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 »
Although it is theoretically ideal for an individual to receive blood that is the exact same type as his or her own, if the soldier on the table had AB- blood, he should have been able to receive any blood as long as it is RH-. However, at the time of the Korean war this may not have been known. See more »
Lt./Capt. Father Francis J. Mulcahy:
Dear God, I've never asked you for this before, and I don't know what You're going to think of me for asking now. But if you're going to take him anyway, please take him quickly so we can save the other boy.
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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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