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In-flight surgery with a coat-hanger and silverware

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161–170 of 217 posts

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

#161
post #155
post #68

Earlier quoted context omitted.

NJ EMT here and the guidance we are given is to not run AED while driving as the vibrations can make the analyzer misread. There are probably different types of AEDs to account for this

I’m guessing the tradeoff in the air is worth it. Can’t stop to run an AED and if they need a shock it’s because they’re in a potentially fatal rhythym

There also isn't constant vibration while flying (except during turbulence) like there is while driving.

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

#162
post #87
post #35

Earlier quoted context omitted.

How is surgery “successful” when they used a coat hanger? Can you imagine the infection risk? And sure, fly another 1-2 hr to get to the final destination, but they flew 8+ hours. It kinda makes no sense.

I would define a surgery's success by the success of the outcome, not by the tools that go into it. How would you define a "successful" surgery? An in-flight surgery that stabilizes the patient indefinitely is more successful IMO than one with all the best tooling that gets the patient killed.

Not indefinitely. The point of all emergency medical treatment is to stabilize the patient before they get to a proper hospital.

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

#164
post #151
post #145

Stories like these reminds me how a lot of talent is going waste trying to improve CTR on Ads and other futile jobs.

I’m not sure those people would make great surgeons or physicians as a rule. I don’t think lack of talent or intellectual horsepower in medicine is an issue at all.

Yeah, but even if they don't take jobs as surgeons or physicians, basically literally any other job would have more net benefit to society :)

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

#165
post #115

Earlier quoted context omitted.

I wager to say that to most people in the developed world such thoughts would not occur, and almost certainly not to Brits (that are used to the NHS).

The NHS is garbage. After experiencing them once I took on a private health insurance that cost me £300ish per month. So now my taxes paid for the garbage public healthcare system that I didn’t want, and then I had to pay for the private insurance. Unfortunately most people aren’t that fortunate to be able to easily justify spending extra £300 a month on health insurance so they just cope with the NHS.

Wow, only £300? Private insurance in the US is so much more than that. When you get care, is a portion paid by NHS and the remainder from the private company? Or maybe the existence of NHS puts healthcare costs much less than that in the US.

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

#166

The funny thing is, as an orthopedic surgeon in England, Wallace probably hadn't put in a chest tube in years, while the other "junior" doctor training in internal medicine, Tom Wong, probably did one every week. I have no inside knowledge, but I suspect Dr Wong probably did most of the procedure while the senior doctor Wallace took most of the credit later. As the senior doctor, Wallace was certainly responsible for…

My first flight on a plane also happened to had a passenger have a medical problem. She had passed out briefly. The pilots had that plane turned around fast and paramedics were waiting at the gate.

I'm just stunned they would still take off with a clearly injured passenger. And then not turn around after an hour into the flight!? They didn't want to land in India, but Hong Kong was only an hour away?

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

#167
post #24

The European rules for emergency medical kit (I guess FAA rules are very similar) also automatic defibrilators are increasingly being included in these kits: CONTENT OF EMERGENCY MEDICAL KITS (a) Emergency medical kits should be equipped with appropriate and sufficient medications and instrumentation. However, these kits should be supplemented by the operator according to the characteristics of the operation (scope o…

What emergency would necessitate a urinary catheter?

Enlarged prostate blocking the flow of urine for one example. My grandfather couldn't relieve himself without a catheter during the last year of his life.

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

#168

Earlier quoted context omitted.

The NHS is garbage. After experiencing them once I took on a private health insurance that cost me £300ish per month. So now my taxes paid for the garbage public healthcare system that I didn’t want, and then I had to pay for the private insurance. Unfortunately most people aren’t that fortunate to be able to easily justify spending extra £300 a month on health insurance so they just cope with the NHS.

Wow, only £300? Private insurance in the US is so much more than that. When you get care, is a portion paid by NHS and the remainder from the private company? Or maybe the existence of NHS puts healthcare costs much less than that in the US.

> When you get care, is a portion paid by NHS and the remainder from the private company?

It’d be NHS if the non-urgent treatment would be immediately available from them (which is basically never), otherwise I’d be sent to a private hospital.

> Or maybe the existence of NHS puts healthcare costs much less than that in the US.

This probably helps, but the US healthcare costs are just fucked for no good reason. I like to look at South Korea as an example of reasonable costs in a healthcare system that’s 100% private (the government just picks up the tab afterwards).

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

#169
post #104
post #92

Earlier quoted context omitted.

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?

It's literally designed to kill bacteria. Funnily enough it does next to nothing against respiratory pathogens like covid which spread through the air not through surfaces.

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

#170
post #152

Earlier quoted context omitted.

Famous case in Brazil: in 1998 a surgeon used cyanoacrylate glue on the heart of a patient: https://www1.folha.uol.com.br/fol/geral/gx055168.htm

Using cyanoacrylate glue is is very common in medicine for skin closure. Doesn’t seem ridiculous to use in other settings.

The point is that most surgeons today would not pull that off, as if it goes wrong their career might end abruptly.

The patient, on the other hand, dies after “attempting all the standard procedures” and nobody is at fault.

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