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Stroke Victim Stranded At South Pole Base

Hugh Pickens writes "Renee-Nicole Douceur, the winter manager at the Amundsen-Scott research station at the South Pole, was sitting at her desk on August 27 when she suffered a stroke. 'I looked at the screen and was like, "Oh my God, half the screen is missing."' But both the National Science Foundation and contractor Raytheon say it would be too dangerous to send a rescue plane to the South Pole now, since Douceur's condition is not life-threatening. Douceur's niece Sydney Raines has set up a Web site that urges people to call officials at Raytheon and the National Science Foundation. However, temperatures must be higher than -50 degrees F for most planes to land at Amundsen-Scott or the fuel will turn to jelly. While that threshold has been crossed at the South Pole recently, the temperature still regularly dips to 70 degrees below zero. 'It's like no other airfield in the U.S.,' says Ronnie Smith, a former Air Force navigator who has flown there about 300 times. A pilot landing a plane there in winter, when it is dark 24 hours a day, would be flying blind 'because you can't install lights under the ice.' The most famous instance of a person being airlifted from the South Pole for medical reasons was that involving Jerri Nielsen FitzGerald, a doctor who diagnosed and treated her own breast cancer. Using only ice and a local anesthetic, she performed her own biopsy with the help of a resident welder. When she departed on October 16, 1999, it was the earliest in the Antarctic spring that a plane had taken off."

45 of 264 comments (clear)

  1. Hmm... by Frosty+Piss · · Score: 4, Informative

    McChord Air Force Base has a couple of C-17s in Christchurch *right now* involved in Operation Deep Freeze. Of course, the jets keep the engines running while cargo goes off and on, and as a point of fact, we are now actually doing NVG landings and take-offs.

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    1. Re:Hmm... by Anonymous Coward · · Score: 5, Informative

      The problem is that the C-17's have wheels. Unless things have changed recently, Amundsen only has a snow field, not an ice runway like McMurdo. Landing anything other than a twin-otter or LC-130 at Amundsen probably wouldn't be classified as a "landing" and definitely would be a one-way trip (note the L before the C-130 - it's not a normal Herky-bird).

      Another issue is that the LC-130 doesn't have the legs to make CHC-Amundsen-CHC non-stop. Therefore, it has to land at McMurdo at least once. That means that the weather has to be agreeable to allow the mission to happen (putting aside the issues with fuel jelling and gasket failure at the Amundsen temperatures). In early October, some days the weather at McMurdo is good, but it's not the rule. Nasty storms this time of year.

      While the situation is quite sad, most of the damage in a stroke occurs in the first hour, which has long sense passed. Rehab is the only treatment at this point. Another stroke may happen, and medical intervention could reduce that chance, but a chance is an awfully big dice-roll that involves a full flight-crew.

    2. Re:Hmm... by quenda · · Score: 4, Informative

      Also, the south pole base at 2,835 meters elevation. McMurdo is a comparatively balmy 24m and 78degrees latitude.

    3. Re:Hmm... by Deep+Penguin · · Score: 3, Informative

      The problem is that the C-17's have wheels. Unless things have changed recently, Amundsen only has a snow field, not an ice runway like McMurdo. Landing anything other than a twin-otter or LC-130...

      Another issue is that the LC-130 doesn't have the legs to make CHC-Amundsen-CHC non-stop. Therefore, it has to land at McMurdo at least once. That means that the weather has to be agreeable to allow the mission to happen (putting aside the issues with fuel jelling and gasket failure at the Amundsen temperatures). In early October, some days the weather at McMurdo is good, but it's not the rule. Nasty storms this time of year.

      Pole still has a packed-snow skifield. No jets, no tires. Skis only. That means an LC-130 or Twin Otter (as you mention) or a Basler BT-67 (upgraded and stretched DC-3). Of the three, only the LC-130 is pressurized, and, yes, Hercs have a 9-10-hour flight range, so it uses one load of fuel to get from CHC to McMurdo (9.5 hrs), then another to get from McMurdo to Pole and back to McMurdo (6-7 hrs). They'd use a C-17 for the McMurdo-to-CHC return this time of year - it's faster and roomier for all involved (faster matters double because you have to have good weather at the flight endpoints throughout the flight in case you have to abort-to-departure, or "boomerang"). There's also the requirement for an additional plane on standby in case it has to be sent out for Search-and-Rescue if the first plane goes down. They never operate only one LC-130 at a time. There have to be two or perhaps three present and functional to launch the primary mission.

      The issue with temps below -50C is more about seals and gaskets than gelled fuel. They got a waiver in 2004 to open the station with LC-130s at -57C. I watched as one of the planes taxied back from an aborted take-off and spent 3 hours in the pit cycling its engines. They did eventually take off and arrive at McMurdo successfully, but after that incident, the Air Guard became unwilling to operate the planes when the ground temps at Pole were below -50C (and in 2005, I watched the third station-opening flight turn back because it got too cold between #2 and #3. It was 6 days and two more attempts before it returned). In 2006, station opening was delayed 10 days due to weather (visibility or temps - ISTR it varied from day to day).

  2. Ehmm by mobby_6kl · · Score: 4, Insightful

    Not only is the condition not life threatening at the moment, the rescue wouldn't achieve much since by the time the victim could be transported out of there, any damage would've been done already. Not to mention that putting her into an unpressurized plane (if it's too cold for the C130) could be dangerous by itself.

    1. Re:Ehmm by Sarten-X · · Score: 3, Funny

      This is Slashdot. We will devise a brilliant solution, utilizing the latest technology from around the world, in a complex yet elegant manner. Once this solution is established, no faults will be acknowledged, for we are faultless. The next time such a situation arises, we will angrily wonder why our solution was ignored by those evil profit-oriented corporations.

      This is Slashdot. Practicality isn't very welcome here.

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    2. Re:Ehmm by mpthompson · · Score: 2

      Even a pressurized plane could be dangerous for someone recovering from a stroke as they usually keep cabin pressure equivalent to 10,000 to 12,000 feet.

    3. Re:Ehmm by snowgirl · · Score: 2

      Apparently, according to her own words, Renee is already acclimated at about 10,000 feet. Wikipedia confirms that Amundsen-Scott station is at an altitude of 9,301 feet.

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    4. Re:Ehmm by Vectormatic · · Score: 4, Insightful

      This sob-story was posted on redit a few weeks back, it is nice that her family is trying to get that stroke victim back, but the truth is that flying out to the south pole isnt exactly easy, and once a stroke victim is stabilized, there isnt much to do after the first 24 hours.

      I'd be more upset if they risked a three man flight crew in dangerous conditions then if this woman has to wait a few more months

      --
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    5. Re:Ehmm by Migraineman · · Score: 3, Funny

      Nah, you have to make sure the helicopter has the -R option (the rotor blades want to rotate the opposite direction south of the equator.)

      Also, fuel that resembles vaseline will be a problem for any machine using a heat engine.

  3. She knew about this going in by WegianWarrior · · Score: 2

    When you sign up for a tour of duty to a place like that, you also sign a number of waivers and documents stating that you are aware that there is no bailing out early, and no chance of a rescue flight in winter. I'm sure it must suck to try to recover from a stroke while at the South Pole, but there is no reason to risk the life of others just to get her out - even less now that she is actually recovering.

    At least actual transport is fast once it's safe to send it these days; Amundsen and his team spend 99 days going from the coast to the south pole and back, Scott and his team was on the move for about 150 days before succumbing to hunger and cold (in reality succumbing to bad planning and lack of preparation).

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    1. Re:She knew about this going in by MichaelSmith · · Score: 4, Interesting

      My uncle applied for work in Antarctica. They gave him really rigorous medical tests and found a tumor. He is alive now (20 years later) because he wanted to be a diesel mechanic in Antarctica.

  4. Re:Lighting. by MichaelSmith · · Score: 2

    Maybe but teh reality is that you would be risking lives to get one person home early and when they got home they would still be a stroke patient. Its hard for some people but some times in an emergency the best thing to do is nothing and the best place to be is where you are. If you don't like that don't go to Antarctica. Its just barely spring here in Melbourne (and in the rest of the southern hemisphere). The sun is creeping south slowly.

  5. Re:Too Old to Play in the Snow by xheliox · · Score: 2

    Absolutely. Anyone at any age who volunteers to spend time on the South Pole must recognize they have no access to emergency care. I sympathize with her situation, but no more lives should be put at risk to rescue her.

  6. I may be callous, but... by Anonymous+Freak · · Score: 4, Insightful

    She had the stroke a month and a half ago. The next scheduled flight is one week away. Maybe this would have been newsworthy on September 10th, but at this point, if she's functional, she can last another week.

    Honestly, how bad would she (and her family back home) feel if they send a "rescue flight" tomorrow, and it crashes on attempted landing, killing the crew? Or how bad would her family feel if it landed successfully, managed to take off again, but then the engines die halfway to the coast due to jelled fuel, killing the crew AND her?

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    1. Re:I may be callous, but... by Miamicanes · · Score: 2

      > She had the stroke a month and a half ago. The next scheduled flight is one week away.
      > Maybe this would have been newsworthy on September 10th, but at this point, if she's functional, she can last another week.

      I believe her beef at this point was Raytheon's original refusal to send a medical technician on that flight, not the date of the flight itself. She didn't ask for an immediate rescue flight, only one at the first practical opportunity. Remember, the first scheduled flight was scheduled months ago, based on historical weather patterns. It's quite possible that an earlier date might end up being physically viable if she gets lucky. Or maybe not. Either way, she didn't ask them to make a dangerous trip... she asked them to make the first trip a few days early if the weather ends up being better than predicted.

      It's kind of like ship traffic into St. Petersburg, Russia. None is ever scheduled for the winter, because nobody knows in advance when the Baltic will ice up. Thus, ships scheduled months ahead of time have conservative scheduling that avoids a several-month window of time when there's likely, but not by any means guaranteed, to be ice that would make the port inaccessible. That doesn't mean a small ship equipped with state of the art sensors couldn't safely navigate into St. Petersburg weeks (or months) before the commercial shipping season begins, it just means that nobody is going to risk delaying a ship full of cargo (with crew getting paid by the day) waiting for the ice to open up in the normal course of business.

  7. Please DON'T call by subreality · · Score: 4, Informative

    First, email the people on this list and tell them the money saved denying Renee a Medevac flight will not be worth the bad press. Ask them to do the right thing.

    Please no. This really isn't about saving money. If that's all it was, they'd do the flight just to head off the bad PR.

    Sending a flight to the south pole in adverse conditions costs lives. Figuring a 1 in 15 chance of a crash per round trip and a flight crew of 3, that's 0.2 lives you're paying to airlift her out of there.

    That's an acceptable risk for someone who will die unless they're rescued, but that's not the case: she had a stroke; the damage is done. They probably have her on blood thinners now and she's off-duty and taking it easy, which is basically all that they can do for her in a proper hospital to prevent a recurrence. Any rehab therapy she needs can be adequately done by videoconference until they can get a flight down there.

  8. Unfortunately deep spaceflight is WORSE by wisebabo · · Score: 2

    I'm sure(?) that the people at NASA are looking at this and thinking:

    "What would this be like if this happened in deep space, with no possibility of rescue or even airdropped (space dropped?) supplies?"

    Is there an age restriction on astronauts (to reduce the likelihood of diseases which become more prevalent with age?). Are there any policies about pushing people out of the airlock if they can't be helped (now that would be something interesting to see on wikileaks).

    This looks like a bad situation for everyone involved.

    1. Re:Unfortunately deep spaceflight is WORSE by dargaud · · Score: 3, Interesting

      "What would this be like if this happened in deep space, with no possibility of rescue or even airdropped (space dropped?) supplies?"
      Is there an age restriction on astronauts

      That's probably the root issue. As someone who has worked for the french, italian and (indirectly) US antarctic programs, and also applied for astronaut, I can say that the tests are very different in the different projects, and weed out a lot more applicants on the astronaut side (no surprise here). At the same time, you can't ask for someone who applies to a mechanics or cook position in Antarctica to be as fit as an athlete. Also the american polar program must follow non-discriminatory guidelines when hiring, meaning there'll be be a lot of obese or other borderline medical issues. It's no surprise that most of the medical problems I've heard about were on american stations. But they also employ a lot more people, so read this with a grain of salt. After all, during my first winterover, the guy who became insane and had to be restrained was the doctor himself... Fun times.

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  9. how do they know? by Dark+Lord+of+Ohio · · Score: 2

    How does she know if it was really a stroke? Only by symptoms??? It could be many other diseases from optic neuritis, multiple sclreosis onset... or glaucoma. Did she have a CAT or MRI scan to differentiate? Also if she had stroke and it just affected her vision she may consider herself as very lucky, without thrombolytic therapy. She was also aware that going to South Pole is not like hitchiking in the mountains, no 911 calls. Anyway I wish her well and hope she will recover.

  10. panic by Tom · · Score: 3, Insightful

    Raines has set up a Web site that urges people to call officials at Raytheon and the National Science Foundation.

    With the purpose of what? Endangering more lives? This isn't a rational plea for help, it's irrational panic.

    --
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  11. Re:South Pole != USA by Anonymous Coward · · Score: 4, Insightful

    The South pole isn't apart of the US.

    Yes it is.

  12. Re:Lighting. by djupdal · · Score: 5, Informative

    I spent one year as the leader of the Norwegian Antarctic research station (Troll).

    We did not have winter flights either, but we had plans for doing it.

    We had a set of airport lights we could place along the runway, complete with PAPI lights to guide incoming planes. These were not permanently mounted, but would only require a couple of hours to get in place. I find it odd that Amundsen-Scott does not have something similar.

    The real problem is weather, a little bit of wind, and the lights disappear in snow drift. Another problem is that the runway must be cleared of snow, which is a considerable amount of work that is also dependent on the weather.

  13. Re:South Pole != USA by Chrisq · · Score: 2, Insightful

    Apostrophes, how do they work?

    Apostrophe's? You add them at random.

  14. heres some landing photos at night by cheekyboy · · Score: 2
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  15. C17 landing photo at night, proof here by cheekyboy · · Score: 3, Informative

    A C-17 Globemaster III aircrew from McChord Air Force Base, Washington, performed the first known after-dark landing in Antarctica using night vision goggles on September 11, 2008.

    http://photolibrary.usap.gov/Portscripts/PortWeb.dll?query&field1=Filename&op1=matches&value=09122008_NVG_C17.JPG&catalog=Antarctica&template=USAPgovMidThumbs

    --
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  16. Re:First Aid 101 by thegarbz · · Score: 2

    What is the very first thing you do in a first aid scenario? You see someone down you stop and assess the situation. You never proceed to help a victim unless its safe to do so or you want to earn a stupidity ..er.. I mean bravery medal.

    You go in all mucho and heroic you stand a chance of increasing the number of casualties. No only does that put your stupid arse in a sling, but it also limits the amount of help that will be available for the original casualty when the smarter rescue team arrives.

    Sydney Raines is now actively petitioning for something that could have a very good chance of not only getting people killed, but worse still potentially getting people killed and preventing help for the one who currently needs it.

  17. Re:South Pole != USA by ObsessiveMathsFreak · · Score: 2

    Neither is Guantanamo Bay, but that's never stopped the US Military.

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  18. other factors by Alan+R+Light · · Score: 4, Informative

    I know Renee personally. In fact, I submitted this story to Slashdot in late September, but it didn't get posted.

    There are other factors involved. Renee is aware of the problems with an evacuation this time of year, but was more concerned about being prevented from getting a second medical opinion and being denied a medical attendant on the evacuation flight. She sought publicity upon the advice of her lawyer, who felt this was the only way to pressure the company to do the right thing - and the publicity campaign has worked. Renee is now getting a second medical opinion and will be getting a medical attendant on her evacuation flight.

    Polar aviation technology has advanced considerably since 1999, and a Twin Otter can safely land at considerably lower temperatures than an LC-130. You may note that Renee did not ask for an evacuation in August or most of September - merely that a plane be put on standby for an evacuation as soon as possible in October. She didn't earn her Engineering degree or get to be Winter Site Manager by being stupid. There was also concern that the denial of her reasonable request for a second medical opinion, etc., might be retaliation related to some issues with anonymous whistleblowers which she handled.

    It should also be noted that some types of stroke can get progressively worse, and that she is currently at a high altitude with low oxygen which might exacerbate the damage. I understand the skepticism, but like I say - she is not stupid.

    More information here, though note that this page was established by family members, not Renee herself:

    http://www.facebook.com/pages/Evacuate-Renee-Nicole-Douceur-from-Antarctica-Immediately/139354572829055

    1. Re:other factors by subreality · · Score: 2, Insightful

      Source? None of that is on the petition:

      Help Renee-Nicole Douceur get evaculated from Antarctica now! Raytheon and the NSF do not think a stroke is an emergency

      My mother/aunt, Renee Douceur, is the winter site manager at the South Pole Station run by Raytheon and the National Science Foundation. She suffered a stroke on August 27th and the on-site doctors requested for her immediate medical emergency evacuation to get her to proper medical care and prevent further injury to her, The decision makers are disregarding the on-site doctors’ request for Renee’s immediate need for emergency evacuation. Instead they are treating her stroke as a non-emergency, keeping her at the South Pole until late October or early November. Renee’s attorney has advised her to go public because he is being stonewalled by Raytheon and the NSF to get her out ASAP for proper medical diagnosis, treatment and rehabilitation (if she survives the trip out) Let's get her home!

    2. Re:other factors by drinkypoo · · Score: 3, Insightful

      That's precisely why she didn't insist that they fly before it was technically possible. Today we have all kinds of wonderful things like heated fuel tanks and satellite imagery which collectively make an extraction not only possible, but feasible.

      What is supposed to separate us from the "lower" animals is stuff like compassion. Except, as it turns out, they have plenty.

      --
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    3. Re:other factors by thegarbz · · Score: 2, Insightful

      Naturally, the relevant facts never make the news. It ain't sexy.

      Nope, because quite frankly who cares about the detail of a medical attendant when the primary purpose and single largest stupidity is petitioning to make the situation worse. She wants to petition about a medical attendant then more power to her, I'd be happy to sign that. But she's not.

      People are horrendously irrational when they become passionate about something. Unfortunately that's not her fault, it's human nature. I have a wonderful video demonstrating this showing a welder in a confined space and a hole-watch outside him. The welder was engulfed in flames in a sudden explosion. The holewatch instead of radioing for help and following the prepared rescue plan jumped in to save him. End result was 2 deaths instead of none as the incident report determined the initial casualty would likely have survived if help was summoned straight away rather than 10 min later when someone showed up trying to figure out why they heard a bang.

      She is actively pursuing something that could potentially make the situation much worse, and that is really the most relevant part of this story.

    4. Re:other factors by Anonymous Coward · · Score: 5, Insightful

      Having been the guy who's made the call to not fly a rescue mission, I sympathise. However, killing 3 people (or 7 in my case) to potentially save 1 person is a hell of a call to make. My personal risk tolerance is about E-2. However, when the risk is killing the entire crew, it drops, precipitously. Not only do you risk killing the crew, but you also lose capacity to support other rescue missions. Killing a crew to rescue someone who's stable is not a good idea. I've burried too many friends for those types of missions.

      As for the medical attendant, well, again, consider the risk. That's a 3rd person to kill on the flight, and substantially limits the fuel I can carry, the choice of aircraft I have, and makes the high altitude takeoff more dangerous, particularly with a light aircraft.

  19. Air Pressure ... by Alan+R+Light · · Score: 4, Informative

    Renee is at the South Pole, at an elevation of 9300 feet - however, because the atmosphere at the poles is thinner than at the equator, air pressure at South Pole is roughly equivalent to 10,500 feet.

    However, this is a good point. It is one of the reasons why Renee requested a medical attendant on her evacuation flight, as well as a second medical opinion about her condition. Both requests were at first denied, but fortunately this publicity campaign has succeeded in getting both these requests granted.

    As always with news stories, some of the most relevant details were omitted.

    (I wintered with Renee at McMurdo Station in 2009, and have been in contact with her regarding her current circumstances.)

  20. Re:Lighting. by djupdal · · Score: 2

    The problem is not the added hight of the snow, but that the snow is very uneven (sastrugi). You can not land a plane with wheels on an unprepared antarctic runway, and airplanes taking off from Cape Town (which is the city closest to the Norwegian station) will not be equipped with skis.

  21. Re:Lighting. by Alan+R+Light · · Score: 2

    They have landed a plane at South Pole in the darkness before.

    http://www.polarconservation.org/education/antarctic-evacuations/2001-doctor-evacuated-from-the-south-pole

    There is much more to this story than what has been released in the press. Renee was denied a second medical opinion and denied her request for a medical attendant on her evacuation flight. There are also questions of official retaliation for doing her job properly. But those things don't get publicity - and the publicity has helped her get that second medical opinion and the medical attendant.

  22. other factors by Alan+R+Light · · Score: 4, Informative

    As I've been saying elsewhere, there were other factors involved. Renee was being denied a second medical opinion, and denied a medical attendant on her evacuation flight. Thanks to the publicity, this has now been rectified. Naturally, the relevant facts never make the news. It ain't sexy.

  23. Re:Sadly, the likely end result of this... by Iskender · · Score: 2

    Someone over 50 can be so good at the job that he/she is the equivalent of two or three "young enough" workers. It could even be that they do look down on older applicants, but decided the younger ones were trash compared to this experienced person.

  24. Re:Look at her website... by Alan+R+Light · · Score: 3, Informative

    I assure you that Renee is no whiner. I wintered with her at McMurdo in 2009. She's a tough lady.

    There are other factors in play here, which may come out in the future.

    Renee was primarily concerned about getting a second medical opinion and a medical attendant for her evacuation flight. Both of these were previously denied to her - but thanks to the publicity, both have been now been granted.

  25. Re:South Pole != USA by sizzzzlerz · · Score: 2

    Ah, it's amazing how the absence of a simple space character can change a sentence from true to false.

  26. Re:Lighting. by Deep+Penguin · · Score: 3, Informative

    I've wintered at Pole multiple times. It's a very different place than Troll or McMurdo. The coldest coastal temps are like a warm October or February day at Pole. It's not practical to deploy electric cables in those temps (80F to -100F late in the winter and into sunrise). For airdrops (and the April, 2001, medevac via Twin Otter), they use "burn barrels" to mark out the skiway.

    Wind and visibility is indeed an important factor, though unlike a hard-surface runway, you don't clear the snow off of the skiway so much as grade and shape the snow pack so the skis don't sink in. They have limited equipment and limited qualified personnel in the winter (usually 1-3 people) and it takes weeks to take the skiway from mid-winter conditions to ready-for-station-opening condition, and one storm can demolish a week's work.

    I'm not there this year and can't comment on specific issues with Renee's situation. Once the Winter is over. I'm sure we'll hear more about how things got to this point, but right now, from 10,000 miles away, our speculation here can't possibly be based on enough facts to be remotely viable.

  27. Get some TPA down there for the next time by billstewart · · Score: 2

    The standard treatment for stroke includes a clot-busting drug such as TPA if you can get it to the patient in the first few hours after the stroke. While this won't help her, they should keep a stockpile of it around for the next time somebody gets a stroke.

    It's a bit more complicated than that - it helps some kinds of strokes and hurts others, so you need to consult a neurologist about it; I don't know if they'd also need to have CAT scan or equivalent medical hardware to help diagnosis.

    --

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    New Fast-Compression-only CPR http://preview.tinyurl.com/dy575ks
    1. Re:Get some TPA down there for the next time by ceoyoyo · · Score: 3, Informative

      No, they shouldn't. tPA is finicky stuff. If its administered during the first three hours of an ischemic stroke it can help, but after that it's more likely to hurt, and if you give it for a hemorrhagic stroke it can easily kill. The decision to give tPA is based a lot on experience and absolutely requires a CT scan, someone trained to obtain that scan and someone trained to interpret both the scan and the patient. You could potentially do the interpretation remotely but I don't think anyone has shown that yet (we were working on it) and you'd still need a CT scanner, which is probably not reasonably for such a small base.

  28. Re:Lighting. by Tuidjy · · Score: 2

    Oh joy. Publicity has increased the chances that yet another person's life will be risked on the evacuation flight, which will be undertaken earlier than originally planned.

    I hope the crew and the medical attendant make it safely back... and the stroke victim, of course. But if they all die in the premature rescue flight, I hope that one of their relatives gets away with arranging the murder of whoever set up the publicity site. And yeah, I am deliberately not posting anonymously, fucking karma be damned.

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    Two years later, the Party fell, and a bit later he drowned in a outdoor shithouse. I doubt the two were related... he had been involved in much worse.

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  29. Re:The solution is simple by SteeldrivingJon · · Score: 2

    "BTW I'm 10 solo hours away from obtaining my private pilot license."

    Well, no wonder you're such an expert on landing at Amundsen in October.

    Why, I bet when you were learning to drive you were schooling the engineers at Ferrari.

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