Jumping off from a discussion that began with some other members in the Ethics thread for 'Aftermath', I'd like to enter into greater discussion surrounding how Riley was treated.
Initially, I was quite impressed, TJ went straight in for a head immobilisation to prevent any further spinal injuries, should any have been sustained. TJ stopped immobilising, so I'd like to ASSUME that off screen she found no evidence of spinal injury beyond the obvious 'I can't feel my legs!'... Fair enough, that makes things a lot easier.
So unless anyone disagrees with me, I'd argue that the inability to feel his legs was due to the crush injury, not spinal damage.
Now firstly, I'm a little miffed that after the promising immobilisation, NOBODY mentioned the fifteen minute window that exists with a crush injury before Crush Syndrome becomes a factor. Anyone with any medical knowledge understands that if the crushing object is removed after fifteen minutes chemicals that have built up in the damaged limbs are released into the rest of the body. This can be fatal. Hence, the lack of urgency in focusing all efforts on removing the crushing object surprised me.
Evidentally, the object could be lifted enough for TJ to decide that it was preventing Riley from bleeding out... at which point I ask... why the hell didn't she apply a tourniquet? That should have inhibited any catastrophic bleeding, and if the rest of the team had lifted the object, TJ and one other could have slid Riley out of harms way. Even if he DID have a spinal injury, a casualty can be moved in such a way.
If there isn't a damn tourniquet in that kit of TJ's, it makes me wonder what the bloody hell she has in there. For military personnel, a tourniquet and a field dressing are bare essentials in terms of battlefield first aid...
Initially, I was quite impressed, TJ went straight in for a head immobilisation to prevent any further spinal injuries, should any have been sustained. TJ stopped immobilising, so I'd like to ASSUME that off screen she found no evidence of spinal injury beyond the obvious 'I can't feel my legs!'... Fair enough, that makes things a lot easier.
So unless anyone disagrees with me, I'd argue that the inability to feel his legs was due to the crush injury, not spinal damage.
Now firstly, I'm a little miffed that after the promising immobilisation, NOBODY mentioned the fifteen minute window that exists with a crush injury before Crush Syndrome becomes a factor. Anyone with any medical knowledge understands that if the crushing object is removed after fifteen minutes chemicals that have built up in the damaged limbs are released into the rest of the body. This can be fatal. Hence, the lack of urgency in focusing all efforts on removing the crushing object surprised me.
Evidentally, the object could be lifted enough for TJ to decide that it was preventing Riley from bleeding out... at which point I ask... why the hell didn't she apply a tourniquet? That should have inhibited any catastrophic bleeding, and if the rest of the team had lifted the object, TJ and one other could have slid Riley out of harms way. Even if he DID have a spinal injury, a casualty can be moved in such a way.
If there isn't a damn tourniquet in that kit of TJ's, it makes me wonder what the bloody hell she has in there. For military personnel, a tourniquet and a field dressing are bare essentials in terms of battlefield first aid...
Comment