'For 20 years, I ran all the EMS, police, fire, ambulance ... I wrote all the protocols, and I would never advise any of my paramedics to dive into jet fuel to save someone. That was risky. But at the time, it was totally automatic...' Todd Dorfman, MD
Emergencies happen anywhere, anytime — and sometimes physicians find themselves in situations where they are the only ones who can help.When the plane crashed, I was asleep. I had arrived the evening before with my wife and three sons at a house on Kezar Lake on the Maine-New Hampshire border. We were going to spend a week there with my wife's four brothers and their families. I was woken by people screaming my name. I jumped out of bed and ran downstairs.
The mom and I dive down over and over, pulling and ripping at the door. We cannot get it open. Finally, I'm able to bend the door open enough where I can reach in, but I can't undo the seatbelt. In my mind, I'm debating, should I try and go through the front windshield? I'm getting really tired, I can tell there's fuel in the water, and I don't want to drown in the plane.
We pull the boat up to the dock and Lauren's now having anoxic seizures. Her brain has been without oxygen, and now she's getting perfused again. We get her to shore and lay her on the lawn. I'm still doing mouth-to-mouth, but she's seizing like crazy, and I don't have any way to control that. Beth is crying and wants to hold her daughter gently while I'm working.
Heather is an emergency flight nurse who I'd trained with many years ago. There's immediate trust. She has all the right equipment. We put in breathing tubes and IVs. We stop Lauren from seizing. The kid is soon stable. Suddenly, I begin to doubt my decision. Lauren had been underwater for 15 minutes at minimum. I know how long that is.I didn't think about it at the time, but if that patient had come to me in the emergency department, I'm not honestly sure what I would have done.
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