Chapter 151 Resident Training In Emergency And Anesthesiology
Edited by: Kanaa-senpai
Haruto was treating a patient currently hospitalized and waiting for an organ transplant.
Thanks to his earlier success in healing a case once deemed inoperable, word began to spread. Other patients’ conditions were also improving at an unusual pace. The medical staff couldn’t ignore it any longer.
Suddenly—
Beep beep beep!
A loud chime echoed through the hospital corridor. An emergency transport had just arrived.
”Eighty-five-year-old male,” the paramedic announced, pushing the stretcher quickly. “Decreased consciousness and limb paralysis.”
”Got it. Notify Radiology. Prep both MRI and CT scans,” a nurse replied sharply.
Now stationed in the emergency and anesthesiology departments, Haruto stepped in, giving precise orders. Normally, a resident doctor would handle initial responses. Supervising physicians remained on standby, ready to assist if the situation turned critical.
But Haruto was different. For him, the emergency room was a stage—a place where he could fully showcase his medical skills.
Stroke.
A condition caused by a blocked or ruptured blood vessel in the brain, cutting off oxygen and damaging brain tissue.
There were three main types:
* Cerebral infarction: Blood flow is blocked due to a clot.
* Cerebral hemorrhage: A vessel inside the brain bursts, pressing against tissue.
* Subarachnoid hemorrhage: An aneurysm near the brain’s surface ruptures, spreading blood along the outer layer.
In emergencies like this, imaging choices were key.
If a hemorrhage was suspected—especially a subarachnoid hemorrhage—a CT scan should be done first.
But if it looked like a clot, then an MRI would be better.
Haruto already had a strong hunch. The symptoms pointed toward a subarachnoid hemorrhage. But blurting that out too early would seem careless. Instead, he calmly prepared both scans and began observing the patient closely.
”High suspicion of subarachnoid hemorrhage,” he finally said. “Let’s proceed with a CT.”
As the patient was slid into the donut-shaped scanner, Haruto gave his next command.
”Surgery may be required. Inform neurosurgery right away.”
The CT results confirmed his suspicion. The patient was swiftly transferred to the neurosurgery team.
Haruto began documenting everything from the emergency response. Just as he was finishing up, his hospital-issued PHS rang again—another emergency call.
(So much for lunch…)
After a string of nonstop emergency cases, things finally settled down. Haruto had a moment to breathe. But there was no chance for a late meal.
Under the guidance of his supervisor in anesthesiology, Haruto returned to the operating room, continuing his training.
Before each operation, they checked the anesthesia machines and prepped the necessary drugs. Once the patient entered, they attached monitoring equipment and induced anesthesia.
During surgery, they carefully monitored vital signs and adjusted medication as needed. Every action had to fit the exact situation—timing, dose, and response all mattered. Stabilizing the patient was crucial to ensure the operation could proceed safely.
Even while learning the ropes of anesthetic management, Haruto’s PHS continued to ring. Sometimes, he would leave mid-training to assist with emergency patients once again.
He was constantly balancing two intense departments: emergency and anesthesia.
And then, finally, a long-awaited announcement came.
”…I can ride in the doctor helicopter now!”
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Edited by Kanaa-senpai.
Thanks for reading.
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