Moore Medical Center Patients Survive Oklahoma Tornado

Although we are not directly involved in the care of patients injured in the severe tornado that hit Moore, Oklahoma, we have noted news reports that the Moore Medical Center was in the direct path of today’s EF 4-5 tornado.

In a piece of good news in today’s tragedy is that despite the hospital being virtually destroyed, because of the quick reactions and clear thinking of the hospital staff, all of the approximately 30 hospital inpatients survived the storm. In addition, CNN is reporting that the hospital also took in 300 townspeople who were frantically looking for shelter after local newscasters broadcast warnings that a closet or bathtub would be of little protection and safety.

moore medical Moore Medical Center Patients Survive Oklahoma Tornado

Moore Medical Center before being destroyed by the tornado

This is really an amazing outcome and a testament to the professionalism and heroism of the staff, who most likely were the nurses on duty that day in the emergency room, labor and delivery, and inpatient wards.

Moore Medical is a small, local community hospital in the larger Normal Regional Health Center with patients likely hospitalized for pneumonia, COPD exacerbations, and hip fractures. During the middle of the day, the local physicians (having seen their patients on morning rounds) were likely back in their community-based offices.

Likely, most patients were elderly and not tremendously mobile or young mothers with newborns. Getting 30 patients such as these moved down even one flight of stairs to the cafeteria as per the hospital’s tornado protocol in 15-20 minutes means that there were nurses, cafeteria staff, cleaning staff, and administrators getting patients into wheelchairs or pushing stretcher onto elevators and then running back down the halls looking for the next patient to save.

Likely every employee of the hospital pitched in, but the people who knew the patients and how best to effect this amazing care were the bedside and ward nurses who had trained repeatedly for just such a scenario.

With likely little thought of their own safety, the nurses got the patients to the safest part of the hospital building structure which was the cafeteria – the only part of the building to not be completely destroyed in the tornado.

moore after Moore Medical Center Patients Survive Oklahoma Tornado

Moore Medical Center after tornado destruction

Then, after the storm was over, the nurses and staff remained on the scene to get the patients transferred to other facilities before thinking of their homes and families.

Nursing is uniformly rated the most trusted profession by the United States public. It is not hard to see why when stories like this come to light.

Today was a truly boffo performance and show of heroism by the staff of the Moore Medical Center. The nurses in charge of this rescue are a true credit to their profession.

CVA (Cerebrovascular Accident)

CVA is a neurological event as described below:

Pathophysiology of CVA

1) necrosis of brain cells caused by a vascular event – usually classified as ischemic (embolus, thrombus, low flow state secondary to shock or cardiac event) or hemorrhagic (aneurysm, hypertension)

New Coronavirus Sickens Healthcare Workers

A new coronavirus has caused serious illness in two healthcare workers in Saudi Arabia who were exposed to patients carry the virus. A man is is critical condition and a 43 year old woman is in stable but serious condition after suffering respiratory distress from the SARS-like illness.

Thomas Jefferson University Residents Play Jeopardy To Improve Care

Thomas Jefferson University Residents in the Department of Emergency are developing their medical knowledge and skills during routine games of Jeopardy testing their professional proficiency.

Using actual buzzers and a moderator, the competition is organized in an elimination format over the course of the academic year, with a final grand prize round to be played amongst the winners.

Disclosure – this author is a former resident and staff member at Thomas Jefferson University and collaborated with members of the Emergency Department on the medical textbooks  Avoiding Common Errors in the Emergency Department and Avoiding Common Prehospital Errors.

Dental Trauma – Diagnosis and Treatment

Dental trauma is the most common injury to occur to the face during blunt trauma. To avoid the common pitfalls in the management of dental injuries, several steps must be taken. These begin with:

1. proper classification of the injury sustained to the tooth (e.g, whether the dentin, pulp, and/or enamel is involved)

2. recognition of the age-related stage of tooth development

Fecal Transplant Donor Dr. Hunter Johnson Happy To Go err … Give

Fecal transplant donor Dr. Hunter Johnson, a Pathology resident, has supplied stool that aided in the resolution of four serious courses of C. difficile infection at Emory University.

It should be noted that while showing a cure a rate of up to 90% epidemiologists and infectious disease physicians are hoping that more widespread use of prophylactic probiotics will eliminate the need for the transplant, which does carry a risk of disease transmission.

Gonorrhea Superbug Said To Be More Dangerous Than AIDS

Health officials around the world are becoming increasingly concerned about the emergent of a strain of gonorrhea that is resistant to all antibiotics. Physicians are concerned that contracting the infection could result in a gram negative sepsis and mortality within 24 hours.

To date, the superbug gonorrhea has been found in Japanese sex workers, California, and Norway.

Civil War Amputation Surgery Mortality Rates

Civil War amputation surgery was distressingly common and carried a high mortality rate. Contrary to common thinking, almost all amputation surgery was carried out under ether or chloroform anesthesia and morphine was readily available for post-operative care.

The main problem in amputation that caused a high mortality was wound infection. The following is the mortality rate suffered by Union soldiers with the described level of amputation

toes – 6%
below the knee – 33%
at the knee – 58%
thigh – 54%
hip joint – 83%

fingers – 3%
forearm – 14%
upper arm – 24 %

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