Song Junxing came out of the duty room and asked Lao Xie about the specific situation while putting on his white coat. After asking clearly, he pondered for a moment and then said: "Lao Xie, the reasons you analyzed are all right. Save Wang Chu first with the remaining bottles of blood."
1 - Since it is a queue and the condition is of the same level of criticality, the principle of first come, first rescue should be followed. As for the injured person with suspected splenic rupture... Let the blood transfusion doctor prepare first, and if necessary, summon all qualified personnel present.
Healthy people with blood types, including you and me, are ready to donate blood."
"Yes!" In fact, these measures are similar to what Lao Xie is already doing, but Xie Yao feels that it is best not to make the final decision on this matter by himself, especially when there is a veteran among the people working with him.
Seeing Xie Yao walking to the emergency room, Song Junxing thought about it and followed him.
At this time, the nurse had helped summon several blood donors, and judging by their attire, they should all be stretcher bearers from the evacuation brigade of Fengchuan Field Hospital.
When the nurse saw them coming, she quickly stood up and said, "Chief Song, Director Xie."
Song Junxing waved his hand to stop talking nonsense: "Can we start?"
"This..." the nurse hesitated and said, "These are the blood donors now, but..."
“If you have any difficulties, please ask!”
"Well...the citrate and the empty bottles are not enough! The remaining blood bottles are only enough to collect three units of blood..."
Song Junxing was stunned: Is there a time when the stock is out of stock?
However, this is considered normal. The traffic in the quasi-security area is far less than that in the rear. In addition, during the martial law period, inspections must be strengthened, which often leads to insufficient transportation capacity. Ammunition is sometimes tight, and medical supplies are often in short supply.
“Pick what you can first, and then wait until there is not enough!”
"yes!"
But this is only a temporary measure. If laparotomy and spleen removal are required, three units of whole blood will probably not be enough - there are not enough citrate blood bottles, which means that blood transfusion surgery needs to be started. Song Junxing immediately issued an order: "Be prepared.
Equipment, has the transfusion doctor notified you?"
"Chief, I remembered a problem... this surgery... is not easy to handle either." Xie Yao suddenly thought of something and said while chewing his teeth.
"how?"
"We don't have a transfusion doctor today..."
"There is no blood transfusion doctor? What's going on?" Song Junxing was a little confused: "The regulations stipulate that the mobile field hospital should have more than two blood transfusion doctors. How come there are not?"
"The rule is that there should be more than two." Xie Yao was a little helpless, "But now there are vacancies everywhere on the front line, and everyone is looking for people. After the adjustment a few days ago, Lao Li went back to lead the team to train new transfusion workers, and our team is the only one left.
Xiao Huang, who fell down because of severe malaria yesterday..."
"Tsk..." Song Junxing frowned more and more, "What should I do? How about you, Lao Xie? Can you do it?"
"I have seen it once in Guangzhou, but I have never done it myself." Xie Yao was a little embarrassed, and he also complained a little: Although this scene is tricky, how can you say "What can we do?" from your dignified leader.
Say it from your mouth, the Senate claims to be omniscient and omnipotent, but now that your generals have no idea what we soldiers should do, isn't this disturbing the morale of the army?
But he just thought about it. He was joking. He, Xie Ke, was not interested in the tea invited by the Political Security Bureau.
"I haven't done it either..." Song Junxing was very honest: "My specialty is dentistry, and I have only seen blood transfusion surgery a few times..."
Lao Xie thought to himself that the chief was not afraid of showing off his shortcomings, and his impression of him changed a bit, so he continued: "Chief, there is nothing we can do about this matter. Two knives are needed. If a blood transfusion is necessary, you will do the surgery, and I will do it."
Being a helper..."
"Thank you, teacher!" Before he could finish speaking, Chen Ruihe ran over in a panic: "Come and take a look!"
"What's going on?" Xie Yao followed him and walked quickly to the bedside of Wang Chuyi, the observation room: the blood had been transfused; the wound seemed to be treated well, and the bleeding in the thigh and chest had basically stopped.
; Looking at the things prepared nearby, in order to prevent hemothorax or pneumothorax from not being discovered, even closed chest drainage was prepared. He was a little strange why Chen Ruihe needed to bring him here in such a panic, and followed Chen Ruihe's instructions.
Point your finger in the direction of the past and look.
Unexpectedly, this sight made his pupils shrink suddenly: Wang Chuyi's left leg had begun to turn black, and traces of a tourniquet could still be faintly seen on the skin of his leg.
"Did you not loosen the tourniquet?" Xie Yao held back his anger and asked, "What the hell! How did you check your body and ask for your medical history? How come you didn't find anything like this?"
"I...it was already like this when I first found out..." Chen Ruihe was very frustrated.
"You..." Xie Yao was still about to get angry, but Song Junxing, who arrived shortly after, stopped him.
"It's not his fault. It wasn't long after the wounded were brought in, but their limbs were all so black. The tourniquet was definitely not tied by this classmate. It was probably bandaged by the frontline health workers. I guess they didn't tell the stretcher bearers how to stop the bleeding.
The belt needs to be loosened every once in a while..."
"Alas!" Xie Yao squatted on the ground angrily: "It's just a back-and-forth today...nothing is satisfactory!"
"Old Xie..." Song Junxing didn't know what to say. Frontline health workers were of limited skill, so it was not uncommon for them to do this kind of thing, but he could understand Xie Yao's depression.
After seeing the true level of medicine in the Senate, the seemingly understandable thing of "low level" was almost a crime in their eyes - Wang Chuyi's leg could not be saved, the tourniquet was too tight
Typical dry gangrene that has been caused for a long time, and now the limb is about to be amputated...
"Thank you!" Song Junxing seemed to have finally thought of what he should say: "Get up quickly! The wounded are still waiting to be rescued!"
"Yes..." Xie Yao stood up and went to prepare the equipment full of opinions - although the blood transfusion operation usually doesn't take too long, it's hard to tell when these two novices are on stage; there is another patient next door who is waiting for a laparotomy.
’s... This short period of time has added a lot of workload.
"Lao Xie, don't cause trouble." Song Junxing noticed that he was in a bad state and reminded him.
"I know it well." Xie Yao nodded and said nothing more.
"Director Xie! The blood pressure of the patient with abdominal trauma dropped sharply and his pulse was weak! Do you want a laparotomy?" Before he could finish his words, someone from the observation room shouted at him.
"Send to the emergency operating room! I'm coming!" Xie Yao shouted back, then turned to Song Junxing and said, "Chief, what about this blood transfusion surgery..."
Song Junxing closed his eyes and said with some pain: "Then let me do it. You should quickly prepare for a laparotomy."
Before citrate could be mass-produced, the blood transfusion method adopted by the Senate was blood transfusion. However, because the Senate knew that ex vivo blood collection was the future of blood transfusion technology, it did not conduct any historical research on the procedures and instruments of blood transfusion.
It is a fancy improvement, but simply and crudely equipped with some joints and pipelines. Even if this is the case - as long as the fermentation industry comes together, the cost of citric acid will not be very high. Even in modern times, the acd used for blood collection
The preservation solution is nothing more than citric acid + sodium citrate + glucose. Therefore, for the Senate, the technology used for blood transfusion is either an in vitro blood collection technology with citric acid and cold storage, or an emergency treatment when the situation is simple.
Blood transfusion eliminates the transitional techniques that once appeared in the history of blood transfusion.
The so-called blood transfusion refers to the technology of blood transfusion by directly connecting the blood vessels of the blood donor and the blood vessels of the blood recipient or indirectly through pipelines. This technology does not require the blood to be stored outside the body, but it requires surgical procedures.
Perform anastomoses of blood vessels and/or blood vessels.
Since the Senate did not put into production special staplers and blood transfusion connectors, blood transfusions under field conditions could only be completed manually: one end of the blood transfusion tube was sutured to the donor's blood vessel, and the other end was sutured to the recipient's blood vessel.
Come on, done. The dangers of this technology can be imagined, and the simple pipelines provided by the Senate cannot solve the problem of blood coagulation and tube blockage. It is often necessary to change the tubes and re-anastomize them, and to store blood in vitro
Technology solves this problem very safely and conveniently. Therefore, neither veterans nor naturalized doctors like blood transfusion surgery very much. Generally speaking, only if the "immediate blood transfusion has a high probability of saving the patient" and "not immediate blood transfusion" can be satisfied at the same time.
Only the wounded in large-scale injuries who have two conditions and the situation is very urgent can receive this operation. Therefore, after the initial popularity, blood transfusion has gradually cooled down and is only used as a medical treatment.
Technical reserves exist.
However, a new situation emerged in the strategy of Guangdong and Guangxi: this operation is not as good as Qimu Island and Jeju Island. After Lingao and Guangzhou have established modern or even modern hospitals, those who use low-level medical security to meet the needs of refugees are using
Yu Jun obviously cannot satisfy the veterans who led the troops, but the limited logistics capabilities are obviously not enough to support hospitals of the level of Lingao and Guangzhou. Even if the refugees cannot receive blood transfusions, no one will blame them.
; But in the context of Guangzhou's blood station becoming prosperous, frontline soldiers do not have access to blood transfusion technology, which will make people scratch their heads.
In such a non-embarrassing conflict, blood transfusion has made a comeback.
Although blood transfusion obviously has some problems, and the survival rate is not very good, there are two different things between technical limitations and not using it if you have a way - at least it is suitable for blocking the mouths of the inspection team.
The Senate initially equipped improved paraffin threaded tubes for blood transfusions: paraffin can prevent blood coagulation in the tubes to a certain extent, and the threads at both ends of the tubes can be used to fix sutures and prevent the connecting tubes from moving within the blood vessels.
In terms of the selection of connectors, the improved blood transfusion connector developed by American scholar Unger in the early 20th century was used: first, a syringe was used to collect blood from the blood donor's blood vessel, and at the same time, normal saline was infused into the blood recipient; then the direction of the valve was adjusted to
The blood drawn into the syringe is infused to the recipient, and the infusion direction of the physiological saline is changed to the blood donor to prevent clotting of the tube to a certain extent.
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Next update: Volume 7 - Guangzhou Governance Chapter 432