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In-flight surgery with a coat-hanger and silverware

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101–110 of 217 posts

Re: In-flight surgery with a coat-hanger and silverware

#101
post #41

There's hacking and there is _hacking_. My sister is training to be a doctor and she has come to dislike the heavily regulated environment we have here in which doctors are not allowed to do anything of this sort. Now, they also don't usually need to, which is a good think, but after she returned from a year in South America, she misses the on-your-feet thinking, creativity and flexibility she could and had to employ…

[deleted]

Re: In-flight surgery with a coat-hanger and silverware

#102
post #95

This line got me: "the doctors successfully released the trapped air from the patient's chest, and she spent the rest of the flight uneventfully eating and watching in-flight movies"

For me it was:

> They sterilised their equipment in cognac

Is there a % alcohol requirement for using spirits to sterilize equipment?

Re: In-flight surgery with a coat-hanger and silverware

#103
post #60
post #51

Earlier quoted context omitted.

He was joking about how the patient shared responsibility for his surgical plan

But who would accompany him to jail, a cadaver?

The patient wouldn't die, but the surgeon would have punched a hole in the abdominal cavity on the wrong side. That would create a new wound, but wouldn't fix the initial life-threatening problem. So then, he'd have to punch a hole on the correct side, fixing the problem.

After that, the surgeon would have to contend with malpractice concerns while the patient healed from two holes in their chest, one unnecessary.

Re: In-flight surgery with a coat-hanger and silverware

#104
post #92

Earlier quoted context omitted.

They mention in passing that cognac was used to disinfect things. Not foolproof, but not exactly a sepsis inducing nightmare either.

Cognac is usually what? 30-40% alcohol? It needs to be 70%. https://www.cdc.gov/infectioncontrol/guidelines/disinfection...

The one upside from COVID; no flight will be short of hand gel to sanitise with! Actually, is hand gel even good for that?

Re: In-flight surgery with a coat-hanger and silverware

#105
post #103
post #60

Earlier quoted context omitted.

But who would accompany him to jail, a cadaver?

The patient wouldn't die, but the surgeon would have punched a hole in the abdominal cavity on the wrong side. That would create a new wound, but wouldn't fix the initial life-threatening problem. So then, he'd have to punch a hole on the correct side, fixing the problem. After that, the surgeon would have to contend with malpractice concerns while the patient healed from two holes in their chest, one unnecessary.

There's a 'Good Samaritan' law in most states, protecting those that try to help in an emergency in good faith.

Re: In-flight surgery with a coat-hanger and silverware

#106
post #92

Earlier quoted context omitted.

They mention in passing that cognac was used to disinfect things. Not foolproof, but not exactly a sepsis inducing nightmare either.

Cognac is usually what? 30-40% alcohol? It needs to be 70%. https://www.cdc.gov/infectioncontrol/guidelines/disinfection...

Those guidelines recommend 60-95% ABV (and note that effectiveness drops off sharply below 50%) but also report that at least some pathogens are killed in seconds with exposure to 40% ethanol.

If all you have to disinfect your ad hoc instruments is brandy, then use it: way better than nothing.

Re: In-flight surgery with a coat-hanger and silverware

#108
post #96

I've had an spontaneous pneumothorax when I was a teenager. Had to undergo emergency surgery with only local anesthesia. The surgeon while cutting my chest asked: "You're sure it is this side, right?", which I confirmed. He then said: "Ok, if you're wrong I'm not going to jail alone."

I did some hostile environment training a while back, one of the medical courses was about "sucking chest wounds", where someone gets shot (or stabbed), and the action of breathing fills the chest cavity and thus means the lung can't work. It's been a long time since I did the course as I went a few years without having to travel to the kinds of places where it's likely I'd need to apply it, but I do remember a plast…

The civilian version of this class us called TECC (in the US) i took it last october- quite good. It is an adaptation of the military TCCC “combat casualty“ class. Thus class was specifically for EMTs and Paramedics but there us a more general class called “stop the bleed” intended fir more general audience. I think everyone should take a cpr/bls class and stop the bleed if they can. Good skills!

Re: In-flight surgery with a coat-hanger and silverware

#109
post #95

This line got me: "the doctors successfully released the trapped air from the patient's chest, and she spent the rest of the flight uneventfully eating and watching in-flight movies"

For me it was: > They sterilised their equipment in cognac Is there a % alcohol requirement for using spirits to sterilize equipment?

eau de vie has an ABV of 72%, according to [1]. That's high enough to kill coronavirus, according to [2]

[1] - https://blacktailnyc.com/wh at-is-the-abv-of-cognac/

[2] - https://www.marthastewart.com/7796118/isopropyl-alcohol-perc...

Re: In-flight surgery with a coat-hanger and silverware

#110

I've seen this in a rom-com before, where they poke a hole in the person's chest and they survive by decompressing the trapped fluids out of the hole. Weird to think about surviving something because you were stabbed in the right spot. Cool stuff.

Mark Wahlberg's character in Three Kings has to do this after getting shot while wearing kevlar because his lung collapsed.
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