Chapter One - Page 13

23rd May 2016, 6:15 PM in Chapter One
Page 13
Average Rating: 5 (1 votes)

Author Notes:

Lili 23rd May 2016, 6:15 PM edit delete
Guess who's yelling into Albert's ears...? Welcome to the comic, Chief Gordon Cole! (Or at least his voice. You'll have to wait one more week for Gordon's actual appearance.)

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Marc Latilla 23rd May 2016, 8:10 PM edit delete reply
Well done! This is great...
Lili 30th May 2016, 1:24 AM edit delete reply
Thank you!
Big Ed 24th May 2016, 3:00 PM edit delete reply

And I like the female doctor with the little birthmark above her eyebrow, sweet details everywhere and nicely drawn once again. Thank you!
Lili 30th May 2016, 1:25 AM edit delete reply
YES WE DO! *thumbs up*
Thank you! It was nice to be able to draw a female character for a change (so many men in this comic...!).
struction 24th May 2016, 3:55 PM edit delete reply
I love the comic. Just a quick nit-pick. EMS don't put in central lines. Needs to placed under strict sterile conditions which typically can't be achieved in the field.
Lili 30th May 2016, 1:56 AM edit delete reply
Thank you! And feel free to nit-pick all you want, constructive criticism is always welcome.

Here's my two cents (based on what I see in the E.R. I work at in France): technically, you're right about the central line thing. However (this might be different in the US, mind you), in the context of vital emergency such as this, I've seen a CVC put in without proper sterile conditions.

If the patient is severely hypotensive/hypovolemic, it might be impossible to find a peripheral vein. Which means the only way to get fluids into the patient is to start a central line. There's an infectious risk, yes - but you're saving the patient's life. (Of course, the "emergency" catheter has to be replaced by another, placed in the right conditions, as soon as possible.)

Now, maybe things are different in the US (and maybe they were different in the 1980s, too!) - from what I see in movies and TV shows, US doctors and nurses seem to work in sterile conditions a lot more than we do in France (like, we never use sterile gloves when inserting a peripheral IV).
Phillip Jeffries 26th May 2016, 3:57 AM edit delete reply
Yay for Gordon Cole!
Lili 30th May 2016, 1:25 AM edit delete reply
Indeed! =)
struction 1st Jun 2016, 7:57 PM edit delete reply
I'm sure it's different in France. In the US I've seen people drop a line in the external jugular if access is really tough. The next choice would be an intra-osseous line.
struction 1st Jun 2016, 8:00 PM edit delete reply
oops, posted that in the wrong place.
Lili 1st Jun 2016, 11:49 PM edit delete reply
Well, for some reason, in France we prefer putting in a central line rather than using the external jugular... I don't know why, since it would be a lot easier for us AND for the patient.

As for intra-osseous lines... Wow, really? I've never even seen one here! It's extremely rare in France. Very interesting to know, thanks!
(I've just read on Wikipedia that IO is becoming more and more common in EMS systems worldwide, but certainly not in France yet...)

The sterile conditions for an IO would be the same as for a CVC though, right?
struction 2nd Jun 2016, 3:56 PM edit delete reply
Cleansing the site for an IO is closer to putting in an IV than a central line. In the US putting in a CVC requires a sterile gown and gloves etc. IO just requires clean gloves and cleansing the site with chlorehexadine.
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