Ontario Considering HEMS and a good cold water save of a child

VentMedic

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This news article is sort of a follow up to Natasha Richardson's accident and the Canadian HEMS situation. It also has an interesting story of survival by a child after a cold water near-drowning. I do hope their statements of waking up and recovering well are pointing to a good quality of life.

http://thechronicleherald.ca/Canada/1118535.html

Good timing provided chopper that rescued boy
Sat. Apr 25 - 4:46 AM

WINNIPEG — An eight-year-old boy’s against-all-odds survival is being credited in part to some very fortunate timing.

Samuel Gross was submerged in nearly freezing water for 20 minutes about two weeks ago before he was pulled out by a relative. He was then airlifted to a Winnipeg hospital by a helicopter ambulance not normally available in Manitoba.

++++++++++++++++++++++++++
Once he arrived at Winnipeg’s Children’s Hospital from the remote colony, doctors performed CPR for two hours before his heart started beating. He remained in a coma for 13 days before he woke up Wednesday. His father, Robert Gross, has called Samuel’s survival a miracle and says he is recovering well.

Chopper critical: paramedics

Cold winters, no helio-pads may be obstacles: minister

http://www.winnipegfreepress.com/lo...al-paramedics-43866762.html?viewAllComments=y
 
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I love those stories, but I do want to point out that it was "just" 20 minutes, in near freezing water, for an 8 year old boy that survived only because of the helo and hours of intense resuscitative efforts. Even then (while I hope it is all good, the reality is that brain damage and other permanent disabilities may be possible.

I only point this out because these are realities that the public don’t understand. We all know that prolonged submersion victims have poor survival rates and that it is only in very rare circumstances where “the stars align” that “long time” submersion victims survive.

We had a drowning victim 2 summers ago in our counties high country. 40 year old Iraq Veteran goes under the 60 degree F water in a small pond at 6,000 feet. He is under for about 5 minutes before 911 is called. Volunteer FFs show up 15 minutes later. Ambulance is another 15 minutes behind them. Neither have dive capabilities. I (and several other team members) show up about 45-60 minutes post drowning. The Teams Dive equipment is still another 60 minutes behind us. By the time we retrieve the remains it has been 2 ½ hours. The family was present (on vacation) and one person in particular was furious with us because we (EMTs, Medics, and Coroners) refused to initiate CPR. He was so mad that he threatened to do it himself and even got boarderline violent (another reason SAR responds with Deputies). Common grieving reaction that was based solely on his reading of a case (we have all heard this one) where someone was revived after being submerged for over an hour. “Why won’t you give my son-in-law the same fighting chance?” Obviously we know that his age, combined with the warmer water, combined with the down time, combined with the rigor, made revival stupid to even try. And the reality is that those rare cases where people are revived after being under for 15, 20, 30, 60 minutes are only due to a “fortunate” set of circumstances. And even then “recovery” is a subjective term. Yes they get the beat beating again. But, secondary conditions often claim those lives soon after or leave them severally debilitated. If I am not mistaken, and correct me if I am wrong (articles please), but that one really publicized case of that boy surviving a 60-70 minutes submersion resulted in his death a week later in the ICU from respiratory related complications.

Great story when someone survives. I hope he makes a full recovery. I just hate it that cases like this give others hope when there is little to be had with prolonged submersion victims.
 
My apologies for a misleading title which I copied off of a news feed.

Apparently Ontario has a very large helicopter and fixed wing service.

Manitoba is probably the area being discussed.

As far as cold water submersion, except in the very far north, there are very few bodies of water in the U.S. that can chill a person quick enough to a temperature adequate to preserve the brain as described here.

About 20+ years ago, there was a miraculous story in one of the northern states similar to this. It was then that some EMS agencies decided to try hypothermia treatment in the field. However, the methods for chilling the person were primitive and failed to accomplish the goal of preserving the brain.
 
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Interesting. In my neck of woods they don't airlift patients in cardiar arrest.
Is it a Canadian thing, or some US HEMS services do it too?
 
Just a little update on the Samuel Gross situation in Manitoba...

Tonight I attended a STARS seminar and the presenter was one of the pilots that attended that call. He said he talked to the father a couple days ago and he will be back at school next week.

Sounds like he is doing fine so far.

CM
 
Wow, that's great.

I'm always amazed at how resilient children can be.
 
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