(no subject)

[Guest guest]

This is worth passing along, if for discussion only....

-Wes Ogilvie

Austin, Texas

UK doctor questions 's treatment

By THOMAS WAGNER, Associated Press WriterMon Nov 19, 4:40 PM ET

Princess might have survived a 1997 car crash if French medics had

brought her to a hospital faster, a leading British surgeon told an inquest into

her death Monday.

Dr. Treasure, a former president of the European Association for

Cardio-thoracic Surgery, said the medics did " very substantial good " in the

initial period after the accident but that once was in the ambulance, time

began " slipping away. "

Dr. Treasure, who was asked to review records of the treatment given to

for coroner Lord Justice Baker, conceded the princess' internal

injuries were serious. But he said it was theoretically possible she might have

been saved.

He discussed what he called a difference between the French approach to

victims of multiple injuries, which favors treatment by doctors at the scene,

and

the British approach of transporting patients to a hospital as quickly as

possible.

died after the Mercedes she was riding in slammed into a pillar in the

Pont de l'Alma tunnel in Paris while being pursued by paparazzi on the night

of Aug. 31, 1997.

The crash also killed 's boyfriend, Dodi Fayed, and their driver Henri

. French and British police have concluded that , the acting security

chief at the Ritz Hotel in Paris, was well over the legal alcohol limit when

the accident occurred.

Witnesses have testified that suffered massive internal bleeding

because of a rupture to a pulmonary vein attached to her heart and the casing of

the heart itself.

After being removed from the badly damaged vehicle, she had an apparent

cardiac arrest and was given heart massage and stabilized before being put into

the ambulance and treated there.

The accident occurred about 12:25 a.m. But it was not until 1:40 a.m. that

she was considered stable enough to be taken to a French hospital across Paris,

where she arrived at 2:06 a.m.

The ambulance went slowly to avoid destabilizing the princess and stopped for

about five minutes near the hospital when 's blood pressure needed

stabilizing, the inquest has been told.

In other testimony Monday, French Dr. Andre Lienhart said was so

agitated as medics first treated her that she tore out an intravenous drip

medics

inserted into her arm.

Despite efforts by a surgeon at the hospital and by one of France's top

cardio-thoracic surgeons, Dr. Alain Pavie, who was called in from home, efforts

to save ended at 4 a.m.

Treasure said might have survived if the journey to the hospital had

been faster, a specialist team had been on standby at the hospital when she

arrived and a surgeon had opened up 's chest from the front rather than the

side. He also questioned the large doses of Adrenalin given to her at the

hospital.

" That's my analysis, " he said of 's treatment. " They (the medics) had

done a lot of good in that first half hour, but from there the next big amount

of good that could be done required a surgeon. "

Hilliard, a lawyer at the inquest, asked: " Is it your view that part

of that time, the essential period, was squandered? "

" It's a hard word, isn't it? But I think opportunities were lost, " Treasure

said. " When I pick through this with the benefit of hindsight (and ask) 'Was

this recoverable?' the answer is 'Yes, it just about was'. "

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[Guest guest]

Who's to blame. It will always fall on the lowest part of to totum pole.

Stan Brandt CCEMT-P,CISM,FPC

Director of EMS

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(no subject)

This is worth passing along, if for discussion only....

-Wes Ogilvie

Austin, Texas

UK doctor questions 's treatment

By THOMAS WAGNER, Associated Press WriterMon Nov 19, 4:40 PM ET

Princess might have survived a 1997 car crash if French medics had

brought her to a hospital faster, a leading British surgeon told an inquest into

her death Monday.

Dr. Treasure, a former president of the European Association for

Cardio-thoracic Surgery, said the medics did " very substantial good " in the

initial period after the accident but that once was in the ambulance, time

began " slipping away. "

Dr. Treasure, who was asked to review records of the treatment given to

for coroner Lord Justice Baker, conceded the princess' internal

injuries were serious. But he said it was theoretically possible she might have

been saved.

He discussed what he called a difference between the French approach to

victims of multiple injuries, which favors treatment by doctors at the scene,

and

the British approach of transporting patients to a hospital as quickly as

possible.

died after the Mercedes she was riding in slammed into a pillar in the

Pont de l'Alma tunnel in Paris while being pursued by paparazzi on the night

of Aug. 31, 1997.

The crash also killed 's boyfriend, Dodi Fayed, and their driver Henri

. French and British police have concluded that , the acting security

chief at the Ritz Hotel in Paris, was well over the legal alcohol limit when

the accident occurred.

Witnesses have testified that suffered massive internal bleeding

because of a rupture to a pulmonary vein attached to her heart and the casing of

the heart itself.

After being removed from the badly damaged vehicle, she had an apparent

cardiac arrest and was given heart massage and stabilized before being put into

the ambulance and treated there.

The accident occurred about 12:25 a.m. But it was not until 1:40 a.m. that

she was considered stable enough to be taken to a French hospital across Paris,

where she arrived at 2:06 a.m.

The ambulance went slowly to avoid destabilizing the princess and stopped for

about five minutes near the hospital when 's blood pressure needed

stabilizing, the inquest has been told.

In other testimony Monday, French Dr. Andre Lienhart said was so

agitated as medics first treated her that she tore out an intravenous drip

medics

inserted into her arm.

Despite efforts by a surgeon at the hospital and by one of France's top

cardio-thoracic surgeons, Dr. Alain Pavie, who was called in from home, efforts

to save ended at 4 a.m.

Treasure said might have survived if the journey to the hospital had

been faster, a specialist team had been on standby at the hospital when she

arrived and a surgeon had opened up 's chest from the front rather than the

side. He also questioned the large doses of Adrenalin given to her at the

hospital.

" That's my analysis, " he said of 's treatment. " They (the medics) had

done a lot of good in that first half hour, but from there the next big amount

of good that could be done required a surgeon. "

Hilliard, a lawyer at the inquest, asked: " Is it your view that part

of that time, the essential period, was squandered? "

" It's a hard word, isn't it? But I think opportunities were lost, " Treasure

said. " When I pick through this with the benefit of hindsight (and ask) 'Was

this recoverable? ' the answer is 'Yes, it just about was'. "

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