Martial Surgeon – Chapter 42
Chapter 8: Emergency Medicine (4)
“Mr. Yang, please step back. I’ll handle these gentlemen.”
Jun-hoo pushed Nurse Yang Mi-ra behind him and faced the five men who had stormed into the emergency room.
Up close, the men looked even more menacing.
Tattoos and scars were the norm.
Negative emotions such as annoyance, violence, and anger were etched all over their faces.
Their clothes were also dirty, making them look like gangsters who had just been in a fight.
How amusing.
Jun-hoo remained confident even when facing the gangsters.
Modern-day gangsters were too low-level and weak to be compared to the demonic figures of the Murim world [a world of martial arts and chivalry often depicted in Korean fantasy stories].
“S-Sir… Are you really going to be okay on your own?”
“It’s fine. Just watch from a distance.”
Jun-hoo reassured Mi-ra and moved her away from him.
The atmosphere in the emergency room turned icy with the appearance of the gangsters.
No staff members other than Jun-hoo dared to face the gangsters.
They were just watching the situation with terrified eyes.
“Is the patient in the middle injured?”
Jun-hoo was the first to speak.
“This bastard is quick to notice. Yeah, he’s our boss. He was accidentally stabbed in the stomach with a knife, but it looks like he’ll be fine with a few stitches. So hurry up and stitch him up.”
The blond-haired man’s explanation was absurd.
Who accidentally stabs themselves in the stomach with a knife?
Jun-hoo already had an idea of what was going on.
“As I said before, please register before receiving treatment.”
“Are you out of your mind, you son of a bitch? Can’t you see our boss’s face turning pale? Treat him quickly!”
“You’re the ones who need to follow the hospital rules when you come to the hospital. Even if the president comes, they have to register.”
“Really? Is that so?”
The blond-haired man approached Jun-hoo and grabbed him roughly by the collar.
“Then from today on, we’re above the president, right?”
“Just be grateful that you’re being treated as patients and listen when we’re talking nicely.”
“You little punk. You haven’t even lost your baby fat yet, where do you think you’re talking down to me?”
“You’re a funny guy. You can talk down to me, but I can’t?”
Jun-hoo grabbed the blond-haired man’s hand that was holding his collar with his own hand.
It was the technique of the Golden Capture Hand, snatching and gripping another person’s body.
Crack!
“Aaaagh!”
When Jun-hoo gripped the blond-haired man’s wrist with his strength, the blond-haired man groaned and collapsed on the spot.
Perhaps this scene would look strange to others.
Jun-hoo didn’t twist the blond-haired man’s wrist.
He simply placed his wrist on the blond-haired man’s wrist, but the blond-haired man was screaming.
You guys are lucky.
There are CCTVs,
And patients, guardians, and staff are watching with their eyes wide open, so this is all I’m doing.
If not, you guys would be completely destroyed.
“You son of a bitch! What did you just do?”
“How dare you touch our youngest?”
“If you thought we’d go easy on you because you’re a doctor, you’re wrong.”
When the blond-haired man was subdued, the other gangsters’ eyes were filled with madness.
Jun-hoo thought it was better this way.
They weren’t the type to listen even if he spoke nicely.
In that case, it was better to subdue them physically.
“No one come near me. Absolutely!”
Jun-hoo warned the people around him and ran towards the north side of the emergency room.
There was a long corridor connecting to the main building on the north side of the emergency room, and there were no CCTVs there.
The eyes of patients, guardians, and staff couldn’t reach that far either.
“You son of a bitch. Where do you think you’re going?”
“You’re a dead man today!”
Three gangsters rushed towards Jun-hoo.
“Kyaaaa!”
“Call the police quickly!”
The emergency room staff and guardians were shocked by the gangsters’ actions.
The gangsters approaching Jun-hoo were holding scissors and scalpels in their hands.
It was a terrible atmosphere, as if a murder was about to occur.
Thump, thump, thump.
Jun-hoo stopped running and faced the gangsters only after arriving at the north corridor of the emergency room.
“You son of a bitch, there’s nowhere to run now, is there?”
A gangster glared at Jun-hoo and sneered.
“Too bad. It seems like you think I was running away. I can take care of you guys comfortably here.”
“What a load of crap. I’m going to tear your face apart with these scissors, so go ahead and try to treat it with your precious hands.”
Swish.
A gangster stabbed at Jun-hoo’s face with scissors.
But the movements were slow and clumsy, so Jun-hoo wasn’t even slightly nervous.
Pow!
Jun-hoo dodged the gangster’s scissors and kicked the gangster’s calf.
With moderate force.
Because if he hit them too hard, he would have to bother with treating them.
“Ugh.”
The gangster collapsed pathetically.
This guy’s unsightly end was as good as decided from the moment he attacked Jun-hoo.
“You little shrimp, who do you think you’re messing with?”
A skinny man like an anchovy approached and kicked Jun-hoo.
Thud!
But Jun-hoo simply dodged the kick by lowering his head.
“What was that? You’re the ones messing around.”
Jun-hoo tripped the man’s left leg, which was supporting his balance.
Bang!
“Ugh.”
Finally, the third gangster rushed at Jun-hoo.
He had learned boxing in the past, and he guarded his face firmly with both arms and quickly closed the distance with Jun-hoo.
Whoosh.
Whoosh.
The gangster’s fist, whether he had properly learned boxing or not, was fierce… not really.
Even if the greatest boxing champions of all time were all here and attacked Jun-hoo together, they wouldn’t be able to handle him.
Jun-hoo, who had experienced the Murim world and possessed inner strength, was already a superhuman.
Learning a little boxing was not enough to even present a business card to Jun-hoo.
After dodging a few insignificant and trivial jabs.
Jun-hoo punched the gangster’s lower jaw with moderate force.
Thwack!
The fist that penetrated the guard was a direct hit.
It was the Wind God Fist, one of the few martial arts of the Seo family.
The gangster who was hit in the jaw floated in the air for a moment before falling to the ground.
Jun-hoo subdued the three gangsters at once and then pressed their blood points.
He suppressed their speech by striking their aphonia points [points that inhibit speech].
If they couldn’t cause a riot, he suppressed their movement by striking their paralysis points.
He wanted to give them a more painful taste, but there was still one thing left to do.
“Sir. What happened?”
“The gangsters are already down?”
The guards who arrived late at the scene checked the scene and made surprised owl eyes [wide, surprised eyes].
They were the guards who had rushed over after hearing the news that the gangsters were causing a riot.
They were very nervous because they had even brought scalpels and scissors….
What was this?
The gangsters were already down.
“Suddenly, they started hitting each other. I was so dumbfounded that I almost died.”
Jun-hoo made up an excuse to the guards and returned to the emergency room.
-Sir, are you okay? Are you hurt anywhere?
-Hey, I thought you were going to die, I was so scared.
-You were too reckless, sir.
Jun-hoo responded appropriately to the concerns pouring in from around him and approached the gangster boss, facing him.
“You’re wanted, aren’t you? That’s why you can’t register honestly.”
“Kuh.”
The gangster boss bit his lip as if he was upset. Jun-hoo’s prediction was perfectly correct.
“As you can see from my safe return, your underlings are all down. What are you going to do now?”
“…….”
“Are you going to get treatment quietly and go to jail? Or are you going to go to the afterlife instead of jail? The choice is yours.”
The boss, who had been silent for a long time, spoke with difficulty.
“I’ll get… treatment.”
“You should have done that from the start. Hey, blondie, register your boss quickly. But if you run away, you’re dead.”
“Heeek! A… Alright.”
After confirming the blond-haired man’s registration, Jun-hoo laid the boss down on the bed.
There was still a second round left.
* * *
Jun-hoo laid the boss down on the bed and took off the jacket and top he was wearing.
Oh, dear….
The boss was holding his left side with one hand.
There was gauze that appeared to have been purchased from a pharmacy in that spot. The gauze was, of course, soaked with blood.
Did he do some first aid before coming to the hospital?
“Mr. Yang, please get me some hemostatic tools [tools to stop bleeding].”
“Yes, sir.”
Before the treatment tools arrived, Jun-hoo carefully examined the boss’s side.
He couldn’t see the exact wound site because it was covered with gauze.
However, based on the anatomical location, the spleen was likely to be ruptured.
He had honed his skills for this day.
Jun-hoo recalled the anatomy knowledge he had learned from Kang-ho.
He recalled the major blood vessels connected to the spleen and struck those points.
Tap. Tap. Tap.
When the fingers containing internal energy struck the boss’s spleen blood vessels, the amount of bleeding noticeably decreased.
This was because he had blocked the expected bleeding points with materialized internal energy.
“Sir. What do you need?”
Mi-ra, who had brought the dressing cart, asked urgently.
“Give me gauze first.”
“Yes.”
Jun-hoo placed the gauze he received from Mi-ra on top of the existing gauze and pressed it with both palms.
It was foolish to replace the gauze just because it was soaked with blood.
Because that would cause more bleeding.
“Myung-hoon, come here and check the patient’s vitals. Chief, what should we do with this patient?”
Jun-hoo quickly asked Myung-hoon and the chief for help.
This was because he had concluded that he could not handle an emergency penetrating injury patient alone.
“Okay. I got it.”
“I’m coming now.”
Myung-hoon and the chief rushed towards Jun-hoo.
The events that had just unfolded were so movie-like.
It was all so dreamlike.
They were넋 [neok – a Korean word for being in a daze or stunned] and then belatedly came to their senses.
‘Wow, how can this be?’
While checking the patient’s vitals, Myung-hoon glanced at Jun-hoo.
Jun-hoo, like Myung-hoon, was a complete newbie at working in the hospital.
It was his first day as an intern and his first day working in the emergency department.
But still.
Jun-hoo had handled the gangsters wisely and maintained his composure even in front of the gangster boss.
He was truly a man of steel.
Blood pressure: 100mmhg/70mmhg.
Pulse: 140.
Body temperature: 36.3 degrees.
Respiration rate: 14 breaths per minute.
Myung-hoon checked the patient’s vitals and was horrified.
This was because the patient’s life was fading away, as shown by the numbers.
When he connected the patient to the monitoring device and checked the electrocardiogram graph, the graph was jumping wildly.
It was a complete mess.
Why did he have to deal with such an ultra-emergency patient from his first day of work….
The heavens were too cruel.
“Chief, should we do a trauma ultrasound and call gastrointestinal surgery?”
“Ultrasound? Wouldn’t it be better to take a CT scan?”
Myung-hoon disagreed with Jun-hoo’s opinion.
In Myung-hoon’s opinion, a CT scan seemed much simpler and more accurate than an ultrasound.
“Jun-hoo is right. When the patient’s condition is unstable, an ultrasound is more stable than a CT scan. An ultrasound allows us to perform the examination and treatment at the same time.”
Surprisingly, the chief sided with Jun-hoo.
So Jun-hoo wasn’t just a man of steel.
He also had medical knowledge that was perfectly suited to the situation.
“Myung-hoon, are you good at ABGA [Arterial Blood Gas Analysis]?”
“That’s… I’m not used to it yet….”
Myung-hoon stammered at the chief’s question.
“Then bring a few blood packs and get the surgery consent form from that blondie over there.”
“Yes. Chief.”
“Jun-hoo, you collect the ABGA blood sample and bring the portable ultrasound.”
“Yes. Chief.”
According to the chief’s orders, Jun-hoo and Myung-hoon moved busily.
Writing consent forms, collecting ABGA blood samples, connecting IV fluid bags and blood packs, and so on.
The treatments needed before surgery were done in the blink of an eye.
Nevertheless, the patient’s condition only worsened.
By the time the ultrasound examination was performed, he had lost consciousness.
This was because surgery was fundamentally needed to restore the patient to normal, but surgery had not yet been performed.
“Damn it. This is bad. Spleen rupture. And it’s grade ⅲ (grade 3). Hematoma rupture and damage to the main blood vessels are overlapping.”
The chief, who had finished the ultrasound examination, muttered in a voice of despair.
Spleen rupture is evaluated in a total of 4 grades of severity, and from grade 3 onwards, it is truly a race against time.
The time spent entering the operating room determines the patient’s life.
“Seo Jun-hoo, you called gastrointestinal surgery, right?”
“Yes. I called them first. They must be preparing for surgery as well, so let’s go up to the operating room first.”
“Okay. That would be better. Let’s go together.”
The chief pulled the bed with Jun-hoo towards the operating room.
‘What is it?’
But Jun-hoo’s skill in pulling the bed was unusual.
Moving the bed with the patient’s weight added to it was not an easy task.
It was close to heavy labor.
But Jun-hoo pulled the bed like a bicycle.
The speed was tremendous.
He was about to warn him not to collide with other staff, patients, or guardians in the hallway.
But as if he had some kind of sensing sensor.
Jun-hoo recognized the people in the hallway and avoided them like a ghost.
“Did you get a bed driving license or something?”
The chief couldn’t help but say a word because Jun-hoo’s actions were so elusive.
It only took 10 seconds to get to the main building elevator.
“Maybe I did.”
Jun-hoo smiled awkwardly and poked the patient’s left side with his finger.
Then, the bandage wrapped around the thick gauze.
The bleeding that was spreading over the bandage was somewhat reduced.
Hey, no way. It can’t be?
I must be too tired and seeing things.
The chief shook his head.