Colorado Shooting Haunts an E.R. Staff
By ERICA GOODE
August 16, 2012
Dr. Sasson arrived for her shift at 11 p.m. that Thursday. Filling in for another doctor at the last minute, she had skipped the two-hour nap she usually takes before a night shift. As her colleague ran through the list of patients, she thought, “I can just power through till 8 a.m.”...
But soon afterward, with the E.R. already full to capacity, news of a shooting began to filter in.
Ms. Davis, the charge nurse, thought it was probably a gang shooting — they had happened before at the theater — and she began preparing for one to three new patients, the usual number from such an event. But at 12:45 a.m., she got a call from a police officer at the scene telling her of “multiple wounded,” and that the victims were being transported by police car.
Mr. Kennedy, listening to the police scanner, could hear the terror in the voices of the police officers at the scene. “It basically sounded like absolute chaos,” he said. “It sounded just like a war zone.” First it was a few injured, “then it was 4,5, 6 and then it was 15 and then it was unknown, and crowds of people covered in blood. We were like, ‘Oh man, what’s going on?’”
The first police cruiser screeched into the ambulance bay at 1:06 a.m., followed closely by others, each bearing two or three victims.
“It was another car, another car,” Dr. Sasson recalled. “We were standing out here literally pulling out bodies and putting them onto stretchers.”
By 1:21 a.m., 15 minutes later, 9 patrol cars and an ambulance had pulled up, discharging 13 patients, many with disastrous injuries.
“I think a lot of us have seen very bad gunshot wounds before,” Dr. Sasson said. “But some of the pictures that I think many of us have stuck in our heads to this day are just some of the most horrible injuries, people with their guts hanging out, people with their brains coming out.”
A storeroom just inside the doors was quickly transformed into a treatment room. The two trauma rooms were already full, and stretchers lined the hallways. One man sat in the waiting room holding up his bleeding arm. “I’m O.K. Take care of the other patients first,” he told the doctors.
Every 15 minutes, Dr. Sasson and the other emergency room attending doctor, Barbara Blok, along with other staff made the rounds. Gunshot wounds are notoriously unpredictable and patients “can go from super stable to critical, blood pressures dropping, crashing, altered mental status, unresponsive, within a couple of minutes,” Dr. Sasson said.
Throughout the hospital, people were reacting. A command center was set up. Calls went out to neurosurgeons, chest and vascular specialists, orthopedic surgeons, who sped in to work, as did more than 100 other staff members, from radiologists to housekeepers. Nurses came down from the intensive care unit. Residents hurried to the emergency room from other floors. Operating rooms were opened up. Nine operations were carried out over the next hours.
The hospital’s blood bank received 185 units of blood. Rapidly depleting supplies — chest tubes, Pleur-evacs and sterile operating room towels — were replenished.
At one point Dr. Sasson remembers thinking, “I wonder if the shooter is here?”
Dr. Gordon Lindberg, a surgeon and medical director of the hospital’s burn unit, who coordinated surgery through the night and operated on a patient with 18 shotgun holes in the small bowel, said that since the shooting he had often thought how lucky it was that the gunman’s semiautomatic rifle jammed. Shotgun pellets, smaller and traveling at a lower velocity, inflict less damage, he said.
“As good as we were in mobilizing everyone and getting everyone here and opening the operating rooms,” he said, “if it had been mostly an automatic rifle to people’s heads, bellies, vessels, you name it, I don’t see any hospital handling it; I really don’t. There would have been deaths.”
http://www.nytimes.com/2012/08/17/us/colorado-mass-shooting-tested-an-er-staff.html?_r=1&hp