British Surgeon: "Princess Diana might have survived if treated faster"

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I think even more important than the scoop and run
Is the Absence of "Trauma system" in France
Their is even more evidence that has an even more positive impact

The Scoop and Run efficiency
Is only put in evidence when compared to the Ladi Die farce
15 min versusu 1:30 EMS contact
NONE of which do thoracotomies, blood transfusion or ultrasound

Charles



----- Original Message ----
From: William Bromberg <brombwi1 at memorialhealth.com>
To: trauma-list at trauma.org
Sent: Sunday, December 30, 2007 2:58:31 PM
Subject: Re: British Surgeon: "Princess Diana might have survived if treated faster"

Ken,

To your understanding, what injury killed Diana? There are so many reports flying around that I admit I'm not sure so it's hard for me to have an opinion.

That being said, it's also hard for me to believe that early access to an OR is ever the wrong answer in the face of hemorrhage. Unless the Drs in the field are able to perform at least damage control surgery I believe Diana would have been better off in the hospital.

I am sure Diana received the best care that was available to her in Paris. I hold no opinion as to her prognosis in anyone else's hands but I am not sure that she received the best care possible as I am a firm proponent of "scoop and run" and it seems to me that the French system is "stay and play" to the nth degree (albeit they bring more resources to the patient than  in the US).

>>> <KMATTOX at aol.com> 12/30/2007 2:29 PM >>>
KLM Disagrees with this statement.    

This new report from England adds confusion to this already settled account  
of three fatalities in a car crash 10 years ago.  Two deaths from   transected 
aortas from frontal impact.  One death from a cardiac  herniation and 
strangulation, NOT massive blood loss from a mediastinal  injury.    The two 
autopsies (British and French) did differ, in  that the French autopsy did cite the 
tear in the pericardium from the injury and  the cut in the anterior pericardium 
created by the surgeon.    Apparently the British autopsy report had the 
pathologist making an assumption  that all of the pericardial interruptions were 
made by the  surgeons.    The British pathologists apparently did not   talk to 
the surgeons and the French pathologist were in the room at the time of   her 
death.  Looking at BOTH autopsy reports, one does NOT find any   indication of 
MASSIVE INTERNAL INJURY, nor massive internal  hemorrhage.    The description 
of this patient at the scene and  during the transport time, and at the time 
of arrival at Petit Salpetier  Hospital, is inconsistent with hemopericardium. 
  

Princess Diana received the very best that was available to her in Paris at  
the time.  Various approaches to trauma care exist in most cities   worldwide. 
  It is my professional opinion that the outcome in this  case would have 
been the same in any city in the world, even those with well   advertised Level I 
Trauma Centers.    

K Mattox



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