General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region Forums********* BREAKING *********CARRIE FISHER HAS DIED
I wish this year would end already.
RIP
no_hypocrisy
(46,083 posts)and Gary.
Response to DemocratSinceBirth (Original post)
mnhtnbb This message was self-deleted by its author.
DemocratSinceBirth
(99,710 posts)mnhtnbb
(31,384 posts)no_hypocrisy
(46,083 posts)mnhtnbb
(31,384 posts)Nothing on CNN or The Guardian.
no_hypocrisy
(46,083 posts)femmocrat
(28,394 posts)Ms. Toad
(34,062 posts)It is pretty unlikely for someone to come back from such a long period on CPR. Help, unfortunately, was too far away. I've been expecting this news.
What blows my mind is that there apparently was not an AED on the plan - those do more than just keep oxygen circulating (the primary goal of CPR).
ETA: It especially blows my mind since apparently commercial planes in the US are required to carry them: http://www.aed.com/blog/aircraft-aeds-keeping-your-heart-safe-in-the-air/
ETA part 2: Even more curious - she was on a United Airlines flight that, according to this article, was required to have an AED on board: "The rule applies to all airplanes flying domestic and international flights that weigh more than 7,500 pounds each and have at least one flight attendant. The airlines will have 3 years to comply with the newrule."
Maru Kitteh
(28,339 posts)be used.
I base this on two critical pieces of information.
1) Early reports said she suffered "full cardiac arrest" on the plane. That is very specific language that tells me some manner of monitoring was available in flight, i.e., the AED device. If a person is "flatlined" or does not have any kind of shockable rhythm, the AED device will simply prompt you to continue manual CPR.
2) Reports said when emergency personnel arrived they continued CPR for another 15 minutes before detecting a pulse. They certainly had an AED available. This tells me that the reports of "full cardiac arrest" were correct.
AED's are not magical devices that can save everyone. They are very useful tools for certain situations, to prevent some heart attacks from progressing to cardiac arrest and death, but not all MI's are the same. Often times old-fashioned manual CPR is the best we can do, and the odds are unfortunately long, especially when talking about the amount of time faced by Ms. Fisher without adequate perfusion.
Ms. Toad
(34,062 posts)An AED would be unlikely to have helped. That doesn't mean that one would not have been useful 25-30 minutes earlier
I have searched, and have not seen any mention (even on twitter or on boards frequented by airline employees) that an AED was available - or attempted. As you correctly indicate - it will sometimes tell you not to us it. But it can't do that until you largely strip the person and attach the electrodes. That process is certainly something that would have been noticed and mentioned by someone - for example - the individuals who reported that she was not breathing.
You put more faith in the specific language retroactively describing her condition. I have not seen the phrase "full cardiac arrest" used in connection with the initial incident (as opposed to her state on deplaning - generally unattributed), or by the medical personnel involved in providing care on the plane. (The air traffic communication merely described her as "unresponsive." I have also not seen it used afterward by anyone describing the acute incident, as opposed to her state 10-15 minutes later when she deplaned.
There are several articles connected with her heart attack that expressly discuss AED - but none suggest there was one present, or that any attempt was made to use one on her.
(I am not a medical professional, but I have been trained extensively (as a mandatory responder) and repeatedly in CPR/AED. As I indicated, I have been waiting for this outcome, based on what I know about the reports of using CPR and how long she was out. From the beginning, though, the lack of any mention of an AED has stuck out to me like a sore thumb. I can't imagine a heart incident in which it would not have been appropriate to at least attach the AED in order to evaluate whether it would be useful. Had that happened, I can't imagine that no one commented on it - since it is not a process that would have been invisible.)
Maru Kitteh
(28,339 posts)As did TMZ.
There is more evidence supporting the presence of an AED on the plane than suggesting it was not. Indeed, I think the absence of an AED on board would have been especially noteworthy and would have been reported and widely decried.
Edited to add: Owing to a 2004 law with a three-year compliance window, the airline would have been in violation of the law - and you can be absolutely certain that would have been WIDELY reported in a high-profile death like this.
As I said before, they are very useful tools in the right circumstances, but they are not magical machines that can save everyone. Not all MI's are created equal.
Ms. Toad
(34,062 posts)I'm not suggesting it was not reported in popular media as a "full cardiac arrest," or even that that phrase might not have been accurate by the time the plane landed. I have just seen no attribution of that description to anyone at all involved in the immediate aftermath, with enough medical training to understand what it means and to use the phrase correctly.
Legal decisions (my field) are routinely described incorrectly, because neither people in the media, nor lay people, understand the nuances of legal language. I also have way too much nonprofessional experience with medical maladies to know that many of them are also misreported. So the kind of nuance in medical language you are describing ("full cardiac arrest" as opposed to cardiac arrest or nonresponsive or heart attack) is not something I would expect the media to get right - absent indication they are quoting someone with medical training who was involved as a first responder in the immediate aftermath of the acute incident.
What evidence supports the presence of an AED on the plane? Getting someone in a crowded plain in the position to attach the electrodes, stripping someone down so that bare skin on both the front and back of the torso is available for attachment, attaching the electrodes, and the mechanical voice of the AED device are things that would be noticeable for several rows - at a minimum. Not a word, that I can find. I've looked for it, and can't find any evidence at all that there was one on board or used - I looked because the only mention of care I heard about was CPR, and it struck me as odd that no AED was involved.
Since it is a perfect teaching moment, I would have expected an AED to be mentioned - at a minimum - in the many articles using the incident (generally) to teach about heart attacks and the means to survive them (including the use of an AED).
Maru Kitteh
(28,339 posts)William of Ockham. Occam's razor (or Ockham's razor) is a principle from philosophy. Suppose there exist two explanations for an occurrence. In this case, the simpler one is usually better. Another way of saying it is that the more assumptions you have to make, the more unlikely an explanation is.
I should add here that I have rendered medical aid on a flight. Earlier this year. An AED was present but neither the device nor CPR were required.
Now, back to Occam's razor. Let's examine the competing scenarios in a logical manner.
AED is present.
Supporting facts:
AEDs are required "no go" equipment on all US commercial aircraft typically carrying 30 passengers or
5. When is an emergency medical kit and an AED required and on what size of aircraft?
The FAA requires AEDs on all airplanes of air carriers operating under part 121 with a maximum payload capacity of more than 7,500 pounds and with at least one flight attendant. Affected airplanes typically would have a capacity for 30 passengers or more requiring at least one flight attendant. The FAA also requires an EMK on all airplanes of air carriers operating
Par 10 Page 1
AC 121-33B 1/12/06
under part 121 for which at least one flight attendant is required. EMKs and AEDs are no-go items and must be carried as indicated on the Minimum Equipment List.
and certainly this section informs us how many are involved with ensuring AEDs are present
4. Who should read this AC?
FAA aviation safety inspectors (cabin safety and operations), part 121 air carrier certificate holders, directors of operations, directors of safety, crewmembers, AED manufacturers and suppliers, EMK suppliers, as well as people involved in the development of air carrier procedures and training programs. This AC may also be valuable to people associated with operations under 14 CFR part 125, part 135, and subpart K of part 91 (fractional ownership programs).
Assumptions required:
* The airline/flight was in compliance and an AED was present
* The AED was not used owing to patient condition (all accounts report at least one trained medical professional on board, so failure to use the AED is not a plausible explanation)
AED is not present
supporting facts:
none
Assumptions required:
* The airline chose not to comply or enforce compliance with the law OR
* The flight crew chose to ignore the absence of an AED on the pre-flight checklist
* The flight crew did not report or leak to the press the absence of this required item following an on-board medical emergency involving a very famous person
* The medical personnel did not report or leak to the press the absence of this common equipment following a medical emergency involving a very famous person
* None of the many reporters and journalists reporting on this story thought to inquire as to whether an AED was present on board, or they are also somehow involved with being silent
* Family and/or friends have not inquired about the measures undertaken in flight including use of an AED, or have said nothing about an absence of such equipment
When I rendered aid to a passenger, I was thoroughly impressed with the efficient and quiet manner with which the attendants afforded the patient with space and privacy. Your scenario of presumably dragging Ms. Fisher into open view and stripping her bare in full view of the passengers sounds more like a movie scene than what I have witnessed.
Also: Defibrillator pads are not normally place on the back of the torso of an adult patient.
Ms. Toad
(34,062 posts)That means the scenario was not analagous to a situation when one is needed.
Few forms of rendering medical aid in non-physical injury situations are as intrusive/require as much positioning (including the ability to ensure that no one is in contact with the person who experienced a heart attack prior to using an AED. If the AED would be helpful, you need to ensure the person is in a location from which she would not need to be moved between testing and applying a shock). Obviously there were people close enough to be aware she stopped breathing. People that close would also be close enough to see an AED being used, and would be at least as likely to mention the use of an AED as they were to mention she was not breathing.
I just don't buy that an AED was used & not a single report - out of the hundreds - mentioned it, not even in combination with CPR (CPR/AED). Not even the articles that are using this incident to teach about heart attacks and the use of AED.
http://globalnews.ca/news/3147999/heart-failure-cardiac-arrest-heres-what-happened-to-george-michael-carrie-fisher/
http://www.dailykos.com/story/2016/12/24/1614280/-Carrie-Fisher-cardiac-arrest-and-important-facts-to-know-about-heart-emergencies
FWIW, each of the assumptions you say I am making is the flip of one you need to make on your side of the argument - so Ocam's Razor is not terribly instructive here.
Maru Kitteh
(28,339 posts)I understand that people, in the face of some perceived or actual loss often find themselves with a need to have someone or something to blame. When my own nephew died racing a train, his father, an otherwise logical man spent almost two years trying to find some fault with the railroad before he finally came to terms with what was. It was heartbreaking to witness, from beginning to acceptance.
I also know that there are many misconceptions and fantasies that surround the AED. In the movies, people keel over and somebody straps some pads on, yells CLEAR . . . and ZAP! They are pulled from the jaws of death, looking appropriately weary but makeup still intact, on their way to a sentimental, made-for-teevee recovery. Works every time. In the movies.
This notion that you persist with, that you are somehow uniquely attuned to the absence of an AED, requiring that this one plane was somehow not in compliance with a 12 year old law and just happened to be carrying this famous person who just happened to have a massive heart attack, requiring the silence of the FAA who investigates such incidents and would have been notified if no AED were present, requiring the silence of the airline itself, requiring the silence of the airline crew, requiring the silence of the medical personnel on the plane, requiring the silence of the emergency personnel who took over resuscitation efforts, requiring the silence of the medical team who treated her in hospital, requiring the silence of her family, requiring the silence of her legal representatives, requiring the silence of her close friends, requiring the silence of the media . . . . .
It just doesn't hold up.
When I rendered aid, we certainly had ample room to use an AED had it been necessary without the prying eyes of fellow passengers. As I mentioned, the attendants were quite capable and efficient in ensuring makeshift privacy.
Ms. Fisher had a massive heart attack. There are no reports and no evidence exists whatsoever that the airline was negligent in any way. Claims that they were negligent would be extraordinary, and thus would require extraordinary evidence.
Ms. Toad
(34,062 posts)that an AED was present and used appropriately when there was absolutely no mention of it anywhere, in any news reports
It seems you're projecting a bit as to who is emotionally involved in the outcome of this conversation.
Maru Kitteh
(28,339 posts)Ms. Toad
(34,062 posts)Last I checked, commenting on the complete media silence about a device that would have been used - if available - is hardly extraordinary.
Enjoy your wait.
Maru Kitteh
(28,339 posts)Your claim that a US airliner was negligent and did not have the device at hand, requiring a conspiracy of silence by dozens at the very least including the FAA, the family of Ms. Fisher, all involved staff and medical personnel AND the media is quite extraordinary. I will wait because of course the proposition was rhetorical and no evidence exists.
jmowreader
(50,555 posts)http://abcnews.go.com/Entertainment/star-wars-actress-carrie-fisher-dies-60/story?id=44374512&cid=clicksource_4380645_1_hero_headlines_bsq_image
http://www.cbsnews.com/news/carrie-fisher-iconic-star-wars-princess-leia-dead-at-60/
http://www.nbcnews.com/news/us-news/star-wars-actress-carrie-fisher-dies-60-after-suffering-heart-n699641
While we're at it, let's see Ms. Fisher in her most iconic role...
mainstreetonce
(4,178 posts)Very talented . A tragic loss
Zoonart
(11,850 posts)Goodnight sweet princess and flights of angles wing thee to thy rest.
MFM008
(19,805 posts)mnhtnbb
(31,384 posts)It never sounded good. Massive heart attack. No report of emergency surgery for bypass or shunts...
stable only means "no change". No one ever reported she was awake or alert.
Could 2016 get any worse?
MFM008
(19,805 posts)there are 4 days left.
mnhtnbb
(31,384 posts)from their mortal coils have a chance to slip them!
behind that thought.
stonecutter357
(12,695 posts)nini
(16,672 posts)This one bothers me like John Ritter's death did. I rarely feel a celebrity's death like this but this one hurts.
yeoman6987
(14,449 posts)Such a sad death and Carrie to with her mom still alive. Nobody deserves to bury a child.
Having grown up with Debbie Reynolds movies etc.. and Carrie being my age - it feels like family. My heart breaks for her mom.
lpbk2713
(42,753 posts)She seemed like a positive genuine person from what I saw of her on talk shows.
Condolences to her family and friends.
Initech
(100,063 posts)Are_grits_groceries
(17,111 posts)will drink a toast to her!
RIP....
sheshe2
(83,746 posts)pressbox69
(2,252 posts)Seems like only yesterday she was seducing Warren Beatty in Shampoo. RIP.
octoberlib
(14,971 posts)irisblue
(32,968 posts)Gothmog
(145,130 posts)Siwsan
(26,259 posts)Liberal In Texas
(13,548 posts)ismnotwasm
(41,976 posts)NastyRiffraff
(12,448 posts)But not unexpected. It never sounded good after her heart attack. Peace to her family and friends.
RBInMaine
(13,570 posts)nycbos
(6,034 posts)mcar
(42,302 posts)SticksnStones
(2,108 posts)and diary the experience, well, it certainly was her.
I wanted to read that book so badly.
Ilsa
(61,694 posts)The newsreader spoke of her in the past tense before announcing death. I was already crying from the movie.
Rest in Peace, Ms. Fisher.
roamer65
(36,745 posts)USALiberal
(10,877 posts)TlalocW
(15,380 posts)TlalocW
SidDithers
(44,228 posts)On a bit of a spooky note, I'm a fan of British panel shows, and I'm on Youtube tonight catching up on some of the shows I like to watch. I pull up 8 out of 10 Cats, and there's Carrie Fisher on the panel. This was aired Dec 21. This was her final TV appearance.
Be warned, British panel shows are sometimes madness. They're basically anarchy on screen.
She's not in it a lot, but when she is, she's brilliant.
RIP Carrie Fisher. You'll be missed tremendously.
Sid