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VCU Shining Knight Gala: Pt. 1 The Tony Carr Story

VCU Shining Knight Gala: Pt. 1 The Tony Carr Story

It started probably when he was about eight
years old. Unbeknownst to Cindy I had taken him to a local airport about 10
minutes from the house and we’d gone on a discovery flight in a little
single-engine airplane, a little four- seater, and Tonyy got to sit up front. He
was the copilot next to the pilot, And we got home and of course he told her all
about it, and she said ‘Well next time, I’m going with you in case that plane goes down
we’re all gonna go together.’ But yeah it was started young and he’s never wavered
from it. Before he left I remember him saying goodbye to me, and then he left
and everything seemed just fine. It was a nice evening, middle of April. Myself
and one of my firefighters were standing on the front ramp, just kind of talking,
and saw an aircraft depart and it didn’t seem right when it took off and had a
different noise, kind of fluttered a little bit and as it started to fall we
came in and started running to the trucks. And I was on my way home about
10:30 at night and received a phone call. At about 42 seconds after he hit
the ground we were there. And they said ‘Are you where you can talk?’ and I knew
then something was terribly wrong. This is a Richmond tower. We require
immediate assistance. We’ve had an aircraft depart and crash on the airport.
There is a fire. There’s a fire on the aircraft. There’s a fire on the aircraft, on the
taxiway. We need immediate assistance right now. He’d just departed, so he was
fully loaded with fuel and cargo. They said, ‘There’s been an accident, his plane went
down, there was a fire.’ We have a fully-involved aircraft at this time. Got to get here now. Rescue 4 help me out. On the right side of the airplane. The airplane
stayed intact upon impact to the ground. It appeared that the airport was going
to request more resources, so everything out of this building headed towards the
airport. As the fireball erupted it pushed the flames back along the
fuselage catching the interior the airplane. I asked her I said ‘Is he alive?’
906, going to need more extrication equipment. Removed him from the airplane they used
the Jaws of Life. And I said ‘Please tell me.’ and she said, ‘Yes he’s alive.’ They kind
of hinted that he was, you know, in serious condition, but they couldn’t give
me a lot of detail. And it’s a male patient approximately mid-twenties, third degree
burns to face and chest area. He clearly had significant burn injuries. Airway
was right away a concern. No respiration, significant burns to the face and leg. We knew the airway was going to deteriorate rapidly. A lot of risks associated with it and
you’re making a pretty quick decision to do something that’s very invasive, but I
think the decision was correct. You were taking their ability to
maintain their own airway away, so you have to be extremely confident that
you’re gonna be able to get it, after you do that. Wholly immobilized. MCV
notified. We had the resources there where we were able to manage multiple things at
the same time. Two people just to be concentrating
on the airway. Someone just managing IV- IO access. Just managing the monitors.
Just managing the drug therapy. Then one person sitting back, overall
management of the entire patient. Medic 6 en route VCU code 3. That was
probably the longest night of our lives. Medic 6, Medic 6 arrived VCU, 22. When the light starts flashing we
know we have a trauma patient coming in. We start assembling our team of
physicians and nurses. We knew because it was a plane crash with a burn, it’s going
to be a very complex patient because you’re dealing with major thermal burns and
major blunt force trauma. It really needed to secure that airway so that
was our first concern, because if we lost that airway in a burn victim, but
we risk not being able to get it back due to the swelling, so it was definitely the
airway was our first major concern. We made sure all the other breathing
circulations were intact, we identified all the injuries, got our IV secured,
started warming him up, started giving the fluids that he needed, and got him
to the cat scanner and all the x-rays that he needed. From the emergency department he was
taken to the NGO suite, where the whole team went with him. The resuscitation
continued as the radiologist worked on pinpointing where the bleeding was, and
making sure that they can stop the bleeding. In a setting of a trauma
whereby someone has significant pelvic bleeding like this, that’s a risk to their
life. And as you can see here these traumatized arteries are actually
bleeding. We don’t need to make any incisions, we just go in through a small
hole at the top of the leg, performed an angiogram and a minimally invasive way and were able to
very rapidly treat the problem. But this certainly was a threat to his life.

1 thought on “VCU Shining Knight Gala: Pt. 1 The Tony Carr Story”

  1. Incredible story of Tony Carr, this part covers the initial crash at RIC, emergency response, and transport to VCU Medical Center.

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