See also blood shortage! Recently, the situation of the Blood Banking service of the Blood Donation Service on the Internet is not optimistic. Among them, A, B, O, and AB four kinds of red blood cells are shown as "emergency blood donation", and in the column of platelets, except that B and O are "welcome donation of blood" and "blood donation as soon as possible", A Both type and type AB are also "emergency donation". In this regard, the Beijing Municipal Health Bureau stated that while promoting the amount of blood donation from the group is linked to the assessment of regional spiritual civilization, the situation of unpaid blood donation will also be used as an assessment indicator for college teachers and students. ("Beijing Times" January 30)
Whether the linking of unpaid blood donation and related assessments can really alleviate the blood shortage is not the core issue of my concern because behind the appearance of using blood speed in blood donation, there is still a deep-seated problem that is easily overlooked. That is the bloody problem. The man-made waste problem grows behind the scenes. In a sense, if the problem of human waste is not well solved, even if there is a substantial increase in blood donation, it will not be able to make ends meet. The reason is very simple. Just as for a patient whose blood loss is faster than the speed of blood transfusion, is he looking for more blood, or is he trying to stop blood loss?
The frequent blood shortages are really caused by insufficient blood donation? This is actually a specious point of view. The statistics of the Ministry of Health can falsify this point. From 2006 to 2010, the number of voluntary unpaid blood donations increased from 6.75 million to 11.8 million. The annual blood volume increased from 2295 tons to 3935 tons, and the annual blood supply was 12.6%. Increased speed. Even in Wuhan, where the blood shortage is severe, data from the city’s blood center also shows that from 2008 to 2010, the average growth rate of blood donations in the city was as high as 35%.
In fact, the artificial waste behind the bloody situation is staggering. According to data from 2008, the average blood volume per surgery for the Peking Union Medical College Hospital was 172 ml, while the average blood volume for each operation in the developed countries during the same period was only 87 ml; the Sichuan Provincial Health System Survey in 2009 showed that 370 clinicians transfused blood. The correct rate of knowledge is only 67%, and irrational use of blood generally reaches 20% to 30%. In this sense, as some experts have estimated, in the blood shortage that has continued to emerge in recent years, about 50% of clinical blood use may be wasted due to human waste.
The reason for such a high rate of waste is the unreasonable use on the one hand and the excessive treatment on the other. If the former is explicit waste, then the latter is an implicit waste. An open secret in the medical community is that some hospitals rarely use small-packaged blood bags for fear of trouble. Instead, they generally use 200 ml or even 400 ml blood bags. Due to the particularity of blood products, if the amount of blood used is less than one bag during actual operation, the remaining blood can only be wasted in vain. This kind of waste phenomenon exists in a large amount of patients with less blood. Children's Hospital.
As for the waste of blood from over-treatment, it is also astonishing. In medical practice, due to excessive treatment, there are a large number of phenomena of “stimulating bloodâ€, “nutritive bloodâ€, and “human bloodâ€. Especially after surgery, some doctors try to avoid responsibility and risk, and for those who suffer from blood loss. Small patients also need to enter some "insurance blood" that is actually redundant. Just as Li Bijuan, director of the blood transfusion department of Xiangya Hospital of Central South University once disclosed, in some provincial and municipal comprehensive hospital medical records, it was found that the proportion of clinically unreasonable blood use exceeded 50%.
Furthermore, apart from the irrational use and excessive treatment of blood wastage, there are also problems such as the low application rate of "autologous blood transfusion", the inaccessibility of "blood component" blood donation, and the backwardness of blood storage management methods. A waste of valuable blood. It seems that when we face the bloody times, we should not try our best to think how to encourage more people to donate blood through incentives, but how to stop the “blood†that is constantly being wasted for no reason. After all, To a certain extent, stopping bleeding is more important than transfusion.
Whether the linking of unpaid blood donation and related assessments can really alleviate the blood shortage is not the core issue of my concern because behind the appearance of using blood speed in blood donation, there is still a deep-seated problem that is easily overlooked. That is the bloody problem. The man-made waste problem grows behind the scenes. In a sense, if the problem of human waste is not well solved, even if there is a substantial increase in blood donation, it will not be able to make ends meet. The reason is very simple. Just as for a patient whose blood loss is faster than the speed of blood transfusion, is he looking for more blood, or is he trying to stop blood loss?
The frequent blood shortages are really caused by insufficient blood donation? This is actually a specious point of view. The statistics of the Ministry of Health can falsify this point. From 2006 to 2010, the number of voluntary unpaid blood donations increased from 6.75 million to 11.8 million. The annual blood volume increased from 2295 tons to 3935 tons, and the annual blood supply was 12.6%. Increased speed. Even in Wuhan, where the blood shortage is severe, data from the city’s blood center also shows that from 2008 to 2010, the average growth rate of blood donations in the city was as high as 35%.
In fact, the artificial waste behind the bloody situation is staggering. According to data from 2008, the average blood volume per surgery for the Peking Union Medical College Hospital was 172 ml, while the average blood volume for each operation in the developed countries during the same period was only 87 ml; the Sichuan Provincial Health System Survey in 2009 showed that 370 clinicians transfused blood. The correct rate of knowledge is only 67%, and irrational use of blood generally reaches 20% to 30%. In this sense, as some experts have estimated, in the blood shortage that has continued to emerge in recent years, about 50% of clinical blood use may be wasted due to human waste.
The reason for such a high rate of waste is the unreasonable use on the one hand and the excessive treatment on the other. If the former is explicit waste, then the latter is an implicit waste. An open secret in the medical community is that some hospitals rarely use small-packaged blood bags for fear of trouble. Instead, they generally use 200 ml or even 400 ml blood bags. Due to the particularity of blood products, if the amount of blood used is less than one bag during actual operation, the remaining blood can only be wasted in vain. This kind of waste phenomenon exists in a large amount of patients with less blood. Children's Hospital.
As for the waste of blood from over-treatment, it is also astonishing. In medical practice, due to excessive treatment, there are a large number of phenomena of “stimulating bloodâ€, “nutritive bloodâ€, and “human bloodâ€. Especially after surgery, some doctors try to avoid responsibility and risk, and for those who suffer from blood loss. Small patients also need to enter some "insurance blood" that is actually redundant. Just as Li Bijuan, director of the blood transfusion department of Xiangya Hospital of Central South University once disclosed, in some provincial and municipal comprehensive hospital medical records, it was found that the proportion of clinically unreasonable blood use exceeded 50%.
Furthermore, apart from the irrational use and excessive treatment of blood wastage, there are also problems such as the low application rate of "autologous blood transfusion", the inaccessibility of "blood component" blood donation, and the backwardness of blood storage management methods. A waste of valuable blood. It seems that when we face the bloody times, we should not try our best to think how to encourage more people to donate blood through incentives, but how to stop the “blood†that is constantly being wasted for no reason. After all, To a certain extent, stopping bleeding is more important than transfusion.
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