Chapter 212: Whether to save people in violation of regulations

Chen Qi was furious: ", this is not an ordinary trauma, this is caused by a strong girl, such a young girl, which beast can do it?" ”

Xie Ying stood next to him and couldn't help but scold: "Who did it?" Or is it not human? Beasts are not as good as beasts! ”

Several women couldn't bear it when they saw it, and they turned their heads one after another: "Doctor, don't ask, hurry up and treat the disease, this is a poor girl who has no father and no mother, you can do your best." ”

Mao Xiaolian's face was very pale at this time, and her consciousness was a little unclear, and she was very critical.

Chen Qi took a deep breath and immediately instructed:

"Blood pressure, pulse and temperature were taken immediately, two intravenous channels were opened, and now urgent volume expansion is needed, and I will immediately perform emergency surgery."

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

I don't know if it's a human life today.

Dean Yan's face was also pale, and as an "old mountain man", he immediately realized what was going on.

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

In the end, it is often settled through negotiation in the village, and as long as no one goes to sue, the criminals do not have to go to jail in the end.

After Chen Qi finished detoxifying, he immediately carried out flaw detection.

With the amplifier in place, he was now sure that the little girl's membrane was freshly lacerated and that it was clearly male's fluid.

Chen Qi was so angry that his hands trembled a little, his thinking was still stuck in the standard of the legal society, for this kind of criminal behavior against underage girls, that is three words:

Zero tolerance.

Chen Qi first retained the male fluid, which is the best evidence, even if there is no detection ability now, it will still be useful when DNA is popularized in the future.

Then he began to stitch it layer by layer.

The difficulty of suturing is still very great, because even the anus is torn, and the tear is more serious, damaging the sphincter, which shows how rough and perverted the criminals were when they committed crimes.

Just when Chen Qi was engrossed in the operation, Jin Lin, who was monitoring his vital signs all the time, shouted:

"Dr. Chen, it's bad, the patient's blood pressure keeps dropping, what should I do?"

Chen Qi knew that this was a typical manifestation of hemorrhagic shock, blood pressure had been dropping, and she was unconscious, indicating that Mao Xiaolian's blood loss had exceeded more than 20% of her total blood volume, and it could be more, which was a life-and-death situation for a child.

Hydration alone is certainly no longer enough, and blood transfusions are necessary.

However, it takes almost 8 hours to drive back and forth from Huangtan Town to Yuezhong City, and when the blood arrives, the daylilies are cold.

"What should I do?"

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

"Xie Ying, you immediately ask the blood test room to do the blood type for the patient, Dean Yan, you go and ask the family members outside, is there anyone who can call the shots?"

Chen Qi could only take the risk, that is, without any testing and treatment, directly draw blood of the same blood type, and directly transfuse it to Mao Xiaolian regardless of whether there are infectious diseases or rh blood type, HLA, leukocyte antigens and other factors.

This is undoubtedly very risky, especially since the country is still a large country with hepatitis B, and one in ten people is positive.

If the blood is transfused without any treatment, there is a risk of agglutination that can be life-threatening.

This method is certainly risky and subject to legal responsibility, which is a violation, even an illegal operation, and the most serious consequence is that it may lead to the death of the patient.

However, if Mao Xiaolian cannot be transfused immediately, the patient continues to lose a lot of blood, there is no external blood supply, and the life center will be due to ischemia and lack of oxygen, which will definitely lead to the death of the patient.

One is the possibility of death, and the other is ironclad death.

This should not be a multiple-choice question, Chen Qi wants to save people, and he chooses to take the risk of direct blood transfusion.

To be honest, if Chen Qi had not been reborn, he would never have done so in 2022, because no matter whether the patient was saved or not, the final legal responsibility was not something that he could bear as a small doctor.

If you do a good deed, you will be fired from the hospital, prosecuted by the procuratorate, and even the patient's family will not see you.

For example, in 2022, Chen Qi did not have any tests and did not apply for blood from the central blood bank, but directly drew blood from normal people, and if he was given an emergency blood transfusion, the following consequences would occur:

The person was saved, the patient was infected with AIDS, the hospital lost money, and he was dismissed.

The person was saved, the patient was infected with hepatitis B, the hospital lost money, and he was dismissed.

The person was saved, the patient had a blood transfusion reaction, the hospital lost money, and he Chen Qi was dismissed.

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

But if Chen Qi did not take the risk, in an emergency situation where there was no blood source and could not provide blood supply, he did not give the patient a blood transfusion, and in the end, the person was not saved, and the patient hung up.

Hospital: We did our best, please mourn;

Chen Qi: Hurry up and complete all the medical records and prepare for a possible lawsuit, but he doesn't have to bear any responsibility personally.

So if in his previous life, Chen Qi's choice would definitely not be to risk blood transfusion, and he would definitely choose to protect himself, after all, it was not easy for him to study for decades, but he could not have his license revoked because of a medical accident, and he would even go to prison.

This is the contradiction that often occurs in modern hospitals, between "savable" and "savable", doctors often choose conservative treatment.

If any doctor takes radical treatment to save people, it is obviously well-intentioned, but the end is often very miserable, which is the experience of countless doctors' blood and tears, and it is so helpless.

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

1. Large-scale hemolysis: systemic inflammatory reaction, systemic organ failure, and pain.

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

3. It's okay.

Chen Qi is actually betting on a probability, as long as it is the same type of blood transfusion, the probability of this "okay" is still very large.

The key is that it is only 1982 now, and the relevant laws are not so strict, even if he loses the gamble and the little girl is gone, then at least he does not have to face the risk of being expelled or imprisoned.

So Chen Qi decided to fight, before fighting, he still had to ask the dean, anyway, this year pays attention to a "collective decision, obey the leader." ”

"Dean, the patient's blood pressure continues to drop, she can't hold it anymore, and if she doesn't transfuse blood, no matter how good the operation is, there is only a dead end, I now recommend finding suitable blood immediately and giving her a blood transfusion directly, but there is a certain risk, what do you think?"

Dean Yan had just come in from outside the operating room and was stunned for a moment when he heard Chen Qi's words:

"What is the chance of dying without a blood transfusion?"

"9 percent!"

Dean Yan didn't speak, obviously thinking, and finally said firmly:

"Then let's take the risk and try it, I just went to ask the villagers outside, Mao Xiaolian's father and mother are gone, there is only one grandmother at home, obviously I can't get an idea, since the situation is critical, I will shoot this board, blood transfusion!"

When Chen Qi heard this, he thought that he really didn't mistake this old dean, and he was responsible.

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

Chen Qi was relieved when he heard this, blood type A is the most common blood type, and he himself is blood type A, so he can give Mao Xiaolian a blood transfusion.

"Okay, draw my blood first, I'll ......"

Dean Yan raised his hand to stop Chen Qi: "You take care of your own surgery, in case your body is weak after the blood is drawn, how can you rescue it?" There are several blood type A in our health center, and I will mobilize them. ”

Chen Qi was really moved in his heart, it was really a great blessing in his life to have such a responsible dean who thought about the staff everywhere.

Thinking about Jiang Bald Head of the Guard School, the gap between people is directly reflected.

Soon, a bag of fresh blood was sent into the operating room, and Xie Ying hung it up directly, while continuing to closely observe the patient's vital signs by hand.

Chen Qi continued to be busy with the operation, and he couldn't be transfused at the top, and the blood was bleeding all the time below, so the patient would still die. Less bleeding leads to fewer blood transfusions and safer patients.

The whole hospital was mobilized and busy with the health center, and the onlookers outside were crowded, so it is estimated that this matter will not be hidden for long.

The old ancestral hall of the Ma family in Jiuyan Village is now nominally the granary of the village.

Ma Huadong, the village head, is commanding a group of young adults to punch and kick Ma Leprosy, and the villagers also hate him to the core, and they are black one by one.

The screams of the horse leper kept coming out, and Ma Huadong was so angry that he scolded:

"Beat me, kill this bad breed, the face of the Ma family has been lost by him!"

There was a group of old men around Ma Huadong, obviously all of them were old men with weight in the clan, and everyone had to come up with a charter on this matter now.

"Uncle, I can't hide this as the village head, everyone has been sent to the health center, the health center will definitely call the police, and then Ma Lezi will be arrested by the comrades of the public security, I can't control it, let him die."

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

"East China, you can't ignore this matter, although Ah Che is not angry, but it is also our Ma family, if our Ma family has a shot criminal, or a prisoner of labor reform, it will not only be a shame for our Ma family, but also a shame for our Jiuyan Village, how can we hold up our heads in Shili Baxiang in the future?"

"The Legend of the Fairy Tree"

People in the mountains value the most face, and their face is bigger than the sky.

Moreover, the rule of the people in the mountains is that if there is a matter, try to negotiate and settle it privately, even if there is a group fight between villages, even if someone is killed, it will not be reported to the official.

If anyone goes to prison or is a death row prisoner, it will be a shame and a big shame.

This is also the main reason why the horse leper can always steal chickens and dogs in the village.

Of course, today's matter is a violation of the bottom line of the law, and it is a zero-tolerance thing, 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 it's a child without a father and a mother, then you lose money, how else can the other party drop?