Newspapers / The Carolina Times (Durham, … / Sept. 6, 1980, edition 1 / Page 11
Part of The Carolina Times (Durham, N.C.) / About this page
This page has errors
The date, title, or page description is wrong
This page has harmful content
This page contains sensitive or offensive material
Their Quick Action Saved A Child's Life and Foot SAT., SEPTEMBER 1. 1339 THE CAHCUftA TIKES 11 Five-year-old Jody Florence's mother had just told him to be careful playing in the yard because his grandfather was cutting the grass. But Jody, who lives in Mebane, did what most little children do when a dog chases them; he ran away from the dog. And before his mother could stop him, he ran straight into the path of his grandfather's riding lawnmower. Within a minute, the child's parents and grand father were racing to the nearest emergency room Alamance County Hospital in Burlington. "We didn't know at the time that his toes were cut ' off because the mower baldes didn't tear the shoe all the way off," his mother said. "We just grabbed him and lumped into the car." V On the way to the hospital, Jody's grand father applied direct pressure to the child's severely cut knees and foot. Jody's grandmother called out to a neighbor when she discovered the severed forefoot laying in the grass. The neighbors helped her wrap .the' forefoot in a towel, place j it in a bowl and pack the i bowl in ice. "When my mother call ed the hospital's emergen cy room, they told her to go ahead and bring the toes in," Betsy Florence said. "They told her there was always hope." Jody was rushed to the Duke University Medical Center for treatment. When he arrived in the emergency room, his severed forefoot came with him. During eight and a half hours of surgery last spr ing, Duke surgeons repaired the cuts in his knees, put a cast on his leg and reattached the forefoot. In a follow-up visit at the medical center about three months later, the curly-haired boy played in a waiting room. "He even tries to run," his mother said. "He pampers that foot a little when he walks, but he's doing really well." The Florence family's quick actions and clear thinking saved his life and his foot. One of the Duke surgeons who operated on him said there are ways to help out if you are ever at, the scene of a traumatic' amputation. Without training or forethought, the Florence family did what Duke , surgeons recommend in the face of such a tragedy. "First, take care of the victim," said Dr. Andrew Koman, assistant pro-, fessor of surgery. "Stop the bleeding by applying direct pressure." Koman, who's part of the Duke orthopedic; replantation team that's performed some 400 operations since 1973, saic gentle form pressure ap plied for ten minutes to the stump should stop the , bleeding of a hand or foot amputation. He said am putations between the wrist and shoulder may need a tourniquet. "It's crucial with wrist to shoulder amputation to stop the bleeding fast becasue the patient can easily bleed to death," he said. If direct pressure fails, he suggested using a belt or strong colth for a tour niquet. "If there is a blood pressure cuff available, wrap it on the upper arm and then pump , it up to stop the bleeding," he said. Koman said only after the bleeding is stopped should attempts be made to retrieve the severed bodyparts. One tragic mistake thej young surgeon has "seen often in trauma cases is unnecessary delay ini transporting the patient to) the hospital. "Use a sensible means! of transportation to get toj the hospital," he said. "Don't waste precious time trying to get a plane! or helicopter if you can get' to a replantation site within a reasonable amount of time by car." In North Carolina, the following hospitals have more than one surgeon available for replantation: Asheville Memorial Mission Hospital has one of three surgeons always available to replant hands and fingers and do other upper extremity reconstruction. North Carolina Memorial Hospital in Chapel Hill has surgeons available to do finger replantation. Koman is one of three senior Duke surgeons who i are always available to do replantation. There are nine other Duke surgeons who have experience in replantation surgery. Other replantation surgeons throughout the state in private practice may be available through smaller hospitals. Koman said surgeons prefer to operate within four to six hours after the amputation, but they can wait longer to rejoin the severed body part, especially if it has been properly cooled. Tragically, some am putees arrive at a replanta tion site in time, but can't have the body part rejoin ed becasue it was frozen in route to the hospital. Because freezing can kill the tissue, members of the Duke orthopaedic replan tation team caution agaisnt placing an am putated part directy on ice. "It's a good idea to turn the amputated part every ten to fifteen minutes if it is on ice to keep it from freezing." Koman said. In cooperation with Duke, the North Carolina Agricultural Extension of fice has produced wallet sized instruction cards and posters that illustrate how to transport severed body parts. The extension office is distributing these cards to factory and farm workers throughout the state. The basic steps in caring for amputated tissue are: stop the bleeding at the stump; rinse the am putated part with tap water or saline solution (a salt solution) if available; wrap the amputated part in a clean towel; place the towel in a clean plastic bag filled with saline solution; place the bag on ice. Never scrub any area of a dismembered part and don't soak it in tap water. Do not tie off the small blood vessels. The Duke surgeon also cautioned ; agaisnt placing the part in saline solution with ice it freezes much faster than ice alone and will damage the tissue. Eseh of these advertised items is required to be readily available tor sale below the advertised price in each AP Store, except as specifically noted in tms ad eto7 PRICES EFFECTIVE THRU 8AT SEPT. S, AT ASP IN DURHAM . ITEMS OFFERED FOR SALE NOT AVAILABLE TO OTHER RETAIL DEALERS OR WHOLESALERS. REGULAR OR LIGHT CTN. OF GENERIC BEER 12 0Z. CANS NCCU To Conduct Project In Early Childhood Education Series On Home Births Set For October 2 North Carolina Central University will conduct a Model Demonstration Project to show how daycare and kindergarten programs can assist ' 'developmentally delayed" children, under a grant from the Office of Special Education of the U.S. Education Depart ment. The three-year project, funded at $72,666 for the 1980-81 academic year, will use and test the Carolina Development CurricOlBm'' tievfcloped by staff of the Frank Porter Graham Child Develop ment Center at the Univer sity of North -Carolina at Chapel Hill and the Wake County Public school system. . Youngsters from three to five years old, enrolled at the Mount Vernon Day Care Center in Durham and at the North Carolina Central University Child Study Laboratory (operated by the Depart ment of Home Economics), will be screened for participation in the classes. Children whose learning and other skills do not match their ages will be provided in dividualized instruction. The special instruction should enable of the developmentally delayed , youngsters to ' avoid special class placement wbfcn tfcey" enicf jptrtstte schools. Others will ""Rave been given assistance in developing, learning and : social skills. By the end of the first year of the project, NCCU will offer training and demonstrations to day care and kindergarten teachers in other schools in North Carolina. Dr. Octavia B. Knight, director of special educa tion at NCCU, and Dr. Barbara K. McCloud, associate professor of education, will lead the demonstration project. Dr. Knight will serve as principal investigator, and Dr. McCloud as project director. Dr. David Lillie of the University of North Carolina at Chapel Hill has provided leadership . and consulting services in series of six classes for couples preparing to have their babies born at home is being offered locally by the Association for Childbirth at Home, In ternational beginning Oc tober 2, 1980. Anyone wishing more information should Contact Svea Oster - 929-8282. A growing con sciousness of the physical, pshychological and spiritual implications of birth has caused more and more parents to assume the planning and develop- greater resDonsibilitv in . prSthiLbirth of their children. The project is fundeu under the Handicapped Children's Early Educa tionProgram of the U.S. office of Special Educa tion. NCCU's proposal was one of 26 funded for the first time this year, with 25 applications made to the program.'" - 7 . ilL Sl c V 1 ri i 'fir - 1 rr I ,i44.t -V rrvc ! ! J WrW i 1 , Alllll III jf I iney see chiidmrth as a natural, healthy ex perience, not as an illness to be shrouded in mystery or feared: Through in creased education and the exchange of ideas, services and books on all aspects of pregnancy, labor and delivery, they are aware that they do have choices in deciding where and how. to give birth. As the con cept of prepared chidbirth matures, parents are rejec ting the impersonal routine of the hospital and are coming home to have their babies. The Association for Childbirth at Home, In ternational is a group of parents, interested people and medical professionals dedicated to peoples' rights to decide where and with whom they will give birth. ACHI offers childbirth classes, counsel ing, referrals to doctors and alternative sources of help, and a library. The classes provide essential, reliable information from u which prospective parents may make responsible decisions on questions of where, how and with whom they will be giving birth. This is accomplish ed through data presenta tion, experience sharing discussions and media presentations by trained, certified ACHI leaders presenting a throughly researched series of classes. The series is open to prospective parents, to individuals and to profes sionals interested in childbirth at home. PIS? pwpflnsip No PlirrttAo MaaHaHI Qf nrf Dluf nn TnHeul 92S9fC30 IN CASH FRIZES! cashiWrsi 48 TOYS TO WIN! The Old Fashioned Bingo game Is available at 120 Great Atlantic & Pacific Tea Co, stores located In North and South Carol na, Washington County, Va. and r-annin county, oa. tins promotion is scheduled to end on November 29, 1830. will officially If s easy to play Pick up FREE OW Fashioned Bingo concealed Scket on every visit to AAP Match straight row of 5 numbers verticatty, hortzontstty or msgonoSy on any one of the 4 games on msster card. No purchase necessary to perHclpele. See game cerd for coonpieto rules. Old Fashioned Bingo distributed. end, however, when all game pieces are 'nan a MSB t m t ma in m.m 1 1JW i in tin 11.01 MAUN 4 f AP QUAUtY fcORN Ffeb POM CHOPS s22) ASSORTED 10 LBS. OR MORE LB. VJS.OX INSPECTED FRESH FRVER LEGS I MORE VVi ISA LB. VJtJ J. MP QUALITY FRESHLY PUT UP FREEZER JELLY TODAY GROUND BEEP IN 5 LB. I ROLL AAP QUAUTY ALL EAT FRANKS 12 02. NORTH CAROLINA A&P GRADE "A" DOZEN ONLY !02D mi LARGE EGGS UMTf ONE WITH THIS COUPON aaaM SOW TWW SAT, SEPT. t, AT MP M DURHAM j 33SsQRr 1 JIM IN OTRS. b: S. a . God Takes Care Of Me TALLHASSEE. FLA.-JimeiRoblntoii noyt ttmi thadi Is Mi M WRttJchalr recently while taking a break from chipping mortar from iti bricks sf tfes. Capitol. He's bioa working eight hours s day, five days a week. "Tks wkois wsrtd Is dOBsadiag on the govornment, adn the rjovernment b going down the drafts," be said recstywfJUjxpUiniag why be works. UPI i Think about tomorrow today when you see fresh plums and Concord grapes in the market, lliey're a delicious combination in a freezer Grape-Plum Jelly you can serve on fresh bread and muffins when fresh fruit is just a memory. This no-cook jelly is easily prepared with the help of powdered fruit pectin, which assures a good, "set." Use standard jelly jars with lids or reusable glass' 1 or plastic containers of not over a pint capacity. Freezer : jelly can be stored in the freezer for up to six months or, ' : if freshly made or thawed from the fleeter, it can be kepjt ' in the refrigerator up to three weeks. Select the best fruit : available, have ingredients ready, follow the recipe accu ' rately and write labels for the finished product with a flourish. That's good reason to congratulate yourself, j GRAPE-PLUM JELLY 3 cups prepared juice (about 1-12 P. fully ripe Concord grapes and 1-12 lb. fully rips plums) 6 cups (2 lb. 10 os.) sugar 34 cup water 1 box Sure-Jell fruit pectin Firtt prepare the juke. Thoroughly crush, one llayer at a time, about 1-12 pounds Concord grapes. (For esse in extracting juke from grapes, best fruit slightly; then crush with potato masher or in food mffl.) Place crushed fruit in jelly doth or bag and let drip. When dripping has slmost ceased, press gently. Measure 1-12 cups into la bowl or pan. Pit about 1-12 pounds plums; do not peek Chop very fine; then plans in jelly doth or bag an let onp. wnen onpping nss simoec esssM,, press gently. Measure 1-12 cups; add to grape juke? , Then make the jelly. Thoroughly mix sugar into juices; an sum io minutes. Mix water end fruit pectin in small , anMMan H4W U ..11 W.ffl J V.tS 3 ax il t . . xiuver4i, Vtiu w m SUM UWU SUn VUU J miflUlMt WUITW cwawwuy. am UW IH JUIOBS. VOOHBUS HUTUIg J HlUUZt. (A few sugar crystals win remain.) Poor quickly into 1 scalded containers. Cover at once with tight lids. Let stead , st room tsmperstare 24 hoars; then store hi freessr. SmaQ amounts may be covered and stored fas refrieerato? up to S ( weeks. Makes about 6 cups or about 7 (I fi. os.) containers. oko; rwr, Pi l I Lms. FILBEOrrS 2 !L-ssw nnniAhiiirir iib :7T iwm&wMi2 PKQ3. ysu i : em em ssi ssi BBstssipBaii im mm jjmymUB J i'r - - ll I aicwt A SUPERS BLEND, RICH M BAAZUJAN COFFEES EGGHT O'OXtUX EATJCG7?E3 UBttT OMR WITH IMS COUPON Tmnu SAT, eevr. S, AT ASP St DURHAM w U sj J TWi a I 1 PARTY PAK BAG yjQJ JAUSPARXER ORHOTDOQ ROLLS CT. PKQ. CAROUNA GROWN HCD C3CCLDZTJ FCS3T Of TMS tFAtfrM BSBeMBBBniBBBBSSBB TMCSSFSON WrSTE SEXLESS G3AFES
The Carolina Times (Durham, N.C.)
Standardized title groups preceding, succeeding, and alternate titles together.
Sept. 6, 1980, edition 1
11
Click "Submit" to request a review of this page. NCDHC staff will check .
0 / 75