When soldier needs a valve replacement or else he could be paralyzed. And when another soldier is brain dead but still alive, they have to decide if they should remove his valve to save the other and they only have 20 minutes to decide.
Walter Dishell, M.D. (the medical advisor for M*A*S*H) co-wrote this episode with Alan Alda. An impromptu poker game at the chopper pad is interrupted by George, a patient who arrives from Battalion Aid with a purported open chest wound. Hawkeye diagnoses him with respiratory distress, too much gushing blood and a lacerated aorta. George may not even make it to OR unless drastic measures are taken. The pilot hands over his pocket knife; Hawkeye makes George's wound big enough to stick in his hand. Hawkeye wants to compress George's aorta against his spinal column to stop the bleeding. The biggest problem is if blood to the spinal cord is cut off for more than 20 minutes, George stands a good chance of paralysis or renal failure. Time is called: 1432 hours; a white clock appears at the bottom right of the TV screen. Hawkeye yells out for vascular clamps, his canvas tub, arterial grafts, ice and AB- blood. The clock ticks and ticks. There is no AB- blood. Margaret cannot find the clamps... Written by
Major Winchester's blood type is revealed to be AB-. See more »
Potter asks if anyone has AB negative blood to give to the soldier on the operating table, and Charles says he is AB- and will donate. However, in C*A*V*E (#7.20), Klinger says that he and Winchester have the same blood type, and in It Happened One Night (#4.3) he says he is B positive. All three statements cannot be true. See more »
[Charles is the only one who can give the appropriate blood]
Charles, lie down and start bleeding.
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The following episode from the 1979-1980 television season would be one of the top four episodes ever in that campaign. Captains Hunnicutt and Pierce were involved in the most serious episode in saving a patient who lost an aorta. Major Houlihan -- starring Loretta Swit -- played a key role in this episode -- too -- in the fight against time from death because of acute renal failure or being paralyzed in the horrific situation. The three of them told the helicopter pilot that twenty minutes stood between life and death after they approach surgery. Mike Farrell's role in removing the aorta -- for the graft -- involved conflict with another wounded patient. His partner could not understand why the patient was more important than his own well-being; moreover, an eighteen-year-old was dying from a sever head wound within ten to twenty-two minutes. Anger, conflict, spontaneity, determination, diligence, and worthiness were key elements in preventing the patient from dying after twenty minutes. The program should have rated at least a 14 out of 10; moreover, the description of fitting the graft in the surgery was a key factor in that show. Both Mike Farrell and Alan Alda did quite well in the fight against time. Way To Go!! Another must see episode!!
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