Due to the establishment of gas cold storage, refrigerated blood and ice boxes, a simple cold chain established with ice has been established in the core area ruled by the Senate. Currently, both blood stations can perform blood collection, refrigeration, cross-matching and routine blood transfusions.
Operation. The fermentation industry has long been able to provide a sufficient amount of citric acid, which is what the health department calls citric acid. With cold storage, isolated blood can be stored for nearly a month.
For the Senate industrial system without refrigerants, the invention of refrigerators is still a long way off, and gas cold storage is not suitable for mobile use. Vehicles and ships that only rely on ice boxes and ice cubes cannot cover a large area - this kind of crude blood
The support system can basically only guarantee less than half of the chance of survival for the wounded.
In addition to cold chain issues and transportation issues, another important limitation is the lack of blood sources.
Artificial blood collection and blood transfusion was not only shocking and even sensational in the 17th century. It was almost equated with "demon". Even in "old liberated areas" like Lingao, it mainly relied on naturalized people, especially the indoctrination of new ideas in the army and schools.
At most, naturalized citizens in units with strict organizational disciplines donate blood. Even naturalized citizens in places like factories and government agencies will murmur when they hear that blood donation is organized. Although many people do not dare to resist, they are quite resistant in their hearts.
.Regarding the regular blood donation system, it has also triggered discussions among some senators about witchcraft.
When we arrived in Guangzhou, the mass base was even worse, and it was almost impossible for anyone to "voluntarily donate blood." In order to encourage blood donation, Lin Motian, who was enthusiastic about establishing a provincial and Hong Kong blood station, launched a "blood donation compensation" mechanism in Guangzhou.
Unexpectedly, there was another quarrel between the health clinics and some non-sanitation clinic veterans who liked to join in the fun - "Selling Blood"! This was a big hit!
"Allowing the poor to be the 'bloody gourds' of the rich is reversing the course of history! A serious setback!"
"We will never allow the human tragedy of 'Xu Sanguan to Sell Blood' to be repeated on our land!"
"Encouraging blood selling will lead to the emergence of 'syphilis villages', which is a serious threat to social stability and the health of the empire's naturalized citizens..."
"You are crazy if you want to make money, this is a real bun that eats human blood!"
Liu San also felt that something was wrong, so he made a special trip to Lin Motian to discuss the matter tactfully.
"Their idea of voluntary blood donation in Guangzhou in the 17th century is simply... naive!" Lin Motian sneered at the objections to starting "blood selling." "Just say that if you donate sub-sperm in the old dimension, the sperm bank will have to give it to you.
What about your "transportation subsidy" of several thousand yuan? In this time and space, what does it mean to give some compensation for donating blood? People in this era are generally malnourished. You let them donate blood and you don't let them eat a good meal. Subsidy
Is it reasonable to pay for travel expenses? Besides, to promote blood donation and blood transfusion, we must first let them know what this technology is. Based on their knowledge, if they don’t regard blood collection and blood transfusion as a magic method, it will give us face. The best publicity is to have
A large number of people can survive by relying on blood transfusions! Guangzhou is not Lingao. With such a large population, there are countless people who need blood. But the number of people who understand what blood transfusion is and can voluntarily donate blood for free can be counted on one hand."
"Can't we still encourage the troops to donate blood?" Liu San suggested. Based on the experience of the old plane, the troops are an important source of blood.
"Yes, of course it is. At this time, the only one who can believe us and know that blood donation and transfusion is not a magic trick is the Fubo Army. But the army only has a few heads, and we can still count on these few people to support the entire army.
Is there a demand for blood in Guangzhou? What’s more, I don’t want to keep selling blood like this. Once the people in Guangzhou and Guangzhou know what blood donation is and have blood transfusions, it won’t be too late to talk about voluntary blood donation.”
Liu San wanted to say something else, but Lin Motian lowered his voice and said: "Commissioner Liu, you also know who I am. The income from the blood bank is not high, but I haven't put a single silver dollar in my pocket."
After all - if you make some money, why don't you become the health financial support of the Senate? Our health clinic only has two hospitals in Guangzhou, one is the Provincial and Hong Kong Hospital, and the other is the Infectious Diseases Hospital. Now we can only maintain it by relying on your hard support.
To balance the income and expenditure, sometimes we have to complain to Mayor Liu. But we can't always raise difficulties with the organization. Just 'reducing expenditure' is not enough. We have to think about how to 'increase revenue'. This 'blood transfusion compensation' is actually
It’s not much money, but the surge in blood supply it brings is real..."
Hearing this, Liu San stopped talking: Lin Motian said it politely. In fact, everyone knows that the health clinic is basically losing money to make money. Guangdong and Guangxi are still at war. Guangzhou's financial situation has always made Liu Xiang grin.
, the blood bank generates a lot of revenue and can fill a hole in the health finance. This is something that everyone in charge likes to see - as for ethical disputes, this discordant voice has no effect at all in a good situation.
Waves.
"Even if there is a dispute, who can control the Senate? Apart from us, who else knows the principles of medical ethics in this era?" Lin Motian was still saying plausibly: "Just talk about the contributions you have made, Commissioner Liu, and Runshitang's
Did those Chinese patent medicines go through phase one, two or three clinical trials before they were put on the market? Were animal experiments, human trials, and toxicology tests done? There were a lot of "new drugs" in the first batch of crude sulfonamides trial-produced by the pharmaceutical factory.
, without even conducting animal experiments, they were used to shelter refugees? According to their logic, this matter is simply intolerable, but no one said anything about such a violation of ethical principles, and now it jumped out, purely
It’s just a case of borrowing a topic and looking for trouble!”
Hearing the words "Runshitang", Liu San felt something in his heart, and then nodded. He couldn't help thinking: This means that the technical conditions are not met. If he had the ability, Lin Motian would dare to call for the legalization of organ trading.
But having said that, in fact, Liu San didn't really have any ethical concerns about selling blood. He just thought that the reputation of this matter in the mouths of other elders was not very good.
Although the demand for blood products is not that large compared to the old plane, blood collection is still not an easy task. Since the technical separation of blood collection and blood transfusion is not possible everywhere, some have long been eliminated.
Blood transfusion surgery had to be taken up again. The more popular one is "indirect blood transfusion": using metal or rubber tubes to connect the blood vessels of the blood donor and the blood vessels of the wounded. And the more cruel-sounding "direct blood transfusion"
"The blood donor's blood vessels and the wounded's blood vessels are directly sutured together - this high-risk, difficult primitive technology even the veteran doctors frown upon, so even if it solves the problem of blood coagulation in the pipeline
, the degree of promotion is still not high.
"What the author would like to remind here is that although our technology is completely incomparable with that of the old plane, even this technology has reached the level of the old plane in the 1920s, and may even be further ahead of this level. ." Lin Motian wrote this in his original report demonstrating the feasibility of frontline blood banks.
However, with the current technical conditions of the Senate, it is impossible to restore the blood station and blood bank on the front line, which according to the old time and space standards was called "crazy unqualified". There are many limiting factors, the most obvious ones being rubber and cold chain problems. : The production of rubber has not increased, and the production of blood transfusion lines cannot be guaranteed; the cold chain is almost non-existent in the front lines and quasi-security areas, and the safety of blood products cannot be guaranteed - although Lin Motian is demonstrating the feasibility of blood banks At that time, out of habit, the term "blood products" was used, but in fact everyone knows that it is simply impossible to transfuse concentrated red blood cells, platelets, frozen plasma and other components. At present, the so-called "blood products" of the Senate are almost It's the same as fresh whole blood.
Under conditions that cannot be guaranteed by refrigeration, citrated anticoagulated whole blood can only be stored for a few days, which is even more worrying in the hot Guangdong and Guangxi. For safety reasons, whole blood that has been separated from the body for more than 48 hours must be concentrated in the "standby area" "Put it away for another 24 hours, use it in emergencies, and dispose of it when it is no longer needed. Therefore, on the front line, we rely more on "blood donors" to draw and use it now.
Seeing the stretcher bearer's confused look, Chen Ruihe sighed and told the nurse who hurried over: "Let's lie down in the observation room first. But the bleeding can't be stopped. Notify Teacher Xie and the operating room to prepare for emergency surgery." .Find some more blood donors with type B or type O blood!"
However, before the explanation was finished, Xie Yao had already rushed over. He was covered in blood and his white coat had changed color: "Which patient is suffering from hypovolemic shock?"
Before he finished speaking, Xie Yao had already seen Wang Chuyi on the stretcher. He only looked at it and sighed: "Okay, let's lie down in the observation room first, pay attention to maintaining the shock position, hang up the water, and prepare the blood donor. I There is a seriously ill patient over there who has not yet been treated. Over there in the operating room, you say hello. If necessary, you can disinfect and spread the sheets first. If you can, do it first."
"I can't do it... I'll wait for you, Teacher Xie." Chen Ruihe waved his hands repeatedly and asked the nurse to find someone to mobilize for blood donation.
Unexpectedly, before I could take a breath, I heard the noise again.
"Why is it you again!" Chen Ruihe settled Wang Chuyi down. He turned around and saw that the officer who was about to block the flow was still arguing in front of the water platform. He couldn't help but get angry and rushed forward to ask.
"Just now you said to call the number and show it to the county magistrate first, okay, I'll wait; oh, now this little bitch said to prioritize the treatment, and asked me to wait behind the wounded person! I've already been waiting. How many are there? Are you still not interested? Our squadron leader was injured in the war, and we have been waiting in line for so long to ignore him. What happened to the county magistrate? If this **** county magistrate hadn’t been fooling around, he wouldn’t have died and been injured. We have lost so many brothers, we all deserve to die!" The officer's voice was not loud, but his face was full of impatience, and he complained with raised eyebrows.
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Next update: Volume 7 - Guangzhou Governance Chapter 430