Sri Lanka Update

Hemantha Gamage notified MARCO today that the Sri Lankan government has been so impressed by the MediShare-funded VHF radio project, that they will pay to generalize it throughout the western part of the country. Read on:

Dear Sirs/Madams,
Our provincial council decided to have the VHF system to all the health units and ambulances in the western province , Sri Lanka. They have realised the value of VHF radios esp in disasters. MARCO/Medishare should get the credit for introducing the system and funding for it. Provincial health minister assured that the government would bear the cost for such a system.

They requested me to do a study and a plan for the whole province as soon as posible. Anyway I am supposed to start my MD at the post graduate institue of medicine,University of Colombo. But I promised to stay with them as a volunteer for the system. I enjoy the work.

Thank you.

Hemantha 4S7HG

MARCO Grand Rounds for April 27, 2008

From Warren, KD4GUA:

You are on an airplane and a passenger is having chest pain. They call for a doctor...should you respond? Will you respond? Do Good Samaritan laws go into effect when you are passing over different states in rapid succession? What state law would ensue if something went wrong?

This Sunday we will discuss the "Good Samaritan" laws and how they effect you. Should be fun...10 a.m. eastern time...CW on at 9:30 a.m. Eastern.

---------------------------------------------------------------------------------------------------
This grand rounds generated some interesting commentary:

From Bob, K4RLC

I missed the net on Good Samaritan laws, and wonder if you will write it up for the newsletter?

I'm interested not because of air travel, but because both our kids play several high school sports. Fortunately, they haven't been hurt yet, but some of the parents in the stands are pretty out of shape, and I've had to work on one who collapsed during a basketball game. We all tailgate at the football games, and food is copious and tasty, and that situation is ripe for a coronary or diabetic event.

A rare event happened here a few weeks ago at a high school Lacrosse game. A player was hit in the chest by the lacrosse ball, and collapsed from Commotio Cordis. He was fortunate in that a teammate's Dad is Director of Rehab Medicine here, and had read up on this rare condition beforehand. There were a total of 3 physicians and 6 nurses among the spectators, and all helped. But what saved this young man's life was the AED, as he went into V Fib. He had to be shocked three times.

He survived but suffered a hypoxic event, so I'll probably see him. I'm the neuropsychologist for our professional hockey team (Carolina Hurricanes) and see them all after concussions, as well as high school and some college kids with concussive type injuries.

Thanks for your input about out of shape parents in the stands, hi.

From Mary Kaye, AE4BX:

had something to add about being a pseudo-team doctor. When my son was in 8th grade he played football for a small private school, It was his first year playing (over many of Mom's objections). I was the unofficial team doctor by default. My husband who was a first-aid trained pharmacist, sat down on the bench with the players. I had every possible piece of equipment in my station wagon, head board etc etc etc.

The routine was that when anyone was down, my son should step aside and show me his numbers (so I could walk). Well the feared incident happened, and one of our team members went down on the ground after a tackle, held his neck saying "my neck, my neck, my neck!!!!!!" After inspecting my son's number of course, I rushed down on the field, saw that the boy could move his legs, stopped the game and called EMS. Expected chaos. Well as the sirens were heard from afar, the boy's father came down on the field, a rough an tumble redneck also smelling of spirits if I were to render an opinion. He looked at the kid, shouted. (EXPLETIVE DELETED) SCOTT, GET YOUR RED LAZY A-- UP OFFA THE GROUND AND GO PLAY BALL!!!!!!!!!!!"

Well as the EMS guys were running the stretcher on the field, the kid got a red face and said "Uh, OK Dad", and jumped up and ran to the bench". Leaving me there red-faced and about to punch out that redneck myself.

I inquired from an orthopedist later how I could tell - and he said always ask the player to raise his head up himself, and of course don't help him or yank the helmet off etc. If he had either a bad whiplash or a structural damage of any kind to the neck he can't raise his head. I saw this done many times on the field in later football games when I became an armchair expert.

My son's football career was over that year by the way. I said he could grow tall and play basketball or find himself a foster home. He took the advice, grew to 6'3" and played basketball nicely according to plan. That was also the end of my team doctor career.

And Warren KD4GUA's reply

Bob RLC in Raleigh asked about the specifics concerning the Good Samaritan Laws as he missed the lecture. Basically you are covered if you act in good faith, do not perform gross neglect, do not accept money for your deeds and do not leave the patient until someone else can take over with equal or more experience. You do not have to perform a good samaritan act unless you live in Vermont, Minnesota or Louisiana, France or Germany and then it is mandatory to help. Benign neglect is acceptable, i.e., if you do 15 instead of 30 chest thrusts for each mouth to mouth (which is now not required) that is benign neglect because you simply missed the last Red Cross course in CPR. The individual or next of kin must give consent unless the patient is unconscious or not able to give good judgment. In most jurisdictions Good Samaritan laws only protect those that have had basic first aid training and are certified by the AHA, Red Cross, or other heal th organizations. In other jurisdictions, any rescuer is protected from liability, granted he acted rationally. Congress passed a bill about 1994 enabling good samaritan laws in flight regardless of which state the plane is flying over. In international flight the rules go by the carrier's home country.

PS: The requirements as you walk through the hospital and there is a cry for help from someone else's patient--that is another story and perhaps another Sunday lecture.

MARCO Grand Rounds for April 20, 2008

From Warren, KD4GUA:

This Sunday we are planning on having Phil Wildman the pilot who has flown both the Atlantic and Pacific over 250 times in single engine Piper aircraft (and Cessnas). He will tell us what it is like flying for 17 hours over endless ocean and how he got to know himself better. This is today's Lindbergh. He will discuss the use of radio for navigation and communication. Today, GPS has largely taken the place of radio navigation but we will let him tell his story.

It should be a good one. Let' s hope propagation doesn't let us down this weekend. He assures me he will be on board and is not mike shy.

Sunday, 10 a.m. Eastern 14.307--CW net at 9:30.

Further update from Sri Lanka

Additional news from Hemantha Gamage, 4S7HG:

Dear Sirs,

I wish to foward an outline of our VHF project in Sri Lanka.

The system operates from the District General Hospital Gampaha, which is the largest hospital in the area. There are small peripheral hospitals transfer difficult patents to above hospital. The system operates with a base station installed at the District General Hospital Gampaha and the mobile units are fixed to the ambulances. There are 3 ambulances at above hospital and one ambulances each in the peripheral small hospitals, Biyagama, Dompe, Divulapitiya and Minuwangoda. Therefore 7 mobile units are fixed are given for those ambulances.

The provincial health authority appreciated the contribution of the MARCO in establishing this system. The Ministry and the provincial director will address MARCO in order to thank you all for the good work done.

I presented the radios officially to the secretary of the provincial health ministry on behalf of the MARCO. I will attach few photographs for the time being but the provincial health ministry will contact MARCO with better pictures and hopefully video of the opening day.

I am grateful to all friends at MARCO for extending all the support and courage for me to drive this project towards success.

This morning our hospital system experienced a disaster just one day after launching the system. This was a suicide terrorist attack killing one eminent cabinet minister of the government and around 14 civilians. The incidence took place close to Gampaha draining most of the patient s to District General Hospital Gampaha. Hospital authority informed me that our system played a big role in coordinating ambulances very quickly.

Please give me some time to send the pictures and whole story in sometime as I was very busy with installing the system and other arrangements with the opening ceremony.

Thank you all once again.

Hemantha (4S7HG)

MARCO Grand Rounds for April 13, 2008

From Warren, KD4GUA:

We had 30 checkins for April 6's discussion on "Lipitor and Statin Drugs" with a 5/3 propagation rating (pp). This coming Sunday we will investigate medical arbitration...

"By signing this agreement you are waiving your right to a jury trial and you are agreeing to arbitrate all clams arising out of or related to your medical care and treatment." Will your patients sign this?

Those of you who are utilizing arbitration agreements be sure to be on board to narrate your experience in this new and challenging field. Should be fun.

PS: Linda KE5BQK is baking a cake for the Marco Banquet May 17th in Dayton, Ohio. All 16 reserved rooms at the Holiday Day North have been taken according to Danny W4DAN. However, there are still rooms available by phoning 937 278 4871. If you would like to share a room, notify Danny by email Danny@W4DAN.us

Let's have a party.

MARCO Grand Rounds for April 6, 2008

From Warren, KD4GUA:

This Sunday we will again attempt to talk about Lipitor and the statins. Tune in 14.307 10 a.m. eastern, hope there is no "contest time" so soon.

Blog-meister's note: Contests are planned at least a year ahead of time, and their dates/times are not kept a secret. We should never be surprised to find a full-blown contest raging. It makes sense to take off four weekends a year during the running of the SSB CQWW, ARRL Sweepstakes, ARRL DX, and CQWPX contests.

Christine Haycock, WB2YBA, Silent Key

Today's MARCO-list brought the sad news from Fred Simowitz, K0FS, that Chris Haycock, WB2YBA had passed away in January. She was a woman of extraordinary accomplishments and a long-time MARCO dignitary. The following excerpt from the Newark Star-Ledger but scratches the surface of her life story:

Haycock, Dr. Christine HAYCOCK Dr. Christine Haycock, surgeon, professor, 84 Christine E. Haycock, M.D., 84, of Newark, died on Wednesday, Jan. 23, 2008, at the Center for Hospice Care at St. Josephs Hospital in Wayne. The funeral service will be on Friday at 7:30 p.m. at the S.W. Brown & Son Funeral Home, 267 Centre St., Nutley, swbrownandson.com. Friends will be received at the funeral home from 4 to 8 p.m. The interment of her remains will take place at Arlington National Cemetery in Virginia. Born in Mount Vernon, N.Y., and raised in Richmond, Va., before moving to Nutley, Dr. Haycock went from Nutley High School to the Presbyterian Hospital School of Nursing. She earned her B.S. degree from the University of Chicago, her medical degree from the State University of New York, Downstate Medical Center (1952), and held a masters degree in political science from Rutgers University. She first served in the Army during World War II in the U.S. Cadet Nurse Corps. She extended her military career when she obtained her M.D. and became the first woman intern at Walter Reed Army Medical Center, at which time she became the first woman to transfer directly from the U.S. Army Nurse Corps to the U.S. Army Medical Corps. After serving in the United States and Japan, she reverted to active reserve status, ultimately retiring in 1984 at the rank of colonel. She was also a graduate of the U.S. Army Command and General Staff College and the U.S. Army War College (1977). Dr. Haycock resumed her residency in surgery following her active military service at St. Barnabas Medical Center and a year as a senior resident at St. Johns Episcopal Hospital in Brooklyn, N.Y. She then returned to Newark and opened a private practice in general surgery. She was a diplomat of the American Board of Surgery and a fellow of the American College of Surgeons. She was a leading expert in sports medicine and was a member of the American College of Sports Medicine. She had published widely in this field, particularly concerning women in sport. In 1982, she served as president of the American Medical Womens Association and was a past president of the New Jersey Medical Womens Association. She was long affiliated with the University of Medicine and Dentistry of New Jersey. In 1968, she joined the faculty of the New Jersey Medical School as associate professor of surgery and director of emergency services at University Hospital. She retired in 1992 as professor emeritus of surgery. Dr. Haycocks wide interests included amateur radio, photography, videography, and breeding and showing miniature schnauzers, Manchester terriers and Italian greyhounds. The Foundation for the History of Women in Medicine and The College of Physicians of Philadelphia recently presented the fifth annual Alma Dea Morani Renaissance Woman award to Dr. Haycock on Oct. 28, 2004. In their citation it was noted that, Dr. Haycock excelled as a physician, teacher and mentor to other women who sought to become physicians. She was best known for her influence on sports medicine for women, her work on the eradication of uterine cancer and her leadership in the establishment of the trauma center at University Hospital in Newark, as well as her post as commander of a trauma unit during her service in the Army Medical Corps. In 2006, she was inducted into the Nutley Hall of Fame.

RIP and 73.