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By Garry Fairbairn

EDMONTON (CP) —- It wasn't until he died that 1 realized I never even knew his name.

To me, he was just on anonymous accident vicim — an acne-faced man bleeding internally and externally and rapidly suffocating from a throat obstruction.

But since this “victim” lived — and died — only in the electronic memory of

‘an innovative medical-

training computer pro- gram, his equally fictional

father and fiancee never .

had to be told that be died because a medically ignorant reporter was in charge of the emergency room, ;

“You were on the right track there," paramedic and programmer Wayne

eee ee Seer

Page nD Tho 0 Herald, Friday, January’ sf hal oe

2 TRA

AD om bee

. Osbaldeston commented,

“until he died."

“You were 100 per cent unti) then.”

In Osbaldeston’ : elaborate computer simulation, however, doctors and medical students get no marks for effort. If the final blood pressure is zero, signifying death, 50 ia the score.

In this case, two reason’ for the patient's death were his anonymity and his acne,

The. harried reporter, who at each. stage of treatment had to choose © from up to two dozen op- tions by touching part of the video display, should have taken a moment to

- question the father and

fiancee about the man’s medical history.

‘

ee wl _ ere - panes patna " .

Had that been done, the answers would - have revealed thal the man was. taking steroids for his skin condition and. that the combination of steroids and shack had caused adrenal cortical sup- pression. :

Armed with that in-: formation, a knowledgeable doctor could have ordered hydrocortisone = injection and saved the patient.

There isa basic lesson in this simulation, Osbaldeston said. ‘sRegardiess of the im- portance or the nature of the emergency, you should never, never, never neglect todo an adequate history of the patient.”

How often do doctors themselves fail the com- puter test? ©

HEATHCLIFF

* {ation order,

fERALAN

PIO Snnersgl Pras Sigag't |

Osbaldeston, who developed the program for

“the Royal College of

Physicians and Surgeons of Canada in consultation with Dr. R. E. Russell of the University of Alberta, said be is not at liberty to release such statistics.

But some doctors —

. perhaps because they don't

take the computer simulation seriously — have casually corrected the patient's breathing and bleeding problems and sant him to the recovery roar, where he dies from the steroid-shock combination.

Others have abruptly passed the-patient on by ambulance. to ‘a beiter-' equipped hospital, perhaps not noticing the signa of rapid deterioration that

foe

ic Nenght Syed. Tee.

“Your wife's still standing in the doorway.”"

Vesco evades deportation order

f JNASSAU LAP wr Amst

~ fugitive. financier _Hobert

Vesco, who disappeared from his home shortly before officials arrived to serve him with a depor- says his father took his wife and a son of a five-day trip and will be back Sunday. ° Anthony Vesco, 23, who is staying at his father's home here, said Thursday that his father, his mother, Patricia, and their younger son, Patrick, left Tuesday.

Vesco's housekeeper said she was off Tuesday and found out about the disappearance on television.

“As far as I krtow he will be back Sunday," she said. “But I don’t know how he leit, only wben.”’

Vesco's disappearame -

came one day before Bahamian immigration officials went to his house to serve him with depor- talion papers ordering him to leave the country in 14 days.

Ulysses Brown, captain —

of Vesco's boat, The Patricia, old them Vesco gathered up his family and left but did not say where he was headed or when he would return, said Ken Heinrich, chief of the Miami office of the

~ Bahamas News Bureau.

Veseo, 45, has been wanted by U.S. authorities since 1974,

The government says. he looted Investors Overseas Services of $224 million while he was head of the company and thal he tried to have charges in that case dropped by contrib- uting $200,000 in 1972 to Richard Nixon's

presidential re-election campaign.

Vesco later fied the U.S. for Costa Rica, where he lived from 1974 to 10978 before the government of

x)

UGH

RR : ure.

thal, country, made it, clear he-was uo longer welcome.

He went to Nassau on a shoriterm residency permit granted in con-

nection with the liquidation.

days to leave the island,

but he was later granted a

‘ brief extension of thal ‘order until Wednesday.

Vesco's

came two days after he

TF TIN HELL FIND IT!“

disappearance _

Clement Maynard, Vesco asked for “recognition and a declaration that I am a person entitled to political asylum under the accepted doctrines of international law and treaties."*

uter becomes. Qa matter

show the patient will dle before reaching the larger hospital. ’

“You'd be very surprised how many doctors transfer the patient to the metropolitan hospital before taking a fazaily his- tory,” Osbaldarions-azid.

Because of doctors’ sensitivity to anything resembling a-test of their continuwd abllity to prac- tise, he said, the college of physicians just makes the machines available to doctors for self-testing.

Only each doctor knows his o¢ her score. Low scores are expected to prompt voluntary re- fresher courses.

_“A lot of them say it's not a fair assessment; it's not like ‘the ‘real world, " Osbaldeston nated.

“And that's true. In the

Leak halts. pipeline flow.

ANCHORAGE, "Alaska

. (AP) — The Trans-Alaska

pipeline was out of service éarly today after a leak

developed .on the North _

Slope, a spokesman says. .

As much as 5,000 barrels of oi] may have spilled, but the exact amount was not known because the area

_ was dark when the leak developed, said John Ratterman, spokesman for. Alyeska Pipeline Service Co., the oil-company owned consortium thal operales

h

of life and jeath

real world, he (the decter) is not alone. There are nurses and paramedics there too." .

While the accident- victim program does not include helpful hinta from nurses, 8 scenario has the em- barrassing feature — for some medical students — of sensible nurses who ridicule and block un-

warranted decisions todo a -

Cacaarean section. :

Osbaldesion explained that no trick is involved in the maternity program —- just a normal birth that

results alter a somewhat |

longer than usual labor -' but students often the conclusion that’. on

patient’ must have “some _

abnormality, (Acting on

"3

that

the 1,280- kilometre pipeline.

’ The pipeline, which runs from the Prudhoe Bay

oilfields to Valdez, was -

shut down ‘at 11:50 p.m.

EST Thursday when"“the |

leak was‘ >discovered, Ralterman said.

The: leak in the four- centimetre bypass. line apparently started about an hour before it was discovered and continued for about. five hours until the damage was lem-

maternity —

" assumption, the reporter

got a failing score. on | diagnostic tests but suc- - cessfully delivered the ; occasional visits by buman

. baby simply. by

the patient's worries and choosing the option of. “wait a while longer.” The reporter's pregnant wife was not impressed.)

Osbaldeston, a geyear- - - aid Edmonton native who _eombines

computer programming with am-. bulance operation, is designing programs for Control Data’s PLATO computers that will form comprehensive _ training courses for paramedics and others involved in medical emergencies; With computer terminals in | at their ‘work- places, -he said). firemen and ambulance drivers could ‘brush up on emer-

% “a . *porarily ‘repaired; Rats

terman said. The pipeline was to

'. remain shut down until 4 .

permanent replacement part could be flown in Tater today, he said.

Thecause of the leak was not immediately known, Ratterman said. The leak

| occurred at check valve 23,

about 185 kilometres south of Prudmwe Bay m the North Slope. |

There was no leaking from the 120-centimeire

‘ geney pracedures while

wai for calls, Thee could also, with

instructors, complete courses for various cer- tificates.

Among other medical wasea of computers, he said, is demonstration of

heartbeat sounds. All pariles involved find

it more convenient when —

students can touch parts of

a video display to hear: what heartbeats sound like .

in different parts of the

chest and with different .

heart conditions.

“You don't have to wait until you have a perticular

patient in hospital with a “-

particular defect and then: rush 118 students in to. see: him the day before his.

operation.”

’ pipelne itself or the main

valve, Ratterman said, Ratterman said the area

can be cleaned up with Httle environmental damage because the ground and streams are frozen. He says the cil- soaked snow will simply be

- scooped up. ;

ME FOR BR CHECKUP.

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SEALY ALN AS RABDASBSTSLANSNSA LL AL AS AANA A NSS SRN ARAN NNN AR NR

arder against Bahamas ended a twoyear silence oo. Tee Teer _ ii Commonwealth Bank, and issued a public appeal Vesco had been living in 5 6 4 WB olAFL which he formed in 1973. for political asylum in the © Nassau since 1978 In a Sten aan uae Taner BD: Pivot On Nov. 11, Bahamian Bahamas, house owned by Greek 7 Mileeeet | Acsin. baat? = Histoires a3 (Gaene officials without ex- In a letter 0 Bahamian businessman George IRING SNK Slartky & -[3hwio——[Hisicires “COINEL planation gave Vesco 30 Home Affairs Minister Mosko. ‘OP KING 5S | Terry News Ove “soletaret Gece eS Ee beers BE Se NS SS A SS ras [News a Dream [nour jordache Bek - f oof Searie Low aig MacNeil [Nouvelles ae] E laren ; 00 ae ee oe 4 d f CG | Z “g]Oougn Gran Comedy [Profile |Teteiowrnal 1 er) Han ol iv , . f C L . if “00 [Marie Ritter's [eenson | wan Monde oe ed Pe ; Alten the “rc of Your Choice § 8 Mimarie Weave, amma wer [Mk buee = J . “ 2a} Marie Citecinnals | Bizarre Week Serie a 2 sieeve, ¥ ; oor 20/0utshoms 7 “ 9 % eel Tommy of hunard ist. ‘Hel cere - ASKrve ab lu unter Ouke eo "l 4 SACRED TTH DAY CHURCH 7 a Sw ¢ t 3 “oo fSunaay “ HEART ADVENTIST OF J “00 Run, ica Dattas Tammy Bin , Un Detl ' . ors crude y PARISH 3306 Griffiths GoD ¥ lao Dates [Wiener Lae industria! = 7 635-7113 Pastor Henry Bartsch Reverend R.L.White -agfAmerica | Daties Journe Contre. 4 ASTLile 4 4436 Straome 635-3932 635-7442 3341 Ri Dr _? “OOIKING 5. [The ctv Premiere. [Cinema ‘o/Point . : ver Drive y AS National | ews. Premiere |L'Aifront a3 jot View y Terrace Services: Sat. 9:30 a.m. - Terrace, 6.C 7 239] Tontant Might Hour U.S. tment * “Dal ANee! ine ? Sabbath School (Sunday 18) . yi s Fina Fina\ Chronicie [Cinema “isieress 4 7:30 p.m. School) ¢ “t2] Tonga Altres Webster Seattte ~ [eatirent iT RING 5 4) Saturday evening 11:00 a.m. Worship 10:00 a.m. 4 2: Atari | altres wepater Beurroan [cinema “alnse’ gq Sunday Masses Wed. 7:30 pm. Adult | Sunday School 7 aS} Special Hitchcock News WAHtront- S| Mews‘ ” y 9:00 a.m. Bible Study Reverend R.L. White = & * 45] come? 4 11:15 a.m. : om = 4 CHRISTIAN eee an _ SATURDAY ‘a] Disrers ng Worship ¢ r : y REFORMED 7:30 p.m 7 ‘Ry Saiman [the World [owas Famijcruwe [Football Ma Mord : CHURCH Evening Worshi ; Bi: Been lowe et lueremed VG Ie. jamericaln — y HOUSE Reverend $. Van Dealen Wednesday 7: "30 p.m. m. 7 ‘a5 [ Batman ° [a Kind ortd 8 Fries y PRAISE Sparks Stree ind Prayer Service 4 if ant Porat ot jz ‘s nine ; é 3] Get ___|fer2ooe [foro : ine : | 715] Sun. 4 3406 Eby Street 10:00 a.m. Z toINFU THFL 7-7 g aaa BAIS HOTS 698-3657 Sunday School - Terrace CHRIST A DR: Review [oe |. |eshecing tn | |S ole: fe 1:00 p.m. : 00 |Herper ¥ 0: am. sunday School - Remo tenn ; = — —— - B: PIA % Sunday Warship 1:00 a.m. Rev, Herman Hagen f Brak] ™ Way . 45 Movie 4 Thers, 7-8:30 ‘| Worship Service 8.C.M.Div.0 y : 8 You OOTKING 5 @ Education & Instruction | 5:00 p.m. yer) s - Tits: Aciass for allages Worship Service Corner Sparks Streei = ¥ ? star UPLANDS W008! Park Avenue J 31"%0 Ke Maeia THE BAPTIST We nes ? ‘lsat SALVATION CHURCH Worship Service " 3 "| Ov Z ARMY Pastor Bob Lesyk Church Scheol “ “ag 4437 Walsh Ave. | $2007 Sunday School 4 mo, a $95-26260r Corner of Haitiwell Contr nation , 4 “ MONDAY 435-44 peas an N. Thomas Youth and Adult Classes ¥ = nal SUNDAY SERVICES ible Tes Holy Communion first 143] Today ERVIC Bible Traching Sunday each month , ‘30| Password 9:30 a.m. - Sunday school | Sunday School Way GAtN MOntn. y ; ‘asl Pius for all ages Famil 11:00 a.m. ; : tel ore,

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