Kill Alex Cross. You can read my Goodreads review of the novel here.
This post is to discuss the medical aspects of the novel and what I find suspect. Come on, James. Hire me as your medical consultant-- I think-- no I know you can probably afford me.
In this post we'll deal with a male adult that is involved in a motor vehicle collision. The character was driving a van at a high rate of speed and took a header into a bus.
Initial treatment of the victim was good. Jaws of life. C-collar in place. Suspicion of drug use based on dilated pupils-- specifically PCP which is an accurate bodily response.
Anyone know what is wrong with this sentence?
Simply put, EMS is never going to put down a nasogastric tube. Are paramedics trained to do the procedure? Yes. Have they ever in the field? Not that I've seen in twenty years of specialized nursing.
Now-- a flight team on a long transport-- maybe.
An nasogastric tube (or NG tube) runs from your nose to your mouth. It is used to drain/vent secretions and air from the stomach. If the stomach is retaining a lot of these things-- it can impact on the patient's ability to breath. A secondary use is as a feeding tube though there are many more comfortable styles (like a cor pak which is thin and flexible but doesn't drain well.)
All this sounds very good for the patient, right? Why not put one in in the field?
One-- patient priority is different in the field than in the hospital. It's basically secure the airway, breathing and circulation and get on your way . . . fast. Placing an NG would simply slow down scene time and they can be difficult to place.
That's what we don't want-- an NG tube in the brain. Yes, it can happen as evidenced by the photo that comes from this article which discusses just such a case.
Really, James, call me.