Brain injury: Jesse‘s time critical flight

Jesse with his parents. Supplied photos.

'The day that Jesse fell out of that tree, my heart stopped. I was so terrified, I could hardly breathe.”

Karina, who has asked for her last name not to be published, is recalling the day her son was critically injured while playing outside.

During the school holidays in October last year, 11-year-old Jesse and his two brothers were enjoying a fun-filled afternoon in the park behind their house.

The boys decided to climb a tree while their mum, Karina, sat beneath them.

However, tragedy struck when the branch that Jesse was standing on suddenly gave way, causing him to fall about 4-5m to the ground.

Karina rushed over to him and discovered that he was unconscious and unresponsive.

'He hit the ground hard on his right side and initially, Jesse was unresponsive, not breathing and turning purple, which was terrifying, and I just screamed for Jesse, I screamed for help,” says Karina.

Thankfully Karina was heard by her two friends who were painting their house and they immediately called emergency services and a nurse and courier driver also came to offer their assistance.

'After about a minute, Jesse started breathing on his own and groaning in pain. He was semi-conscious but couldn't speak or respond to any cues.” Says Karina, speaking of the experience.

Within 10-15 minutes of Jesse's accident, the ambulance arrived and quickly sedated him to help with the pain and calm him down.

Jesse was rushed to hospital following his fall.

After evaluating Jesse's condition, they determined that he needed immediate transportation to Waikato Hospital, as the fall had potentially resulted in a brain injury that may require urgent surgery.

The Aerocool Rescue Helicopter was tasked to the mission and due to the park reserve location, the rescue helicopter was able to land directly in the park near where Jesse lay.

Once on the ground and by Jesse's side, the Aerocool Rescue Helicopter crew worked quickly to stabilise him.

Critical Care Flight Paramedics Dave and Flick were both on the scene and worked together to perform an RSI - rapid sequence intubation – an advanced airway management used in trauma situations - to keep Jesse alive, stabilised, and breathing. Jesse was status 1, a term used for a patient in critical condition.

'In the park, the rescue helicopter crew sedated and intubated Jesse to stabilise him. When they did that, my husband, Sybrand, and I felt relief that he was stable and going to the right place.”

The paramedics were able to load Jesse quickly and efficiently into the helicopter and whisk him away to the hospital for the necessary medical attention.

'I was thankfully able to fly with Jesse to Waikato Hospital. The ride in the helicopter was for me, a mixture of fear for the extent of his injuries, shock at what had just happened, and relief that the best was being done for him,” says Karina.

Jesse with his family.

Jesse was arriving at Waikato Hospital in a short 35 minutes and had an emergency medical team waiting for him on landing.

'Jesse's main injury was a Diffuse Axonal Injury (DAI) to his brain, which is lots of tiny tears throughout the brain. He also lacerated his right lung, fractured his right scapula, and fractured his C2 vertebrae at the odontoid peg,” said Karina of the extent of Jesse's injuries.

When arriving at Waikato Hospital, it was still uncertain the extent of Jesse's brain injury. He was taken for a CT scan of his brain.

Fortunately, Jesse was lucky to have escaped any major bleeds to the brain, and in time, he would make a full recovery.

'I called my husband and the relief we both felt was immense. It was an incredibly emotional time for us both.”

Jesse doesn't remember falling out of the tree that day, his first memory after the fall is a couple of days later in the hospital being told what had happened.

He was very dazed and sleepy for the first eight days in the hospital but eventually began to show signs of improvement in terms of alertness and memory.

Jesse's recovery has been ongoing, and he is doing very well. He has made a steady recovery to normal speech, memory, balance, and movement and did manage to return to school part-time in Term 4 last year.

He continues to be supported by a rehabilitation team in Tauranga and is expected to complete his full recovery this year.

Jesse is expected to make a full recovery from his brain injury.

It was a relief to Jesse's family and friends that the rescue helicopter was able to arrive on the scene so quickly on the day of his accident, giving Jesse the best chance of making a full recovery.

'Our family is so thankful for all the care Jesse received. The rescue helicopter crew were amazing, their clinical skills were truly lifesaving. Jesse's accident was such a shock to us, but the relief of having him so quickly receive the treatment he needed, and being taken to the right place, was immense. We are so grateful,” says Karina.

When minutes matter – your support saves lives. Donate to this year's Chopper Appeal, so that your rescue crew can continue to save lives like Jesse's https://give.rescue.org.nz/event/aerocool-rescue-helicopter/chopper-appeal

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