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Summary of Autopsy Report for Diana, Princess of Wales
On August 30, 2007, CBS Evening News obtained a copy of Spencers 40-page autopsy report and ran a
Stanley Zydlo, MD, a prominent American emergency physician from Northern Illinois and pioneer in
with a CBS reporter that at least 70 minutes were lost in the field during Diana, Princess of Wales
When a patient has unstable vital signs (blood pressure, pulse, respirations) following
haemorrage, he said. In Diana's case, the bleeding was from a torn pulmonary vein in her chest.
Diana was a 36-year-old unrestrained (no seatbelt) female back-seat Mercedes automobile occupant in a
12:25 am on August 31,
mumbling indistinct phrases. The first physician on the scene,a physician with the private medical service
with Sapeurs-Pompiers, a military firefighting service run by the civil defense component of the French
12:32 am) and began
12:40 am), the first SAMU medical
anesthesiologist-designated/trained general practitioner.
The French SAMU physician said in a deposition that Diana, Princess of Wales was crying out. When he
12:45 am infused intravenous
'There is a particular propensity for apnea [slow breathing] when even very small doses of midazolam are
and to the rate of administration [how fast the drug is pushed into the catheter inserted into the vein]. This
internal hemorrhage or dehydration] patients or elderly patients', Reichman and Simon note with caution.
After administering the drugs and beginning to extract the patient from the car, the SAMU physician noted
[inserted a tube into her windpipe to open and maintain her airway], placed her on a respirator [to ventilate
reestablish her cardiac rhythm. There apparently was no appreciation for the seriousness of her internal
spent about 30 more minutes (around 12:50 am [after the cardiac
At 1:19 am, the SAMU team contacted the SAMU de Paris medical dispatcher to request permission to
availability, which was normal procedure. The SAMU system prides itself on limiting time in hospital
patients directly to anesthesia-run ICUs or directly to the surgeon-run operating rooms if a surgical lesion is
equipped to deal with critically injured patients!
At 1:29 am, the hospital agreed to the SAMU medical dispatchers request. Thus, by the time the SAMU
had been at the scene bleeding internally into her chest for 64 minutes (12:25 am-1:29 am). The
Sancton writes, 'Then the ambulance drove her at a snails pace to Pitie-Salpetriere hospital, 6.15
riverfront expressway but Diana's driver, applying standard French emergency procedures, drove extremely
40
, and the ambulance stopped within a few hundred yards of the hospital to treat
2:06 am, 101 minutes after the accident.
The on-duty physician at Pitie-Salpetriere hospital who admitted her said that she arrived alive and with a
again suffered a cardiac arrest, prompting the doctors to inject large doses of epinephrine directly into the
'According to testimony of the chief surgeon on duty that night, the operation revealed that the source of the
point of contact with the left atrium. The tear was sutured and the haemorraging was stopped. Despite
reestablish a heartbeat. The patient was declared dead at 4 a.m. August 31st 1997.
'At a press conference one hour later, the doctors read a five sentence communiqu that cited an important
no specific mention of other lesions. Nor did the French coroners report, which listed the cause of death as
rupture of the left pulmonary vein'.
During the CBS interview in 2007, Dr. Zydlo could not say whether Diana, Princess of Wales 'definitely
the 70-minute pre-hospital delay
'No official from the French emergency system would
arrest, given her internal injuries and perhaps state of (de)hydration after a boat cruise in the hot
respirator, and external cardiac massage.
2. Failure by the SAMU physician to consider internal haemorrage as a source of the patients (recurrent)
source of a patients hypotension [low blood pressure].
4. Failure of the SAMU physician to insert a chest tube to check for internal chest bleeding as a source of
even autotransfusion [reinfusing a patients blood back into the patient] are taught.
5. SAMU organization policy of prolonged stabilization and diagnosis at the scene of the injury, rather
dispatcher who must await permission from receiving hospital ICU physician to transport a critically ill
exacerbating existing injuries.
8. The implausible state of French emergency departments in 1997.
9. Failure of SAMU organization to involve surgeons, emergency medicine physicians, and others health
about the care received by Diana, Princess of Wales in Paris.
12. Failure of the French government/medical community to communicate to the international public what it
Conclusion:
Diana, Princess of Wales would probably have survived had bystanders rescued and transported her by
On August 30, 2007, CBS Evening News obtained a copy of Spencers 40-page autopsy report and ran a
Stanley Zydlo, MD, a prominent American emergency physician from Northern Illinois and pioneer in
with a CBS reporter that at least 70 minutes were lost in the field during Diana, Princess of Wales
When a patient has unstable vital signs (blood pressure, pulse, respirations) following
haemorrage, he said. In Diana's case, the bleeding was from a torn pulmonary vein in her chest.
Diana was a 36-year-old unrestrained (no seatbelt) female back-seat Mercedes automobile occupant in a
12:25 am on August 31,
mumbling indistinct phrases. The first physician on the scene,a physician with the private medical service
with Sapeurs-Pompiers, a military firefighting service run by the civil defense component of the French
12:32 am) and began
12:40 am), the first SAMU medical
anesthesiologist-designated/trained general practitioner.
The French SAMU physician said in a deposition that Diana, Princess of Wales was crying out. When he
12:45 am infused intravenous
'There is a particular propensity for apnea [slow breathing] when even very small doses of midazolam are
and to the rate of administration [how fast the drug is pushed into the catheter inserted into the vein]. This
internal hemorrhage or dehydration] patients or elderly patients', Reichman and Simon note with caution.
After administering the drugs and beginning to extract the patient from the car, the SAMU physician noted
[inserted a tube into her windpipe to open and maintain her airway], placed her on a respirator [to ventilate
reestablish her cardiac rhythm. There apparently was no appreciation for the seriousness of her internal
spent about 30 more minutes (around 12:50 am [after the cardiac
At 1:19 am, the SAMU team contacted the SAMU de Paris medical dispatcher to request permission to
availability, which was normal procedure. The SAMU system prides itself on limiting time in hospital
patients directly to anesthesia-run ICUs or directly to the surgeon-run operating rooms if a surgical lesion is
equipped to deal with critically injured patients!
At 1:29 am, the hospital agreed to the SAMU medical dispatchers request. Thus, by the time the SAMU
had been at the scene bleeding internally into her chest for 64 minutes (12:25 am-1:29 am). The
Sancton writes, 'Then the ambulance drove her at a snails pace to Pitie-Salpetriere hospital, 6.15
riverfront expressway but Diana's driver, applying standard French emergency procedures, drove extremely
40
, and the ambulance stopped within a few hundred yards of the hospital to treat
2:06 am, 101 minutes after the accident.
The on-duty physician at Pitie-Salpetriere hospital who admitted her said that she arrived alive and with a
again suffered a cardiac arrest, prompting the doctors to inject large doses of epinephrine directly into the
'According to testimony of the chief surgeon on duty that night, the operation revealed that the source of the
point of contact with the left atrium. The tear was sutured and the haemorraging was stopped. Despite
reestablish a heartbeat. The patient was declared dead at 4 a.m. August 31st 1997.
'At a press conference one hour later, the doctors read a five sentence communiqu that cited an important
no specific mention of other lesions. Nor did the French coroners report, which listed the cause of death as
rupture of the left pulmonary vein'.
During the CBS interview in 2007, Dr. Zydlo could not say whether Diana, Princess of Wales 'definitely
the 70-minute pre-hospital delay
'No official from the French emergency system would
arrest, given her internal injuries and perhaps state of (de)hydration after a boat cruise in the hot
respirator, and external cardiac massage.
2. Failure by the SAMU physician to consider internal haemorrage as a source of the patients (recurrent)
source of a patients hypotension [low blood pressure].
4. Failure of the SAMU physician to insert a chest tube to check for internal chest bleeding as a source of
even autotransfusion [reinfusing a patients blood back into the patient] are taught.
5. SAMU organization policy of prolonged stabilization and diagnosis at the scene of the injury, rather
dispatcher who must await permission from receiving hospital ICU physician to transport a critically ill
exacerbating existing injuries.
8. The implausible state of French emergency departments in 1997.
9. Failure of SAMU organization to involve surgeons, emergency medicine physicians, and others health
about the care received by Diana, Princess of Wales in Paris.
12. Failure of the French government/medical community to communicate to the international public what it
Conclusion:
Diana, Princess of Wales would probably have survived had bystanders rescued and transported her by
![How How](/uploads/1/2/8/3/128390766/386746868.jpg)
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