Also in this playlist...
This transcript is automatically generated
Yes this morning as always doctor -- -- -- chairman of urology at -- -- hospital and she for robotic surgery and doctor Marc Siegel.
Associate professor medicine NYU is lying on medical center -- the author of the inner pulse unlocking the secret code.
Sickness and health doctors good morning.
Europe colleagues in San Cisco must have been and are very busy today mark what do they deal worth.
How do they treat these patients and what's the first priority.
All right on the scene they have to triage in the way that they've been triage in California -- something called start a program they're using.
They first will decide the people that can walk they set aside those people are probably okay in this case there was spinal injuries are you saw on the -- people that -- injured -- they put on boards.
And they taped them literally their their head to the board because they don't want any movement with a spinal injury whatsoever can they -- and they -- -- way to help them breathe.
Is there any bleeding going on and what is their mental status those of the first things you think about -- you know what happens in a situation like this.
People get injured and they don't even know it.
They get thrown about the cabin they may have a head injury that they're not gonna know about right away they're confused where they have a puncture wounds some kind of internal injury that they don't know about.
This clearly going to be a lot of shock involved with this situation emotional problems because it all happened so suddenly without any warning you treat shock.
Well the first thing -- do -- triage people and you and you comfort them you and you let them know that you're there to take care of them and then of course it it seeps and over time.
And -- we've talked about use of medications for this and therapy we've talked about is on the show you -- to -- posttraumatic stress disorder here.
People are gonna need a lot of support but for now.
The -- and what we talked about this with Boston the idea that -- here in San Francisco -- just -- general hospital one of the top and most organized hospitals in the country for something like this.
Chris -- who's ahead in the emergency room their set we pulled out those tents we sort of the triage system already we -- and use those -- he said.
But there -- already ready with what's called surge capacity -- David knows about this having done trauma training writing you this surge capacity -- the emergency room can expand.
And with a hospital has the ability to take care of patients it wasn't expect him.
We have 49 people now in critical condition obviously the focus is on and talk about that -- capacity and what.
Doctors are doing now for laughs so what really happens in a situation like this when you have a crisis to doctors -- -- that this scene you have -- going over there.
General -- -- is coming in from every angle every hospital to be able to assess exactly what's going on the first that comes to mind is that ABC.
That they have to take care of airway breathing circulation that -- should -- everyone is able to breathe there's no active bleeding going on and they are securing their -- What we get which didn't you know this is obviously in San Francisco but usually when you're -- -- trouble -- You -- an emergency call from all of it at the hospital so whether -- orthopedic surgeon urologist general surges -- goes.
Everybody to come on board to the -- -- to burn unit goes up to pediatrics emergency room goes up and also the trop all with very waiting.
For these 49 or even more people to come in.
As the capacity fills up.
The hospital that we are -- that we're going to say we're -- and we can't take anymore.
Course of the next available hospital who's available to take them if he becomes a situation.
Where you have more than a couple hundred people that are injured most -- -- will go up within minutes he's capable to take any kind of -- full patients.
In the troubled look what happens there it is when the patient comes in we look at the vital signs immediately find out if they have breathing.
I think -- we've talked about this a lot of times people quickly -- aren't aren't dressed people look at any kind of injuries broken bones bleeding.
An immediate -- too large by review board's voting to make sure that we have bought and Floyd in case is now a lot of times.
We go through the patient quickly that this is within seconds.
We will know if there's any kind of vital signs that are critical any internal bleeding bruises broken bones.
-- our stable that goes somewhere else for X rays and and if there's a critical patient.
Getting the airway control making sure there's IV fluids and blood available some of these -- the -- to these -- whole team.
Working on the same person -- at the same time to control this kind of traumatic.
Mark I want to ask you could be very important for those doctors to have a family history or know any special conditions that you might have a blood type.
I suppose they could be typed and cross snatched away a negative but in terms of medications -- Is this situation to remind us it might be important to carry in your wallet a medical history -- where bracelet if you need it.
He read my mind than the standard because I was thinking as David was talking that -- -- one point he made about triage you've got to get.
Take care of the sickest first -- one to a most life threatening injuries get -- to the operating room if necessary get them stabilized.
Get the people out of the way that our our stable but then your other point is really important which is.
People need to go on planes with a list of the medications may be with a copy of any KG something about their past because you know what when you're in this kind of stress.
It brings out the heart attacks it brings out some suddenly a problem breathing smoke inhalation is something we haven't mentioned yet if you have asthma.
You're gonna have a problem right away if someone sees something in your wallet that says asthma.
They're gonna -- to respond to that more quickly more information.
The better -- look at look at the top of the -- if we can put the picture again of the black that the whole thing is chart obviously smoke inhalation you only have a certain number of second -- may be -- the minute and a half I've heard Max to get out of a plane like fat.
Well that's what the other previous guests spoke about this to be able to -- -- -- -- -- are and be able to to get that in a timely fashion because time is of the essence.
-- is one of the major risk go over here are also some of the passenger jumped in the water to be able to protect themselves.
The truth of the matter is that that that's an excellent question but in reality.
Not too many people out there are walking around with a copy of very cagey on that list of medications and the entire thing -- you can do it for a week but it's.
If you are critical patient and if you're lucky to Wear one of those necklaces that shows that -- diabetic.
But it in a situation like this you don't need to know exactly what the major medical -- means because.
If you -- you're gonna get the universal negative blood for trying to sergeant.
If you're diabetic we're gonna give you idea IV fluid anyway to make sure that so this is it critical trauma.
-- and from there all the way from internal bleeding etc.
he's going to be -- now.
If we see that says some they did you're giving blood is still the blood pressures are patrolling.
You get a quick cat -- and that patient is on the way to the operating room.
At that point whether your general surgeon.
Urologists were training in exploring the abdomen and others everybody takes their own price is everybody is on the control of the captain of the trauma team.
To be able to carry this coming.
They did an unbelievable job you know this is so important in the information so helpful that we're gonna ask -- today we're gonna come back after a break with more information.
And you know what in my passport I do have that.
Medical and that is you know I have to say that's the great advice.
More great advice is put in a while other room gorgeous -- your -- what mattered just your medications and I think it is communications I can tell us from tonight that is -- us.
Filter by section