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71st Evac Hosp-Pleiku, Vietnam - Stories
These stories are true, but the names may be
changed to protect the innocent. Besides, my memory
isn't very good any more. I haven't researched any of these for historical detail, but have lived them. Steven Streeper - Copyright, 2007
My first DOT (died-on-table):
A few weeks after arriving in Pleiku, I was on duty when we got a call that
a Vietnamese veloped (3-wheeled motorcycle with benches in back) had been
hit by a deuce-and-a-half. Five or six of the passengers, of probably a dozen
onboard, had been killed outright and several were badly injured. The survivors
were brought into the ER, where we evaluated their wounds and moved a couple of
them into surgery. I was assigned to scrub in with a team working on a young,
prepubescent girl, probably
9-10 years old. There was very little external
damage, though we were told that the trucks' duals had passed over her
abdomen. The abdomen was completely rigid, indicating massive internal bleeding.
Blood pressure was good and vitals were also good, but we knew we were in a race
once we opened her up. Four units of blood were hung, both external jugulars
and both brachial arteries, we wanted good blood supply to the head and heart,
ready to push when we started. The surgeon performed a rapid transverse incision, entering the
abdominal cavity. Immediately blood started gushing out of the incision, much
like an artesian well. As I suctioned for all I was worth, the surgeon and
first assistant were rapidly searching for the source of the profuse bleeding.
We suspected
a torn aorta, crushed spleen and/or crushed liver. As we worked, two nurses
were pushing and hanging blood as fast as they could. Immediately upon entry
of the abdomen, the blood pressure crashed. Despite the best efforts of the
entire team and twenty units of blood, the patient expired after a few minutes.
Upon post-mortem exam, the spleen was found badly crushed and the liver
deeply lacerated, with one lobe completely separated. Her wounds were devastating,
though no there was very little outward evidence of it.
Another tech and I were assigned to clean up the room and prepare the body for
the morgue. After removing all of the IVs and tubing, we closed the incision, in
preparation for burial. We washed off the blood and cleaned her up as best we
could. After a while, the Graves Registration guy showed up with toe tags for
us to complete. We really didn't know anything about the patient, so couldn't
provide much information. She had a small gold chain necklace that the GR guy
was going to take and give to his VN girlfriend.
I told him he'd better not touch it or I'd have to hurt
him. We put her in a body bag and wheeled her to the morgue. I don't know what
happened to her after that, but I've never forgotten her. She was the first
of many, but remains fresh in my memory. I can still see her face.
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