WEBVTT 00:04.040 --> 00:06.380 While you're about one memorial hospital. 00:07.060 --> 00:09.310 I wanna thank you for joining us today. 00:09.890 --> 00:12.620 A resulting showing me in extending our. 00:13.550 --> 00:14.900 Fox in our prayers. 00:15.650 --> 00:18.950 To are victims to the families a tool. For. 00:21.760 --> 00:25.110 For me the dark. Working very hard work. 00:25.720 --> 00:26.200 The one. 00:27.260 --> 00:28.490 About superstar them. 00:29.580 --> 00:32.590 What we're focusing on today is a on-going continued patient care. 00:32.590 --> 00:33.460 You can be here for. 00:34.010 --> 00:39.630 Up to this. A star medical director for trauma services about specifics. 00:40.220 --> 00:45.620 We're also the focusing on fell for him and help us understand 00:45.620 --> 00:49.080 what we're doing for families are smith was going to be speaking 00:49.080 --> 00:52.180 with the you today and also because we understand that there 00:52.180 --> 00:56.130 may be some specific questions related to post traumatic stress disorder. 00:56.740 --> 01:01.440 Uh our chairman of the department psychiatry doctor a alex thomson 01:01.440 --> 01:04.120 used to my right you can eat your questions related to that. 01:04.790 --> 01:09.430 The final thing. I would like to say is also I wanted him a very sincere. 01:09.470 --> 01:13.510 Thank you for me exceptional 19 carrots about might file for 01:13.510 --> 01:15.410 what they did last night might be doing that. 01:16.250 --> 01:16.830 But that it was. 01:17.780 --> 01:21.020 They seek um. I won again at this summer's Cummins before. 01:21.020 --> 01:24.130 I begin addressing the patients that is I think that the some 01:24.160 --> 01:26.820 to take your kids need to be given to Darnell hospital over on 01:26.820 --> 01:30.520 for good in exceptional job of stabilizing the these patients 01:30.520 --> 01:33.770 to get either a for transfer here. Um my hat is off of the many 01:33.800 --> 01:37.470 that they're crew did exceptional job um. I would like to also 01:37.470 --> 01:40.590 think that my colleagues in trauma to work tirelessly throughout 01:40.590 --> 01:44.280 the night a along with my colleagues in the mercy department nursing. 01:44.310 --> 01:48.470 I see you et cetera a and it was a well I'm play team effort. 01:49.400 --> 01:53.130 And tell their patients um this morning. We do have nine patients here. 01:53.130 --> 01:53.850 It's got what. 01:54.550 --> 01:57.870 Three of them are made in critical condition uh. We have five 01:57.870 --> 02:01.190 others two of those are without it's your fair condition and 02:01.190 --> 02:02.650 are maimed or are in good condition. 02:03.380 --> 02:03.750 There is a. 02:04.260 --> 02:06.810 Possibility this several of them may actually dish chart from 02:06.810 --> 02:09.590 a hospital today some those are forced into had minor injuries 02:09.590 --> 02:12.650 in and will not re park further hospitalisations or procedures 02:13.000 --> 02:16.450 at this time uh the ones who are awake and talking are in good 02:16.450 --> 02:19.400 spirits a visit with the to this morning and their families that 02:19.400 --> 02:23.370 it made the bedside we have been able to contact and um we have 02:23.370 --> 02:26.890 in a convict all fanning members the that preached the redneck 02:26.920 --> 02:30.680 Qunex famous for each of the patients who are here and so the 02:30.680 --> 02:32.740 that is been a good thing to be able to converse this morning. 02:33.660 --> 02:37.370 Um again there in good spirits. We had I'm cyndi discussions 02:37.370 --> 02:40.360 this morning a at this point because that's kinda um. But I had 02:40.360 --> 02:42.960 prepared I'm happy to try to answer any questions that you guys 02:42.960 --> 02:43.360 may. Have. 02:46.070 --> 02:48.710 I was the injuries you're looking and now with the fish. 02:49.720 --> 02:53.280 Sure fisher so critical patients have um specifically they have 02:53.280 --> 02:57.730 some injuries to the next fell we have a a potential spine injury. 02:58.390 --> 03:01.760 And we also have an abdominal injury a those are the three patients 03:01.760 --> 03:04.610 that was so consider in critical condition. Uh.. No. 03:07.190 --> 03:14.600 No. They are to patients who will require further surgery that 03:14.640 --> 03:18.860 30 is gonna bunsen further diagnostic testing and it's not definitively 03:18.860 --> 03:22.050 clear whether or not he will need surgery uh the other two will 03:22.050 --> 03:25.250 undergo re operation one today one probably to mall. 03:26.270 --> 03:32.150 Uh. We'll though one patient as an abdominal injury a will maybe 03:32.150 --> 03:34.850 going in just make sure that for a fleeting is controlled the 03:34.850 --> 03:37.910 ideas to reestablished the committee the intestines we've had 03:37.910 --> 03:41.540 that the summer section there um and basting make sure that everything 03:41.540 --> 03:45.730 is is busy logic and I'm ready to take out the back together. 03:46.250 --> 03:48.910 The neck injury will make further a expiration of the finchley 03:48.910 --> 03:52.640 some work by specialist to look into a injuries an actor. 03:53.810 --> 03:55.610 Others are are and it was. 03:56.380 --> 03:58.160 So. That's it. 03:58.700 --> 03:59.180 It is. 04:00.290 --> 04:01.130 And that is. 04:02.020 --> 04:06.260 That you might my understanding is sarah they're all the printed 04:06.370 --> 04:11.080 with teary eyed again eight males and one team think of their 04:11.080 --> 04:14.360 degree of military service very is that there is john this 21 04:14.590 --> 04:17.470 and to their forty's and aides said there's probably it very 04:17.470 --> 04:19.080 degree about a military service there. 04:20.330 --> 04:24.220 No no something I believe low twenties to mid forties. I don't 04:24.220 --> 04:26.670 wanna get held a specific number but that's what I understand.. Right. 04:27.560 --> 04:33.430 Right. The best not there any doubt I wanna put a percentage 04:33.430 --> 04:36.280 on that we've still they're working it through I'm just kind 04:36.280 --> 04:39.360 of the you waste of that injury with a great ally the techniques 04:39.390 --> 04:42.300 had it under a surgeons and are spine seem at the bedside to 04:42.300 --> 04:45.150 about a with that and will hopefully have some more information 04:45.150 --> 04:47.620 on that in the coming days. There right now I feel like is with 04:47.620 --> 04:49.400 the to rid of prognostication on that. 04:50.240 --> 04:52.480 It was the increase of the folks in the. East. 04:55.370 --> 04:58.610 Churh so there are several they were a the egg in superficial 04:58.610 --> 05:02.110 can engraving type injuries in the land stop body cavities um. 05:02.690 --> 05:06.490 And uh you know maybe through of the muscle of an arm uh. 05:06.490 --> 05:10.060 We also had so as a missionaries basis travel type injuries from 05:10.060 --> 05:13.340 ball an impact on structures every nearby it back because some 05:13.370 --> 05:16.890 mild facial injuries a us and those are come to some examples 05:16.890 --> 05:19.210 of the the patients who may be released later today. 05:19.940 --> 05:29.850 On on. Okay. 05:30.810 --> 05:36.100 So. Was a little ball them news reports and had difficulty getting 05:36.170 --> 05:38.760 older loved ones of a women to the fall. 05:39.920 --> 05:40.470 In this space. 05:41.000 --> 05:44.130 Hottest. And not is that the whole. 05:44.780 --> 05:48.090 Uh. Shepherds that may have some more information on that the 05:48.090 --> 05:50.860 ones that I thought he had been previously been can thank the 05:50.860 --> 05:54.140 played by the army for the most part uh one of the challenges 05:54.140 --> 05:57.680 we had was does identifying people won the got your because is 05:57.680 --> 06:00.470 you can imagine it in necessarily have the right these on the 06:00.470 --> 06:03.460 many more they were about a waited them at the the army hospital 06:03.460 --> 06:06.380 some of them preliminary early and so some of the gets removed 06:06.410 --> 06:09.190 and they get a signs of trauma member. So when they got here 06:09.190 --> 06:12.660 it was the job of kind according to Darnell and understanding 06:12.690 --> 06:14.920 exact dead guinea. These folks whenever we got. 06:15.430 --> 06:18.640 And it's also very important understand that our first and foremost 06:18.640 --> 06:20.860 duties to protect the rights of our patient. 06:21.530 --> 06:25.320 And so when individuals call landon represent that them as family 06:25.320 --> 06:28.460 members we have to verify that that is indeed a family member 06:28.840 --> 06:32.410 uh before we put them in touch with that that the patient and 06:32.410 --> 06:36.380 that does take some time again in the media events are our first 06:36.380 --> 06:39.450 and foremost priorities to make sure the best medical care is 06:39.450 --> 06:44.090 getting to patients uh. We respected the family's needs to for 06:44.090 --> 06:47.250 information and we do our very best to get that information to 06:47.250 --> 06:48.400 them as soon as we can. 06:49.580 --> 06:50.230 All its. 06:50.930 --> 06:51.470 Why why. 06:52.090 --> 06:52.580 That's all. 06:54.770 --> 07:00.150 I'm at this time a and based on air experience uh from 2000 and nine. 07:00.850 --> 07:04.860 Um will in these kind of circumstances again. Our first and foremost 07:04.860 --> 07:09.010 priority is the emotional and physical. Well being of our patients. 07:09.830 --> 07:13.360 We will be meeting with our patients today I'm and the family 07:13.360 --> 07:17.300 members and introducing the concept of speaking with the media. 07:18.390 --> 07:22.150 It is only with their permission would we service the intermediary 07:22.530 --> 07:27.850 and connect them through our media relations office a to connect 07:27.850 --> 07:28.790 with with the media. 07:29.810 --> 07:34.390 Right that again please understand this is emotionally and physically 07:34.390 --> 07:37.720 traumatic events and that's what the the patients need the door 07:37.850 --> 07:38.310 you'll from. 07:39.260 --> 07:42.150 Right that's the first priority but yes we understand the need 07:42.560 --> 07:45.800 that some of the main wish to speak out but we orkin ice. 07:47.360 --> 07:50.700 How about will go to just be whether this. 07:51.680 --> 07:54.600 Normal with you as the that things to worry with. 07:55.270 --> 07:56.790 This that shooting that tasty. 07:59.330 --> 08:04.920 This. Well so let me I will speak did what we're looking at with 08:04.920 --> 08:07.510 the patients of were caring for right. Now is here from doctor 08:07.510 --> 08:11.900 Davis is people are often critically ill so being able to address 08:11.900 --> 08:16.110 complex emotional responses to this really take some bit of time. 08:16.630 --> 08:21.200 As I don't know I had not visited the Benny of these a serviceman. 08:22.120 --> 08:25.790 Many of them have come back and had combat experience. So your 08:25.790 --> 08:29.120 matching their heating into a safe place and seeing family and 08:29.120 --> 08:32.040 now having this kind of violence part about it there at their 08:32.040 --> 08:32.870 home so. 08:33.800 --> 08:37.600 These a likelihood that somebody would have the difficult emotion 08:37.600 --> 08:40.910 response of that is hide and so our job is going to be as they 08:40.910 --> 08:42.330 get well provide. 08:42.850 --> 08:45.730 Services in supporting work closely with for good. So that they 08:45.730 --> 08:49.310 can get the kind of attention that they need emotionally early aren't. 08:49.730 --> 08:53.080 So really work closely with the surgical team around when somebody 08:53.080 --> 08:56.840 is ready and able to talk about a things in star working closely 08:56.840 --> 09:00.250 with Fort hood to the land of surfaces but yes it's a it's a 09:00.250 --> 09:03.270 critical issue that we have to dress in a dress or of week but 09:03.550 --> 09:06.580 Holman with some buddies. Well enough in physically comfortable 09:06.580 --> 09:07.260 enough to be there. 09:08.090 --> 09:09.020 The streets. 09:09.980 --> 09:13.570 The shoot was the process of getting out with a hat. 09:14.170 --> 09:16.440 Is to use the along the pasta is. 09:17.000 --> 09:21.980 And here's tried I can state to nothing about the the treatment for. 09:22.540 --> 09:24.910 Mental state of the person is did this. 09:25.770 --> 09:30.220 But that's falling injuring a use of force for graceful else 09:30.220 --> 09:31.370 is awesome going. 09:31.930 --> 09:35.370 To. A certain lady down the spine is involved in this kind of 09:35.370 --> 09:38.710 from it is a pro possibility of again. I'm not prepared to say 09:38.710 --> 09:41.620 that there is the degree of paralysis a or what the degree would be. 09:42.380 --> 09:45.350 Uh at this point we we have more work to do on the before I can 09:45.350 --> 09:48.570 give you any further face on that and there are a logic injuries jim. 09:48.570 --> 09:52.120 I take some time to sort out anyway. So uh uh that of this untenable 09:52.120 --> 09:54.260 understanding more over the coming coupled base. 09:55.340 --> 09:59.090 Entry was all a bunch of who was in from something else and made 09:59.090 --> 10:02.410 that given its opening spells will make that that first that 10:02.410 --> 10:03.380 is riddled eventually. 10:04.410 --> 10:07.540 But From. 10:08.140 --> 10:09.130 The void always.. Yeah. 10:10.190 --> 10:15.910 Yeah. We do not expect in a more breakout is this point. 10:15.940 --> 10:19.770 I'm a a billion did our patients are still under since the mid 10:19.770 --> 10:22.090 begin fizzy. Logic stress. We have a lot of work to be in the 10:22.090 --> 10:25.950 operating room as well as a and in the time to commie now this 10:25.950 --> 10:29.660 is just the beginning of the process really from a is a continuum 10:29.660 --> 10:33.000 of care and it starts in a feel with the medic said in a continues 10:33.000 --> 10:36.040 to the needy video art guys to human and on a rehab. So there's 10:36.040 --> 10:38.420 a tremendous amount of work left to be down for a lot of these 10:38.420 --> 10:42.910 patients I would say that in terms of life-threatening gibbons right. 10:42.910 --> 10:44.720 Now awfull pretty good for our patients. 10:45.290 --> 10:48.370 That we've we still have some time to go before and when it had 10:48.370 --> 10:49.870 declared and completely and the woods. 10:50.610 --> 10:53.700 Think of that responsible some lockers we're all really it for 10:53.730 --> 10:54.560 the game. 10:55.400 --> 10:58.370 But there's a good possible of that you're a that you're happy 10:58.820 --> 11:00.100 to talk with a response. 11:00.680 --> 11:02.160 And I'm pursue those on that. 11:03.050 --> 11:05.750 But uh without making come in this evening. It's mother for for 11:05.750 --> 11:08.940 the comets any for me personally dishes. I related me initially 11:08.970 --> 11:12.660 a by text message from friends um and then I began a wrap of 11:12.660 --> 11:15.720 your seat information ahast villain from the surrounding area uh. 11:15.720 --> 11:20.400 We have a very well called a regional machine um I'd share of 11:20.400 --> 11:23.670 the recall advisory councils medical about to board. So we have 11:23.670 --> 11:26.780 some Kinney casing tolls are in place there and we're able to 11:26.780 --> 11:29.860 get things moving pretty quickly uh we talk of the last night 11:29.860 --> 11:32.870 about our command center i've ever say that is very involved 11:32.870 --> 11:35.930 in that and he can maybe speak to some work that what it just 11:35.930 --> 11:39.630 to meet the initial information started coming across the news 11:39.630 --> 11:44.630 wires and bean text by individual roles up on the base please understand. 11:45.230 --> 11:49.310 Um many of our staff and what this is why it's home to us many 11:49.310 --> 11:50.150 of our staff. 11:50.830 --> 11:55.490 I'm have spouses are family members who are are posted for euphoria 11:55.490 --> 11:59.750 military and so when tragedy happen Sudan. We feel that when 11:59.750 --> 12:03.790 we hear about an early pre-modern davies of the electronic texting 12:03.790 --> 12:07.920 and setter we uh a start hearing information very early uh in 12:07.950 --> 12:08.660 in the quarters. 12:09.200 --> 12:12.750 So what we do is we rapidly assess what the ceased situation 12:12.750 --> 12:15.750 is determine how many patients we're going to get the make a 12:15.750 --> 12:20.080 decision to open up we call a command center that sends out multiple 12:20.110 --> 12:24.290 a a works towards the necessary providers pole position nurses. 12:24.290 --> 12:28.230 Another ancillary care a members. I am so they're both their 12:28.230 --> 12:32.540 notified both electronically up by phone calls and basically 12:32.540 --> 12:36.910 what they hear a across the media and the uh if they have loved 12:36.910 --> 12:39.490 ones on on bass and what happens. 12:40.150 --> 12:41.400 What happens here always. 12:42.470 --> 12:45.970 And we face a crisis when our community is challenge we raised 12:45.970 --> 12:46.610 to the occasion. 12:47.130 --> 12:48.960 And so everybody starts coming in. 12:50.570 --> 12:51.580 It was all heart. 12:52.190 --> 12:53.540 It's about what happened. 12:54.110 --> 12:55.530 We're we're one notch. 12:56.510 --> 12:59.990 They've given a some some my although any know little um stories 12:59.990 --> 13:02.460 and are prepared to release those said lee that may be part of 13:02.460 --> 13:05.830 the investigation and I wanna say anything that could be potentially 13:06.110 --> 13:12.630 compromising to that. What. 13:13.580 --> 13:14.940 No. It was. 13:16.490 --> 13:17.540 So I was a 13:19.820 --> 13:22.220 That's a shepherds that they wanna dress um. It's isn't a great. 13:23.150 --> 13:25.720 We're having the store support for one of the things we've done 13:25.720 --> 13:28.310 is collaborate with the portrait chaplains. 13:28.960 --> 13:31.630 We work very well with them they came in last night. 13:32.870 --> 13:34.230 Provided support the family. 13:35.000 --> 13:38.910 Of they've got some family resources on for good those individually 13:39.040 --> 13:40.150 the will provide support. 13:40.790 --> 13:43.920 On. Some of the more like the family readiness group. 13:44.490 --> 13:47.640 Chaplin family life center and the command Teamsters signed. 13:49.160 --> 13:52.690 And uh so the the ongoing 24 hour seven covered for. 13:53.480 --> 13:55.050 The support for them significance. 13:55.680 --> 13:57.110 When Talk about. 13:58.710 --> 14:01.390 We're began as a way of this show. 14:03.000 --> 14:04.230 Yeah the ball. 14:05.360 --> 14:06.900 He was in. Here. 14:11.100 --> 14:11.540 I think. 14:12.430 --> 14:13.490 Korea will face. 14:14.660 --> 14:15.520 The degree to that. 14:16.200 --> 14:18.800 You know we're we're here for the patients stuff. 14:19.510 --> 14:23.040 Pony but we also try to be sense of community reach out to them 14:23.040 --> 14:23.670 as feasible. 14:24.180 --> 14:26.480 It right now the patients are hungry focus. 14:27.260 --> 14:28.530 We're also collaborating. 14:29.050 --> 14:32.850 With others is trying trying to reach out such is the thing that kept. 14:33.710 --> 14:34.540 Certain cable the 14:35.930 --> 14:38.540 Because we're talking about people who are in the military one 14:38.540 --> 14:39.120 but I think. 14:41.130 --> 14:45.110 The in a recipe superhuman there are there are ways to deal with 14:45.190 --> 14:48.660 the aftermath something like this our imagine that's breast go. 14:49.250 --> 14:52.330 For from the case and you are in the visit will be no doubt that 14:52.330 --> 14:54.870 we could you could you undress anyone thinks that all these people 14:55.140 --> 14:56.680 in august was that yota mcfly. 14:58.550 --> 15:02.430 The applying that for a common fear among all humans that we 15:02.430 --> 15:04.100 all tend to cope in different ways. 15:04.760 --> 15:07.730 At the we can make assumptions about a particular population 15:07.760 --> 15:10.940 that we all deal with things differently. So I think it's a case 15:10.940 --> 15:11.620 by case. 15:12.160 --> 15:13.750 Basis that we try to relate to people. 15:15.640 --> 15:16.160 Oh it's 15:18.020 --> 15:23.230 Was well of what it can accommodate um this because it's Uh you 15:23.230 --> 15:26.710 know that the men and women to protect our country are exceptional 15:26.710 --> 15:30.100 people over there put in circumstances that are often. 15:30.680 --> 15:36.350 The Not understandable and so even once physical wounds are managed 15:36.350 --> 15:39.900 to wounds that are deeper for psychological art there. It's something 15:39.900 --> 15:41.540 that we're continuing to see. 15:42.080 --> 15:47.200 Uh and and really cast more lied on in this country. So the post 15:47.200 --> 15:51.200 right stress disorder. It's very common it's very common in active 15:51.200 --> 15:55.210 duty servicemen and people who are a now veterans. 15:55.790 --> 16:01.600 Um. So it's Just a critical issue that we have to address. 16:02.540 --> 16:02.960 Portrait of. 16:03.510 --> 16:06.290 One of them is a of a lot of. It. 16:09.690 --> 16:10.260 That that we do. 16:10.960 --> 16:13.040 Out. Are you offering. 16:13.960 --> 16:14.950 The Come on. 16:16.040 --> 16:20.900 Yeah we we will we absolutely will of again our staff performed 16:20.930 --> 16:24.330 a exceptionally. Well liked the highest level professional le. 16:25.050 --> 16:32.390 Excellent. And as as we did back in 2009 um both are a psychiatry 16:32.390 --> 16:35.790 department or chaplain services and other servers who's a will 16:35.790 --> 16:38.830 be made available to them not to know whether this and that of 16:38.830 --> 16:42.450 we do routinely not just for these kind of events but bingo level 16:42.450 --> 16:45.620 one trauma center we see the tragedies all the time some of those 16:45.620 --> 16:48.870 can be very emotionally distressing to our staff and we try to 16:48.870 --> 16:51.370 be sensitive to that and we have some internal mechanisms in 16:51.370 --> 16:53.580 place to counsel for folks through that. 16:54.220 --> 16:57.940 During the coolest into goes and and replied going. 16:58.470 --> 17:00.230 To do things differently anything like that. 17:01.130 --> 17:02.210 That she's been treated. 17:03.210 --> 17:04.370 Of sayeed um. 17:04.980 --> 17:07.880 Resuscitation that the trial operations is an ongoing field of 17:07.880 --> 17:11.360 study um. We you lard about that all the time or an gazes studies 17:11.360 --> 17:12.180 about that here. 17:12.740 --> 17:15.700 Um were actively engaged American college of surgeons to helps 17:15.700 --> 17:18.080 us understand we're the best way to care for a large number of 17:18.080 --> 17:19.500 injured patients so. 17:20.030 --> 17:22.690 Promise standards and how we were tested patients have certainly 17:22.690 --> 17:25.720 of all the the last few years. I was say there's been that there's 17:25.720 --> 17:28.640 nothing specific about weren't is necessarily in terms of how 17:28.640 --> 17:30.960 we handle but I think are assessed a sharon knowledge of how 17:30.960 --> 17:34.690 to handle dramatically did patients and their their range physiology 17:34.870 --> 17:36.270 is is improving all the time. 17:37.070 --> 17:40.550 Situation jeans for your love what comes or someone else gets 17:40.590 --> 17:44.790 to see her when today with a startup here or is this to bring 17:44.790 --> 17:48.140 anyone in any such what that's lynn not know we're fully open 17:48.170 --> 17:49.260 and staffed ready to go. 17:49.830 --> 17:54.110 So we have no need to divert we have no copped myosin our capabilities..