Thai baby elephant hit by motorcycle survives after receiving CPR
reuters.com
reuters.com
Despite knowing what to do and it being almost muscle memory at this point, it’s always harrowing to try to bring someone back, and my adrenaline still pumps with a big sigh of relief when her eyes flutter open and she starts crying.
The first time we tried to give her breaths at home we had to call an ambulance and she went back to the NICU for another 6 months. She spent the first 9 months of her life there. She’s actually a pretty normal two year old now aside from not being able to walk, and the breath holding.
Honestly it’s pretty normal at this point for me and my wife so I’m fairly nonchalant about it. Her rate of breath holding has gone way down since we found medication that makes a huge difference. As she gets older it should happen less as her conscious brain becomes better at overriding her emotions. I do what I need to do and if I didn’t compartmentalize I wouldn’t be able to function day to day.
Didn’t really expect to get tone policed on Hacker News though.
https://www.researchgate.net/publication/314160379_Prolonged...
> probably 20 times
20 times is too many. Focusing on the "probably:" my son had some significant health issues a couple years ago, and almost died twice. I remember every detail vividly, like it happened 5 minutes ago.
> 99% of the time we just do the breaths, haven’t had to break a rib yet
If you haven't had to break a rib yet, you just do breaths 100% of the time.
> You just do what you have to do and blow through all the spit
That's the sort of thing you say about strangers, not your kids who have peed and drooled on you countless times, not to mention drank your water and eaten 1/2 your sandwich.
Etc.
As for “blowing through the spit”, most of the time we have a bag and mask and she’s at home, so we’re able to administer breaths without having to use our mouths. My wife does this most of the time, as I work upstairs, and she’ll call me with the alarms we have set up in the house.
When she was born we were told she’d be dead before age one, so I don’t know, I’m somewhat detached from it? She’s two now and doing pretty well, all things considered, although the night nurse had to give her breaths yesterday morning for no discernible reason. Sometimes it just happens.
Maybe you’re right, maybe I wasn’t remembering vividly enough when I recall how a couple weeks ago she got upset and passed out in the back seat, as I frantically pulled over into a grocery store parking lot, trying not to get into an accident, then, looking back at her small body go rigid as she fought back the tears, trying not to hold her breath, realizing I was too late to soothe her, seeing her face turning blue, then pulling her little body out of her car seat trying not to hurt her since her muscles a locked up, and give her breaths in the dark, feeling her go limp as she passes out, getting worried after thirty seconds or so of her not coming back, telling Siri to call 911 and the countdown getting to 1 right as her little eyes flutter open as big as they can, terrified, canceling the 911 cal at the last second, then holding my dear sweet daughter that I love more than anything in the world as she cried, and I cried, and hugging her and telling her everything will be okay, that Daddy is here and won’t let anything happen to her. Then asking her if we should go home so she can rest but, bless her heart she still wanted to go grocery shopping because she loves doing that with her dad. Then she fell asleep on me sitting in the drivers seat, as I looked around for her glasses that I didn’t even remember flinging onto the floor when I plucked her from her seat, trying not to disturb her while I jostle around. Then maybe I misremember the part where I called my wife sobbing, asking her to come drive home with me because I’d made a mistake, it got too dark and I almost killed our kid by not being careful enough (again, I push her more than her mom does). My wife got there, held our darling girl who should be a toddler but can’t even crawl at a few months past 2, but we’re so proud of her for being able to kick her fat little legs, and we abandoned her car for the night and drove home together. So I didn’t get any groceries that day, unfortunately.
It’s pretty difficult to focus on work when you’re “called out” by some stranger on Hacker News who doubts the sincerity of your statements about your child’s disability in the internet. I detach from it because crying while recounting a story (as I am now) makes it difficult to be a software engineer. It makes it difficult to be anything useful. I have to compartmentalize the pain, the doubts, the worries, or I’d never be able to write another line of code. I hope I’ve provided enough evidence to satisfy your doubts, though.
She has myelomeningicele with a chiari II malformation, and PEAC due to the chiari. If you’d like some information I’ve provided some links below. If you were worried that I’m not doing CPR and just provided breaths, fair enough, but there are a thousand ways you could have phrased that which would have been less shitty.
https://www.ortho.wustl.edu/content/Patient-Care/6885/Servic...
https://radiopaedia.org/articles/chiari-ii-malformation?lang...
https://medcraveonline.com/JPNC/peac-prolonged-expiratory-ap...
A proper CPR often fracture ribs at all ages.
Because a stopped heart is infinitely more serious and urgent than broken bones.
"If you haven't heard a crack you are not pumping hard enough" was the rule he went by although they are mostly talking about the sternum but if you hear/feel a rib crack you don't stop. You keep on pumping until a paramedic arrives if you can. A few minutes doing CPR on someone is exhausting. I did 5 minutes on the dummy and after I felt like I was going to pass out.
Thankfully I've never had to use it.
Did a first aid certification 15 years ago in France.
At the end of the course, they told us that based on French law, it is your legal duty if you have the certification to perform first aid when the situation requires it. That is, once you have the certification, if you do not perform a somewhat correct first aid procedure in case of need, you could be charged for "non assistance à personne en danger" (disregarding assistance to endangered person).
It dreads me to this day that I could have to perform such procedure and not remember it.
Luckily I never had to.
It was to compel French citizens to help injured German soldiers.
I've been in this situation recently: I had first aid certification in 2004 and then a bad situation happened. Ancient "training" kicked-in and I took charge of the situation with some mistakes due to adrenaline and having to manage panicked people around me.
probability of rib fracture increases with age.
sufficiently old and it approaches 100%.
babies are the most flexible, I don’t know if their ribs even can break, below a certain age.
edit: clarifying, I’ve never not broken ribs, but my youngest patient was middle age.
When I was taught, for use on humans, broken ribs were expected and without them 'you're probably not pushing hard enough'. Worst that could happen is one punctures a lung, but they're going to need medical attention if you get a pulse back anyway, that can be dealt with.
It should be clear - in an ideal scenario you'd have direct access to massage (or shock) the heart, chest compressions are approximating that through flesh, skin, and bone... The ribs' job is to protect the heart from the sort of thing you're trying to do!
Cameraman
"Tum [someone's name] go see the injured person."
"Hey, someone, wear a glove and continue the CPR" (presumably the person currently doing it will get fatigued)
cut
"What district are we at?" (someone replies: 8)
"Please look around as well"
cut to the elephant being lifted up
"Is it [the elephant] badly injured?"
to the elephant "Come on!"
"Bring it to the hospital for treatment"
cut to the elephant walking
"Ok the baby elephant seems strong and can start to walk on its own."
Luckily not soon enough for the elephants to go berserk on the rescuers! I wonder if the elephants would realize that people were trying to help the baby amidst the chaos.
> I have heard of animals staying beside the bodies of dead friends for three days and nights, refusing to move.
https://www.dailymail.co.uk/news/article-2270977/Elephants-r...
In combination this means: these people were in extreme danger. Glad that nothing happened.
I'm that note I also wondered whether I'd be confident enough to detect a missing pulse in someone. I was showing my kids the other day and it wasn't so easy to find theirs. Not sure what my error rate would be on real cases.
That aside, as others saying you do CPR when they're not breathing, not when there's no pulse. (Otherwise would you check for a pulse every few compressions and stop them but continue breaths?)
Sadly Thai roads are incredibly dangerous for all living creatures. The number of annual road deaths are second only to Liberia, a failed state.
Beautiful country and people but a "sabai sabai" attitude mixed with drunken driving and a strand of fatalism makes for treacherous journeys. For a guide to Thai culture disguised as a guide to Thai driving, this is worth a read: https://www.chiangmailocator.com/wiki-traffic-rules-in-thail...
A relaxed attitude doesn't mean you ignore pretty basic concepts like.. I dunno. Stop signs. Red lights. Driving on the correct side of the road. Using a car seat for an infant. Cooking food properly.
Mai pen rai attitude is visible everywhere you look in Thai society.
Should I turn off the breaker before futzing with this outlet? Mai pen rai.
Should I use the tongs to grab some (raw) chicken out of a pile at the supermarket/cash-and-carry, or should I just stick my hands in there? Mai pen rai, who needs tongs?
Should I wear a helmet when I ride my motor scooter? Mai pen rai. How about after I'm hit by someone, and end up in a coma in hospital? Mai pen rai.
Definitely smiled when the elephant gets up on its own feet again :)
Kudos to these guys