Chapter 695 Blood Collection (Monthly Ticket)
Ling Ran moved his neck. His muscles were now very sore and sleepy.
The main reason is that the work pace on the ship is too intense and the environment is not as good as on land. If it were at Yunyi Hospital, even if Ling Ran was undergoing multiple surgeries, he would still have appropriate time to rest in between, especially for surgeries such as liver resection.
, it is said that one operation follows another, but in actual operation, there is always a gap of twenty to thirty minutes, or even more, between the two operations.
Patients undergoing elective surgery would not mind waiting for such a short time. In fact, just looking at the MRI films and using the simulator would take Ling Ran a lot of time.
During the liver cancer surgery, which was the most demanding operation, Ling Ran would always have to pause to wait for reports from the pathology department. For Ling Ran, it was rest time.
But on the medical ship, the patients brought here were all real emergency patients, and each one was more seriously injured than the last.
The two ships collided and ran aground on the rocks. The good thing is that the hit on the rocks gave the injured hope of survival, but the bad thing is that it created more dangers and created greater pressure for treatment.
While the Yunhua 893 hospital ship was on the road, the rescue team that arrived early accumulated a large number of patients, and now the patients transferred are mostly critical patients. Based on the only two operating rooms on the medical ship, it is necessary to handle
With so many patients, let alone Ling Ran, Huo Congjun's rest time is very short, and even Dr. Zhou has not found a suitable fishing rhythm so far.
After Ling Ran concentrated for several hours, his condition inevitably declined.
Now I received a system task, but I was reminded.
Completion of an operation counts as one operation. Now when we talk about saving and energy allocation, it comes at the expense of the patient's life and quality of life.
Let’s wait until the next surgery to solve the problem. Simply saving energy and allocating energy will not solve future problems, it will only create current problems.
"Control your body temperature. How is your blood volume?" Ling Ran quickly sutured and tied knots, as if he had just learned the master-level interrupted suturing technique. The difference is that he now has a good understanding of the various situations during the operation.
Fully understand and have corresponding coping capabilities.
Even if he did not have the corresponding system skills, more than a year in the emergency center allowed Ling Ran to accumulate enough knowledge and make various intraoperative judgments.
The anesthesiologist on the medical ship was a little weak, and after a while he reported: "The blood volume can basically be maintained at 7...if the body temperature..."
He looked at the operating room with embarrassment and whispered: "How about raising the indoor temperature?"
There is no corresponding equipment in the operating room to regulate the patient's temperature. This can be said to be a problem of medical philosophy, or it can be explained by poverty.
For patients with massive bleeding and massive blood transfusions, maintaining body temperature is very important. Yun Medical has corresponding requirements in this regard and has published a series of papers on this.
Huo Congjun looked around and asked: "Is there an electric blanket on the ship? Bring it over, process it, wrap it up or something, and then send it over for use."
A hygienist hurriedly went out to find an electric blanket. This level of surgery was beyond the processing capacity of "Yunhua 893". The hygienist was confused throughout the whole process and did whatever he was asked to do. He behaved like a koi fish.
As a member of the local rescue and salvage bureau, "Yunhua 893" faces single-digit injuries on a daily basis, mainly transferring and temporarily accommodating them. Difficult surgeries have never been its training goals.
It is also impossible to target difficult surgeries. Since the hospital ship of the Yunhua Salvage Bureau was taken over, the total number of surgeries performed in the past few years has only been less than a thousand. When providing free medical treatment, it must be compared with larger hospitals.
A group of medical ships went there, and when they got there, they mostly performed minor surgeries.
Such a volume and level of surgeries cannot support high-level doctors. Even maintaining their condition is difficult. Imagine a doctor who is good at liver resection. On a medical ship like this, he may not be able to do more than three or four cases a year.
Liver resection surgery is inevitable after two or three years. Not only the doctors' surgeons, but also the entire medical team will encounter proficiency problems. Even if they are hired with high salaries, it is difficult to maintain a team, let alone without high salaries.
Get a high salary.
Huo Congjun used to be a military doctor and was very accustomed to the atmosphere on medical ships. He knew that they worked vigorously and resolutely, but the conditions were really poor.
Nowadays, it is very difficult for even military hospitals to avoid going into decline, and it is even more difficult to build hospital ships.
Huo Congjun watched Ling Ran operate carefully, and then looked at the film he had just taken. He felt that the kidneys could still wait, so he took a break and let Lu Wenbin step up. He gave up his position and asked, "When will the supply ship arrive?
Have you sent any more blood?"
"The nearest supply ship will arrive in more than two hours, and it only brings 1,600 blood type B." Lin Honghou came over from the clinic to help and answered just in time.
Huo Congjun frowned and said, "This is definitely not enough."
"Are 4 more packs of blood not enough?" Lin Honghou was surprised.
"Don't we need the people at the back?" Huo Congjun pouted. He had been the emergency director for so many years and never put his hope in "possibility", because if his hope failed, other people's lives would be lost.
At this moment of large-scale rescue, Huo Congjun must not let the wounded who were rescued with their lives die from insufficient blood supply.
Lin Honghou swallowed and whispered: "Or, let's mobilize the crew. There are about 10 people with type B blood on the ship. If one person has 400, there will be 4,000. We will replenish it on the shore later, which should be enough.
Already."
One of the complications of blood supply is that different blood types consume different blood types. In a rescue mission involving dozens or hundreds of people, two wounded people with the same blood type can consume a large amount of a certain blood type.
Inventory, and given the current tightness of blood supply, it is difficult to replenish just one type.
Lin Honghou estimated that even if they requested it from the shore now, it would probably take time for Yunhua's blood station to prepare the appropriate blood, and there would definitely be a time lag when it was delivered.
Huo Congjun also knew this situation. He frowned slightly and said: "The on-site rescue is not over yet. The wounded will definitely be sent in by then. The crew may have to work for ten to twenty hours without rest."
After blood collection, it is definitely not suitable for working for a long time. Even if the work intensity is reduced, the work efficiency will be affected. Huo Congjun cannot expect that all crew members with type B blood can overcome the physical spirit.
"Then what should we do?" Lin Honghou showed a slightly irritable look. This won't work, and that won't work either, unless we give up on the wounded man in front of him...
He looked at Ling Ran, who was still doing the surgery seriously. Although he had only known her for a few hours, he didn't think he could take the injured person away from Ling Ran.
"How many crew members are there on the supply ship?" Huo Congjun suddenly asked.
Lin Honghou replied subconsciously: "Such an important task must be fully staffed. Maybe there will be gold plating, as well as newly added medical staff. There must be at least a hundred or ten people..."
"Take their blood." Huo Congjun looked up at the clock on the wall and said, "Let them arrive as quickly as possible. If possible, ask if we can send a speedboat and let the crew members with type B blood come first.
Now you go organize the manpower to prepare for blood collection, let the blood bank and laboratory department take action, and strive to start blood collection in an hour..."
"Let the crew members with type B blood come over by speedboat with type B blood?" Lin Honghou looked at Huo Congjun and suddenly felt terrible.
Huo Congjun said matter-of-factly: "When you're racing against time, you can't worry about so much. My teacher could do the surgery while having blood collected. By the way, you'll sort it out in a moment, who will be sent to the scene or on the hospital ship."
We won’t collect blood for now. All those who want to leave the ship and return to shore will have their blood collected before leaving. It’s 400 per person.”
Chapter completed!