firedoc5

I only kept up with her for about two years, until she graduated. I know she was disappointed to not be as involved in sports like she was. Saw her at a few football games, she looked good like any other kid.

Saturday night I get a phone call from my brother about a family friend of ours that wasn't expected to last through the night, which he didn't. After a few phone calls Sunday and today this is what I learned. About a week and a half ago our friend, Joe, went to the doctor with a bite. Joe had a Masters in Nursing and a PhD. in Theology, so he knew what kind of bite it was. At first the doc didn't think it was a Brown Recluse because he didn't think there was too much tissue damage, only what appeared to be a "boil". After some blood work came back the doc wanted to admit him but he declined. Being a nurse and all he just asked for whatever prescriptions he needed and he'd take care of it at home. But last Monday evening he went into convulsions. An ambulance took him to the local hospital, then he was air-lifted to Evansville, IN. It was there that they concluded that for some reason the venom did not only penetrate the skin and muscle, but had somehow got directly into his blood system, causing blood poisoning. By that time it was too late. He was in a coma. The infection had reached his brain. All they could do was make him comfortable. Evidently when he was bit it had to have been directly into a vein. That is one reason there was not more damage to the soft tissue as it would normally have been. He was in his early sixties, but looked and acted more like a 40 yr. old.

Yes, we do have a child, 17 now. And at last count, 26 nieces and nephews, and 1 great-niece. So, Ruff, I can say I'm experienced in how children should behave. That and just good old fashion common sense can tell you by just observing how both children and the parent (s) behave can present how well or how poorly parental control can be. In this case, from what others on the flight had said, was how the children kept running up and down the aiels getting in the way of the Attendants and running into other passengers. They were jumping up and down on different seats and being very loud. And the mother did very little to get them to stop. She seemed more concerned with the conversation she was having with whomever it was that was accompanying her on the flight. I've heard countless times that kids will be kids, but not on a flight. Actually "letting kids be kids" is not appropriate in public unless they are at a playground. I believe this mother was lacking one other thing, respect. She didn't seem to care that her kids were being disruptive to others. By the way, didn't a lot of this get aired on another thread? This shouldn't have turned into how the kids should have been disciplined. But it should just be about how the mother was removed from the flight with her children and whoever was in their group.

I'd go with that. Don't be surprised if this get's moved to the "Scenarios" area.

I saw this too. I couldn't believe it. Spenac, you're right. If she can't/ won't control her kids then maybe she shouldn't have them. What was she thinking taking all those kids on a flight knowing that they would act up? Guess she was thinking of getting her peanuts more than taking care of her kids. I told myself I wouldn't ramble, so I won't. At least for now.

This reminds me of why I hated peds. Too unpredictable. KEWL case though.

"Merchandising, merchandising, merchandising". "Yogurt! I hate Yogurt!"

I want one. It's better than jumping up and down on a guy's chest.

"Rocky Mountain High" - John Denver

I'd say normally it would. But depends on how persistent the bronchial constriction/ spasms may be.

You have to take into consideration this was about 21yrs. ago. MAST was primarily used for the pelvic and lower body injuries stabilization for him. We did inflate to 15 in legs and 10 in abd. We had a system to place a pt. into MAST with little effort and time. MS given IV, slowly until loaded for transport. Transport was over very rough road from the plant. I was sort of hoping his LOC would decrease so he wouldn't have to feel every bump. But he remained alert and I didn't want to knock him out. In the ER they did sedate and tube him. Three ortho's called in, all shaking their heads. Chest tubes placed. A lot of blood from left side tube. Only spinal injury not sustained was to C-spine. In surgery they did have to remove spleen. Pelvis repaired in six places with several plates. Rods were inserted down spinal column. Total surgery was 17 hours. He was then air-lifted to St. Louis. After nine months rehab he was confined to wheel chair. He was neurologically intact but do to crushing injuries was not able to walk or stand.

That's what they did. If I remember right it was some kind of new nylon replacement. At first they thought they were going to have to repair it enough to keep her from bleeding out while one would have to be delivered. But luckily surgical supply found one in-house.

It was something in the back of my mind at first, but thought about her age, no recent trauma, etc. But the second she said she had chest pain that she couldn't describe as radiating to her back, or back pain radiating to her front, I knew. I thought, "Oh, surely not". That and the narrow pulse pressure. There was no erratic movement of the BP gauge. And Chbare, it was both.

Coooold. Luckily Roger and I had shorts on under our coveralls and bunker gear. We were able to strip down prior to going in the ER to do paper work and supplies. They threatened to hose us off outside, but being it was about 45 out we declined. But they wouldn't let us use the hazmat shower at the side room coming in the doors.

If it's the asthma that is causing problems, perhaps it will help improve with ventilations and PaO2. Sort of like addressing the direct cause, underlying condition which brought on the heart stopping. It wouldn't hurt. :wink:

"Lonesome Loser" - Little River Band

Psych's definitely. At one time peds. seemed to bother me, but for some reason I eventually became at ease with them.

I've given several meds down a tube, but I don't think I ever gave Albuterol that way. But I don't think I'd give it for just any code, whether they had asthma or not. But if it believed that they coded due to asthma, that's a different story.

There was a better article in the Mt. Vernon Registered News I'll try and post for more info.

That's what needs to be done, base-line vitals.

Very good. That's what I was looking for. Heart sounds good, but closely monitored for any kind of development. There was some contusion to both lungs. Twelve lead normal, repeated q. 45-60 mins. in ER and continued for first four hours in ICU. If I remember right they did insert a central line in ER, along with the 16g IV I established enroute.

It was my understanding that the actual rupture occured about ten minutes after the US. Took another 45 mins. to get into surgery.

Called to a concrete plant. Report of worker struck by concrete slab. When arrived pt. was on a twenty foot cat walk. Evidently they were swinging a concrete covert by a crane when the operator lost control of it, striking the pt. when he was crossing the cat walk. Pt. was a male, mid-20's. Fork lift was used to lift equiptment and myself along with two others. Not much room for anyone else. Very obvious deformity to chest. Covert hit him while he was turned side ways. Upon further assessment his entire torso had been rotated. We considered it as almost a trauma asphyxiation. Pt. was conscious, alert x 3. Much pain. Diminished lung sounds bilaterally. Placed on 15 L O2 per NRM. Two large bore IV's LR. Vitals: Base line BP 110/ 94, Pulse 130, Resp. 45-labored. Lung sounds on left greatly diminishing rapidly. No tracheal deviation noted. Monitor showed sinus tach, no ectopy. Adm. 5-10mg. MS slowly. Prior to transport Medical Control ordered additional MS prior to transport. Full spinal immobilization. MAST applied with dead air. Lowered patient by fork lift. Limited room so it was just the pt. and I. Talk about multi-tasking for about 2-3 mins. Rapid transport. Flight not available.

Burn to the leg was third degree. Due to the heat and weight compressing down, it was a very large "gouge", about 3/4 through the thigh. Infection control was a must. Sterile dry dressings used from the burn kit we developed. I know of at least three surgeries she had just to keep the leg, which she did. X-rays showed fx. pelvis, cracked sternum, and if I remember right fx. nose. Lung sounds were clear bilaterally. At first I just knew she had fractured ribs, but none were detected. No BGL available in rig at that time.

I'm with you, RB. When I first saw it on the news my first question was why were there two choppers in the same air space that close to a hospital? Did either pilot know that there was another helo that close? And if so, why didn't they give each other more space? A lot of questions, a lot to investigate. My heart goes out to all.