Surgery Godfather
Chapter 513 - 468: Two Choices_2

Chapter 513: Chapter 468: Two Choices_2

With these two guys around, who needs thoracic surgeons?

"After dealing with the chest, we need to perform surgery on the pelvis and bilateral femoral shaft next. The pelvis needs a reconstructive steel plate, while the bilateral femur requires interlocking intramedullary nails ---"

The emergency operating room is equipped with a complete set of Orthopedic instruments, from spine, pelvis to limbs. There are numerous boxes of them, now conveniently put to use. Shortly after, several sterile-wrapped metal boxes are wheeled over.

"Right-angled vascular clamp!"

Yang Ping takes the clamp, realizes it’s curved and promptly alerts the scrub nurse.

"Where is Su Yixuan, call for Su Yixuan quickly!"

In such time-sensitive surgery, a single second can determine life or death.

Yang Ping needs the best assistants, the best scrub nurses to perform the surgery at top speed.

He doesn’t have time to worry about others’ feelings, simple and direct communication is the most effective.

"She’s here!"

A familiar voice, a tall figure, Su Yixuan has already walked into the operating room with her hands raised, having just finished scrubbing.

Just in time!

The scrub nurse on duty sees the scene and quietly gives up her position, waiting for assignment.

Subsequently, nurse Zhou Can and anesthesiologist, Liang Fatty take over their respective positions, replacing the current circulating nurse and anesthesiologist.

"The muscle relaxant is insufficient, the abdominal muscles are too tense, I’m going to need to proceed with an approach via the rectus abdominis." Yang Ping advises Liang Fatty in advance.

Liang Fatty makes an OK gesture, immediately increasing dosage of the muscle relaxant to relax the patient’s muscles and make the procedure easier.

"We don’t have enough blood! How come it hasn’t arrived yet."

Liang Fatty glances at the data on the monitor.

The delivered blood has been used up. The last 8 units have just reached the blood bank. The emergency nurse has gone to fetch them but hasn’t returned yet.

"We only have 8 units of PRBCs in our inventory! The injured person next door is also type AB, so we can only assign 4 units to us, the rest will have to wait!"

Zhou Can quickly grasps the situation, she has also been urging the nurse to get more blood.

Dammit, 4 units, Yang Ping curses in his heart.

It’s not enough, far from enough. Even 8 units are not enough, let alone 4 units.

and 4, although it only differs by four, sometimes when hovering near a critical value, a push might save a life, but a slight miss could mean death.

"Bring all 8 units here, all of them!" Yang Ping orders Zhou Can, before throwing himself back into the operation.

Liang Fatty swiftly estimates the accumulated blood loss, the ongoing blood loss, and the needed blood volume.

units are definitely insufficient, but 8 units can push the injured away from the critical line. He understands why Yang Ping insists on having 8 units. This is a matter of life and death.

"8 units! Quick!"

Since the chief surgeon has given the order, Liang Fatty and Zhou Can are now in charge of fetching blood.

The nurse fetching the blood returns to the No. 2 operating room with a trolley piled with 8 bags of PRBCs. Zhou Can pulls the entire trolley to them.

The nurse fetching the blood is in a difficult position: "Dean Sun said, distribute them evenly, 4 units each side."

In other words, she’ll only give 4 units here, and the rest 4 units should be delivered to operating room No. 1.

But if the 8 units of red cells are split for use, both of the critically injured patients won’t survive. However, if they’re used on one patient, this student still has a glimmer of hope.

"Leave them all here. If there’s any problem, Director Han will communicate with Dean Sun!" Liang Fatty firmly grips the trolley handle.

Liang Fatty doesn’t dare to delay, he appropriates 4 units of blood and immediately reports to Director Han.

Director Han is nearby and arrives in the operating room shortly.

"How are things going?" He leans in to ask.

Yang Ping, engrossed in the operation, replies: "We’re making progress, but we can’t proceed without blood. 8 units are barely enough, we can just pack up now with just 4 units."

"I understand the situation. Ouyang and Ajin next door are barely holding up. Let’s save whoever we can."

Director Han does a lap around the operation table but can’t really see anything.

They chat as if idly, simply talking.

Perhaps the nurse who just fetched the blood also reported to the Head Nurse and the Director of the Emergency Department, Dean Sun has now come to operating room No. 2.

"Old Han, are you out of your mind? There’s only 8 units of blood, just distribute them evenly, won’t you?"

Dean Sun anxiously tries to persuade Director Han.

He’s an old hand at bureaucracy and has his own considerations. Now, the two victims both have type AB blood and are severely injured. If the units are distributed equally, it’s ethically sound and procedurally flawless, regardless of whether they can be saved or not.

But once these 8 units are allocated, who should get them?

No matter who they’re given to, it would be trouble if anyone decided to make an issue out of it.

If given to the student, some may argue that although this woman driver was drunk and might have committed a crime, she is also a life. Why should the student have priority? Where is humanity in this?

If given to the female driver - the student is innocent. He was perfectly fine until he got hit by this drunk driver and ended up severely injured, why should blood for saving lives be equally distributed between them?

"We must distribute evenly! The family of the driver and the family of the student are all outside, along with a bunch of reporters. The city government’s commissioner is also present, overseeing the rescue. The driver’s family has even called for a professor from Nandu Affiliated Hospital One, who’s rushing here to support the rescue! We can’t leave any loopholes in the procedure." Dean Sun continues to use his gentle tone to try and persuade.

The unsaid insinuation: As long as the procedure is correct and nobody can fault us, everything is fine. As for whether we can save these two patients, that all depends on fate.

In this day and age, people would nitpick over a doctor drinking a bottle of glucose when tired.

Director Han leisurely says, "Priority should be given to the most critical! As a consensus among several of us experts, this patient is in the most critical condition and is in need of these 8 units of blood. Those outside, they aren’t doctors, they have no clue. Shall we invite them to perform the surgery?"

"You’re really... Old Han, what am I going to do with you?"

Dean Sun is angry internally – Dean Xia is out for a meeting, he is now the one in charge and will have to take responsibility.

Director Zhao, who is nearby, chimes in: "Hmmm, Dean Sun, this is what you meant too. From the perspective of the patient’s condition, this student is the one who needs the blood the most. Limited resources should go to those who need it most, and there will be more blood after all. The blood bank is in the process of sourcing more. Let’s wait a while. It’s only 8 units of blood, what’s the big fuss."

Dean Sun has no choice but to agree.

"I’ll go check the next room. You guys carry on." Director Han walks around the operating room and then leaves.

Liang Fatty keeps his eyes locked on those blood packs, afraid that if he blinks someone would steal them.

This is a hopeless situation, sometimes, you have to make a choice.

For example, the triage of emergency patients - Red patients have priority. This is also a form of medical choice.

Because red patients are critically unstable and would die without immediate rescue, yellow ones can wait a bit, and green ones are less urgent.

Sometimes, when you can only save one life out of two, who should you save – it’s a choice between the lesser of two evils!

It’s incredibly cruel, but you must make a decision!

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