Chapter 695： Blood collection

Ling Ran moved his neck and his muscles were sore now.

Mainly, the pace of work on board is too tight, and the environment is not comparable to land. If it is in Yunyi, even if Ling Ran is performing a series of operations, there will be a proper time to rest, especially for liver resection, which is a surgery followed by a surgery, but in actual operation, Between the two operations, there are always twenty or thirty minutes of neutral, or even more.

Patients undergoing elective surgery do not mind waiting for such a short time. In fact, just looking at the MRI film and then using a simulated person, Ling Ran takes a lot of time.

In the heaviest workload of liver cancer surgery, Ling Ran also had a habitual pause--the waiting time for the pathology department's report was, for Ling Ran, the rest time.

But on the medical boat, the patients who arrived were all real emergency patients, and the injuries were more serious than one.

The two ships collided and hit the reef. The good thing is that the reef hit gave the wounded hope of survival, and the bad thing was that it created more dangers and created greater pressure for treatment.

When the medical boat Yunhua 893 was on the road, the rescue team that arrived earlier had accumulated a large number of patients, and the patients being transferred are now most critical patients. Based on the only two operating rooms of the medical boat, to handle so many patients, let alone Ling Ran, Huo Congjun's rest time is very short. Even Dr. Zhou has not found a suitable fish to date. Rhythm.

After Ling Ran focused his attention for a few hours, the state was inevitable to decline.

Now I receive the system task, but I am reminded.

Completing one surgery is one surgery. Now talking about savings and physical distribution, it is at the cost of the patient's life and quality of life.

For the next operation, wait until the next case to solve the problem. Simply saving energy and allocating energy can't solve the problems of the future, it will only create the problems of the present.

"Control your body temperature. How about blood volume?" Ling Ran's suture knotted quickly, as if she had returned to the time when she had just learned Master Intermittent Suture. The difference is that he now has an understanding of the situation during the operation. Fully understand and have corresponding response capabilities.

Even without corresponding system skills, Ling Ran has accumulated enough knowledge and made all kinds of intraoperative judgments in the emergency center for more than a year.

The anesthesiologist on the medical boat was a little weak chicken, and it took a while to report: "The blood volume can basically be maintained to 7 ... if the temperature ..."

He embarrassedly looked at the operating room and whispered, "Would you like to increase the room temperature?"

There is no corresponding equipment in the operating room to adjust the temperature of the patient. This can be said to be a problem of medical philosophy, and it can also be explained by poverty.

For patients with major bleeding and massive blood transfusions, maintaining body temperature is very important. Yunyi has corresponding requirements in this regard, and has issued a series of papers.

Huo Congjun looked around and asked, "Are there any electric blankets on the boat? Take them to dispose of them, wrap them up, and send them over."

A health worker hurriedly went out to find an electric blanket. To this extent, the operation was beyond the processing capacity of "Yunhua 893". The health worker was aggressive throughout the process, doing what he did, like a koi.

As a member of the local salvage bureau, the daily tasks faced by "Yunhua 893" are single-digit wounded, and are mainly for transfer and temporary accommodation. Highly difficult surgery has never been its training target.

It is also impossible to target difficult surgery. Since the medical boat of Yunhua Salvage Bureau has received it, the total number of operations performed in the past few years has been less than a thousand cases. When doing free medical treatment, it is necessary to follow the larger The medical boat group went to the place, mostly with minor operations.

Such an amount of surgery and level of surgery cannot support high-level doctors, that is, maintaining the state is very difficult. Imagine a doctor who is good at liver resection, and on such a medical boat, he may not get three or four cases a year. For liver resection, hand-to-hand is inevitable in two or three years. Not only hand-to-hand doctors, but the entire medical team will encounter proficiency problems. Even with high-paying employment, it is difficult to maintain a team, let alone high-paying. Get a high salary.

Huo Congjun used to be a medic. He was very accustomed to the atmosphere on the medical boat. He knew that they were doing things resolutely, but the conditions were really bad.

Nowadays, even if it is a military hospital, it is very difficult to go downhill, and it is even more difficult to make a medical boat.

Huo Congjun looked at Ling Ran's careful operation, and looked at the film just taken. He felt that the kidneys could still wait, so he took a neutral position and asked Lu Wenbin to get up. Have you sent any more blood? "

"The nearest supply ship will arrive in more than 2 hours, and the B blood is only taken." Lin Honghou rushed over from the consulting room to help and just answered.

Huo Congjun frowned and said, "This is definitely not enough."

"Not enough 4 packs of blood?" Lin Honghou was surprised.

"Don't need the people behind?" Huo Congjun gave a lip, he has been the emergency director for so many years, and never put hope on "possible", because hope is lost, but others' lives are lost.

At the moment of such a large-scale rescue, Huo Congjun must not let the wounded rescued by others die, due to insufficient blood supply.

Lin Honghou swallowed, and whispered, "Either, let's start the crew. How can there be about 10 B-type blood on the boat? If there is only one person, it will be enough, and it will be enough to let the shore replenish it later. "

One of the complication of blood supply is that different blood types have different consumption of different blood types. In such a rescue mission of dozens or hundreds of people, two wounded people of the same blood type can consume a large amount of blood stocks of a certain type, and in view of the current tightness of the blood supply, it is difficult to supplement one type alone. .

Lin Honghou estimates that even if they now ask for it on the shore, Yunhua's blood station is estimated to take time to get the right blood, and wait for it to come, there must be a difference in time.

Huo Congjun also knew this, and he frowned slightly. "The rescue at the scene is not over yet, and the wounded must be sent by then. The crew may have to work for a continuous period of one to twenty hours without rest."

After blood collection, it is definitely not suitable for long-term work. Even if the work intensity is reduced, the work efficiency will be affected. Huo Congjun cannot expect that all crew members of type B blood can defeat the material spirit.

"What to do then?" Lin Honghou showed a little irritable look, neither this nor that, unless he gave up the wounded in front of him ...

He looked at Ling Ran who was still seriously undergoing surgery. Although he only knew him for a few hours ~ www.novelhall.com ~, he didn't think he could take the wounded away from Ling Ran.

"How many crew members does the supply ship have?" Huo Congjun asked suddenly.

Lin Honghou responded subconsciously: "Such important tasks are definitely full of people. Maybe there are gold-plated and newly-added medical staff. At least one hundred people ..."

"Blood them." Huo Congjun looked up at the clocks on the wall and said, "Let them arrive at the fastest speed, if possible, ask if they can send a speedboat to let the B-blood crew bring the B-blood first. You are now organizing human preparations for blood collection, letting the blood bank and laboratory be up and running, and trying to get blood collection in an hour ... "

"Let the crew of Type B blood carry Type B blood, come by speedboat?" Lin Honghou looked at Huo Congjun, and suddenly felt terrible.

Huo Congjun took it for granted: "When you are racing against time, you ca n’t take care of that much. My teacher could have blood collected while performing an operation. By the way, you can organize it and send it to the scene or stay in the medical boat. Do n’t take blood first, all people who want to leave the ship and return to shore, all take blood before leaving, everyone. ”

"Yes." Lin Honghou almost saluted nervously.