Since 1981 Health School

  Chapter 212 Do you want to rescue people in violation of regulations?

  Chen Qi was angry: "Fucking mother, this is not an ordinary trauma, this is caused by a strong woman, such a small girl, which beast can do it?"

  Standing by the side, Xieying couldn't help cursing: "Who did it? Or is it a human? Beasts!"

  The women couldn't bear it when they saw it, and they all turned their heads away: "Doctor, don't ask, hurry up and get medical treatment. This is a poor girl with no father or mother. Do your best."

  At this time, Mao Xiaolian's face was very pale, and her consciousness was a little blurred, which was very critical.

  Chen Qi took a deep breath, and immediately ordered:

   "Measure blood pressure, pulse and body temperature immediately, and open two venous channels. Now urgent expansion is needed. I will perform emergency surgery immediately."

  Chen Qi was a little nervous, because the best treatment for this kind of hemorrhage is actually blood transfusion, but Huang Tan's condition is definitely not possible, so what he can do now is to suture as much as possible to stop the bleeding.

   Maybe today is a life.

  Dean Yan's face was also livid. As an "old mountain man", he immediately realized what happened.

  This kind of thing often happens in the mountains, in the deserted wild groves and cornfields...

  In the end, it is often settled through negotiation within the village. If nothing happens, as long as no one sues, the criminals will not have to go to jail in the end.

   After Chen Qi disinfected, he immediately carried out flaw detection.

  Using the factor expander, he is now sure that this little girl's hymen is freshly torn, and there is obviously male fluid inside.

  Chen Qi was so angry that his hands trembled a little. His thinking was still at the standard of a legal society. For this kind of criminal behavior against underage girls, there are three words:

zero tolerance.

  Chen Qi first kept the male fluid, which is the best evidence. Even if there is no detection ability now, it will still be useful when DNA becomes popular in the future.

   Then he began to stitch layer by layer.

  The difficulty of suturing is still very high, because even the **** was torn, and the tear was serious, which damaged the sphincter. It can be seen how brutal and perverted the criminals were when they committed crimes.

   While Chen Qi was concentrating on the operation, Jin Lin, who was always monitoring vital signs, shouted:

   "Doctor Chen, it's broken, the patient's blood pressure has been dropping, what should I do?"

Chen Qi knew that this was a typical manifestation of hemorrhagic shock. Her blood pressure kept dropping and her consciousness was not clear, which indicated that Mao Xiaolian's blood loss had exceeded 20% of her total blood volume, and it might be more. This is life and death for a child. It's time.

   Just rehydration is definitely not enough, blood transfusion is necessary.

  But it takes about 8 hours to drive back and forth from Huangtan Town to Yuezhong City. By the time the blood arrives, the day lily will be cold.

"How to do?"

   There is only one path for Chen Qi to choose, and that is illegal blood transfusion.

   "Xieying, you should immediately ask the blood laboratory to do blood typing for the patient. Dean Yan, please go and ask the family members outside, is there anyone who can make the decision?"

  Chen Qi could only take a risk, that is, without any testing and treatment, directly draw blood of the same blood type, regardless of whether there is an infectious disease or rh blood type, HLA, white blood cell antigen and other factors, and directly lose it to Mao Xiaolian.

  It is undoubtedly very risky to do so, especially this country is still a big country of hepatitis B, and one out of ten people is positive.

  If the blood that has not undergone any treatment is transfused in at that time, the risk of agglutination reaction may be life-threatening.

  This method is definitely risky and requires legal responsibility. This is a violation of regulations, or even an illegal operation. The most serious consequence is that it may lead to the death of the patient.

  But if Mao Xiaolian cannot be given blood transfusion immediately, the patient will continue to lose a lot of blood, without external blood supply, and the vital center will be hypoxic due to ischemia, which will definitely lead to the death of the patient.

  One is possible death, the other is certain death.

   This should not be a multiple-choice question. Chen Qi wanted to save someone, so he chose to take the risk of a direct blood transfusion.

  To be honest, if Chen Qi hadn’t been reborn, he would definitely not have done this in 2022, because no matter whether the patient was saved or not, the final legal responsibility would not be borne by a mere doctor.

   At that time, if you do good deeds, you will be expelled from the hospital, prosecuted by the procuratorate, and even the family members of the patient will not see you.

  For example, in 2022, Chen Qi didn’t have any tests, and didn’t apply for blood from the central blood bank, but drew blood directly from normal people. If there is an emergency blood transfusion, the following consequences will occur:

  People were saved, the patient was infected with AIDS, the hospital lost money, Chen Qi fired him.

  The person was saved, but the patient was infected with hepatitis B, the hospital lost money, and Chen Qi fired him.

  The person was saved, but the patient had a blood transfusion reaction, the hospital lost money, and Chen Qi fired him.

  The patient was not saved, the patient died, the hospital lost money, and Chen Qi went to jail.

  But if Chen Qi didn’t take the risk, he didn’t give the patient a blood transfusion in an emergency where there was no blood source and couldn’t provide the blood supply. In the end, the patient could not be saved and the patient died.

  Hospital: We did our best, please mourn;

  Chen Qi: Quickly complete all the medical records and prepare for possible lawsuits, but he does not have to bear any responsibility personally.

  So if in the previous life, Chen Qi’s choice would definitely not be risky blood transfusion, he would definitely choose to protect himself. After all, it has not been easy for him to study for decades, and his license cannot be revoked because of a medical accident, and he may even go to jail.

  This is some of the contradictions that often occur in modern hospitals. Between "rescuable" and "not rescuable", doctors often choose conservative treatment documents.

  If a doctor adopts a radical treatment plan to save a person, it is obviously well-intentioned, but the ending is often miserable. This is the experience of countless doctors' blood and tears, and it is so helpless.

   Speaking of Huangtan Health Center in 1982, if Mao Xiaolian was directly transfused with blood now, the following reactions may occur:

  1. Large-scale hemolysis: systemic inflammatory response, systemic organ failure, painful.

  2. Small-scale hemolysis: worse than the above, kidney failure can't escape, half dead.

  3. Nothing.

  Chen Qi is actually betting on a probability, as long as the blood of the same type is transfused, the probability of "nothing" is still very high.

  The point is that it is only 1982, and the relevant laws are not so strict. Even if he loses the bet with Chen Qi and the little girl is gone, at least he doesn't have to face the risk of expulsion or imprisonment.

  So Chen Qi decided to fight. Before fighting, he still had to ask the dean for instructions. Anyway, this year pays attention to a "collective decision and obey the leadership."

"Dean, the patient's blood pressure continues to drop, and she is almost unable to hold on. If there is no blood transfusion, no matter how good the operation is, there will be a dead end. Now I suggest finding suitable blood immediately and transfusing her directly, but this has certain risks. You See what to do?"

  President Yan just came in from the operating room, and was taken aback when he heard Chen Qi's words:

   "Without blood transfusion, what is the probability of death?"

   "90%!"

  Dean Yan did not speak, but was obviously thinking, and finally said firmly:

"Then let's take a chance. I asked the villagers outside just now. Mao Xiaolian's parents are gone, and there is only one old grandmother in the family. Obviously, I can't make up my mind. Since the situation is critical, I will make this decision. On the blood transfusion." !"

  When Chen Qi heard it, he thought that he was right about the old dean, and he was responsible.

  The blood type test came out immediately, Xie Ying ran in and shouted: "Dr. Chen, the patient has type A blood."

  Chen Qi felt relieved when he heard it. Type A blood is the most common blood type. He himself has type A blood, so he can give Mao Xiaolian blood transfusion.

   "Okay, draw my blood first, I..."

  President Yan raised his hand to stop Chen Qi: "You don't care about the surgery yourself. If you become weak after the blood draw, how do you rescue it? There are several Type A blood in our hospital, and I will mobilize it."

  Chen Qi was really touched. It is a great blessing in his life to have such a responsible dean who always thinks of the staff.

  Thinking about Bald Jiang from the health school, the gap between people is directly reflected.

   Soon, a bag of fresh blood was sent to the operating room, and Xieying was hung up directly, while continuing to closely observe the patient's vital signs manually.

  Chen Qi continued to be busy with the operation, he couldn't be transfusing blood on the top and bleeding all the time on the bottom, that way the patient would still die. Less bleeding means less blood transfusions and safer patients.

  The health center mobilized the whole hospital, and it was busy, and there were huge crowds of onlookers outside. It is estimated that this matter will not be kept secret for long.

  The old ancestral hall of the Ma family in Jiuyan Village is now nominally the village’s grain depot.

  The village head, Ma Huadong, is commanding a group of young and middle-aged men to beat and kick the mangy man. The villagers also hate him to the bone, and they are all doing it secretly.

  Ma Manzi's screams kept coming out, and Ma Huadong was so angry that he cursed:

   "Hit me, kill this bad guy, he will lose all face of the Ma family!"

   Ma Huadong is surrounded by a group of old men, obviously all of them are elders with important words in the clan. Everyone has to come up with a charter on this matter now.

"Uncle, I, the village chief, can't hide this matter. Everyone has been sent to the health center. The health center will definitely call the police. At that time, the mangy horse will be arrested by the comrades of the police. I can't control it. Let him to die."

   An old man was a little embarrassed, and patiently persuaded:

"Huadong, you can't ignore this matter. Although Ah Che is not up to date, he is also our Ma family. If there is a shooting prisoner or reform-through-labor prisoner in our Ma family, it will not only embarrass our Ma family, but also our Jiuyan Village. How can the ten miles and eight villages hold their heads up?"

  Mountain people value face the most, and face is bigger than the sky.

  Furthermore, it is the rule of the people in the mountains to negotiate privately as much as possible. Even if there is a group fight between villages, even if someone is killed, they will not be reported to the officials.

   If someone from this family goes to jail or is on death row, it would be a shameful thing.

   This is also the main reason why Ma Manzi has been sneaking around in the village,

  Of course what happened today violated the bottom line of the law and was a matter of zero tolerance, but in the eyes of this group of rural old men or feudal patriarchs, what is this matter?

   Isn't it just ruining a girl, and she is still a child without a father and mother, so she will lose money, what else can the other party do?

  (end of this chapter)