Fayette County emergency officials
are defending the way a youth baseball player was treated after he was
struck in the chest Friday night by a pitch and died later from an erratic
heartbeat.
An e-mail circulating the county
criticizes the paramedics who treated John Peter Ashmore for an allegedly
slow response time, for not shocking his heart and for almost dropping
him off the stretcher when he was rushed to the ambulance.
"It took EMS 15-20 minutes
to get on the site," the e-mail charges. "When they did get
on the site, they only worked on the boy for a couple of minutes on the
field and then put the boy on a gurney and took him to the ambulance.
En route to the ambulance, the paramedics almost threw him from the gurney
when going over a curb. Not only was the response time unacceptable, but
so was the facts that they did not buckle the child on the gurney nor
did they use the paddles to shock the heart into motion again," the
e-mail charges.
The first ambulance got there
within five minutes and 24 seconds of receiving the call from the county's
911 dispatch center, which is a good time, said Deputy Chief Allen McCullough
of the Fayette County Department of Fire and Emergency Services. It took
just over one minute to dispatch the first call taken by the 911 center,
said director Cheryl Rogers.
And because Ashmore had stopped
breathing and was showing a weakening pulse, it was more important to
restart his breathing and administer drugs through an IV and perhaps administer
limited interventional procedures that paramedics are allowed to perform,
McCullough said.
While paramedics failed to
strap him to the stretcher, it wobbled a little but Ashmore was never
injured during the transport, McCullough said, adding that several people
were carrying the stretcher at the time, making it more stable than if
it were carried by just two people.
"John's medical condition
was appropriately managed by the trauma protocols that have been approved
of care in managing trauma," McCullough said. He noted that the survival
rate of victims who sustain cardiac arrest from blunt trauma is less than
1 percent.
It was unlikely Ashmore's heart
was in a "shockable rhythm" because of the manner in which he
was injured and based on the information from an off-duty Clayton County
paramedic who attended to Ashmore moments after he was struck, McCullough
said.
Ashmore died from a disturbance
to his heart rhythm that was brought on when the ball struck his left
chest, said Dr. Kris Sperry, the state's chief medical examiner. Ashmore's
heart was bruised during the incident, added Sperry, who conducted the
autopsy Saturday morning.
Ashmore did not have symptoms
indicating that his heart needed to be shocked when he was first attended
to by medical personnel, McCullough.
According to the circulating
e-mail message, "John was up to bat and was hit by a wild pitch in
the upper part of his chest. When the ball hit, he immediately grabbed
his chest, started crying and dropped to the ground. He stopped crying
and his body went limp. Several coaches and parents were on the scene
and immediately began doing CPR, but it did not seem to help."
Paramedics were able to get
Ashmore loaded into the ambulance and on the way to Fayette Community
Hospital within 12 minutes after arriving on the scene, which was an excellent
time, McCullough noted. When the paramedics first approached the victim,
they spoke with an off-duty Clayton County paramedic who was already on
the scene and said Ashmore's pulse appeared to be weakening.
Instead of dragging a lot of
medical equipment from the ambulance, the paramedics decided to rush Ashmore
to the ambulance where other paramedics were preparing to intervene with
medical procedures, McCullough said. That was to shave some time off getting
Ashmore to the hospital, McCullough added.
The goal was to take Ashmore
to Fayette Community Hospital to continue resuscitation efforts and then
fly him to a trauma center hospital, McCullough said.
"You're trying to do this
as quickly as you can," McCullough said.
Paramedics were able to resuscitate
Ashmore several times after he was clinically dead, McCullough noted.
"They were able to do
the things they needed to do to save him," McCullough said.
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