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  #1201  
Old 08-30-2017, 10:28 AM
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CPR can be and is done while an ambulance is moving. There are many occasions here where our EMTs and paramedics have performed continuous CPR en route to the hospital. I know this from experience.

Diana's injuries were beyond what CPR and emergency personnel could do to stabilize her. Her heart was actually had a tear the width of a man's fist in her superior pulmonary vein where it entered the heart.
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  #1202  
Old 08-30-2017, 10:31 AM
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Must've been a frightening moment. She slightly aware what happened and the firefighter trying to keep her calm and trying to save her.
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  #1203  
Old 08-30-2017, 10:39 AM
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It must of been awful for her ...and of course for all the rescue folks involved in these emergency situations that they handle daily year round.


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  #1204  
Old 08-30-2017, 10:59 AM
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I sincerely believe that it was because of this incident that played a big part in William's decision to want to do SAR work and then fly for EAAA. He, out of all of the family. knows from experience now just what goes into emergency medical situations and from my own viewpoint, I think it takes a lot of courage, guts and dedication to want to go into this field. Perhaps it even helped William to understand more of what happened with that car crash in Paris and the measures that were taken to save her life.
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  #1205  
Old 08-30-2017, 11:11 AM
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Hmmmm hadn't really thought of that but it makes sense....


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  #1206  
Old 08-30-2017, 11:31 AM
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Originally Posted by Osipi View Post
I sincerely believe that it was because of this incident that played a big part in William's decision to want to do SAR work and then fly for EAAA. He, out of all of the family. knows from experience now just what goes into emergency medical situations and from my own viewpoint, I think it takes a lot of courage, guts and dedication to want to go into this field. Perhaps it even helped William to understand more of what happened with that car crash in Paris and the measures that were taken to save her life.
I thought about this too. i think it has helped him cope too.
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  #1207  
Old 08-30-2017, 11:34 AM
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Originally Posted by Osipi View Post
With cardiac problems here, the name of the game is "scoop and run". A lot of times where I am at, the EMS team that arrives on the scene does not had a paramedic on board and EMTs are not qualified to administer the care or medication that a paramedic can. With a paramedic on scene, there is the choice to "stay and play" meaning do what they can to stabilize the patient before transport. Regardless, all ambulances are equipped with an AED and all emergency personnel are trained in its use.

Each case is different and handled according to procedure. Diana's internal problems were beyond what a EMS squad here would be prepared to handle and most likely would have never stopped.
Very true Osispi. There are pros and cons to both types of emergency service but in the end Diana's injuries were such that she was not going to survive. There was a physician on board the ambulance that came to Diana's aid and IMO he made the correct call to try and stabilize her once he realized she had internal bleeding and then went into cardiac arrest. The specialist surgeon who operated on her later stated that he'd never seen a victim survive such an injury.
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  #1208  
Old 08-30-2017, 02:56 PM
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Originally Posted by Osipi View Post
CPR can be and is done while an ambulance is moving. There are many occasions here where our EMTs and paramedics have performed continuous CPR en route to the hospital. I know this from experience.

Diana's injuries were beyond what CPR and emergency personnel could do to stabilize her. Her heart was actually had a tear the width of a man's fist in her superior pulmonary vein where it entered the heart.
so if that was the case, why not perfrom CPR while moving and get her to hospital as fast as possible.
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  #1209  
Old 08-30-2017, 03:18 PM
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so if that was the case, why not perfrom CPR while moving and get her to hospital as fast as possible.
I can't answer that question. Standard operating procedures differ from place to place and Diana was in France, not in rural USA where I am. One thing that would make sense though is that the use of the AED (Automated External Defibrillator - the paddles that deliver a shock to the heart to return it to normal rhythm) does not give a good reading when a vehicle is in motion. They may have had to pull over and shock the heart into pumping again. As I've stated each case is different. Its been said that a physician was on scene with Diana and he most likely knew what he was doing.

One thing I'm certain of is that everything humanly possible was done to save Diana's life. The damage though was too extensive to sustain life.
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  #1210  
Old 08-30-2017, 04:37 PM
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I dunno...I've always wondered if they could of gotten her into surgery quicker (IIRC they spent at least an hour not moving) if she couldn't of been saved.


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  #1211  
Old 08-30-2017, 05:58 PM
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Getting her to hospital sooner probably wouldn't have helped as she would have arrived dead as well as the fact that the specialist who operated wasn't there for nearly an hour afterwards anyway having to come in from his home. So she arrived not long after the specialist.

French ambulances were, back then, anyway almost a mini-hospital and were equipped with a full time doctor on board - not just a paramedic.
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  #1212  
Old 08-31-2017, 03:30 AM
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This article is crap with several errors (but this is not the thread for discussing that), except for the Dickie Arbiter part - very interesting:
How Princess Diana's Death Changed Queen Elizabeth II and Britain's Royal Family
Quote:
Not everyone agrees with the significanec this version of history gives to Diana's death. Dickie Arbiter, a royal commentator who formerly worked in various senior roles in the Palace and was one of two press secretaries on duty when the princess died, says that while the royal family has clearly had to move with the times over its history, “the institution has been evolving for 1,000 years, it constantly adapts and changes and because of Diana’s death it didn’t suddenly switch from being one thing to another.”

Of particular frustration to Arbiter was the drive to bring in outside PR advisors like Lewis, which he saw as a “knee-jerk reaction” to a non-existent problem. “I believe that we got the funeral arrangements absolutely 101 percent right,” he says, and speaks of his frustration in particular with spin doctors from then-Prime Minister Tony Blair’s office, who assisted with the management of Diana’s death and funeral. “They were the Downing Street lot, the new kids on the block, and they thought they knew everything,” he says.

At the first planning meeting for Diana’s funeral, Arbiter recalls, the question was raised as to whether Diana’s coffin would be borne in a hearse or on a gun carriage (in the event, the latter was chosen). “One of those Downing Streets said: ‘you can’t put it on a gun carriage, that’s too militaristic,’” says Arbiter, “until it was pointed out to them that, hang on a minute, she was commander in chief of the London regiments. So she had a military connection.”
Diana's ceremonial funeral was very simple without military contingents - why? Because she wasn't a monarch/consort, so it was desided that her charities was to walk with the princes from Clarence House to Westminster Abbey.

And if Diana’s coffin had been driven in a hearse to the Abbey, her funeral had been a non event when it comes to pomp and pageantry, so Diana fans can thank the palace for her funeral, not Blair and his people.
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Old 08-31-2017, 04:11 AM
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Old 08-31-2017, 07:42 AM
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Originally Posted by ROYAL NORWAY View Post
This article is crap with several errors (this is not the thread for discussing that), except for the Dickie Arbiter part - very interesting:
How Princess Diana's Death Changed Queen Elizabeth II and Britain's Royal Family

Diana's ceremonial funeral was very simple without military contingents - why? Because she wasn't a monarch/consort, so it was desided that her charities was to walk with the princes from Clarence House to Westminster Abbey.

And if Diana’s coffin had been driven in a hearse to the Abbey, her funeral had been a non event when it comes to pomp and pageantry, so Diana fans can thank the palace for her funeral, not Blair and his people.
I've found it a pretty good rule of thumb that if an article's headline contains the words "Princess Diana", then its most likely not going to be too accurate because they didn't even get the headline right. Diana was never Princess Diana in her life.

It had to be the palace's planning committee that set the entire tone for the funeral. If I'm remembering right, they used the Tay Bridge plans that had been drawn up for the Queen Mother's funeral with adaptations such as you've pointed out that Diana's charities and their representatives walked behind the princes and Earl Spencer.

Thinking back on this, it must have been something for the Queen Mother to witness. Her own funeral plans in action.
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  #1215  
Old 08-31-2017, 05:15 PM
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oh good heavens, its just shorthand. Diana princess of wales is a rather long line for a headline..
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  #1216  
Old 08-31-2017, 05:33 PM
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The 'princess' is superfluous .. say Diana and EVERYONE knows who you mean !
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  #1217  
Old 08-31-2017, 05:40 PM
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There are other dianas, if you want to attract people to read something, its likely to be headline "princess Diana" (or Lady Diana)....
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  #1218  
Old 08-31-2017, 05:43 PM
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so if that was the case, why not perfrom CPR while moving and get her to hospital as fast as possible.
The concern was that with the internal bleeding that any jostling of the patient could increase the blood loss.Her blood pressure continued to hover at a very dangerous level. Even with the slow rate of speed, Diana went into cardiac arrest a second time en route to the hospital. Had they moved any faster, there was a greater likelihood that she'd bleed out in the ambulance.
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  #1219  
Old 08-31-2017, 05:50 PM
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I thought that they didn't realise she had internal bleeding. However Im quite prepared to believe that she had good care, and that they had to stop to do whatever was necessary to stop her from dying of heart failure in the ambulance. I don't generaly subscribe to conspiracy theories...
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  #1220  
Old 08-31-2017, 05:51 PM
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I've read in some medical journal in the days and weeks immediately following the tragedy that directly massaging the heart, as was reportedly done by rescuers who responded to the accident and by ambulance personnel on the way to hospital might have actually made things worse. The tear in the pulmonary artery was bleeding out and cardiac massage would have made it worse.

I really don't see how there was any hope of saving her life unless she had been operated on within minutes of impact which of course was impossible given the circumstances.

There is simply no way at all to diagnose such a severe internal injury like Diana's in the field, none.
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