From: Martin Taliak <mtaliak@yahoo.com>
Date: Wed, Dec 31, 2008 at 10:55 PM
Subject: Wednesday
To: Kyla Elderton <kylaelderton@gmail.com>
| Wednesday 31 December 2008 Today Kerry was responsive to talking to her with simple questions and answers with eye blinking (tough to talk with an endotracheal tube in ) Confused but we are trying to orient her. Reduced pain medications but she is in a great deal of discomfort form the fractures and I'm sure from lying on her back the whole time. A bit of rolling her over was very uncomfortable. Vital signs are stable with no temperature today. They have begun gastric feeding which she is tolerating well and a bit of Reglan for her bowels. Those of you who have looked up "flail chest" were a bit horrified by the description and indeed it can be but hers will not be the worst case scenario. If it is the longer it goes with the endotracheal tube and the positive pressure ventilation the more the chest wall tightens up and the better it will be when the tube is removed.I saw lots of these in Vietnam from explosions and blunt trauma and never lost anyone. It's more important to recognize first and then treat it.It's not that common. All in all my gut feeling is very positive at this point. Progressing well at this as can be expected Marty |
