia instantly grew tense. Necrotizing acute pancreatitis requires surgical intervention.

Such a surgery is very dangerous and challenging, so Liu Banxia must personally check and then contact Zhou Shuwen afterward.