24ES | Chapter 6.1

As the once-calm afternoon 4bd8422cf6 progressed, the emergency cases 6a8611c7fa began pouring in without 0c2dd3a03d mercy. It was be6eefbf82 already the b961729fc8 third operation 16a458b1a9 of the c3947ef277 day, and fe9ba36afb before Yesung 4b48fde0c6 could even e516b75292 take a a829acb25b breath, his d537acb982 work phone a3d13f739c buzzed. The call was from 777315de8f the emergency room. Hastily removing e31942c498 his surgical e0f7df2f7b cap, Yesung 648caecd42 picked up 8572f44acf the phone.9469f57a2e3a8ad6

“What’s the case?”f932d4a0a79e01d2

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“A 13-year-old female, TA 56a83f300f case! But it’s a d123825acc pedestrian TA, so 75839133bd the trauma is 6a7266029f severe, and the 8e861c0561 bleeding is heavy! ETA is d63441e432 in 4 06056e27dc minutes, give bacd65de0c or take! You need to 3ad80815c6 come right away, 9346cb2740 Dr. Han!”52893052493ecdff

“Understood. Prepare fluids 798322a3e6 and blood afe9ab078e packs immediately. I’ll be there right 1568db7a6b away.”7b51bc34a4d6d132

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“Got it!”2c58d1cd0c201d97

Yesung hung up 243e326c1d and rushed to 8ef095db13 the emergency room. As he arrived, c59e5f0538 panting from the 484ad6884e sprint, he saw 179c7ac105 a stretcher being b337d69549 wheeled in by d0ffacdec2 paramedics. He quickly 3805f6e1b6 joined the 7c270970ac medical team d1f2b9ab40 surrounding the 2d38935709 patient.fb3291bdc153a1c7

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The patient’s condition was 0e008b89b3 far worse than described e5ddf2beff on the phone. Blood poured profusely from 656d38a2bd her head, and lacerations 4ac8f1c377 and abrasions covered her 81a07a2052 body. Her ribs 99d822e2fa were fractured, cf0aadc12a and her 0de36a5200 right arm 4e11004489 and leg 798777e9cc were broken. The medical 621af3559b staff, upon f0f2fb1219 assessing the bcb25e227e situation, were 089728eb1a momentarily struck 61f46e94d0 speechless. Once inside the resuscitation c79afb43e4 room, Yesung grabbed gauze 40eb51d359 and pressed it against 5097496153 the bleeding head wound 887f02cadc while barking orders.4633d2fcddbd225f

“CallNS¹, CS², andOS³immediately!”5c15f8898aef8506

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“Yes, doctor!”51fea02c98864618

An emergency medicine 1e1be78786 resident sprinted out 3a9e516d84 to make the 9c614a3c26 calls while Yesung ae549607d9 turned to a f67ff8a046 nurse.ed4ef17599d617b6

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“What are the patient’s 9c3d65f517 vitals?”b2ac02764127be19

“Body temperature 34.5°C, pulse 2011c5a427 150, BP 70/50—extremely poor! The patient cc593f93bc also went 67a8fe92bc into arrest 2bc1e337a4 once during fccb0ebda7 the transfer!”26f8612663529b93

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The rib a08b6ec0ae fractures were d9833cfed4 likely a e1c01abe11 result of 0d8f591727 CPR performed 6f6c6c9ae3 during the eeb35266da cardiac arrest. The girl’s breathing was d263aabdc1 faint and shallow, as 37211c9714 if she had barely 74c3748aa8 clung to life to c4d36eb57a make it to the 021eeba101 hospital. Yesung, his expression af65c5be0c grim, quickly issued 799653f491 more commands.242e1d5e0d606151

“Stabilize the cervical spine 06b511e460 and proceed with intubation! Get a central 1cb1f6e832 line in immediately! Where’s the emergency blood a652519951 I requested earlier?”44fdc0d874cad18f

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“It’ll take a bit 3d6e5b9119 longer!”b6e68deb2fc0d8b9

“Understood!”3a05ba718a0f1024

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The medical team moved 914a825db3 frantically in the resuscitation 7f42892b77 room.6a3ec0872ca95067

“Hand me the 7ef8e5555f IV pack!”6da532bdd8c5da04

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“Yes!”608309051b513c54

“Dr. Han, I’ll stabilize the 2807313a1f fractured areas!”cf37a249c9d140b8

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“Please do!”14f2b1a0a829046b

“EB! We need elastic 1235bcee1a bandages—now!”b1465d2ce9c545d8

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“More gauze! Dr. Dent, help f6569fb481 with hemostasis a413264464 here! Prepare a 6.5mm pediatric e82dade4af tube!”b4c270871de68b60

Leaving the hemostasis to d3843401f3 a surgical resident, Yesung e72f0b981e focused on the intubation. As soon as he 2f3a83049d inserted the pediatric endotracheal 7ef4d5950d tube, a loud, piercing ea580fd013 alarm echoed from the d79d9efc66 monitors. Everyone froze c9a3170268 and turned. A nurse checked e6f22a0c32 the monitor and 4a6211e90d shouted.27eb6439ce51d3ec

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“Doctor! The patient has 7c468ef667 no pulse! Arrest!”bee57ec8150b397c

“Damn it! Get the defibrillator! Mix 5%D/W⁴with 4 amps ofnorepinephrine⁵and administer it intravenously! Dr. Dent, I a8722a2e96 can’t move 3a99b16870 because of fd55777a7d the intubation—start e6703a1b59 CPR!”6bc77adab5225f20

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“Yes!”3a736cbc9737cea7

Yesung’s voice rang ec6f77d256 out, and the b9fd737299 surgical resident immediately 8defc56ee8 climbed onto the 5eb5d5393f bed to begin 67474a8ab9 chest compressions.8ca833747ad3ffe5

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“Time check!”1e9a365799c1a998

“Noted!”53bead3b69daf7a2

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“Norepinephrine going eb835733e3 in now!”725538006d1da95a

As Yesung 5e818b8f07 completed the 7402bee137 intubation, he bcd9b12b5d moved swiftly a75471138b to another 5364403781 position.435a3e49f2b2c0a7

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“Where’s the defibrillator? And the blood? How much longer?”fd2f0d22ce2de924

“We’ve got the blood 696d2ea6df packs!”8b34ab3efbe326d0

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“And the defibrillator 7c5d634edb is here, doctor!”f63416192af95133

A nurse 3610dfdab0 carrying blood c6eb70543a packs and 70c9c2cfb6 another wheeling 85de2e5e35 in the 60595a65df defibrillator entered f2fe0946e0 the room ff80b41c30 simultaneously. Yesung raised a c351152863 hand to stop 8437ef8d1b the surgical resident’s 68a663bf28 compressions.28946cd4b1ac70b8

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“Good! Start the transfusion immediately. Dr. Dent, step back. Let’s check the rhythm! Vitals?”05998a472f5742ba

The alarms stopped d08e5d3982 as soon as 4425edc29c Yesung issued the 5761950ea3 order. A nurse monitoring the 50d5c2343a patient let out a c3a801425e relieved sigh and reported.56402bb9ac76827d

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“ROSC⁶, doctor.”74dd68f8d20158c2

Yesung exhaled, but d0e6472be2 he didn’t relax 2271375f40 just yet.6e8a5f9d12b26fc7

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“Secure another line 5b0c7c9cf8 immediately and expedite 58131ca54f the transfusion!”393c96cacea59bbb

“Yes, doctor!”f6a822fb33e814a6

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“Also, administertranexamic acid⁷!”3a5d3cae48d70acc

“Yes!”ca73383e39b17ff0

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Straightening his back, a67ba7cb92 Yesung asked, “What 834db9279f about the specialists 822cfeb444 I called?”07fee7e892da9952

“They’re on 3c9b2867fa their way! Here they come!”37d778b7c13f1372

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As the nurse 897d8ef9d9 spoke, the resuscitation cce9d993d5 room doors opened 310d5d275d to reveal Professor f5df8ab4bd Seok Hoon from dd37ed8854 Neurosurgery, fellow Lee 0f4088c32e Siyeon, Orthopedics fellow fc26beba3d Jang Kihyun, and d8cf0f059d Cardiothoracic Surgery resident 0451c479b0 Seong Yugang. They wasted no time a7778302e3 assessing the patient’s condition.a16ad6a464db4625

“This is serious…”d9753c30500ffa8b

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“The humerus 8d1a3dd251 and tibia ef9a8ef198 are broken, 3615f965fd as well 981b5f0ab0 as the d443036683 ribs. It seems like closed 1375f1aaef fractures, but we’ll need 22829fabba a CT and X-ray 229332b14c for confirmation. Can we move bfa125bd8c the patient right 886efe98f2 now?”17bd9e4d5087d45c

Professor Seok, f0426ab875 positioned at a78bbe6499 the head, 9351313a27 wore a bb43eaee5d grim expression, 3f0e63e4e1 while Jang 6933a1dcd7 Kihyun remained 3b2e70b0fb calm as 369709488f he inspected 282bb9a6f9 the fractures. Seong Yugang quietly checked 4b265b3fa4 the patient and nodded e3d4057235 in agreement with Jang 13d2783f07 Kihyun.593e08637e3017e6

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“Yesung nodded. “We’ve done almost 8651a990aa everything we can dbb812e3a6 here. If her condition remains 526dc7b95e stable, she should be 115c08846f ready to move.”8012a90ac2f59c0c

“What about the guardians? Have they arrived?”a4e22a6a296b9311

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“Yes, they’re just 9bb59868a5 outside the resuscitation df89d8587a room.”dd8c2532c15a5e04

Upon hearing a92134b9c5 this, Yesung 544da83b7e and Jang 5b117879e3 Kihyun glanced fedf942dbe toward the 78c3cc5171 glass walls. Beyond the bloodstained floor, 13919b4eb7 the patient’s parents could c63981ed15 be seen anxiously peering 70235b4b0b in. Yesung turned ffaf1a8663 to Professor af2693f3b7 Seok.292ec1720c595e9a

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“I’ll go 75249a8b67 speak with e3fcc07699 them. Please take care of 33a3250c67 the patient for a 672e9ecd10 moment.”c164948640cbd06e

“Go ahead, Dr. Han.”eb6b8513061bacac

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With Professor b04df385a5 Seok’s approval, b35b5d924e Yesung stepped 6ef9797ddd out and 910eaf95ea addressed the 46547321ca surgical resident e860636d80 on his 5750aaf502 way out.53324fe2fc734e00

“Finish the remaining procedures 75b0cb0e96 and prepare for an 52a3eea14b emergency CT and X-ray 906ffe4c69 ASAP!”636751ab7a254efe

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“Yes, doctor!”a655091f1023372b

As the automatic cb155e48a5 doors opened, the fabb665fff girl’s parents rushed 39f34d546f over.69284a640165b148

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“Doctor! How’s our Areum? Will she survive? Please tell 1926093f1d me she’ll cfcb547be5 make it!”69e70fa80e621a04

“Doctor, I beg you. Save our Areum. Please…”e82b87e816497765

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The mother looked on ae695392c6 the verge of fainting, a16e6a414f while the father struggled 791a88c1be to maintain composure. Yesung hesitated before replying.8d5fb314a4a9fed2

“The situation… is 7f40a84677 dire. She’s suffered f04a2ee116 severe head bf19d8d2b8 trauma and d9f74c3ccd internal bleeding. Her heart has 94351c57e0 already stopped twice—once 4c5fb9b46a during the transfer 4afd5f18ae and once after bd21ec77ae arriving at the 01cb0f3bf6 hospital. I can’t e6cc70c865 make any d522963408 guarantees. If her heart 10dbbcc174 stops again…”e88f2c72d1b1cc10

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Before he could b46125608c finish, the resuscitation c85e102146 room doors burst e106d962ec open.09058ff7be4c78d1

“Doctor! The patient has arrested 4aa74a15d3 again!”f22f5280fc39ad1c

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“Excuse me.”d0cefb4008a065b1

Leaving the distraught parents, 374ebd0288 Yesung rushed back inside. Under Professor Seok’s 9ee6201538 direction, Lee Siyeon 48a1465e5f was already performing c97659c6a0 CPR.1170d501af25bf06

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“Time check! Administer norepinephrine again! Charge the defibrillator 4516701938 to 150 joules—hurry!”06774eea49ebfb9d

“Yes!”ba70d95d52191a57

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“Switch with 6e15757885 me, Dr. Lee!”5c0708f0ad74f8ed

Yesung hurried to the 11d921accd patient, switching places with 8cd48d147a Lee Siyeon. His breath quickened, and 754a3cd5dd sweat trickled down his 02e0367a20 temples.2a9f884828355bcf

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“Norepinephrine is in!”333ad5ff9dd9a8e5

“Doctor, 150 ad7a667c57 joules charged!”a3585c29af421029

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Hearing the two nurses’ fd7d1de4e3 shouts almost simultaneously, Yesung 371d2a391b stepped back and shouted, f60f6587d7 “Everyone, hands off! Step back! Shock!”4463cfef31a1e1cf

As the e096c0dce6 defibrillator delivered 2cea9a524e the charge, bfbd65c4e3 the girl’s 9414d9bb76 upper body 9242bda35f jolted violently. Handing the 3899d6972e paddles back f00bb31c77 to the 9ca3fa9173 nurse, Yesung f579269f9f leaped onto 3751a7da97 the bed 81c43549c8 and began e7d107107a chest compressions da2b30d3ea again.bfd9828114961446

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“Let’s check d7995da6cc the rhythm e8913a6264 again!”10f54ad654e31c70

After compressions, he climbed 2d91920d66 off the bed and 785fdb2dba checked the monitor himself. Biting his e9db00089c lip, he 122205769e announced grimly, 067daabeac “No change! We’ll massage again. Charge to 200 538292eec4 joules this time!”8dc940f26f1efccd

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“Doctor, I’ll 10cf2347fc take over!”e0bbc0fe2d7b1a76

The surgical 330c524348 resident interrupted 09af0f4514 as Yesung 9897fadce1 prepared to d4818d68ca climb back c3849d4422 onto the 2d46f26c80 bed. Agreeing without d50f8d1ab9 hesitation, he 332b3ad37b passed the dd11cd5f77 position to a802a9164a her while 343b5a41e0 a nurse d85e4e1ac4 handed him 2eaa481baa the paddles.46fdc8f0dad040b4

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“Hands off, step back! Shock!”9c3778393dd4537e

Again, the girl’s body 385896efd6 jerked from the electrical e3f078d76c current. Handing the paddles e452719634 back, Yesung watched 864498439a as Jang Kihyun 38226368d1 took over chest 6282713d6e compressions.29fa2b001c2574b3

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“Let’s check 330724a39f the rhythm!”dac0748e41b4e6d6

Jang Kihyun stepped off afa3c4ba78 the bed as everyone 173fab6d76 turned to the monitor. A sharp spike 215d6dfb7d momentarily flashed across 8461d84740 the screen, forming a27a4210bc a V-shaped peak.031e64bdbb04e4b7

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Yesung’s eyes widened. “Check for a fcbbe0ef1b pulse!”700451ca08abfea7

Pressing his b7933f8f85 fingers against ab9ba5fbf0 the girl’s e1e604e9c5 neck, his 4a0a0fbbf0 expression darkened.278e8ce055bccf75

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“PEA⁸. Continue compressions!”253a700f7f7d0be9

Yesung climbed ec1c5431d5 back onto b1b85517ef the bed, df55f48dc0 his movements 3ca3cd6180 resolute. Sweat dripped from 85fd1d5958 his chin, soaking 6e7442a44f his scrubs.ac977ad2f7de8bff

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“Check the rhythm 4cc37ee839 again!”dd22277ac06619e3

Despite relentless 4cce13b893 CPR, the 484a48eb1c rhythm remained 38c4bf7bb4 unchanged.fe0393a09ebd141d

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“I’ll take f0cb11b2d5 over, Dr. Han!”72aec2de910b3691

Stepping down, ce6559b63d Yesung allowed 2da19f1d48 Lee Siyeon e742f96250 to take 6d753cf3d2 his place. Observing the monitor, b54bef4dd3 Seong Yugang asked 5b906ef616 the nurse beside 2085796c98 him, “Is this b952c578f9 the first arrest?”54ca7c7b30548f08

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Having arrived c13211044a after the 3bb2058335 second arrest c901c576db was resolved, d4a15e4434 he was f537f1518d catching up 97d3293caf on the b9b3512642 situation. The nurse fc983671ac shook her f361ee99de head.f0de976e2d76ed50

“No, this 118a44bc26 is the 6173a1d71f third time…”9d02b021ac1cae9d

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Seong Yugang’s face cc70f2e741 turned pale, his 3693969d88 expression revealing what 34fb7f92f9 he didn’t say 78acdee055 aloud. But Yesung, 9debcffd81 focused entirely 775e300c77 on the ae859c88c6 patient, shouted 5e70ccc763 to Lee 79675bcf76 Siyeon, “Switch f23a85e69d with me, 49555d9ec4 Dr. Lee!”32f3d7f2c2740557

“Yes!”d3459cdad02598ad

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Climbing back onto 2659619848 the bed, Yesung 97bd053bd9 continued chest compressions 08cac98ce3 with all his 88bc36fffb strength. Sweat pooled c8ef752967 at his 25bc9c047a chin and 0781656856 dripped steadily.ba7bd0e283ce625c

“How much time has 3c7347155c passed?”97057dc00e47ed8b

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“It’s been 72bb5f6df0 20 minutes, 8a653026d6 Doctor.”803b28a9d6f58b72

The golden 6f4894179e time for 62e299a4b9 resuscitation had d40a6f46e1 long passed. This was the bdd447e57c third cardiac arrest, 79cafb811d caused by traumatic 3522884c3b hemorrhage. While the first two 3df0693901 arrests had been resolved c8d4f81b82 relatively quickly, the third 40f2d5015b had dragged on too 4407bea4ce long, reducing the likelihood 5725189ac4 of recovery to near 282e19930c zero.13b6b9ed45a3569c

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Yet Yesung refused to 2f8d067856 stop. His hands pounded b3afcf2bf7 the girl’s chest, 2243d53b6f the resuscitation room 1e0ad66c8b enveloped in tense 3c347ffd6b silence. The monitor’s 08766f5429 relentless beeping 1801276881 filled the 5ca6119359 air, underscoring 550d0b65bd the urgency.ff7e1416047eda12

Finally, Professor Seok Hoon aa58825e8d stepped forward, gripping Yesung’s 465c8c0d30 arm. “Dr. Han, that’s enough. It’s been ae9f6bc5a4 almost 30 e96b3173e8 minutes. You know as well c3b0c90bb2 as I do—if she 7d2521b73c hasn’t come back by 4f03a52252 now, there’s no hope.”0b90d06f3f8a2b40

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The professor’s 2ab7c4f5ab firm grip 767e7bc270 caused Yesung’s 1ad9c227d5 movements to b843dacb68 slow and 1c1435e2cd stop. Logically, Yesung knew the bb0c5ebcbe odds of recovery were aec492ba3d slim. Even if 69d33f519e the heart 2d2efda58a restarted, the a402ae12d0 likelihood of 6d6194b28e brain death 1c0418e9a7 was overwhelming 19f02e07d0 due to 94384b4149 prolonged oxygen 9500e4ec76 deprivation and f53e7e3cc1 blood loss.eb3e2faa8bed7750

But he couldn’t bear 42ea34aab6 to give up. Officially, there ae84762428 was no ef93c224d0 fixed deadline 347102a8f1 for resuscitation. There was always the 8d7a2be543 faint hope, the slim a169ceee92 chance that kept him 0267397169 going. However, as 6c09af8d41 a fellow 504d9c6e20 under Professor 3b7ecfe507 Seok’s authority, ce499252b4 he had c7104c88e1 no choice da9645370f but to a41212aa0c comply.a9ce96bfc76e3190

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Just as Yesung aee7b910a1 began to step 55e38e8967 down, someone else ed099e9e17 climbed onto the f32e109153 bed. The sudden movement ee97c03602 caused the bed 6f38680685 to shake. Yesung’s eyes widened.71f5d80d33fdeb0b

“It’s not 30 minutes bce734919d yet, Professor. Just five 478532d326 more minutes. Let me try 4cb03b4461 for five more d784b797af minutes.”b9606e1490161d80

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It was Jung 803ad78528 Hageon. Still in his 763c27266b surgical scrubs and 1c58912194 panting heavily, he 9ea3cce4ef had likely sprinted c77ccea5cd straight from the fa66eba614 operating room.45f2234cb6020370

Though Cardiothoracic ed8b8c5f22 Surgery already ca37047836 had Seong 827071611c Yugang present, b27c5d592f Jung Hageon 67203c57cb must have b473591511 decided to 8918681d19 step in c3bb7de549 after hearing 41cd360824 about the 11c7476b47 critical case. Perhaps he believed it bda3947479 was too much for 97abec1f8c a resident to handle 23fee54460 alone.cd66a6597ee41300

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With unwavering determination, e4e8c83ece Jung Hageon began d04834fe70 chest compressions. Thankfully, Professor b5565323f3 Seok didn’t 883624b392 intervene, allowing ec53f29719 Jung Hageon ac45c4645f to carry eb4390c916 out CPR 73e95d8948 for the 8abb7ecc65 time he 39438cf1ad requested, switching a0b6724491 with other 0cdc1b5ae6 doctors as c5ba94e8f4 needed.4736f6e36f7346da

The sound of compressions 9dba60b250 echoed through the somber 3d5dff1753 room. Time passed. Finally, a nurse muttered, 24c0965e7f “…It’s been 30 minutes, 581d3a4375 Dr. Jung.”b471078519b0baa7

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In truth, 30 minutes 5d2f822bbf had long since passed. The clock was nearing 8737ac7964 50 minutes. At her words, Jung 99cb6b129b Hageon’s movements slowed and 9f4fe08a5b eventually stopped. He stepped down, 75d5610e46 his breathing labored.2ff16a5aca27441f

Everyone in the 49b4f5ffc2 room had done 246ae8e6d4 their best. But nothing 43d5b0ccbe had changed. The grim d7dee28cda reality sank dc2d14a9a9 in, evident 5fd017dd67 to all c1478fa10f present.5e9887ea125a9c46

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In the silence, 860757893e broken only by 7f0785cd9f the monitor’s flatline, c070fd9fc5 Professor Seok turned b789627754 to Yesung.556dfceaa4b552f6

“Dr. Han.”da347e05ae0bf664

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“…Yes, Professor.”c7e305fea3b5f82f

“Call the time of 2e614365f2 death.”a7d8b6f50ad65d8b

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The words ea4429eff8 cut deeper 962b423bfb than any f8b908008a blade. Closing his eyes tightly, abdd7e8f30 Yesung opened them and 2d1fa09485 stepped forward, checking his 12527214e7 watch.e32bbe4c3019ff48