아시아나 사고 환자 치료 총괄 의사,“승객들의 신속한 탈출과 현장 응급처치, 매우 뛰어났다.
[사진]지난 11일 중국 상하이에서 연료 유출로 견인되고 있는 아시아나항공 여객기웨이보닷컴 캡처
샌프란시스코 종합병원 신경외과장 제프리 맨리(Geoffrey Manley) 단독 인터뷰
아시아나 사고 환자 치료 총괄, 제프리 맨리(Geoffrey Manley)
12일, tbs eFM 시사 프로그램 his Morning 과 단독 전화 인터뷰
승객 탈출 지연 및 119 늑장 대응에 관해 “의료적인 관점에서 부상 정도를 봤을 때 충분히 빠른 시간 안에 대피가 이루어졌다,
의료진이 현장에 도착했을 때 호흡관 삽입 등의 응급 치료 등을 신속하게 처리하는데 문제가 없고, 이는 더 이상의 사망자가 발생하지 않았다는 사실로 증명했다.
샌프란시스코 종합병원 (San Francisco General Hospital)은 미국에서 손꼽히는 척수 및 뇌 전문 병원, 한국어 및 중국어가 가능한 인원을 최대한 많이 배치하여 부상자들 보조 중이다.
아시아나 사고 부상자 치료를 총괄하는 샌프란시스코 병원 의사 제프리 맨리(Geoffrey Manley)는 7월 12일(금), tbs eFM 101.3의 시사 프로그램 『This Morning』과의 인터뷰에서 아시아나 여객기 승객들의 탈출은 매우 짧은 시간임에도 불구하고 매우 적절하게 이루어졌다고 밝혔다.
승객 탈출 90초 지연과 119 늑장 대응에 관한 질문에는 승객들이 응급실에 왔을 때 중환자로 분류되거나 즉각적인 사망의 위협에 있는 경우가 없었으며, 이는 더 이상의 사망자가 발생하지 않았다는 사실로도 증명된다고 말했다.
샌프란시스코 종합병원 (San Francisco General Hospital)은 미국에서 손꼽히는 척수 및 뇌 전문 병원으로 한국어 및 중국어가 가능한 인원을 최대한 많이 배치하여 부상자들 보조 중이며, 다리를 움직이지 못하는 등 심각한 척수 손상을 입은 환자들에게 최적의 의료 및 회복 치료를 제공하고 있다고 말했다.
허리에 두르는 기존 항공기 안전벨트 유형 외의 다른 종류의 안전벨트가 더 필요한 지에 관해서는 부상의 유형을 바꿀 뿐이라고 지적하며, 가슴에 안전벨트를 맨 상태로 사고가 났을 때에는 목과 머리가 더 심하게 흔들릴 것이므로 또 다른 부상이 생길 것이라는 예를 들었다.
중상을 입은 두 명의 아시아나 승무원의 상태에 대해서 절대적인 확신은 없지만, 치명적인 부상에도 불구하고 현장에서의 적절한 응급처치와 함께 신속하게 병원으로 옮겨졌으므로 희망이 있다고 말했다.
tbs eFM 101.3 This Morning 제프리 맨리 인터뷰 전문
출연 Geoffrey Manley (제프리 맨리), 샌프란시스코 종합병원 신경외과장
Alex: In recent days a lot of the public and media focus has been on why and how theAsiana Airline come down in a crash-landing in San Francisco last Saturday. Two lives were lost and 180 people were injured in that particular incident, including crewmembers. We might also wonder how the dozens still receiving medical treatment are doing. What sort of injuries are they facing? Could they have been treated sooner, especially based on the latest revelations yesterday from U.S. investigators that some had to wait possibly up to 30 minutes to receive any kind of medical treatment, with emergency services concerned about approaching the plane given the possibility it could have exploded. Let’s catch up now with Dr. Geoffrey Manley from San Francisco General Hospital, which has been treating the largest number of patients from this particular incident. Good Morning to you from Seoul.
Dr. Manley: Thank you for having me.
Alex: Perhaps before we get the latest update, it might be worth recounting, for you, the general atmosphere of the plane crash and how things have progressed since then.
Dr. Manley: Certainly. From my perspective, obviously this was a profound event, wherein we were notified that a passenger jet had crashed at San Francisco Airport, and that we had at least 25 ambulances inbound with casualties. We obviously had no idea in terms of the extent of the injuries. We had been told that there were a number of people who appeared to be walking around at the scene and that an emergency action plan had been put into place. From my understanding and from colleagues of mine who were on the ground, and from what I saw at the hospital, my opinion is that the triage and the management of the patients in the field was actually outstanding and that’s evidenced by the fact that we’ve had no further casualties since the event. Patients were brought in and I think they were appropriately triaged. We saw many very sick and very injured patients with a large number of orthopedic injuries, abdominal injuries and we saw a large number of spinal injuries, many of which were able to be treated conservatively with collars and braces, but others which have required surgery.
Alex: It’s reassuring to hear that particular sign that maybe too much is being made of the delay in offering the patients treatment. But there was one emergency call, for example, the transcript of which reads along the lines of ‘we’ve got people dying here and we need to have help as soon as possible.’ Obviously if there were concerns that the plane was about to explode there’s not much that could have been done about it. Are there some patients still in care now for whom their lives will be unavoidable affected by this, not just mentally but physically, to the extent that perhaps their injuries could prevent them from walking again, for example?
Dr. Manley: Certainly. We definitely have a number of patients who remain in critical care. We did not see them move their legs prior to them being placed under heavy sedation as part of their management in the intensive care unit, so we’re quite concerned that a couple of these folks may have sustained spinal cord injuries. However, we are known as one of the premier centers in the United States for brain and spinal injury so they are getting the latest and greatest treatments that are available and we’re doing everything that we can to ensure they will have the best recovery possible. We have an outstanding group of physicians, nurses and administrators here, who are solely focused on trying to make sure that these folks who we’re taking care of will do the best they possibly can.
Alex: What about the unusual pattern of spinal injuries that was reported earlier this week? Again, perhaps this was just speculation. Maybe you can clear that up for us?
Dr. Manley: Thank you very much for the opportunity to do that, because I believe I made that original comment. What I was struck by when we saw the large number of patients coming in was just the nature of their spinal injuries. Certainly we saw quite a few compression fractures and ligamentous injuries and I think that was due, in part, because we had patients that were sitting in the same kind of seat and had the same kind of lap belt on, so that when the collision occurred with the ground, they were able to move forwards and move backwards. The uniform force created a consistent injury pattern that was really not typical of what we would have seen, say for example, in an automobile that was moving at a high speed and stuck a wall.
Alex: With plane accidents being rare, I guess it’s difficult to make the comparison with automobile accidents. Could you offer any recommendations in the future to airlines and airline safety organizations, in terms of perhaps looking at the seat belts, looking at the way people are strapped in to avoid those kinds of injuries in the future?
Dr. Manley: I think, as you said, there’s been a lot of discussion and conjecture about this over the past several days and I think there’s a balance here in that these seatbelts certainly saved these peoples lives, like when you get into a car you should wear a seatbelt because that will save your life. The question is whether or not having more seatbelts would have reduced the level of injury. In my opinion, it would have just changed the nature of the injuries, so that if you belt the chest, now the head and the neck move more vigorously and that may just move the injury to a different place. The thing that we have to remember is that one of these reasons that many of these people survived is that even the people that were still on the plane, when the paramedics were up in the fuselage, in the smoke and the growing flames, people were throwing knives to them up into the plane and were cutting straps to be able to get people out of the plane so that they didn’t die from burns. So one has to imagine that the more you strap someone into a seat, when the plane crashes and the fuel begins to leak out, there’s also a timing element that one needs to be able to get off the plane in a rapid fashion. So I think there’s always going to be a balance between total safety with respect to collision and the ability to rapidly exit the airplane. My recollection of most plane accidents is that it’s almost always associated with fire, so we know that it is very important to get out of a plane in a timely fashion.
Alex: Yes, and obviously it’s not for you to comment on but something that aircraft investigators this week have been pointing out is why the delay in the evacuation, but in the end it seems that the evacuation was successful. But were there some burn injuries that would have resulted from staying in too long?
Dr. Manley: Again, I think that we live in a society where things happen in seconds and we have the 15-second sound-bite and the video clip and so I think 90 seconds… If you looked at 90 seconds on your own watch right now and you think about the length of this interview, it’s really not a very long time and, again, it’s not up to me to decide what’s appropriate and not appropriate, but from the medical perspective I think that everything went as well as can possibly be done, given the nature of the event and the fact that we had these people coming off the plane. Emergency responders from our San Francisco Fire Department were trying desperately to get to these folks, smoke was billowing out, they were able to put the fire out very quickly, they got all the folks off the plane with the exception of the two people who unfortunately passed away, and in my opinion, when people were brought to the hospital we had no one who was really what we would call in extremis, or who was in the process of rapidly dying when they got there, so it means to me that they were being brought there within a period of time where we were able to get to them and put breathing tubes in and to do all the things that we do. Again, I thought this was a day we all could be proud of our emergency response system in San Francisco and certainly I’m proud and honored to work with the people at San Francisco General Hospital. We feel very, very sorry for the Korean people and the folks who were on the plane and we’re doing our very best to have as many people who speak Korean and speak Chinese, we’re a cultural city here in San Francisco, and I think that we’ve really tried to do our best here and we’re all very hopeful that these people will make the best recovery they possibly can.
Alex: It’s, again, reassuring to hear that. Something else that I’d like to address with you, and I know you can’t go into specifics for legal reasons, but the flight attendants- we understand there are two being treated at San Francisco General Hospital, potentially in a very serious condition considering reports that they were actually thrown from the aircraft. It seems miraculous that they are alive at all; can we feel confident of their survival?
Dr. Manley: I think that it’s too early to tell, and you brought up some of the questions that have been raised. I think it’s understandable, after every accident there’s a lot of people asking questions and we should. We want to make sure we learn as much from this incident as possible so that should this happen again we know we have the best ability to respond to this. But what I would say to that, and to answer your question, is that I think that the fact that these folks were thrown from the plane and that they’re still here, that they’re still alive, I can’t say with any great certainty that absolutely everything will be ok because they’re still in a critical condition, but I think that also speaks to the fact that they were managed appropriately in the field and brought here in a rapid fashion that allowed us to sustain their lives and to try and treat these very severe and life-threatening injuries that they sustained as part of this crash.
Alex: I think we might all send our thoughts, or prayers, or however we like to do these things, towards those people right now, the condition that they are clearly in is serious. The other issue that has come out of this is the two teenage girls who tragically passed away. Is there any intelligence that you’ve been made aware of that there would have been any hope for their survival at all? There have obviously been reports about whether one of them was hit by an emergency service vehicle and whether that could’ve led to her death.
Dr. Manley: From my perspective here, caring for the injured from the airline crash, I’ve had no information about that.
Alex: Thank you very much for being honest about that and thank you very much for the update. Best of luck with your efforts and congratulations on those that your staff have been carrying out so far.
Dr. Manley: Thank you very much, and again our thoughts and prayers are also with these folks, and we’re here 24/7 doing the best that we can to make sure that they do the best that they can.
Alex: Wonderful of you to take the time to tell us that. Dr. Geoffrey Manley there from San Francisco General Hospital.
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tbs eFM 시사프로그램 단독 인터뷰
