herman b. gentry & robert o. smith v. rockingham petroleum ... · herman b. gentry & robert...
TRANSCRIPT
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1
Herman B. Gentry & Robert O. Smith v.
Rockingham Petroleum Cooperative
Mediation Conference July 28, 2010
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Valley View Mobile Home Court
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The explosion
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Propane Fireball
0036
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LP Gas Blast
0020
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Gas Detectors
0103
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Herman Gentry
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Fire Report – 11/10/07
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Fire Report – 11/10/07
I saw the oldest man rolling on the ground trying to put out the fire on him..
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11:20 a.m. Emergent Assessment: Rockingham Memorial Hospital
“Has obvious severe burns involving the face. Eyebrows are singed. Nasal vibrissae (hair) are singed. Has blanching of facial skin including both lips. Has burns on both lower extremities, primarily on the anterior aspect, but also somewhat on the posterior aspect. There are areas on both lower extremities, particularly in the areas distal to the knee that appear to be full thickness. Has major burns involving his right hand, which are circumferential. He is shivering, awake, and alert. Advised by emergency department physician he would require prompt intubation. Received two liters of fluid wide open, and two liters per hour for two hours. Large doses of narcotic analgesics and sedatives administered for pain relief and mental comfort.” Harold S. Jenkins, M.D. November 10, 2007
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4:10 p.m UVA Emergency Department
“Patient moving and bucking vent. Soft restraints applied.”
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Intravenous catheter
Foley Catheter
Endotracheal Intubation
Supportive Medical Devices Used During Initial Stabilization
Central Line
Arterial Line
Cardiac Monitor
Wrist Restraints
Ventilator
Bair Hugger Blanket
Pulse Oximeter
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40%
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19 Units of Red Blood Cells Given to Mr. Gentry
Approximately enough blood to fill two gallons of milk
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Timeline of events
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12 Medical Diagnosis
Burns to bilateral upper and lower extremities
Gangrenous cholecystitis
Acute cholecystitis
Functional dysphagia
Chronic ventilator dependence
Multiple infections in blood, wounds, and sputum
Interspinous ligament strain, C1-C2
Circumferential extremity burns
Inhalation injury with facial burns
40% total body surface burns
Inhalation burns requiring intubation in the emergency department
Burns involving the face, lower extremities, and right hand, approximately 40% total body surface area, with full-thickness burns noted on the lower extremities
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19 Physicians/Consultations
William Evans, M.D.
Ward Gypson, III, M.D.
Thomas Gampper, M.D.
Robin Hamill-Ruth, M.D.
Robert Sawyer, M.D.
Robert Goldstein, M.D.
Raymond Morgan, M.D.
Paul Yeaton, M.D.
Mary Vance, M.D.
Maksed Choudry, M.D.
John Marshall, M.D.
Jeffrey Young, M.D.
James Calland, M.D.
Gerald Donowitz, M.D.
Eric Houpt, M.D.
Charles Friel, M.D.
Bruce Schirmer, M.D
Anthony McCall, M.D.
Adam Katz, M.D.
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68 Medications Accuzyme Acetaminophen
Acyclovir Albuterol Ascorbic Acid (Vitamin C)
Ativan Bacitracin
Bisacodyl
Bupivacaine Calcium Chloride
Carrington Gel Cefazolin
Cefepime
Chloride
Ciprofloxacin
Cream
Dexamethasone Diamox
Dilaudid
Docusate
Dopamine
Elta Cream
Ephedrine
Erythromycin
Fentanyl Ferrous Sulfate X2
Flagyl Gastragrafin
Gluconate
Glycopyrrolate Inderal Insulin, Regular Labetalol Lasix
Levophed
Lidocaine X2
Linezolid
Lorazepam
Lovenox
Magnesium
Methadone Milk of Magnesia
Morphine Neostigmine
Norepinephrine Nystatin
Ointment Pepcid
Percocet Phenylephrine
Pluronic Polysporin Potassium Prevacid
Propanolol Propofol Robinul Rocuronium
Senna
Seroquel Succinylcholine
Sufentanil Sulfate
Vancomycin
Vecuronium
Versed Zofran
Zosyn
Zyvox
Red Text indicates pain medications