Actress Natasha Richardson dies after skiing accident - Page 5 - Mercedes-Benz Forum

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post #41 of 135 (permalink) Old 03-19-2009, 06:22 PM Thread Starter
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They were doing their job. The fact that she declined to go to them for treatment has nothing to do with them. They are not in this tragic little loop. Closest would be the first responders who didn't get a chance to do an evaluation.

But, as posted by others, it remained HER call, dumb as it was. I personally think the resort should have required evaluation but that was not done.
Let's see, you smack your head , have a splitting headache an hour later, get admitted to a major hospital where assuming any half intelligent doctor worth his/her MD would tell you there is a possibility of internal hemorraghing and suggest you should have surgery, you would refuse treatment ? That does not seem plausible.

Last edited by mlfun; 03-19-2009 at 06:26 PM.
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post #42 of 135 (permalink) Old 03-19-2009, 06:27 PM
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Does Canada even have a brain surgery center ?
No, they all live in stone houses and have cars propelled by their feet.
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post #43 of 135 (permalink) Old 03-19-2009, 08:23 PM
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Does Canada even have a brain surgery center ?
mlfun..you sure like blabbing for nothing.

The quality of neurosurgeons we have today in North America is partially because of Dr. Wilder Penfield. He also operated on my grandfather after a fall and head strike and saved his life.

The Sacre-Coeur Hospital(the 2nd hospital for Natasha) and the nearest and most capable hospital when coming down from the ski hills, saved my life last year in June as I was rushed from a much smaller Lachute hospital.
Their trauma teams are first notch and I'm sure they did all they could for her.

Too bad that she initially signed against and refused treatment......... as time was everything in her case. Valuable time was lost!!
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post #44 of 135 (permalink) Old 03-19-2009, 08:31 PM
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Let's see, you smack your head , have a splitting headache an hour later, get admitted to a major hospital where assuming any half intelligent doctor worth his/her MD would tell you there is a possibility of internal hemorraghing and suggest you should have surgery, you would refuse treatment ? That does not seem plausible.
Where do you get that story line from? It is inconsistent with the ones that I have read.

Once she got to the hospital, from everything I have read it was too late. She was brought to the US to be turned off life support.

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post #45 of 135 (permalink) Old 03-19-2009, 09:03 PM
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"The cruelest words of tongue or pen,
O what might have been...."

There are people here making blanket statements that are obviously founded in suppositions and lack of facts. There are others making educated guesses. But none of us were there, so we DO NOT KNOW.

When fates' dice roll your number, that's it.
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post #46 of 135 (permalink) Old 03-19-2009, 09:11 PM
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"The cruelest words of tongue or pen,
O what might have been...."

There are people here making blanket statements that are obviously founded in suppositions and lack of facts. There are others making educated guesses. But none of us were there, so we DO NOT KNOW.

When fates' dice roll your number, that's it.
Without question.

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post #47 of 135 (permalink) Old 03-19-2009, 09:19 PM
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Her fate was likely sealed when the first ambulance was turned away. It is unlikely that an incident like this could happen in the U.S. Paramedics should have made contact with the patient and established mental competency and had her sign a release. If she were not competent to sign then she would have been brought to the hospital against her will.

Now precisely which hospital she was taken to at the outset might very well have determined her outcome. I don’t know about Canada but the U.S. has a system of regional trauma centers. The criteria for diversion to a trauma center are based upon a tiered system of evaluations done at the scene. First a physiological assessment and the patient’s level of consciousness are established. Failing to meet these criteria the anatomy of the injury is determined (penetrating trauma to the torso, pelvic fracture etc). Failing this, the mechanism of injury is established (high speed MVA, rollover etc) Finally the existence of secondary criteria, such as advanced age or co-morbid conditions, is documented. The only accepted indication to transfer to the nearest (non trauma) facility would be a situation where active airway management was indicated but could not be accomplished in the field.

Without knowing what, precisely, was found at the scene, it is impossible to judge if she was a candidate for trauma center diversion or how close the nearest trauma center was.

As I’ve mentioned before, any regional trauma center would have been able to manage her epidural hematoma. Not even an operating room is needed for this and in emergent situations with impending brain herniation, trephination can even be done in the emergency department.
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post #48 of 135 (permalink) Old 03-19-2009, 09:57 PM Thread Starter
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mlfun..you sure like blabbing for nothing.

The quality of neurosurgeons we have today in North America is partially because of Dr. Wilder Penfield. He also operated on my grandfather after a fall and head strike and saved his life.

The Sacre-Coeur Hospital(the 2nd hospital for Natasha) and the nearest and most capable hospital when coming down from the ski hills, saved my life last year in June as I was rushed from a much smaller Lachute hospital.
Their trauma teams are first notch and I'm sure they did all they could for her.

Too bad that she initially signed against and refused treatment......... as time was everything in her case. Valuable time was lost!!

No, the case stinks of underlying problems and lack of genuine care in the medical facilities. So what if she initially refused treatment, the doctor's job is to inform the patient of the medical implications of the refusal. The initial refusal is a moot point given that she was admitted a second time to the Canadian health care system.

Here's another clue. If the Montreal hospital is as top notch as you claim, why was the transfer to an American hospital made ? Presumably, the better care in the latter hospital outweighs the risks of transfer and the further delays in treatment.

Last edited by mlfun; 03-19-2009 at 10:00 PM.
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post #49 of 135 (permalink) Old 03-19-2009, 09:59 PM Thread Starter
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Her fate was likely sealed when the first ambulance was turned away. It is unlikely that an incident like this could happen in the U.S. Paramedics should have made contact with the patient and established mental competency and had her sign a release. If she were not competent to sign then she would have been brought to the hospital against her will.

Now precisely which hospital she was taken to at the outset might very well have determined her outcome. I don’t know about Canada but the U.S. has a system of regional trauma centers. The criteria for diversion to a trauma center are based upon a tiered system of evaluations done at the scene. First a physiological assessment and the patient’s level of consciousness are established. Failing to meet these criteria the anatomy of the injury is determined (penetrating trauma to the torso, pelvic fracture etc). Failing this, the mechanism of injury is established (high speed MVA, rollover etc) Finally the existence of secondary criteria, such as advanced age or co-morbid conditions, is documented. The only accepted indication to transfer to the nearest (non trauma) facility would be a situation where active airway management was indicated but could not be accomplished in the field.

Without knowing what, precisely, was found at the scene, it is impossible to judge if she was a candidate for trauma center diversion or how close the nearest trauma center was.

As I’ve mentioned before, any regional trauma center would have been able to manage her epidural hematoma. Not even an operating room is needed for this and in emergent situations with impending brain herniation, trephination can even be done in the emergency department.
Thanks , this is quite informative.

I guess DP's case was evaluated and ranked at the bottom.
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post #50 of 135 (permalink) Old 03-19-2009, 10:11 PM
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Thanks , this is quite informative.

I guess DP's case was evaluated and ranked at the bottom.
What's with DP again?
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