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Chapter 212 Should we violate regulations to save people?

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Chen Qi was angry: "Fuck you, this is not an ordinary trauma, it was caused by a strong woman. What kind of beast could do this to such a young girl?"

Jie Ying stood nearby and couldn't help but cursed: "Who did it? Or is it not a human being? Worse than a beast!"

Several women couldn't bear it at first sight, and turned their heads: "Doctor, don't ask, just treat her as soon as possible. This is a poor girl without a father and a mother. You can do your best."

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

Chen Qi took a deep breath and immediately ordered the doctor:

"Immediately measure blood pressure, pulse and body temperature, and open two venous channels. Now we need emergency expansion. I will perform emergency surgery immediately."

Chen Qi is a little nervous, because the best treatment for this kind of massive bleeding is actually blood transfusion, but Huang Tan definitely can't do it, so all he can do now is try his best to stop the bleeding with suturing.

Maybe a life will be lost today.

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

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

In the end, it is often settled through negotiation within the village, and nothing ends. As long as no one sues, the criminals don't have to go to jail in the end.

After Chen Qi finished disinfecting, he immediately conducted a flaw detection.

After using the dilator, he was now sure that the little girl's vagina showed fresh lacerations, and there was obviously male fluid inside.

Chen Qi was so angry that his hands were shaking a little. His thinking was still stuck on the standards of a legal society. Regarding this kind of crime against underage girls, there were only three words:

Zero tolerance.

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

Then he began to sew layer by layer.

Suturing was still very difficult, because even the anus was torn, and the tear was quite serious, damaging the sphincter. This shows how rough and perverted the criminals were when committing the crime.

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

"Dr. Chen, something is wrong. The patient's blood pressure keeps dropping. What should I do?"

Chen Qi knew that this was a typical manifestation of hemorrhagic shock. The blood pressure continued to drop and she became unconscious, which meant that Mao Xiaolian's blood loss had exceeded 20% of her total blood volume, and it could be more. This was a life-or-death situation for a child.

It's critical.

Just rehydration is definitely no longer enough, and blood transfusion is necessary.

However, it takes almost 8 hours to drive back and forth from Huangtan Town to Yuezhong City. By the time the blood was delivered, the day lilies were already cold.

"What should I do?"

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

"Xie Ying, please ask the blood laboratory to do the patient's blood type immediately. Director Yan, go and ask the family members outside if there is anyone who can make the decision?"

Chen Qi could only take a risk, that is, directly draw blood of the same blood type without any testing or processing, regardless of whether there are infectious diseases or factors such as rh blood type, HLA, leukocyte antigen, etc., and directly transfuse it into Mao Xiaolian.

Doing so is undoubtedly very risky, especially since this country is a big country for hepatitis B, with one in ten people being positive.

If blood without any treatment is transfused, there may be a risk of life-threatening agglutination reaction.

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

However, if Mao Xiaolian cannot be given a blood transfusion immediately, the patient will continue to lose a large amount of blood, and there will be no external blood supply. The life center will suffer from ischemia and hypoxia, which will definitely lead to the death of the patient.

One is possible death, and the other is certain death.

This should not be a multiple-choice question. Chen Qi wanted to save people, but he chose to take risks and directly transfuse blood.

To be honest, if Chen Qi had not been reborn and was still in 2022, he would never have done this, because no matter whether the patient was saved or not, the final legal liability would not be something he, a little doctor, could bear.

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

For example, in 2022, Chen Qizai did not have any tests, nor did he apply for blood from the central blood bank. Instead, he drew blood directly from normal people. An emergency blood transfusion would have the following consequences:

The patient was saved, but the patient was infected with AIDS, the hospital lost money, and Chen Qi was fired.

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

The patient was saved, but the patient had a blood transfusion reaction. The hospital paid for it and Chen Qi fired him.

The patient died, the hospital lost money, and Chen Qi went to jail.

But if Chen Qi did not take risks and did not give the patient a blood transfusion in an emergency situation where there was no blood source and no blood supply could be provided, the patient would not be saved and the patient would die.

Hospital: We are doing our best, please express our condolences;

Chen Qi: Hurry up and complete all medical records to prepare for possible lawsuits, but he does not need to bear any personal responsibility.

Therefore, if in his previous life, Chen Qi's choice would definitely not be to risk a blood transfusion, but would definitely choose to preserve himself. After all, it has not been easy for him to study for decades, but he cannot have his license revoked or even go to jail because of a medical accident.
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This is some of the contradictions that often occur in modern hospitals. Between "saveable" and "cannot be saved", doctors often choose conservative treatment options.

If a doctor adopts a radical treatment plan to save a patient, he obviously has good intentions, but the outcome is often tragic. This is the experience of countless doctors who have shed blood and tears, and it is so helpless.

Speaking of Huangtan Health Center in 1982, if a direct blood transfusion was given to Mao Xiaolian now, the following reactions might occur:

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

2. Small-scale hemolysis: worse than the above, even with renal failure, it is almost dead.

3.It’s okay.

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

The key is that it is only 1982, and the relevant laws are not that strict. Even if he loses the Chen Qi bet and the little girl is gone, at least he does not have to face the risk of being expelled or jailed.

So Chen Qi decided to fight. Before fighting, he still had to ask the dean for instructions. Anyway, these days, it is about "collective decision-making and obeying the leadership."

"Dean, the patient's blood pressure continues to drop and she can't hold on any longer. If she doesn't get a blood transfusion, no matter how good the surgery is, she will be dead. I now suggest that we immediately find suitable blood and transfuse her directly, but this has certain risks. You

What should I do?"

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

"Without blood transfusion, how likely is it to die?"

"90%!"

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

"Then let's take the risk and try it. I just asked the villagers outside that Mao Xiaolian's parents are gone and there is only one old woman at home. Obviously she can't make up her mind. Since the situation is critical, I will take this decision and start the blood transfusion.

!"

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

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

Chen Qi felt relieved as soon as he heard this. Type A blood is the most common blood type. He himself has type A blood, so he can completely transfuse Mao Xiaolian.

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

Dean Yan raised his hand to stop Chen Qi: "You are responsible for your own surgery. If you become weak after taking blood, how will you rescue them? There are several people with type A blood in our health center. I will mobilize them."

Chen Qi was really touched. It was a great blessing in his life to have such a responsible dean who always thought about his employees.

If we think about Bald Jiang from the health school again, the gap between people is directly reflected.

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

Chen Qi continued to be busy with the operation. He could not transfuse blood above and bleed all the time below, otherwise the patient would still die. Less bleeding would mean less blood transfusions, and the patient would be safer.

The whole hospital was mobilized at the health center and started busy. There was a huge crowd of people watching outside. It is estimated that this matter will not be hidden for long.

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

The village chief Ma Huadong was commanding a group of young adults to beat and kick Ma Lezi. The villagers also hated him to the bone, and they all acted secretly.

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

"Hit me and kill this bad guy. The Ma family will be completely disgraced by him!"

A group of old men gathered around Ma Huadong. They were all obviously old men with a lot of weight in the clan. Everyone must come up with a charter on this matter now.

"Uncle, I, as the village chief, can't hide this matter. Everyone has been sent to the health center. The health center will definitely call the police. Then Ma Leizi will be arrested by the comrades of the public security. I can't control it. Let him

Go to hell."

An old man was a little embarrassed and patiently advised:

"Dong Hua, you can't ignore this matter. Although A Che is not up to expectations, he is still our Ma family. If our Ma family has an execution prisoner or a prisoner in a labor camp, it will not only be an embarrassment to our Ma family, but also our Jiuyan Village. In the future,

How can you hold your head high even though you are living in ten miles and eight towns?"

"The Romance of Fairy Wood"

Mountain people value face most, and face is as important as the sky.

Moreover, the rule of the mountain people is to try to solve the problem through private negotiation. Even if it is a group fight between villages, even if someone is killed, it will not be reported to the official.

If someone from this family were sent to jail or sentenced to death, it would be really embarrassing and humiliating.

This is also the main reason why Ma Leizi can keep stealing chickens and dogs in the village.

Of course, what happened today violated the bottom line of the law and is a zero-tolerance matter. But in the eyes of these rural old men or feudal patriarchs, what does this matter mean?

If you just ruined a girl, and she was a child without a father and a mother, then you have to pay for it. What else can the other party do?
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