My medical skills are a billion points

Let the panda blood citizens come to the hospital to donate blood as soon as possible.

Xiao Chu visually estimated that the patient needed to transfuse six units of suspended red blood cells.

Two units is [-] milliliters, six units is [-] milliliters.

This is still a conservative estimate.

If the patient continues to bleed, it may be necessary to prepare eight units of panda blood.

A blood donor can only donate blood to two units.

For six to eight units, at least three to four panda blood donors of the same blood type are needed.

At this time, it may not be easy to find.

Xiao Chu knew in his heart that this matter was troublesome and very difficult.

But as a doctor, your duty is to treat illnesses and save lives.

He is obliged to take up this important task.

Xiao Chu quickly assigned tasks to several doctors present.

Because when the patient came, it was past six o'clock.

In other words, it was after off-duty time, so Xiao Chu handed over the patient to Zhao Fangshu, who took over, to take care of her.

And Xiao Chu was in charge of communicating with Xu Jiafu of the medical office and the director of the blood transfusion department.

Let them contact panda blood citizens as soon as possible to come to the hospital to donate blood.

And Zhou Ziqiang did not leave, but assisted Zhao Fangshu to rescue the patients.

Several people had a clear division of labor, each performed their duties, and soon became busy.

In the emergency room, the patient has fallen into a light coma.

Just as several people were discussing the plan, he vomited again.

The amount of bleeding was about [-] milliliters.

There was blood all over the floor, and the nurse hadn't had time to clean it up yet.

The glaring pool of blood on the floor seemed to be provoking the abilities of Zhou Ziqiang, Zhao Fangshu and other doctors.

As the doctor in charge, Zhao Fangshu was calm in the face of danger, and quickly issued new medical orders to her fellow trainee doctors.

"Push over the color Doppler ultrasound for the serious illness, and check the liver, gallbladder, pancreas and spleen for him."

For patients with a large amount of hematemesis like this, first of all, it is necessary to rule out whether hemorrhage from esophageal and gastric varices caused by liver cirrhosis.

Use a color Doppler ultrasound to look at his liver and portal vein to confirm the diagnosis if there is high pressure.

Of course, Zhao Fangshu also gave the man a detailed physical examination.

It was found that his stomach was flat and not distended, and there was no dullness to percussion, so the possibility of ascites was ruled out.

However, ultrasound is still needed to confirm the diagnosis.

Soon one of her trainee doctors pushed the color ultrasound machine over.

Zhao Fangshu personally went into battle and performed a color ultrasound for the patient.

Ten minutes later, Zhou Ziqiang, who was also observing the patient, frowned.

"This patient does not have cirrhosis and portal hypertension, and it does not appear to be bleeding from esophageal and gastric varices.

Then it should be caused by gastric ulcer or gastric mucosal injury. "

Zhao Fangshu put away the color ultrasound probe, turned off the color ultrasound machine, and said with a slight frown: "If it's the latter two reasons, I'm afraid it's not easy to stop the bleeding under the microscope."

"Stop the bleeding with drugs first, and stabilize your blood pressure!"

Zhou Ziqiang has no good solution.

He could only stop the bleeding with drugs first, and then hoped that Xiao Chu would mobilize all manpower to get the blood donors to donate blood as soon as possible and transfuse blood to the patients.

"Esomeprazole [-] mg, intravenous infusion. White-browed snake venom hemocoagulase [-] units, intravenous injection. Succinylated gelatin [-] ml, intravenous infusion."

"Four milligrams of norepinephrine, add [-] milliliters of iced saline, orally."

Zhao Fangshu gave a series of oral doctor's orders to stop the bleeding and maintain the patient's blood pressure.

Patients with gastrointestinal bleeding are prohibited from drinking and eating.

But some drugs do not need to be banned.

And norepinephrine plus ice saline, poured into the patient's stomach, can shrink the gastric mucosal blood vessels, so as to achieve the purpose of hemostasis.

For patients with gastric mucosal injury, even gastric ulcer bleeding, there is still a certain effect.

The efforts Zhao Fangshu made were to buy time for Xiao Chu.

I hope that he can contact the relevant departments as soon as possible so that citizens with panda blood of the same blood type can donate blood.

A group of doctors in the emergency room here are actively rescuing the patient and keeping him alive.

In the doctor's office, Xiao Chu was also calling Xu Jiafu.

Such an urgent need for panda blood is not a problem that Xiao Chu, a deputy director of the department, can solve.

It must be done through the joint efforts of the medical office and the blood transfusion department.

Citizens with the same blood type of panda blood registered in the city called to ask them to come to the hospital to donate blood voluntarily.

This job is not difficult to say, easy to say.

After Xiao Chu called Xu Jiafu, the director of the medical department, to explain the situation, Xu Jiafu also attached great importance to it.

Immediately contact the director of the blood transfusion department, and then call the central blood bank.

Let them contact the panda blood citizens and come to the provincial hospital to donate blood to save lives as soon as possible.

Rh negative is a subtype of the four blood types.

Only one percent.

In other words, out of a hundred people, only one has panda blood.

It can be said that there are very few.

As the capital city of Jiangnan Province, Jinshui City has a permanent population of 800 million.

Logically speaking, there should be 8 to [-] people with panda blood.

However, what is unexpected is that there are less than 800 panda blood citizens registered at the central blood station.

Why so few? !

Chapter 322 Joint Rescue

Of the 800 panda blood citizens, less than [-] are registered.

Another one percent!

Why is this ratio so small?

One is that 90.00% of people have not been to the hospital for examination, so they don't know that their blood type is panda blood.

The remaining [-]% of people know that they are the panda blood type of the corresponding blood type.

The central blood station also requires them to register information in case of critical moments to save themselves.

And among the remaining 90.00%, [-]% do not register at the blood bank at all.

Only [-]% of people left their information when they went to the blood bank, so as to save others and themselves at critical times.

In fact, there is another reason, which is caused by the current system of using blood.

Twenty or thirty years ago, if citizens donated blood, they would be compensated.

At that time, blood donation may not be formal, but citizens who donate blood can get money.

Since voluntary blood donation, there are fewer and fewer citizens who donate blood voluntarily.

The main reason is that when donating blood, it is free of charge, and at most I will give you a small gift.

But when the patient comes to use blood, he pays the full price.

This has caused most people to think that it is unreasonable for people to donate blood for free, but spend money to buy it when it is used on patients.

After a long time, fewer and fewer people donate blood without compensation, not to mention those who donate panda blood.

There are nearly 8 panda blood-type citizens in Jinshui City, but less than 800 people are registered. This is the reason.

How should I put it, people who don't register probably think that they don't need blood transfusions from others in their whole life.

He is even less likely to donate blood to others.

It stands to reason that there are nearly 800 panda blood-type citizens in Jinshui City, enough to donate blood to save lives.

But these [-] panda blood citizens are not all type A panda blood.

Proportionally speaking, type A panda blood only accounts for a quarter.

That is to say, in the entire Jinshui City, there are less than 200 citizens with type A panda blood.

Besides, these 200 people, are you sure they are all in Jinshui City?

Can you identify these people and be available on call?

Besides, it's time to get off work, it's almost seven o'clock, and it's getting dark,

For matters that have nothing to do with themselves, can these people come to the hospital in time to donate blood for free?

These are all problems.

Xu Jiafu, the director of the medical department, and the director of the blood transfusion department are also aware of this problem.

After learning what Xiao Chu said, he acted immediately and started calling the central blood station.

Because these registered panda blood citizens are not registered in the hospital.

Their information is registered in the central blood station, and the blood transfusion department of the provincial hospital also needs to ask the central blood station for help.

The person in charge of the central blood station also paid great attention to this situation after knowing it.

Inform the relevant personnel to act immediately and start calling those citizens with type A panda blood.

Just then Xiao Chu called Xu Jiafu from the medical office.

After 10 minutes, an invisible rescue curtain opened.

This is a multidisciplinary, multi-unit rescue scene.

If it didn't involve emergency blood transfusions for patients with panda blood, such a scene would be rare to see.

After another half an hour, Xiao Chu was monitoring the patient's vital signs in the ward.

He received a call from Xu Jiafu.

"Director Xiao, according to the feedback from the blood station, they made more than a dozen phone calls, and only managed to contact three citizens with type A panda blood to donate blood."

"But it will take an hour at the fastest to arrive at the blood bank, and after the blood bank is processed, it will be transferred to our hospital, and it will take nearly two hours."

"So, Director Xiao, you must maintain the patient's vital signs within these two hours."

Xiao Chu frowned immediately.

Unexpectedly, when the call was made, the patient would have to wait two hours for the transfusion of panda blood.

Isn't this speed too slow? !

Who knows if the patient can survive until then?

"Director Xu, aren't all registered citizens with panda blood in this city? Isn't this time too long?"

Xu Jiafu sighed.

"Brother Xiao, you don't know that the director of the central blood station called me, and he was full of grievances."

"They made more than 20 phone calls, and only three citizens were willing to donate blood."

"But for these three citizens, one is in the south of the city and the other is in the north of the city. It will take an hour to get to the blood station at the fastest speed."

"There is also a citizen who is willing to donate blood, but he is not in the city. He is still on the highway [-] kilometers away. It will take an hour at the fastest to reach the blood station."