"AB type!" the man said busily.

"Ab type, oh my God!" Ruan Bin stroked his forehead after hearing this, and his heart groaned for a while. Rh negative blood is already relatively rare and is a very rare type of blood, so it is also called "panda blood", of which negative blood is even rarer.

Your girlfriend's is the panda blood of the panda blood.

"Get in the car first!" Ruan Bin commanded, thinking of a way in his heart.

He was hesitant to stop the bleeding with pre-hospital resuscitation cyst occlusion (REBOA) first!

However, he still made sure that there was no such plasma in the hospital first.

After everyone lifted the couple into the car, Liu Ming finally got a reply from the hospital.

"Dr. Ruan, the blood bank of the hospital said that there is still a little stock of RH negative blood and other types of blood, but there is no AB type! Liu Mingdao.

"Good. Ruan Bin nodded.

The car began to depart for the hospital.

"Dr. Nguyen, the patient's blood pressure is very low. Zhao Yaxue reported to Ruan Bin.

Ruan Bin looked at the number on the blood pressure monitor and frowned, because the patient's blood was still flowing out slowly, and he had to find a way to stop the bleeding. Otherwise, the shock will pass.

If prehospital REBOA is used to stop bleeding in the abdominal aorta, the effect is good, but it is not ideal. The main reason is that the patient's current bleeding is large and large, but it is not very large. If the bleeding is stopped by a one-size-fits-all approach, it will cause other organs in the body to directly cut off the blood. Since the renal artery is located in the middle of the abdominal aorta, the cyst is blocked in the middle of the abdominal aorta to stop the bleeding. However, the superior mesenteric artery, femoral artery, common iliac artery, internal and external iliac artery, and ovarian artery in the lower half of the mesenteric artery are directly cut and do not provide blood supply. That is, all the lower half of the body is bleeding.

If it goes for a long time, it will still have an impact on the kidneys and lower limbs.

So as a last resort, Ruan Bin didn't want to use the pre-hospital reboa.

The most important thing is that he still wants to see when this panda blood can be sent to the hospital, if within 40 minutes, he will immediately perform pre-hospital reboa hemostasis, and the impact of 40 minutes on ischemia in the lower half of the abdominal aorta is still acceptable.

"Doctor, my girlfriend is still bleeding, what should I do?" the man said anxiously.

The edge of the foreign body inserted in the wound was still bleeding out.

At this moment, Liu Ming received a call.

"Dr. Ruan, Director Jiang said that there is no Rh-negative blood type AB blood in the blood bank in the city center. It has to be transferred from the next city, and it is estimated that it will take 1 hour at the earliest. Liu Mingdao.

"An hour, that's too long!" Ruan Bin frowned. In this case, it is not suitable for pre-hospital reboa.

"Why don't you send it to the hospital first and transfuse it with RHA(+) blood first?" Liu Ming suggested.

The hospital stipulates that if the patient has hemorrhagic shock or severe anemia, it will be life-threatening if the blood is not transfused immediately, and no matter what measures are taken, the blood reserve of the blood bank of the blood transfusion department is still unable to meet the blood transfusion needs of the patient in the event of emergency rescue, rh (+) blood can be transfused. Similarly, the protocol has developed a "non-homotypic transfusion" protocol for emergency blood transfusions for some other patients with difficult blood types and difficult matches, including rare blood types.

"It's good to have a blood transfusion, it's good to have a blood transfusion. When the man heard that blood could be substituted, he immediately agreed.

"Transfusion of non-homotypic blood may have certain negative effects, such as the production and enhancement of alloimmune antibodies, resulting in hemolytic transfusion reactions during large blood transfusions or re-transfusions, which can lead to miscarriages and stillbirths in women of childbearing age. If you agree, we can give your girlfriend a blood transfusion. Ruan Bin said in a deep voice.

The "last resort" adopted by the hospital in line with the principle of "saving lives as the first priority" requires the understanding and approval of patients and their families, and it is possible to transfuse mixed blood to patients.

However, this blood is harmful. It can save lives, but it will have sequelae on the human body.

"Ah, it will cause miscarriage in the future...... Stillborn ......" When the man heard this, he immediately coaxed. He can't be the master. Unless he's the other party's husband!

Seeing that the other party has an undecided mind.

Ruan Bin opened his mouth and said, "Let's stop the bleeding first! Pull out the foreign body first!"

"Ahh

"Don't worry, I have a way!" Ruan Bin said lightly. With a field proficiency level of out-of-hospital first aid general practice, he already has a working pre-hospital first aid method in mind.

It's a little better than the pre-hospital reboa.

After all, pre-hospital reboa is not suitable for every kind of hemorrhage to stop bleeding.

It is only more suitable for the treatment of hemostasis of major bleeding in the aorta.

Like the renal artery, it belongs to the secondary artery.

"What way?" Liu Ming was stunned.

"Could it be that the pre-hospital reboa?" Liu Ming exclaimed. He knew that Ruan Bin was the person who achieved the first pre-hospital reboa in China, and he didn't expect that he would be able to see it in person this time, and he would definitely have to observe and learn it when the time came.

"No, give me an infusion catheter and two empty bags for infusion!" Ruan Bin said.

"Ahh......h

"A small scalpel. ”

Next, I saw Ruan Bin gently pull out the foreign body in the woman's abdomen.

The moment he pulled it out, blood spurted out!

Ruan Bin unhurriedly picked up the scalpel and made an incision in the wound, and then inserted the infusion catheter directly into the place where the renal artery was ruptured.

Fast, accurate, and steady!

He then began to suture the position with innovative debridement.

Blood was draining out of the catheter at once.

That's right, Ruan Bin used a tube to connect her renal artery to draw blood out!

"This is to continue the blood transfusion with her own blood! The blood that came out was half a bag full of blood and immediately gave her a blood transfusion, and the cycle repeated. Let's go to the hospital first to see if we can do surgery, and if not, we can hold on until the plasma is delivered!" Ruan Bin said in a deep voice.

"Is this okay!?" Liu Ming and the others were shocked!

"One of the first aid methods in the field, you can take a look at the relevant first aid cases when you have time. Ruan Bin said lightly.

"Uh...... Where to look?" Liu Ming was excited.

"I don't know, I'm also taught by others, I met a war doctor before, he taught. Ruan Bin lied casually.

Liu ming:......

The blood soon filled half the bag.

"Change an empty bag, and this half bag of blood will be transfused to her immediately!"

"Yes. Zhao Yaxue nodded.

After 20 minutes, the ambulance finally arrived at the hospital.

Sent to the emergency room.

"What kind of operation is this?" When Jiang Yurong saw the patient transfuse the blood she shed into herself, she was stunned!

The other doctors were also stunned when they saw this!

"This is the method of battlefield first aid!" Jiang Yurong was well-informed and glanced at Ruan Bin in astonishment.

"Ruan Bin, you can have a flexible brain!" Jiang Yurong exclaimed. Sometimes a lot of first aid brains can save a person with a flexible response! So you can't die studying, die to cure diseases! I want to talk about "Krypton Gold Doctor" with more like-minded people, WeChat pays attention to "excellent reading literature", chats about life, and looks for confidants~