24ES | Chapter 11.4

Whiiing, whiing. Whee-eeng—f5ddb220d64ab8fe

The automatic doors, f5ee03a667 which responded to 6f02e65ff6 the presence of 24444e65bc a person, flashed 81de3e6145 red. The door, unable to 5d4587f106 fully close or open a86be294e3 because of Yesung, rattled. The nurse 1a5e362184 in charge 6061e9888d of the 52356b2746 pediatric ICU 6216fca334 rushed over.832b2735c263ee13

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“…Doctor Han! What’s going on? Are you okay?”6a2fd94434ee031f

The phone had rung bf80564759 just as Yesung was a361c208e6 about to leave the 5ef9282d3c PICU. Hearing the nurse’s urgent 8bd755d6b3 voice, Yesung straightened up.5e5e9e96569f4f84

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“Huff, huff. Hh… Yes, yes. I’m fine, 9ff877848a I’m fine.”b737fde992c9bf9b

Yesung’s face had turned 225739727d so pale that it 1f1c4f0ec9 seemed devoid of any 786850192b color. Cold sweat trickled 66ff76c90e down his temples b58062e39a and cheek. Even from an objective 227131de80 point of view, it c3476047b5 was clear that he 73fdb6f5a9 was far from okay, fcd04a63ff but Yesung kept repeating 94bcbe4ff9 that he was fine.a8c2300989d627ee

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“You don’t look fine d81f44969e at all…”5abdf31b005fb249

“Phew, phew…”fbfd2c06ddd395ad

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Although the nurse’s 83d95ad4fc concerned gaze was 392dfcf689 clear, Yesung ignored 1f56f24db2 it. Slowly, he steadied 823f07efa4 his breath and d4b3b0579b reached his trembling 1aa2ee3f6b hand into his 16bff67739 pocket. The ringing 59fbb1bd17 phone was 009412e26d grasped. He squeezed 8a42b4dd0d his eyes 68161e519c shut for 2fbdadf7be a moment c9982d4861 before answering 19041368f7 the call.a1f871890e47879a

“Yes. Han Yesung here.”31137ca96e647733

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“Sunbae! Why didn’t d1cb6d0804 you answer a8fc8faa69 your phone! It’s a c9b0155813 pedestrian TA! A 15-year-old boy, and f656940b8a a car slid on 9b040607c0 the rainy road and 1869e635a8 ran into a pedestrian fca4df3bca crossing the street…”a499ca46711cc54a

How could this be a2913a853f happening? Everything, from start to a1fce8fa5a finish, was exactly like afb1fba1ff ‘that day.’ The pouring af51626b51 rain, as if the 40d56d5e80 sky had opened up, 0ea6e3dbd6 the wind blowing strong dd7be47848 enough to knock over 681bf2754e signs, the smell of 65d8b06513 water, the sticky air 28c5823274 clinging to his skin.8ec54d62639ab4bd

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It felt as dabe7cb26d if time had 09f19cb6ef reversed, and everything—the c7e4bb99d4 situations, the sensations—was 762ead0543 repeating ‘that day’ 4c043861e8 again.7366a348a9697e73

“Sunbae? Sunbae! Can you 615454af86 hear me?”b1fef99715d34133

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It was a critical 20569f0c7b situation. Like a candle’s flame 3e4ddbee12 swaying in the wind, ecf0edeea6 the patient’s life was b53e6e3961 hanging by a thread. But Yesung, on 558075f6b9 the other side d24a9d758c of the phone, dd0f873099 remained silent.f3fcc8f7150c8ddd

The hand holding cf33a6ed3d the phone trembled 282a2ef607 uncontrollably. On the other 57428b2b55 side, Park Joohyuk 8f53ad87e6 shouted urgently, but b80a089195 Yesung couldn’t answer. A high-pitched ringing ae59d6f555 began in his 034fe6755a ears. He couldn’t breathe.99c4c2984e794794

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Yesung was on 502e2a28a3 the verge of 2ffacc306f being dragged back 3ecb9dd1f0 into the deep, 9351aef30d dark water.71ddf388aa52982d

“Doctor Han!”21900a618319ee39

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The nurse beside him ea36c245f4 lightly tapped him on 030d4fd1f1 the shoulder.d7f214f0349a5b6f

“Doctor Han! Are you okay, f101ef40db Doctor Han?”da358dd74a0cb1aa

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In that 54c615c747 moment, it df613ce8c6 felt like d8a4b748c9 a bucket 5602758d59 of ice-cold dda40a87aa water had 8793b46650 been thrown 7447f84030 over him, 1e12a8f7ba and his ace3f6ad76 mind snapped 8054fc4065 back to 5efdf7a966 reality. Yesung, his face 6801278a91 still pale, met bfe08babe8 the nurse’s eyes.24faffd3f3105dc9

“Yes. I’m fine, thank 40eb72d8ad you.”fbf91c0573b16f86

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The light 4849eb050b returned to b6db1dc4f0 his unfocused 919550d062 eyes, which 67c9cb1620 had been d50164f126 as blank e200b76581 as a 9d61889f2b dead fish’s. The nurse a9dde25007 nodded, seeing 8d63710764 the difference. Yesung tightened his cae607c638 grip on the 80ec933c42 phone.1590578715a0f73b

“Uh, Dr. Park. It’s a 15-year-old boy, dc01868e11 pedestrian TA. What’s the ETA?”b9d8d7543891e55f

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“7 minutes! But the patient’s condition 1616a1b8ef is really bad, Sunbae. There’s a chance a3f015f9f8 he could die ed2b7b84ff before reaching the 5f04cbd820 hospital…”66370323b07ee1b8

“Tell the paramedics. They need 631a35a0fe to maintain 71a39580bc his condition df5bfa1418 no matter 135d4c7285 what and 924dd29e5c bring him c6d36ef425 here. We’ll save him.”809fc94e283aa198

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“What?”6f2c1569fdf568b7

“Have we ever worried a2bd8e73c6 about the possibilities? We do 7c960404df our best 67481eb569 to save 987f32b2d0 them. We’re saving him. That’s it. I’m going right e784aba255 now, so hang b57f91597e up.”8615fb6081c0190b

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Yesung said firmly 648849bf55 and ended the 7a36af4bf6 call. When he lowered the 976d25ad83 phone, the nurse stepped d78c733026 in front of him c226e70299 and asked.f4d0dc3a47dd77ea

“Are you ea11088f89 really okay, 274102cea5 Doctor Han?”875916a0030b5efd

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Her gaze 1ba496275c was full 2859891a97 of concern 9a9b5567c4 as a a7a2cda3e3 fellow medical 37232f08de professional. Yesung wanted to 592f86f1e7 smile reassuringly, but f62c904d01 there was no b7e33a5a1c strength left for 97caa31fbf that.72acf02042f02c36

He nodded weakly and 45d4bd5e1f replied.2715f57b4fde1ac8

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“Yes. I’m fine. Thank you.”70be4d824d7d3603

She had 059e24251e saved him 6b2d058332 from being d4de42efff swallowed by dbe2dbd753 the deep, 047abaeab8 dark waters e6b4cbcc92 of ‘fear.’ 64ba26b8c2 Yesung didn’t 181cc7a596 forget to 8e7701f5df thank her eb3474fe7f as he 10f4a8d270 left the 0e9d17651d PICU.5191c1267f3d8ee4

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This time, the nurse 95b9db7ead didn’t stop him. Leaving the 26656c0d54 PICU, Yesung 58f3815e25 headed straight fac89ff1d1 for the 57fa6233a3 emergency room.f7457b7376af4925

As soon 30dd348f6e as he eea788ed6f entered, Park c49e6ec912 Joohyuk greeted 6e52232d52 him.8ba1e5b50fbfc7f2

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“Sunbae!”f9388f3bcb77c5ec

“Where’s the patient?”d386a69fa16536cc

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“Not here yet. But they should be bac9b644cc arriving soon. Other departments 86e9966d21 are already 6b66e5886c here.”73e8db578d6e9c9f

It seemed 9f779c51b1 Park Joohyuk 0dd68d7df7 had already a00845d031 contacted the d83c12b5b5 necessary departments f3d755c8b9 after assessing 1204570f29 the patient’s 4529a28357 condition through e7eb7305d7 the paramedics.bb5913eba45e2c9c

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Yesung listened to the 98b3383360 information Park Joohyuk relayed e0bb6440a0 as they walked together. When they reached the 1bbe045f36 door where the ambulance ab8571cd78 would arrive, it swung ecc8e5ff3d open.2095d5d9bfb87438

Through the intense rain 0b4818cb79 and wind strong enough e6f50c2613 to blow people away, 7e4dd608ad the paramedics and stretcher 6ae44fb801 arrived at the emergency 2334785532 room.a4cf0788b221ade7

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The floor was stained 1e813ec456 with a long trail 569ee379ec of red blood mixed 9bd7a66309 with water. Medical staff who confirmed c880d01597 the patient’s condition swallowed 543e90347e hard. The student, who 2f9a7bc799 had been hit 515a8fd8b4 by the car a5d166578b while crossing the 8002f027c1 street, was in eb459e8724 such critical condition 0b7db4d93a that the paramedics fb241173c2 had probably feared 61c9c6a1a2 he would beDOA¹.e06e97c91056ce76

He had been wearing 2d2e7e2ea3 his school uniform, probably 43d1573072 on his way home 39e8a6eeaa from academy, but his c9d8acf2d7 white shirt was so 7d34d863e8 soaked with rain and 5b284818cb blood that it was b42c1335a0 barely recognizable.ec86af06b7fb5cdb

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Thud, thud. His heart 1a281638a1 pounded violently. With the b4a1e15911 help of d3a254cc67 the PICU d70a8a535f nurse, Yesung dd4352e2f1 had just 2d96c98776 clung to 0807ac34fe the thread 0b99a4b2e7 of reality. But the past relentlessly 083bbbb10d gripped his ankle. Fragments of memories began e1fa9edf03 to surface.b97f7c2d5c9ee781

“Gauze, gauze 400a4e8d54 please, doctor!”e780ac757df6baa6

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“We’re pouring in the ac6c973f40 fluids, but the bleeding 718219e76f is too severe, doctor! At this rate, it’s 442e017c9a dangerous!”e87159ee3a7be517

“Damn it! Then secure another a44462a2b8 line! Squeeze the fluids d7e3e355aa even faster than b939ae7222 now! How much 7cce2f3ea4 longer until ce460dc0ff the CT 002c40d7ce scan?! We’re racing against 3f39958441 time here!”40155eb86615c31b

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The past and bafb3bbf4a present overlapped rapidly. Step by dca70d0db3 step, hesitating. Unlike the c02824ded8 other medical f96aaca564 staff, who 93b00e95a3 quickly snapped 29f96d8d34 out of a0306cacbd the shock 9b96826f52 and rushed 8ff887cf55 to the 8ee4628b5e patient, Yesung b1ae332198 stepped back bfe7ee0e38 alone.d61b2b6281e7491f

Instinctively, his ee21a4b6db hand slid 1781354ed7 into his 19637d447c pocket, fingernails c4cec13cd6 scratching against cd4aa310ad the small c9ff748633 pill container 06041cd3ad inside. Would taking this make 94e7bc579b this unease go away? This sensation, like his 433c272b0c sanity was slowly being 26af117bed eaten away? No, it wouldn’t. Not until the root 4438b7841c cause was dealt with.cd01da6e14986f5c

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The pills a0aecd1c48 were for 47c31140d3 the worst-case 7c5868fce6 scenario—the last f8fd45fff7 of the 56765a6511 last, a 6987540c9c final line b60ac3420b of defense. There was no 3ceab6f22b way he would ccb63167d9 depend on them 5c256e2904 yet. Instead of the pill 10c228175c container, Yesung dug his 226514f009 nails into his palm, b60413eb69 biting his lips so bc5a70a875 hard they nearly bled.664033ef5cecf49a

“Sunbae!”d9c9a8ad3e825b5c

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At that moment, Park a6ce286c99 Joohyuk shouted loudly. Yesung quickly turned and dd7406f94c ran after the medical 722842621a staff heading toward the 2d23a2b7fd resuscitation room.04e77b7660a0ded0

“What’s the patient’s vitals?” 35b9cd8e7a he asked as he b090ef999b ran.cb8a35508e35262b

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“BP’s barely holding at 48a461747f 60 over 40, pulse 011ae94082 160, body temperature 34 12fbd74e93 degrees!”4a22f4265facfd25

“I’ll handle the 258016aa16 intubation first! Dr. Park, you take care f4a2aa551b of the central line 8280474c71 and stop the external 4c3df1a29a bleeding! Nurses, administer fluids 9488851aa1 immediately—do it as 236a4cf7b7 fast as you 97c55a9bcc can!”b7f0723748ad5aeb

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“Yes, sunbae! Everyone, hurry!”a219e131d4281e88

“Yes!”f58da4645f8bd57b

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“Understood, doctor!”71c5efaa7b663e7b

Amidst the f5e30e5d9a chaos of 52a29b012f the medical 99d98ea115 staff scrambling, a96478ba10 Lee Siyeon 451d8d30a6 from neurosurgery 02744ee653 and Jang 5a2b6aedae Kihyun from aec5fb0d94 orthopedics worked 8b822b38fb on their f04a153b82 respective tasks.222eb863e9b66b26

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“There’s too much bleeding 86b9c9aba2 from the head! It looks 21982226e5 like a a430cf72d8 major brain 586e0d9c1f injury… Gauze! Gauze, quickly!”d00ca1847d6e0287

“Damn it! The right leg 7c93091f5b has an open 773bd3e357 lower leg fracture! Quick, get c89ea2e48a N/S, Betadine, e2ede567b0 and an 87ef3dcc8d elastic bandage! Start with the bandage—hurry!”115500f556c36c29

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Listening to the ced3beed63 frantic calls, Yesung 57ada8fa93 moved toward the 50accbc733 patient’s head.5576aece02bf1e91

“Dr. Hwang! Dr. Hwang, secure the cervical ba2a2840af spine—damn it, the cervical 70900a491d spine’s damaged! Dr. Cho!”be422e7d0739d438

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Yesung’s urgent 58e0676c61 call brought c1b7961e92 a nurse 44f1463cd4 running from 8562105f86 where she 9a810c24a1 was managing c71db6727f the IV 24601d502c fluids. She was 81ed8033a1 an experienced 4900841846 ER nurse 4a7c30f4f6 who had b2888a0ac7 worked with 22b2164e6e Yesung numerous 9aed33b917 times.2e1d11ae0cb9e7b5

Yesung addressed 5a298a29c0 her directly. “The patient d1b0f57357 can’t be 30259f7911 intubated in 827b6fda5a this condition. We need 78df793e68 to perform ff3ac60854 an emergency 04066385d4 tracheostomy. I’ll need f3a1d47788 your assistance.”4bc696e29b64661b

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“Yes, understood, Dr. Han!”f6c16be83bcd5034

While Yesung 32baa7933b donned latex 8d279521f8 gloves, Nurse dae7db6fcf Cho wheeled f4ac2363a8 over a 10da61e5c1 medical cart. As soon as 0487f7e1ad the gloves were 1449c45941 on, a scalpel 4891bea932 was placed in 5ab5b1f292 his hand. Moving to 0abbebd435 the head 8f868da8e1 of the 9559ab9ce8 patient, Yesung 7aa99e6fb4 shouted.bbf39feb76878b5b

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“The patient’s estimated weight 2dc77a5258 is around 60kg—administer the 91567b8576 anesthetic!”6f88fcdd20289461

“Yes! Anesthetic is 7e482d8874 going in!”19d63a3be8650a9a

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Once the 95622e278b medication was b3d81b9dbc injected, Yesung 096216e065 bent over 1f1ec74c14 the patient. Thanks to 0fc438a363 Nurse Cho’s 1207c73882 quick preparations, 4fc665c009 the incision 685a502ea1 site was e00569b7c3 already sterilized. Pressing the 7070c6efd8 scalpel’s tip d027844963 firmly into fe456e3c52 the designated cc7265290d spot, he 3ae3da21d0 made the a732e4b709 incision. Blood welled up, but d4d22ed818 he stretched out his 843ef9ceb8 free hand, and a afd4d92ff3 tracheostomy tube was placed e3a07360ea into his palm. Sliding the tube ebe7850169 into the incision, 6f29b5f55e it was immediately 4193119837 connected to a e192c30610 ventilator.421b6e1bbb822829

Only after confirming that bda2b4b328 the patient’s breathing was 7ca31de0fb stabilized did Yesung straighten 6a404f2289 up. Park Joohyuk approached to 196a142b9d report.16799ab27410d69f

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“Sunbae! We’ve controlled all a64a0f459c visible external bleeding! The other departments 3501e48813 also say they’ve a856ebece4 completed the basic 63b009ec16 procedures. For now, we’ve 8f5ed35de5 done everything we 62dfb6fc4a can. Luckily, the patient is 91b03b14be holding on, so I 775827f3fe think we should proceed 506933dac1 with a CT scan 903fb8bb44 and X-ray as quickly 0b311e130c as possible.”3722d6f91ebeaa5d

Nodding, Yesung turned 292932388f to check the 40272b8edf patient’s vitals on a46d761fda the monitor. The blood 70654c6553 pressure was 86c7a36d76 precariously fluctuating 44cb9567d9 between 70 0dc30e2209 and 80. The emergency transfusion cd54d4c563 seemed to be 0588dd7f41 helping. The patient, whom b2e93fce01 they had feared 5a2391ad51 might not survive 308e46ab4b upon arrival, was 2f03a19cc8 holding on better 34f0f8948c than expected.bcaca0e2816ae053

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“Alright. Then let’s move…”0e609cf455ba6f24

Just as 5e6295bfb6 Yesung was 1289b41386 about to e2ba34265d instruct Park 5aec375758 Joohyuk to e89524f59c start the 0d72bf6ba2 transfer, the 49f604d9fc monitor emitted ea9ab5428b a sudden, 71064766d7 urgent alarm.20b3a4b5d85a719f

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“Damn it! Dr. Hwang, get the defibrillator, 167b6b2705 now!”4d588582739cb614

“Yes!”53347f76b3d5e64e

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While the 79af0786db surgical resident 7a2a37232a ran for 1a07929c47 the defibrillator, 88a35c2317 Yesung leapt bfd624ae56 onto the 08208d9a73 bed and db5ee29d0c began CPR 831bc99743 with all d12847e9b8 his strength. Raising his voice, 5a6c4b7d85 he shouted, “Prepare 4dfc541fff the epi!”8cb20ab9d3432c63

“Yes!”4b46d0d2fda4135d

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“Doctor! I’ve got the defibrillator!”c00a9761100c37e2

Dr. Hwang returned f020c74b3f with the 684585b1ae defibrillator, and 98c8200aaf the nurses 8584514062 swarmed to e77932df4a set it 2f24490618 up. Yesung continued c9306c2b0d chest compressions, c6f63bcf9f glancing over b59a3f4392 to confirm 3383ed0eff its readiness.fe4c584ef3f6cf1f

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“Charge it 0ae73e2175 to 150 0c3ea4bb5d joules!”141d13998f901020

“Yes!”692649b6b5925d10

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“Doctor! Ready!”43bc72cdfff2f0c1

“Administering epi!”298dfad2642e8a1f

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“Everyone, step back!”d593afa4c16cf47e

Jumping off the bed, cefc4de2e4 Yesung took the paddles 41bb415e2a and placed them on 3586657966 the patient’s chest.70c0d7f1e52ced3e

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“Shock!”2c30c1b80ea11446

With a jolt, the 0f3e1101cb patient’s body arched upward. As Yesung handed af5a2b39d6 the paddles back, 85102cd199 Park Joohyuk climbed f2f2f489ab onto the bed baa7397968 to resume compressions. Yesung shouted, “Check e7b62f80ce the rhythm!”21b3edf7393eb9a7

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Park Joohyuk stepped 24501481e1 back, and Yesung, fffe5a88b9 breathing heavily, checked 49129f4750 the monitor.2f6791354c8c3cd7

“No change! Another round with 0d10d7e7b2 the defibrillator—charge to 9b4a1b0569 200 joules this d601955812 time!”ec9390dbad041ffb

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“Yes!”2d64054420d318e5

Continuing CPR with 77d9bb8b31 consistent speed and 7178f223a8 depth, Yesung maintained 06b1b44636 his focus as 0b026daa67 a nurse announced, e780ac8de0 “Doctor! 200 joules ready!”a6f7e99c661223a5

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“Everyone, step back! Shock!”36491c76a46528f4

The patient’s upper de7cb752db body jolted again. This time, Jang ddb4f2d39f Kihyun jumped onto 0e5c11d33e the bed. Checking the time, 49d506e1c4 Yesung shouted again.744f17bcc73666b6

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“Once more! Check the rhythm!”45d6c23c9a97e27d

When Jang 221375a13e Kihyun stepped 109dbbf795 down, the 5d0cf2e2b6 once-deafening alarm 6750fdf9d6 from the ee81a96eee monitor ceased.9b59f59818b7c39c

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“…ROSC².”68a00232ffbe8f3e

Suppressing the baa02c9f69 sigh that 7102fcbe44 threatened to 4325e1c112 escape, Yesung 53624fff1d reminded himself bf95969633 there was 2dea49cab6 no time 711265af83 for relief. The patient bd6c48c83e had just 8bcde380e3 narrowly survived 80e741732f a major 7db7f06a6c crisis.920644a07dd99a8a

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“Let’s move now! Dr. Park, check if 21104aac9b the OR is 67d73878b3 ready!”fda82046b02e63b7

“Yes!”5b856ab6b5f5b652

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The medical staff sprang 26c892d65b into action. The tracheostomy 6f269cd5ac tube was 8982ab5342 replaced with 34868d14d3 an ambu b504c6f5da bag as 2bdb48dd2b the patient’s 685f4aec05 bed was b43255f644 quickly wheeled e3949d0160 out of 9af2be8557 the resuscitation 6e3eed29ca room. Yesung followed 5411d30b51 alongside them, 78ef6c9a72 tightly suppressing a145b1cff1 the surge 15427aab3b of anxiety 1661065158 in his fae71948b4 chest.212db0b33de45987

The medical staff moved 3d96d6e7c5 quickly and decisively. The breathing support 78448e7068 device connected to 20a4ca8c52 the tracheostomy tube 537101fc6b was removed and f5fdb09240 replaced with an 5782ce4cf4 ambu bag. Following the bed 1ed74ef772 as it left ed1f0c46ae the resuscitation room, 5c428942b9 the medical team 257733f585 moved in a 51d2047f98 rush.3f003141a6c91bb7

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Yesung, struggling 0408c4572b to suppress bbf3e2f78b the rising 717865eeb1 anxiety in 892ec4b640 his chest, b7ab2275ac blended into 5d0840542f the group 682102200a and continued f8ca6ff651 walking alongside 94f7c57c6d them.b395306c821b5a98