Keep Calm, and Call an Anesthesiologist
While vacationing recently in Palm Springs, CSA member Dr. Ian Chait and his family were enjoying their hotel's pool and gardens. Dr. Chait was chatting with one of his friends, who had just finished reminiscing about how he used to be a lifeguard when he was younger. Suddenly Dr. Chait’s youngest daughter screamed for help. “Dad! Dad!!”
A blue, limp, unconscious little boy, about 3½ years old, was being pulled from the swimming pool. Dr. Chait leapt over a chaise lounge to get to the child, accompanied by his friend, the former lifeguard. The friend pointed to Dr. Chait and said: “He’s a doctor!” Dr. Chait immediately took charge with his training and skills in airway management. He opened the boy’s airway, and began rescue breathing. The unconscious child coughed, slowly started to breathe, and vomited, while Dr. Chait kept his airway clear. The more than 100 hotel guests at the pool kept deathly quiet as the struggle for life unfolded in front of them. When the little boy regained consciousness and began to cry, the crowd erupted in spontaneous applause. “That was amazing," said one hotel guest. "I have seen heroes on TV, but never in real life!”
As a fellow anesthesiologist and colleague of Dr. Chait at the Children's Hospital of Orange County, I first heard this story when he showed me a Facebook post from his teenage daughter. "I am so proud of my dad for saving that little boy's life," she wrote, "but I know he saves peoples' lives every day!"
Dr. Chait is an excellent anesthesiologist, and he is also very humble. Unless you know him well, you would never guess how skilled he is in the specialty of pediatric anesthesia, or that he volunteers to go on two-week missions, twice a year, with Operation Smile. This international charity treats thousand of children each year with cleft lip deformities, making it possible for them to do things normally that other children take for granted — eat, speak, and smile! He just returned from a mission in Nicaragua, and has also taken care of children as far away as Egypt, Morocco, Peru, China and the Philippines.
When I asked him about what he did to save the little boy who nearly drowned, he answered in his usual soft-spoken way. "I just did what we as anesthesiologists are trained to do: support the airway," he said. "And I think the one maneuver that helped the most was an aggressive jaw thrust." He added, "If there is one positive outcome from the event, other than the successful resuscitation of a near-drowning victim, it is that many people expressed an interest in learning CPR."
To my way of thinking, this story really gets to the heart of what we do as anesthesiologists: we take charge of critical events, and we save people’s lives every day. We rely on our tens of thousands of hours of training in anesthesiology to be able to respond immediately, decisively and effectively. When the chips are on the line, who do you want on hand to see you through your critical situation? Keep calm and call a physician — an anesthesiologist.
Views expressed in CSA Online First are those of the individual authors.
To the Future Leaders in Anesthesiology
By Edward Mariano, MD, MAS
I was recently invited to visit an academic anesthesiology department to speak to the residents about becoming a leader. In addition to recognizing the honor and privilege of addressing this important topic with the next generation of physician anesthesiologists, I had two other initial thoughts: 1) I must be getting old; and 2) This isn’t going to be easy.
I came up with the following list of lessons that I’ve learned over the years. While some examples I included are anesthesiology-specific, the lessons themselves are not. Please feel free to edit, adapt, and add to this list; then disseminate it to the future physician leaders who will one day take our places.