Tuesday 1 December 2009

An awfully big adventure.

So the conclusion to the car problems was the return of the hire car to Durban this weekend and a debauched night out with some friends.
We then piled in to a car for the 5 hour drive home. 2 hours outside of Durban we came upon a mini-bus crash.
Mini-buses are the transport system used by most locals and some more foolhardy doctors. They charge very reasonable prices by packing themselves full (I've heard tales of being squished between a Zulu-mama and her chickens). And they don't have seatbelts.
It was unclear what had happened but this one was lying on it's roof, with passengers in pools of blood around it. One ambulance had arrived but it was clear that the number of casualties was more than they could handle alone.
With three doctors in the car none of us thought twice as we pulled up and jumped out; it really is a legal and moral obligation. However, we were all quite relieved when one of the boys pulled gloves out of his bag for us.
In trauma speak the crash had 3 reds (severe cases), 5 yellows (moderate) and 9 greens (the walking wounded). There was also a baby without a scratch on it. We spent an hour at the scene, working alongside the paramedics to stabilise patients. At one point a patient's airway was obviously compromised and as he had smashed his face to pieces, the only way to secure his airway was to insert a tube through his neck. The other doctor and I faced each other; I knew the theory from a book and he had done it on a pig. Bravely he picked up the knife. And did an excellent job. Sadly despite all of this, the patient died in the ambulance on the way to hospital.

For non-doctors this would probably seem something we as medical professionals are equipped to deal with however, there is a big difference between being at work and being on a motorway, both in terms of available resources and emotions.
The experience has left us all quite shaken.

5 comments:

  1. Well I'm glad the blog is back up and running - I've missed it.

    I hope you are getting over the crash events - must have been very intimidating/frightening/distressing in equal measure. But like all these experiences, you did what you could with the resources to hand, which is all you can do. And think how badly these people would have done if you hadn't come along when you did.

    Keep your chin up and speak soon

    O x

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  2. Wow. You are a true legend Caroline. Keep up the good work and don't forget to look after yourself too. It must be very emotional (understatement I'm sure), Fxx

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  3. Oh my god, it really is like ER - surely any moment now you Dr Carter will turn up and you'll be making babies and living in a mansion with indigenous servants before you know it xx

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  4. Hadn't caught your blog up til now, but have been glued to it for the past hour. Really powerful, emotional stuff which has induced far too much thought within this painfully hungover mind.

    Hope you're feeling ok about the crash and all it's related people-being-very-messed-uppery. You are doing an amazing job out there. Big, big respec'

    Following on from an earlier comment from Ro, I hope your pecker is firmly up.

    big ups, Amit xx

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  5. Caroline! I'm still reading! Hope you are well, particularly after the minibus incident. Anna, Kiren, Helen and I all passed the AKT! Keep up the brave work and we're all thinking of you....I'm thinking of starting a 'This week on Caroline's Blog' bit in the VTS...!

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