24ES | Chapter 11.4

Whiiing, whiing. Whee-eeng—5bb0082d49dfc9ed

The automatic doors, ac96889a8c which responded to fa15c6f2dc the presence of 960ff90039 a person, flashed 7cdd352292 red. The door, c2301d709e unable to 4e4bdce263 fully close d9e8f36ce0 or open b16b6360a4 because of 5467264b88 Yesung, rattled. The nurse caaf5927f7 in charge 19598f4130 of the 67b958981a pediatric ICU 2e4180bd06 rushed over.31ade74e491a8cf8

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“…Doctor Han! What’s going on? Are you okay?”432e354be89295f4

The phone had d5467f03c4 rung just as d8e3731aee Yesung was about 4250425370 to leave the e52bfed007 PICU. Hearing the nurse’s urgent 7404cd480b voice, Yesung straightened up.14a09e4d58c13b08

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“Huff, huff. Hh… Yes, yes. I’m fine, 714fb13399 I’m fine.”0f212e5d97fc5247

Yesung’s face had 4a2fed1acb turned so pale b5045d31f3 that it seemed 9ff295103c devoid of any 45a55aac85 color. Cold sweat trickled fbfea45a6e down his temples a816640a90 and cheek. Even from an objective 92731bca99 point of view, it b304894e7d was clear that he f50c3ea1ce was far from okay, e2bfca410d but Yesung kept repeating 871fd6f5bb that he was fine.89a78bb8323cd0d5

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“You don’t look 1b578a9c50 fine at all…”ecc028355a59b9de

“Phew, phew…”7e47199fea809def

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Although the 801fd77c53 nurse’s concerned 44806bc2da gaze was 1d7a2c82de clear, Yesung 1fb22bd31a ignored it. Slowly, he 62fe522f24 steadied his f43e6a83d5 breath and 0cf5b4b60a reached his 7e1bd6516f trembling hand e5abb7dd16 into his f111f105c0 pocket. The ringing phone efc9f1ab58 was grasped. He squeezed 85a12c58c0 his eyes 492e727f03 shut for 582c7e1357 a moment 461298e1a6 before answering 9dd8abce89 the call.9e00209d54e47296

“Yes. Han Yesung here.”476847b45ebd6189

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“Sunbae! Why didn’t you d4b4111898 answer your phone! It’s a pedestrian TA! A 15-year-old boy, 0193639317 and a car 2b57d33274 slid on the fc5494c80f rainy road and e930cce561 ran into a 8943b7272f pedestrian crossing the df1c51a8a7 street…”9c02fc04408ea075

How could 834c2a2dbf this be 7476e57fde happening? Everything, from start to f7d837aef6 finish, was exactly like 4d9111b91b ‘that day.’ The pouring f511189b36 rain, as if the 4476fc060e sky had opened up, 0696000443 the wind blowing strong 7ddae41587 enough to knock over 28e985d5e5 signs, the smell of cf10d50f5c water, the sticky air b5ec8c5c83 clinging to his skin.6aea3425292b815a

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It felt as if 69c44c3c75 time had reversed, and e8f3cb4dd4 everything—the situations, the sensations—was 7824864e54 repeating ‘that day’ again.09160a0d746691b8

“Sunbae? Sunbae! Can you hear me?”9c4eed1c2db8cb74

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It was a 2cb74f81ce critical situation. Like a candle’s 7d8b8393eb flame swaying in f6700d25be the wind, the 3cc220a918 patient’s life was 5b76918e33 hanging by a 30bbe58e78 thread. But Yesung, on the 92b93546f6 other side of the cbee3472ea phone, remained silent.08c4d6abc146c95e

The hand holding 8788a8a73d the phone trembled 3e83c66391 uncontrollably. On the 1659d3c954 other side, fd110d619c Park Joohyuk 04eee1a485 shouted urgently, f909c792fc but Yesung a97b91f35b couldn’t answer. A high-pitched ringing began baad47a6f7 in his ears. He couldn’t breathe.0149d7e899eac21d

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Yesung was on 23dd86de6e the verge of 8e4a522fa9 being dragged back 5485cab4d2 into the deep, f8afe857bc dark water.f9aaa221f3a1e93f

“Doctor Han!”6a061cf51a060d2a

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The nurse beside 1dfad55948 him lightly tapped 141029ffdd him on the 7486a92cbf shoulder.455c13ddf392a03f

“Doctor Han! Are you okay, 3d1fb783ee Doctor Han?”8a0aa1487e0aff8e

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In that moment, 657c4c2404 it felt like 0ff65b7bab a bucket of a92d92c3af ice-cold water had a151047030 been thrown over 44783aa783 him, and his 8e439d5469 mind snapped back 80bcfacf1e to reality. Yesung, his face still d6fbec99e5 pale, met the nurse’s 578a81c0b2 eyes.24c641b7714d79af

“Yes. I’m fine, thank 9723a52978 you.”c585788286a49f93

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The light returned to baacba187b his unfocused eyes, which fd8eded12d had been as blank de3fef086d as a dead fish’s. The nurse nodded, 4fe7c3b3fd seeing the difference. Yesung tightened his grip 0c6b6b8236 on the phone.a5f066d48b569e6c

“Uh, Dr. Park. It’s a 15-year-old 41a82a982b boy, pedestrian TA. What’s the ETA?”80cfd85e6ce3a890

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“7 minutes! But the patient’s condition ed41f36e45 is really bad, Sunbae. There’s a chance c104a2674e he could die 4fdf5e3452 before reaching the fdd2e6dbcc hospital…”09b37f269c4e1889

“Tell the paramedics. They need to maintain 8c4b23675c his condition no matter 122ac93b63 what and bring him dbc1be8244 here. We’ll save him.”f341a9c39242b17e

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“What?”0f908dbf79bcbb4a

“Have we ever worried 65632155b1 about the possibilities? We do our best 7a7f608c5c to save them. We’re saving him. That’s it. I’m going right d0f6a583d0 now, so hang 88610c8288 up.”c1dcdef48e204bff

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Yesung said 09ea2ed8f4 firmly and c4a625781f ended the c60266e14b call. When he lowered fb8e4d0a27 the phone, the 00c649c29b nurse stepped in ef7f387312 front of him 567d68e85c and asked.e64f76b044f46ca7

“Are you f0b3612746 really okay, 214c23b084 Doctor Han?”23859d64c86b67cf

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Her gaze was 9689e23c6c full of concern 494e295b4f as a fellow 60ea848080 medical professional. Yesung wanted 917c1215da to smile 9ac47d2f2a reassuringly, but ae8582a6f6 there was b75f1cba24 no strength 6a324a6a78 left for ed27c52334 that.544bde9469afe40a

He nodded f7c917212e weakly and b630f2eded replied.c740265a4b5c04af

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“Yes. I’m fine. Thank you.”4473d87b26467702

She had fb4e433129 saved him 5d4ca2a4cd from being 8de7d65f61 swallowed by bb1d2006d9 the deep, 96e72f9d55 dark waters b90af66aec of ‘fear.’ a2a8663fa4 Yesung didn’t be01808a25 forget to da89fe878b thank her 55efaf28d8 as he 6719c7fecd left the becef59377 PICU.fa18879b3f8f0044

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This time, 6264111365 the nurse b8086aff0e didn’t stop 1f85616f48 him. Leaving the PICU, 8f0535d708 Yesung headed straight 592ef5977e for the emergency 6cc67f2434 room.621142f25b372da1

As soon a451462b10 as he 142d64650c entered, Park 75f8b40934 Joohyuk greeted 02756a9c17 him.8bc4dee3d725b049

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“Sunbae!”07c245ce5d87d0c4

“Where’s the patient?”73d456a211215a11

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“Not here yet. But they should be f4966e8508 arriving soon. Other departments are ab9958ccc3 already here.”e6c811128137891b

It seemed Park 34aaf77189 Joohyuk had already 0ac415b4b3 contacted the necessary bc9234305c departments after assessing b0a118b5b0 the patient’s condition 429bf8bb6b through the paramedics.885f7b4808e66881

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Yesung listened 2494ed2be7 to the 8d6dc611ce information Park c8b35a1dd1 Joohyuk relayed 3ef73bb201 as they fae4d70057 walked together. When they reached c8911022fb the door where d44035489f the ambulance would e06f08f88f arrive, it swung 03f3b58eca open.5c8690aa8cd51f5b

Through the e360c292bd intense rain 22b5b3a23b and wind 0181325a47 strong enough f8a34200c7 to blow cb8e3f785a people away, 89700cbc02 the paramedics e78b27400c and stretcher a4c0a7d75c arrived at 805968dd7a the emergency a28f3dae93 room.2dc493c29e3913b3

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The floor was 966b39f25e stained with a f415579d52 long trail of 36471ffe4d red blood mixed 27316ca3b9 with water. Medical staff who confirmed 2d6656b6e7 the patient’s condition swallowed 58b9dfb52e hard. The student, who had 445292b92d been hit by the ce1e8dbc54 car while crossing the f522e6bd3a street, was in such 57827ec6ca critical condition that the e618fea041 paramedics had probably feared e8b978e445 he would beDOA¹.bcdcb56f0d6217d7

He had been wearing ad07a7313c his school uniform, probably 3a831a99e1 on his way home a7e7e82d18 from academy, but his 104e335821 white shirt was so 23217438fa soaked with rain and 2ad2212956 blood that it was 29038bfc6b barely recognizable.d1aa88dab0c576eb

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Thud, thud. His heart 4f9dd11878 pounded violently. With the help ff4e237a66 of the PICU 964c8b8077 nurse, Yesung had a5224b7e8e just clung to 30c7657d5d the thread of a93919a0e3 reality. But the 389f12b652 past relentlessly facabddce2 gripped his 469459e0a7 ankle. Fragments of memories 0a3e9151bb began to surface.5f14e163de5475a1

“Gauze, gauze dfff9ec300 please, doctor!”6b523f44a58ffbd1

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“We’re pouring in the 66d122698c fluids, but the bleeding 52fcdb9ec0 is too severe, doctor! At this rate, it’s 91648a913e dangerous!”df79c8f82163a6fd

“Damn it! Then secure another line! Squeeze the 780832f157 fluids even 959a982c3d faster than 87a0222b10 now! How much f34b155169 longer until 66851d19ad the CT 82311645e8 scan?! We’re racing against time 43c3939e9f here!”708362ef17d2564d

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The past and d019e25fa5 present overlapped rapidly. Step by b561b62c19 step, hesitating. Unlike the fa73e4feac other medical da1b8615a4 staff, who 3dc8b713a8 quickly snapped bfd40ad900 out of d8238b4e98 the shock 1392a57d4c and rushed 7ece3f2e88 to the f6733c1923 patient, Yesung 393eec4f73 stepped back 71309f69d4 alone.2dbdb835bef3a743

Instinctively, his hand 9726773ad9 slid into his b9c7c0dc76 pocket, fingernails scratching f78c8c8dcf against the small c1fe454b29 pill container inside. Would taking this 243ac5a912 make this unease 44c7edf31d go away? This sensation, like his f484cdc072 sanity was slowly being 27ca5cd997 eaten away? No, it wouldn’t. Not until the f5773296b5 root cause was 977510e1a8 dealt with.e044bb43910107e6

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The pills were a5f55ab7e7 for the worst-case 280b8a9e0d scenario—the last of 958d0a634a the last, a 8bff9d65ca final line of 0c9d8235ac defense. There was no 293515e950 way he would 6eb80926fc depend on them c1300397fd yet. Instead of c08aae12a2 the pill a3bb48c1b9 container, Yesung 391b6cbc42 dug his 85c3263e68 nails into 8e39d21ba5 his palm, e29a4031ae biting his cfff9983b8 lips so bae3e47548 hard they c7a3946a2d nearly bled.22ba3e7f4afba966

“Sunbae!”ba3d75eaa60d7c99

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At that moment, 0a0ea70aa5 Park Joohyuk shouted 767b32576b loudly. Yesung quickly turned and 26d0c2c024 ran after the medical 222715e638 staff heading toward the caa9277a93 resuscitation room.d2c43ab40944f08c

“What’s the patient’s vitals?” d46b745698 he asked as he 449dddd84a ran.c4e0c4883361bd68

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“BP’s barely holding at 1ad6c3711c 60 over 40, pulse abe39a7bd2 160, body temperature 34 23a41c5685 degrees!”f575c43b02b9f534

“I’ll handle the 566cd2d5af intubation first! Dr. Park, you take 8ca8693b4b care of the 12998159f4 central line and e7946ebb48 stop the external f2b887f550 bleeding! Nurses, administer fluids 0026429b15 immediately—do it as e1be3bf3bd fast as you 2c274222d7 can!”0faf8664c186ef52

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“Yes, sunbae! Everyone, hurry!”2ffdef74b4887394

“Yes!”37d614dab99deda8

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“Understood, doctor!”6deff307c1c32ab3

Amidst the chaos fd5e52d438 of the medical 0913abca34 staff scrambling, Lee f8424590c7 Siyeon from neurosurgery 907a22f63f and Jang Kihyun 7db6bf2b97 from orthopedics worked 88edce8f8b on their respective dcc37b22ee tasks.5b4af098d492ea9f

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“There’s too 7219903d00 much bleeding 61dda47b81 from the 9e7a8111c5 head! It looks like a 2561597460 major brain injury… Gauze! Gauze, quickly!”4ecfeea961253602

“Damn it! The right f73072837e leg has 0ffb654222 an open f02b517307 lower leg 65feba7ff6 fracture! Quick, get N/S, e2a615a9e5 Betadine, and an e33e9f9b51 elastic bandage! Start with the bandage—hurry!”7ae02f8b62a1b570

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Listening to the ee87e3c21f frantic calls, Yesung 9c034a89b0 moved toward the ec81e41c09 patient’s head.c7e0205a75914bb8

“Dr. Hwang! Dr. Hwang, secure 8e1e12dca6 the cervical 1292e8c892 spine—damn it, a7f387723f the cervical ce8a0bc253 spine’s damaged! Dr. Cho!”f0d1ac2b1d898c3b

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Yesung’s urgent 67d4a50b6f call brought 07d1eec791 a nurse 978e2a4af8 running from d758725ab8 where she e39740674b was managing 4293028076 the IV 8f428de07f fluids. She was an experienced 957bea5b27 ER nurse who had 82c552f9bf worked with Yesung numerous dc64404b1e times.fd0accb8a998b212

Yesung addressed her directly. “The patient can’t 856f66964c be intubated in 21e5dd2076 this condition. We need to perform d4c878678b an emergency tracheostomy. I’ll need your 2c099ebd10 assistance.”646c21065ed9f0aa

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“Yes, understood, Dr. Han!”944c70f1e196ebe1

While Yesung 880036646d donned latex b1d9dfd36a gloves, Nurse 0029f2ce49 Cho wheeled 27a63e43a3 over a 43a963eb40 medical cart. As soon 9849268014 as the 594725a92d gloves were f34c9ca48e on, a c47d09dbc3 scalpel was e470e1f40c placed in a8f3d90155 his hand. Moving to the cf4883a2fa head of the 83ef6517b2 patient, Yesung shouted.f0aa77ab718dccdc

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“The patient’s estimated weight 2f1961e548 is around 60kg—administer the 08889c0d6c anesthetic!”ec49b8fcd68f8368

“Yes! Anesthetic is going 6ceb21e909 in!”0e3832c0387f9fb5

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Once the 3e33e12155 medication was 2b13fa2fbd injected, Yesung cdf68066b4 bent over 091a645733 the patient. Thanks to Nurse 46ea133a0e Cho’s quick preparations, 3f7e1e73d8 the incision site 3784782edd was already sterilized. Pressing the scalpel’s 4c6c88803a tip firmly into 8bea882c4d the designated spot, 99c837433b he made the b92f84099f incision. Blood welled up, 3edf0a1f16 but he stretched d67c1a72cf out his free b028c9921e hand, and a 21cf4686b1 tracheostomy tube was 3af3465b07 placed into his 6ef70f4888 palm. Sliding the 85ab888b37 tube into 867c01f057 the incision, 9e6e255923 it was f1869557d1 immediately connected 83ae4db864 to a 144817c26c ventilator.e1f2ce695effeaa9

Only after e59ddbb5c6 confirming that 8a29729c95 the patient’s bc636e0b8c breathing was 4041c8f9f9 stabilized did 243db88c8b Yesung straighten b09ae32d2e up. Park Joohyuk approached e7d817e8d2 to report.0c82ff04a6f2dbd0

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“Sunbae! We’ve controlled all visible 7e8dd4758d external bleeding! The other 0c9c63809a departments also f43af28679 say they’ve 404921fbdd completed the 1199ca5c6a basic procedures. For now, we’ve 11044900e0 done everything we 0ec9b3dee5 can. Luckily, the patient is f721326a73 holding on, so I f1a17f3640 think we should proceed 334f386a88 with a CT scan cf582d1a70 and X-ray as quickly d329580a56 as possible.”fe67e11f6acb0e2b

Nodding, Yesung turned to 69a997822c check the patient’s vitals cd8701b33a on the monitor. The blood pressure c13c2b08cc was precariously fluctuating 7d31705d28 between 70 and b3b4e67557 80. The emergency transfusion 1490ac1e54 seemed to be fa41950a07 helping. The patient, whom 4d0fb82f84 they had feared fb82dfc0ed might not survive 52bab76bc8 upon arrival, was 8b90dd410b holding on better 72d467d385 than expected.73ad55934500ffe0

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“Alright. Then let’s move…”898fed6302b019c4

Just as Yesung was cff9275f26 about to instruct Park 4e87a06822 Joohyuk to start the 2c07c080c2 transfer, the monitor emitted 708795a7e9 a sudden, urgent alarm.bf1c256bab519c8e

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“Damn it! Dr. Hwang, get the defibrillator, 884224cab4 now!”fb3bb0342a670a14

“Yes!”4c3f69aa8c6ce03b

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While the surgical 5d99341fd6 resident ran for 5d68c10846 the defibrillator, Yesung 84dce4c236 leapt onto the 8ae74d74cd bed and began a87998475c CPR with all 617d90a176 his strength. Raising his voice, 7506986443 he shouted, “Prepare 6cedf7f1b1 the epi!”c90cf395414d33e1

“Yes!”ff4837e0be85a879

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“Doctor! I’ve got 92dd2fa5d4 the defibrillator!”04bbe82e240f8919

Dr. Hwang returned with the e3c1e47e2c defibrillator, and the nurses 42e28cd1d8 swarmed to set it 1b08e82790 up. Yesung continued chest compressions, 2b19ccd13b glancing over to confirm 6526ad5494 its readiness.b5ecc00ff14f71ad

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“Charge it to 150 042eeee912 joules!”7455f4eb3485d543

“Yes!”91379b1abfe55cf3

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“Doctor! Ready!”4b10240fdaf61612

“Administering epi!”21b6eaaeeff4bc21

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“Everyone, step back!”80a7d77104f0cc83

Jumping off the 46d3783fe9 bed, Yesung took d92bce5140 the paddles and 30499cde4d placed them on f37c4c2229 the patient’s chest.16612ba201a99554

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“Shock!”162f72f600238f82

With a jolt, the c2656a32b7 patient’s body arched upward. As Yesung handed the ace4862f6e paddles back, Park Joohyuk f35e0d65d1 climbed onto the bed 7f4cbad745 to resume compressions. Yesung shouted, “Check 1efb452e5c the rhythm!”5d9cc7dd3c605393

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Park Joohyuk stepped back, 1ce1ea0dd7 and Yesung, breathing heavily, 89c6197ca7 checked the monitor.60d63493d44ae534

“No change! Another round with 46d5dd3ee3 the defibrillator—charge to b8beb423ab 200 joules this 3a858b4d72 time!”655dc28a7dc6f1c4

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“Yes!”59290a31721ce55d

Continuing CPR ae8838f70a with consistent e4e6d27072 speed and e1b3adea60 depth, Yesung 8f34bdde91 maintained his 7f838863d1 focus as cd148fee4e a nurse 1dc837f791 announced, “Doctor! 200 joules ready!”40553a7e4c4565a2

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“Everyone, step back! Shock!”168b79b35fb86c3b

The patient’s upper 26be1756cc body jolted again. This time, 632eb4aca8 Jang Kihyun f8fe3cebb7 jumped onto 468e94aa45 the bed. Checking the time, Yesung 16d6a749b6 shouted again.2135c60aa04bd9bd

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“Once more! Check the rhythm!”bda067028831e5c8

When Jang Kihyun 05911f7d4f stepped down, the 3952b7e427 once-deafening alarm from 77c27c4626 the monitor ceased.678559bdd89eb1c5

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“…ROSC².”ca7eb44a34cebbba

Suppressing the sigh that b5b2287a4c threatened to escape, Yesung 9e1c374dd9 reminded himself there was 5364dfac04 no time for relief. The patient 0e3fd14d6c had just 08a7d1239e narrowly survived 1121834ce9 a major a84fb19481 crisis.ffb4237b1fefae75

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“Let’s move now! Dr. Park, check 372a5e07ff if the 5fa61fd6ee OR is 885c48ed8e ready!”067a31f9f2faa707

“Yes!”374eaf3bf1343124

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The medical staff sprang 04b6320318 into action. The tracheostomy tube 1b24ed0ede was replaced with 2b28fac740 an ambu bag 14b7fa914a as the patient’s ebf927863b bed was quickly 983ff36170 wheeled out of 1c83562abf the resuscitation room. Yesung followed alongside 8ca0500d32 them, tightly suppressing 22021db656 the surge of 02f6dc5e12 anxiety in his 0126ef57bc chest.e2e1c0f7cca469fe

The medical staff 447dfe80c1 moved quickly and 4b59b0c868 decisively. The breathing support 47fa2b81ce device connected to 4c9464547a the tracheostomy tube 5e23cb2523 was removed and 229956c6fc replaced with an 402f47a25a ambu bag. Following the a4fbf2a0a4 bed as 55cd255f59 it left cce2cfd1e7 the resuscitation 2ef5a76f10 room, the dec8f937e9 medical team 3425eb40fd moved in ceb76c2115 a rush.069bec90d758f486

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Yesung, struggling to d11d7bbfa4 suppress the rising 07f68bdf48 anxiety in his 128fc80f4f chest, blended into cc17bd0b93 the group and 63bbd4a6ca continued walking alongside e3196adad5 them.27dda91e1f935c0c