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LAT/AP: Woman dies during flight after being refused help

 
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otterpower

External


Since: Jul 29, 2003
Posts: 115



(Msg. 16) Posted: Tue Feb 26, 2008 12:31 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: rec>travel>air (more info?)

"Mr. Travel" <mtravel.RemoveThis@a.a> wrote in message
news:ZuKdnU_c1MpuiFnanZ2dnUVZ_o7inZ2d@comcast.com...
> Sancho Panza wrote:
>> "John Kulp" <john_kulp.RemoveThis@hotmail.com> wrote in message
>> news:47c32593.637616@news20.forteinc.com...
>>
>>>On Mon, 25 Feb 2008 20:58:35 +0100, Mxsmanic <mxsmanic.RemoveThis@gmail.com>
>>>wrote:
>>>
>>>
>>>>Justin Case writes:
>>>>
>>>>
>>>>>The Times Story notes it was the oxygen equipment aboard the plane.
>>>>
>>>>So the oxygen equipment has not been maintained (if two devices were
>>>>empty).
>>>
>>>By someone. If someone is going to print a story like this they
>>>should tell the whole story.
>>
>>
>> Maybe the airline should be more forthcoming about just what its problem
>> was.
>
> The airline didn't have a problem. There were qualified medical people
> onboard the plane trying to help the woman. She died. People die. She just
> happened to die on a commercial flight.

Right. Had nothing to do with the delay in response. Had nothing to do with
the inadequate oxygen bottles and the late use of the defibrillator.

The doctor at the scene made it clear that he didn't have much to work with.

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Mr. Travel

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Since: Dec 11, 2007
Posts: 555



(Msg. 17) Posted: Tue Feb 26, 2008 12:31 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

Sancho Panza wrote:
> "Mr. Travel" <mtravel.DeleteThis@a.a> wrote in message
> news:ZuKdnU_c1MpuiFnanZ2dnUVZ_o7inZ2d@comcast.com...
>
>>Sancho Panza wrote:
>>
>>>"John Kulp" <john_kulp.DeleteThis@hotmail.com> wrote in message
>>>news:47c32593.637616@news20.forteinc.com...
>>>
>>>
>>>>On Mon, 25 Feb 2008 20:58:35 +0100, Mxsmanic <mxsmanic.DeleteThis@gmail.com>
>>>>wrote:
>>>>
>>>>
>>>>
>>>>>Justin Case writes:
>>>>>
>>>>>
>>>>>
>>>>>>The Times Story notes it was the oxygen equipment aboard the plane.
>>>>>
>>>>>So the oxygen equipment has not been maintained (if two devices were
>>>>>empty).
>>>>
>>>>By someone. If someone is going to print a story like this they
>>>>should tell the whole story.
>>>
>>>
>>>Maybe the airline should be more forthcoming about just what its problem
>>>was.
>>
>>The airline didn't have a problem. There were qualified medical people
>>onboard the plane trying to help the woman. She died. People die. She just
>>happened to die on a commercial flight.
>
>
> Right. Had nothing to do with the delay in response. Had nothing to do with
> the inadequate oxygen bottles and the late use of the defibrillator.
>
> The doctor at the scene made it clear that he didn't have much to work with.
>
>

There was nothing wrong with the ozygen bottle or the defibrillator.
They weren't used, because the medical peresonal didn't believe they
were the best course of action.

A defibrillator is used restore normal sinus rhythm to start one that
has stopped. The woman had neither problem.

Additionally, just because the woman or her relatives thought giving her
pure oxygen might help, the MEDICAL PROFESSIONALS felt otherwise.

She had more care available on that plane then she would have had most
anywhere else she might have been.

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John Kulp

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Since: Jun 30, 2007
Posts: 657



(Msg. 18) Posted: Tue Feb 26, 2008 6:01 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

On Tue, 26 Feb 2008 12:31:11 -0500, "Sancho Panza"
<otterpower.RemoveThis@xhotmail.com> wrote:

>
>"Mr. Travel" <mtravel.RemoveThis@a.a> wrote in message
>news:ZuKdnU_c1MpuiFnanZ2dnUVZ_o7inZ2d@comcast.com...
>> Sancho Panza wrote:
>>> "John Kulp" <john_kulp.RemoveThis@hotmail.com> wrote in message
>>> news:47c32593.637616@news20.forteinc.com...
>>>
>>>>On Mon, 25 Feb 2008 20:58:35 +0100, Mxsmanic <mxsmanic.RemoveThis@gmail.com>
>>>>wrote:
>>>>
>>>>
>>>>>Justin Case writes:
>>>>>
>>>>>
>>>>>>The Times Story notes it was the oxygen equipment aboard the plane.
>>>>>
>>>>>So the oxygen equipment has not been maintained (if two devices were
>>>>>empty).
>>>>
>>>>By someone. If someone is going to print a story like this they
>>>>should tell the whole story.
>>>
>>>
>>> Maybe the airline should be more forthcoming about just what its problem
>>> was.
>>
>> The airline didn't have a problem. There were qualified medical people
>> onboard the plane trying to help the woman. She died. People die. She just
>> happened to die on a commercial flight.
>
>Right. Had nothing to do with the delay in response. Had nothing to do with
>the inadequate oxygen bottles and the late use of the defibrillator.
>
>The doctor at the scene made it clear that he didn't have much to work with.

That's right you moron. It had nothing to do with any of those things
according to news reports. They didn't delay anything. They had 12
functioning bottles of oxygen on board and several doctors as well who
treated her. She just died you moron. You're not one for getting
your facts straight are you?
 >> Stay informed about: LAT/AP: Woman dies during flight after being refused help 
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Sancho Panza

External


Since: May 25, 2007
Posts: 3



(Msg. 19) Posted: Tue Feb 26, 2008 7:00 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

On Feb 26, 1:22 pm, "Mr. Travel" <mtra... DeleteThis @a.a> wrote:
> Sancho Panza wrote:
> > "Mr. Travel" <mtra... DeleteThis @a.a> wrote in message
> >news:ZuKdnU_c1MpuiFnanZ2dnUVZ_o7inZ2d@comcast.com...
>
> >>Sancho Panza wrote:
>
> >>>"John Kulp" <john_k... DeleteThis @hotmail.com> wrote in message
> >>>news:47c32593.637616@news20.forteinc.com...
>
> >>>>On Mon, 25 Feb 2008 20:58:35 +0100, Mxsmanic <mxsma... DeleteThis @gmail.com>
> >>>>wrote:
>
> >>>>>Justin Case writes:
>
> >>>>>>The Times Story notes it was the oxygen equipment aboard the plane.
>
> >>>>>So the oxygen equipment has not been maintained (if two devices were
> >>>>>empty).
>
> >>>>By someone. If someone is going to print a story like this they
> >>>>should tell the whole story.
>
> >>>Maybe the airline should be more forthcoming about just what its problem
> >>>was.
>
> >>The airline didn't have a problem. There were qualified medical people
> >>onboard the plane trying to help the woman. She died. People die. She just
> >>happened to die on a commercial flight.
>
> > Right. Had nothing to do with the delay in response. Had nothing to do with
> > the inadequate oxygen bottles and the late use of the defibrillator.
>
> > The doctor at the scene made it clear that he didn't have much to work with.
>
> There was nothing wrong with the ozygen bottle or the defibrillator.
> They weren't used, because the medical peresonal didn't believe they
> were the best course of action.

It seems that was a decision by the crew. If there was nothing wrong
with the oxygen bottle, why did they try to use the second one?

>
> A defibrillator is used restore normal sinus rhythm to start one that
> has stopped. The woman had neither problem.

Sinus seems off target:

Why a defibulator is needed
Sudden cardiac arrest (SCA) usually happens without warning and the
majority of people have no previously recognized symptoms of heart
disease. For the best chance of survival from SCA caused by VF, a
defibulator should be used within 5 minutes. Yet, less than 1 in 20
people survive largely because a defibulator does not arrive in time.

http://www.heartstarthome.com/us/2/defibulator.html



A defibrillator is used to restore a normal heart rhythm by delivering
an electrical shock to the heart when the heartbeat is dangerously
fast due to ventricular tachycardia or ventricular fibrillation.
Either of these conditions can be life-threatening, possibly causing
the heart to abruptly cease pumping blood to the body (cardiac
arrest), leading to sudden cardiac death.

At one point, defibrillators were used only by physicians in a
hospital. However, recent technological advances have allowed people
with minimal medical training to use automatic external defibrillators
(AEDs) in an emergency The conduction system is the system by which
electrical impulses pace the heartbeat (heart rate).when medical
professionals are not present. Studies have shown that use of public
access defibrillators (PADs) within moments of collapse significantly
raises the survival rate from cardiac arrest and increases the
likelihood of a meaningful recovery. Based on these studies, the
American Heart Association has endorsed the use of PADs.

http://yourtotalhealth.ivillage.com/defibrillator.html


> Additionally, just because the woman or her relatives thought giving her
> pure oxygen might help, the MEDICAL PROFESSIONALS felt otherwise.

Obviously they didn't if they adminstered the treatment after all. >
> She had more care available on that plane then she would have had most
> anywhere else she might have been.

That is why flying is recommended so highly when one is going to have
an infarction.
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Sancho Panza

External


Since: May 25, 2007
Posts: 3



(Msg. 20) Posted: Tue Feb 26, 2008 7:04 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

On Feb 26, 1:01 pm, john_k....DeleteThis@hotmail.com (John Kulp) wrote:
> On Tue, 26 Feb 2008 12:31:11 -0500, "Sancho Panza"
>
>
>
> <otterpo....DeleteThis@xhotmail.com> wrote:
>
> >"Mr. Travel" <mtra....DeleteThis@a.a> wrote in message
> >news:ZuKdnU_c1MpuiFnanZ2dnUVZ_o7inZ2d@comcast.com...
> >> Sancho Panza wrote:
> >>> "John Kulp" <john_k....DeleteThis@hotmail.com> wrote in message
> >>>news:47c32593.637616@news20.forteinc.com...
>
> >>>>On Mon, 25 Feb 2008 20:58:35 +0100, Mxsmanic <mxsma....DeleteThis@gmail.com>
> >>>>wrote:
>
> >>>>>Justin Case writes:
>
> >>>>>>The Times Story notes it was the oxygen equipment aboard the plane.
>
> >>>>>So the oxygen equipment has not been maintained (if two devices were
> >>>>>empty).
>
> >>>>By someone. If someone is going to print a story like this they
> >>>>should tell the whole story.
>
> >>> Maybe the airline should be more forthcoming about just what its problem
> >>> was.
>
> >> The airline didn't have a problem. There were qualified medical people
> >> onboard the plane trying to help the woman. She died. People die. She just
> >> happened to die on a commercial flight.
>
> >Right. Had nothing to do with the delay in response. Had nothing to do with
> >the inadequate oxygen bottles and the late use of the defibrillator.
>
> >The doctor at the scene made it clear that he didn't have much to work with.
>
> That's right you moron. It had nothing to do with any of those things
> according to news reports. They didn't delay anything. They had 12
> functioning bottles of oxygen on board and several doctors as well who
> treated her. She just died you moron. You're not one for getting
> your facts straight are you?

Ignoring the ranting name-calling of someone who obviously has an ever-
so-important agenda, here are some of the facts that the above
"according to news reports" sees to fit to include:

Woman Dies On Flight From Haiti To New York
Airline Investigation Disputes Cousin's Account
NEW YORK (CBS) -- American Airlines on Monday insisted it tried to help
a passenger who died after complaining she couldn't breathe, and
disputed the account of a relative who said that she was denied oxygen
and that medical devices failed.

The airline said the oxygen tanks and a defibrillator were working and
noted that several medical professionals on the flight, including a
doctor, tried to save passenger Carine Desir, 44, who had heart
disease.

"American Airlines, after investigation, has determined that oxygen
was administered on the aircraft, and it was working, and the
defibrillator was applied as well," airline spokesman Charley Wilson
said Monday.

Desir had complained of not feeling well and being very thirsty on the
Friday flight home from Port-au-Prince, Haiti, after she ate a meal,
according to Antonio Oliver, a cousin who was traveling with her and
her brother, Joel Desir. A flight attendant gave her water, he said.

A few minutes later, Desir said she was having "trouble breathing" and
asked for oxygen, but a flight attendant twice refused her request,
Oliver said.

"Don't let me die," he recalled her saying.

He said other passengers aboard Flight 896 became agitated over the
situation, and the flight attendant, apparently after phone
consultation with the cockpit, tried to administer oxygen from a
portable tank and mask, but the tank was empty.

Oliver said two doctors and two nurses were aboard and tried to
administer oxygen from a second tank, which also was empty. Desir was
placed on the floor, and a nurse tried CPR, Oliver said. A
defibrillator, which he called a "box," also was applied but didn't
function effectively, he said.

Oliver said he then asked for the plane to "land right away so I can
get her to a hospital," and the pilot agreed to divert to Miami, 45
minutes away. But during that time Desir collapsed and died, Oliver
said.

"Her last words were, 'I cannot breathe,"' he said.

There were 12 oxygen tanks on the plane and the crew checked them
before the flight took off to make sure they were working, Wilson
said. He said at least two were used on Desir.

The Federal Aviation Administration requires commercial flights to
carry no fewer than two oxygen dispensers. The main goal of the rule
is to have oxygen available in the event of a rapid cabin
decompression, but it can also be used for other emergencies. It is up
to the airlines to maintain the canisters.

Flight attendants are trained not to automatically give oxygen to
every passenger who requests it but instead use airline criteria to
judge when it's needed, said Leslie Mayo, a spokeswoman for the union
representing American's attendants.

Wilson said Desir's cousin flagged down a flight attendant and said
the woman had diabetes and needed oxygen. "The flight attendant
responded, 'OK, but we usually don't need to treat diabetes with
oxygen, but let me check anyway and get back to you."'

Wilson said the employee spoke with another flight attendant, and both
went to Desir within one to three minutes.

"By that time the situation was worsening, and they immediately began
administering oxygen," he said.

Wilson said the defibrillator was used but that the machine indicated
Desir's heartbeat was too weak to activate the unit.

http://wcbstv.com/topstories/Woman.dies.midflight.2.661889.html
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Mxsmanic

External


Since: Jul 21, 2005
Posts: 1881



(Msg. 21) Posted: Tue Feb 26, 2008 7:25 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

Sancho Panza writes:

> Right. Had nothing to do with the delay in response. Had nothing to do with
> the inadequate oxygen bottles and the late use of the defibrillator.

Aircraft are vehicles used for transportation, not hospitals.

> The doctor at the scene made it clear that he didn't have much to work with.

See above.

If she had died at work, would it be the office's fault that it didn't have
crash carts or operating theaters? If she had died at a hotel, would it have
been the hotel's fault that it wasn't similarly equipped?

Some types of death come very swiftly, and even if a victim is already in the
hospital, that may not help.
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Mxsmanic

External


Since: Jul 21, 2005
Posts: 1881



(Msg. 22) Posted: Tue Feb 26, 2008 7:25 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

Mr. Travel writes:

> It doesn't matter. The AA oxygen didn't have a problem. It is too bad
> people rush into ideas based on the initial reports. The followup
> reports show a much different story.

It's too bad that journalists make reports without checking all the facts.
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drmorrisnospam

External


Since: Jul 29, 2003
Posts: 422



(Msg. 23) Posted: Tue Feb 26, 2008 7:25 pm
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

On Tue, 26 Feb 2008 20:20:37 +0100, Mxsmanic <mxsmanic.RemoveThis@gmail.com>
wrote:


>It's too bad that journalists make reports without checking all the facts.

Unfortunately this isn't the first or only instance of it happening.

But I imagine the trial lawyers have made their presence known to the
family.
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Mr. Travel

External


Since: Dec 11, 2007
Posts: 555



(Msg. 24) Posted: Wed Feb 27, 2008 7:10 am
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

Sancho Panza wrote:

>
> Sinus seems off target:

Why? Are you saying an AED is NOT used to restore sinus rhythm?

See http://www.cintas.com/PDF/FirstAidSafety/Trainer_AED_manual_DAC-515E.pdf

Page 4, Table 3.1, ITEM #1 in the table
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LVTravel

External


Since: Aug 25, 2006
Posts: 59



(Msg. 25) Posted: Wed Feb 27, 2008 7:16 am
Post subject: Re: LAT/AP: Woman dies during flight after being refused help [Login to view extended thread Info.]
Archived from groups: per prev. post (more info?)

"Brian" <drmorrisnospam.TakeThisOut@comcast.net> wrote in message
news:uft6s3lbb429js8kuh0io2a9euul28k82c@4ax.com...
> On 25 Feb 2008 21:14:33 GMT, James Robinson <wascana.TakeThisOut@212.com> wrote:
>
>
>>There's more to the story than was originally presented by the cousin.
>>
>>The passenger was diabetic, and had a heart condition.
>>
>>American says that when the flight attendant was told of the problem, she
>>went to the senior attendant, and both returned to help the passenger,
>>after notifying the captain. Both oxygen cylinders they used were working
>>properly, and that there are twelve cylinders on that type of aircraft to
>>choose from. They said that when they tried the automatic defibulator, it
>>told them that the person's pulse was too weak to sense, and would
>>therefore not fire off.
>>
>>The flight was about to divert to Miami, but there were a doctor and two
>>nurses on the aircraft that attended to the passenger, and the doctor
>>declared the passenger dead, so they continued to New York City instead.
>
> I saw Pauline Frommer on TV tonight. She also said that there were a
> number of oxygen cylinders but that the doctor(s?) elected to use the
> bag manually to try to get more oxygen in.
>
> She said that the defibrillator detected an adequate pulse so it
> didn't defibrillate. I'm not sure if that is true or if didn't detect
> any pulse.
>
> I saw some relatives of the deceased on TV and they didn't seem
> particularly knowledgeable about medical devices.

AEDs only read electrical energy, they don't detect pulses. An AED is
placed on a person only if there is no pulse felt by the rescuer (or in the
case of an AHA Heartsaver trained person if they are not breathing.) This
can be difficult in an airplane or any other moving vehicle. Even if
properly applied and used, an AED won't shock every patient it is placed on
as there are only two electrical rhythms within the heart that is "allowed"
to shock by it's programming. If the electrical pattern in the heart is
different than those two rhythms it won't shock and the only recourse is to
provide CPR. Any other treatment for those that it doesn't shock are drugs
which attempt to excite the heart to restore electrical activity or produce
a stronger pulse.

I teach CPR/AED use to lay and professional people and also use them in the
course of my profession. I also teach emergency medical technician programs
in my home state.

As for the "bag" used by the physician, I would like to know what type of
bag was actually used. If this was a Bag-Valve-Mask unit, either hooked up
to supplemental oxygen or just using "room air", this would have been
preferable than just using a flow device on a person that was not breathing
or not breathing adequately as may have been the case here.
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