Chapter 695 Blood Sampling

Ling Ran moved his neck, and his muscles are very sore now.

The main reason is that the work rhythm on the ship is too tense, and the environment is not as good as that on land. If he was at Yun Doctor, even if Ling Ran was performing consecutive surgeries, he would still have a proper time to rest in between, especially for surgeries like liver resection, which is said to be one operation after another, but in actual operation, Between two operations, there is always a gap of 20 to 30 minutes, or even more.

Patients undergoing elective surgery would not mind waiting for such a short time in the middle. In fact, just looking at the MRI and then using the simulator would take a lot of time for Ling Ran.

In the hepatic cancer operation with the heaviest workload, Ling Ran still had a habit of pausing in the middle—the time to wait for the report from the pathology department was a rest time for Ling Ran.

But on the medical ship, the patients sent over were all real emergency patients, and each one was more seriously injured.

The two ships collided and hit the rocks. The good thing is that the hit on the rocks gave the injured hope of survival, but the bad thing was that it created more dangers and created greater pressure on treatment.

During the time when medical ship Yunhua 893 was on the road, the rescue team that arrived earlier accumulated a large number of patients, and now most of the patients transferred are critically ill. Based on the only two operating rooms on the medical ship, so many patients have to be treated, let alone Ling Ran, Huo Congjun's rest time is very short, and even Dr. Zhou has not found a suitable one so far. Rhythm.

After Ling Ran concentrated for a few hours, his state inevitably declined.

Now that I received the system task, I was reminded.

Completing one operation is considered one operation, and now we are talking about saving and energy allocation, at the expense of the patient's life and quality of life.

For the next case of surgery, wait until the next case to solve the problem. Simply saving physical strength, allocating physical strength and so on will not solve future problems, but will only create current problems.

"Control your body temperature. How's the blood volume?" Ling Ran fastened the sutures, as if he had returned to the time when he had just learned master-level interrupted sutures. Fully understand and have the corresponding coping ability.

Even if he doesn't have the corresponding system skills, Ling Ran has accumulated enough knowledge to make various intraoperative judgments after more than a year in the emergency center.

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

He looked at the operating room in embarrassment,

Whispered: "Do you want to increase the indoor temperature?"

There is no corresponding equipment in the operating room to regulate 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 hemorrhage and massive blood transfusion, it is very important to maintain body temperature. Yunyi 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 board? Take it here and deal with it, wrap it up or something, and then send it over for use."

A hygienist hurried out to find an electric blanket. This level of surgery was beyond the processing capacity of "Yunhua 893".

As a member of the local salvage bureau, "Yunhua 893" faces single-digit casualties in its daily tasks, and mainly transfers and temporarily accommodates them. Difficult operations have never been its training goal.

It is also impossible to target highly difficult operations. Since the hospital ship of the Yunhua Salvage Bureau took over, the total number of operations performed in the past few years is no more than a thousand. When doing free medical treatment, it is always with larger The hospital ships go in groups, and when they arrive at the place, most of them are minor operations.

This kind of operation volume and level of operation cannot support high-level doctors. It is very difficult to maintain the state. Imagine a doctor who is good at liver resection. On such a medical ship, he may not get three or four cases a year. For liver resection surgery, after two or three years, it is inevitable that the hands are born. Not only the doctors, but the entire medical team will encounter proficiency problems. Get a high salary.

Huo Congjun used to be a military doctor, and he was very used to the atmosphere on the hospital ship. He knew that they were vigorous and resolute in their work, but the conditions were really poor.

Nowadays, even for military hospitals, it is very difficult not to go downhill, and it is even more difficult for medical ships to do so.

Huo Congjun watched Ling Ran work hard, and looked at the film just now. He felt that the kidneys could wait, so he took a break, asked Lu Wenbin to step up, and made room for himself, asking, "When will the supply ship arrive? Have you sent any more blood?"

"The nearest supply ship will arrive in more than 2 hours, and only type B blood is brought." Lin Honghou hurried over from the consultation room to help, just in time to answer.

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

"Isn't 4 more packs of blood enough?" Lin Honghou was surprised.

"Don't the people in the back need it?" Huo Congjun curled his lips. He has been the director of the emergency department for so many years, and he never put his hope on "possibility", because if hope fails, it is the life of others.

At the moment of this kind of large-scale rescue, Huo Congjun must not let the wounded who were rescued by others die of insufficient blood supply.

Lin Honghou swallowed his saliva, and said in a low voice: "Either way, let's mobilize the crew. There can be about 10 Type B blood on board. If there is only one person, there will be enough. It should be enough for the shore to replenish later. "

One of the complications of blood supply is that blood types are different, and the consumption of different blood types is also different. In this kind of rescue mission involving tens or hundreds of people, two wounded with the same blood type can consume a large amount of a certain type of blood stock, and considering the current tightness of the blood supply, it is very difficult to replenish one type alone .

Lin Honghou reckoned that even if they asked for it from the shore now, it would probably take time for Yunhua's blood station to allocate the right blood, and when it was delivered, there must be a time gap.

Huo Congjun also knew this situation. He frowned slightly and said, "The rescue at the scene is not over yet, and the wounded will definitely be sent in by then. The crew may have to work continuously for ten or 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 can't expect all the crew members with blood type B to be able to overcome the material mentally.

"Then what should I do?" Lin Honghou showed a little irritated expression, this will not work and that will not work, unless he abandons the wounded man in front of him...

He looked at Ling Ran who was still working hard on the operation. Although he had only known him for a few hours, he didn't think he could take the wounded away from Ling Ran.

"How many crew members are there on the supply ship?" Huo Congjun asked suddenly.

Lin Honghou replied subconsciously: "Such an important task must be fully staffed, maybe there will be gold plating, and new medical staff, there must be at least a hundred people..."

"Collect blood for them." Huo Congjun looked up at the clock on the wall, and said, "Let them arrive as quickly as possible, and if possible, ask if it is possible to send a speedboat so that the crew with Type B blood come first. Now you go to organize people to prepare for blood collection, get the blood bank and laboratory department to move, and try to start blood collection in an hour..."

"Let the blood type B sailors bring type B blood and come here by speedboat?" Lin Honghou looked at Huo Congjun and suddenly felt terrible.

Huo Congjun said as a matter of course: "When you are racing against time, you can't take care of so much. My teacher was doing surgery and letting people draw blood at the same time. By the way, you can sort it out later, and send people to the scene or stay on the medical ship. Don’t take blood for now, all those who want to leave the ship and go back to shore, all have blood taken before leaving, everyone.”

"Yes." Lin Honghou was nervous and almost saluted.