Gary Hartstein, tot eind 2012 de officiële F1-dokter, deelt via twitter zijn medische kennis en tracht via berichten op twitter de F1-fans meer duidelijkheid te geven. Hartstein geeft ons een uniek beeld over de situatie waarin Michael Schumacher mogelijk verkeert.
If Michael required observation in a more sophisticated unit than the local hosp, I'd assume Grenoble would have made that very clear.
— Gary Hartstein (@former_f1doc) December 29, 2013
If he's required more involved care (mechanical ventilation, intracranial pressure monitoring etc) then you have ICU chief speak.
— Gary Hartstein (@former_f1doc) December 29, 2013
@nicktabs If Michael had concussion, with a normal initial scan, he'd not have been transferred to Grenoble I suspect
— Gary Hartstein (@former_f1doc) December 29, 2013
@fabianopolimeni Taking care of severe head injury is minute to minute and is VERY based on the patient's clinical condition.
— Gary Hartstein (@former_f1doc) December 29, 2013
@fabianopolimeni But the brain's plasticity makes prognosis impossible to pronounce definitively for quite some time. Weeks to months.
— Gary Hartstein (@former_f1doc) December 29, 2013
Taking off my doctor hat now, to tell Michael to get better. And that we're all pulling for you Champ.
— Gary Hartstein (@former_f1doc) December 29, 2013
It's quite well known that extradural hematomas, a kind of cerebral hemorrhage, can leave a lucid interval after injury
— Gary Hartstein (@former_f1doc) December 29, 2013
Then as the hematoma forms, the sudden increase in pressure causes sudden and dramatic symptoms. Pressure must be relieved rapidly.
— Gary Hartstein (@former_f1doc) December 29, 2013
This is done with a neurosurgical intervention. Then the victim is observed in an ICU environment
— Gary Hartstein (@former_f1doc) December 29, 2013
Quality of recovery depends on: 1) severity of initial injury 2) acuteness and amplitude of pressure rise when hematoma forms…
— Gary Hartstein (@former_f1doc) December 29, 2013
3) rapidity with which it is drained 4) quality of neuro intensive care and rehab
— Gary Hartstein (@former_f1doc) December 29, 2013
About the "induced coma". Lets demystify it just a bit. Any severe head injury leads to a loss of coordination of tongue and throat muscles
— Gary Hartstein (@former_f1doc) December 29, 2013
Happens to some when they sleep – called SNORING. But this is reapiratory obstruction and causes CO2 to rise and oxygen to fall.
— Gary Hartstein (@former_f1doc) December 29, 2013
But the brain wants oxygen and hates CO2. So we put tubes in these patient's tracheas and use reapirators. This protects the airway
— Gary Hartstein (@former_f1doc) December 29, 2013
And gives excellent control of ventilation and oxygenation. But to intubate someone, he or she needs to be pretty deeply anesthetised
— Gary Hartstein (@former_f1doc) December 29, 2013
So this is the usual "artificial coma". It IS a induced coma, but in fact it's like a prolonged, protective, anesthetic.
— Gary Hartstein (@former_f1doc) December 29, 2013
De laatste berichten van voormalig F1-dokter Gary Hartstein kan je volgen via zijn twitter-account: klik hier
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