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(Opposing Views)   School decides not to call 911 when 6-year-old girl loses a piece of her finger because they "didn't feel like it was an emergency"   (opposingviews.com) divider line 211
    More: Asinine, Amazing Johnson, Amazing, emergency  
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11795 clicks; posted to Main » on 15 Dec 2013 at 7:02 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



211 Comments   (+0 »)
   
View Voting Results: Smartest and Funniest

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2013-12-15 08:39:47 PM  

Quantum Apostrophe: Don't touch it, it'll regrow.

http://en.wikipedia.org/wiki/Regeneration_%28biology%29#Fingers


bullshiat. the tip of my thumb never grew back AND some of the reattached skin didn't take and fell off. also the fingernail split in a crush injury is still split and that was 5 years ago. it has however almost grown to where it's all attached to the nail bed.

given my experience i'd say the chance of her keeping what was reattached is less that 25%. unless they did some really nice micro surgery which i doubt for a black 6 y/o girl.
 
2013-12-15 08:40:46 PM  

Fair_Poopsmith: "This is our daughter, Fantastic Dick."


www.schnittberichte.com

"Guard number one is a senior on Klan's mountain and aspires to be a research chemist. Welcome, please, Hung Well."

www.schnittberichte.com

"Guard number two is a real skating buff. A warm welcome for Long Wang!"

www.schnittberichte.com

"Traveling comes naturally to guard number three, as he's a licensed airplane pilot. Welcome, please, Enormous Genitals!"
 
2013-12-15 08:43:13 PM  
It's been like 6 years since I last worked as an EMD and let my certification lapse, but I believe a severed finger was an alpha response (lowest priority that required an ambulance reponse) according to the Priority Dispatch EMD Protocols.  It simply isn't an emergency that requires 911.  It requires someone to drive the person to the ER.  I didn't RTFA, but it seems the appropriate response is to call the kid's guardian and ask them what course of action they'd like to take.
 
2013-12-15 08:46:04 PM  

hardinparamedic: whidbey: I love it when socially conservative white people think they qualify as some kind of Negro Social Fashion Police for all those poor stupid black people out there buying flatscreens with hard earned tax dollars.

Do you think shiathead is a good name for a baby? I'm just curious where you draw the line.

/actual name.


I was waiting for someone to pull that one out. I'll bet it was your friend's brother's mom's cousin you heard it from, too.

/hint: when everyone in the world "knows someone" with that name, it's probably an urban legend.
 
2013-12-15 08:47:12 PM  
When I was about 6 or 7, I shut my little sister's finger in the door and severed it. She would have been less than 2. Where we lived, there was no 911 and to call the ambulance it would have taken at least a half hour or more to arrive.

My mom freaked out and threw us all in the van and we drove to the hospital. I had to hold the severed end of my sister's finger in a bag of ice and keep a cloth on the rest of the finger on her hand to stop the bleeding. We must have done like 80mph to the hospital which was about 20 miles away.

When we got there all they ended up doing is reattaching the finger with a bandage and sent us home in less than an hour.

Her finger healed and she only had a small scar as a result. So while I understand the freakout, it's not a life threatening event and calling 911 would have only resulted in a huge bill for an ambulance and such.
 
2013-12-15 08:50:21 PM  
 
2013-12-15 08:50:47 PM  

NutWrench: The name you pick for your child is important and deserves a little more thought than the five minutes it took to come up with something that sounds like a prescription medication or a flavor of Jello.


You know what's more problematic than being named Amazing? Having a staff made up of three Ashleys, two Sarahs, and two Jessicas and trying to have a management discussion.
 
2013-12-15 08:54:57 PM  
Professor Bunsen Jude (The Science Dude) approves of her name

img.fark.net
 
2013-12-15 08:55:35 PM  
With all of the name and 911 stuff aside, slamming your pinky in a door hard enough to sever the tip must have hurt like a mofo. Poor little girl.
 
2013-12-15 09:00:37 PM  
They could have put some tussin on it. That cures everything that ails black people except white people.
 
2013-12-15 09:01:08 PM  

High Five State!: Please don't call 911 for stupid crap like this. 911 is for life threatining emergencies. Not because your dumb kid smashed the tip of a finger.


IT CAME OFF. IT WAS SEVERED.

911 or just drive, its still a medical emergency and she needed to got to a hospital.
 
2013-12-15 09:03:26 PM  

Fair_Poopsmith: "This is our daughter, Fantastic Dick."


Whoawhoawhoa, OUR daughter?
 
2013-12-15 09:04:37 PM  

ReapTheChaos: Losing the tip of a finger is not life threatening, as long as it's put on ice you have hours to get it reattached.  From the article it's hard to say how much was cut off. If it wasn't down to the bone it will grow back eventually anyway.


mind if we cut the end of yours off as a test? if it grows back i'll apologize for what i'm thinking right now.

of course if you have some pig bladder  cells around all bets are off.
 
2013-12-15 09:04:54 PM  

MeanJean: High Five State!: Please don't call 911 for stupid crap like this. 911 is for life threatining emergencies. Not because your dumb kid smashed the tip of a finger.

IT CAME OFF. IT WAS SEVERED.

911 or just drive, its still a medical emergency and she needed to got to a hospital.


Yeah call her parents to drive her...the guy down the street having a MI needs the ambulance.
 
2013-12-15 09:09:12 PM  

Curious: ReapTheChaos: Losing the tip of a finger is not life threatening, as long as it's put on ice you have hours to get it reattached.  From the article it's hard to say how much was cut off. If it wasn't down to the bone it will grow back eventually anyway.

mind if we cut the end of yours off as a test? if it grows back i'll apologize for what i'm thinking right now.

of course if you have some pig bladder  cells around all bets are off.


Only works in kids. Like greenwood fractures.
 
2013-12-15 09:10:50 PM  
Again?
 
2013-12-15 09:11:04 PM  

SecretAgentWoman: A link to the story that is NOT on Opposing Views for those who are opposed to Opposing Views.

/refuse to click on that crap


Oh noes! You might catch republicanitus if you click!
 
2013-12-15 09:16:19 PM  

hardinparamedic: You have four hours, from the point the finger is detached, to get that child to a micro-vascular surgeon capable of performing re-implantation surgery. The loss of a finger, or part of a digit, is a time-critical emergency from which delaying can result in substantial life-long disability and cost to that child and his/her parents in rehabilitation and lost ability to perform a job later in life. This is a situation which would have been ideal for EMS intervention.

In reality, this child, barring a hospital being overloaded with critical patients, would be taken back immediately, and either assessed by surgery, or shipped by ground or air to a facility which has a microvascular team, if the digit was still viable.

So yeah. This was an emergency, just as much so as a guy in shock would be. First Aid doesn't qualify you to make a decision on whether or not the finger was viable, and every rational first aid instructor would tell you to call 911 in that instance.


First of all, the Debbie Downer part from the article:   "In a prepared statement, Dickinson I.S.D. confirms Amazing lost the tip of her finger and that her parents were called to take her to the hospital. Had they not been able to reach Amazing's parents or if it were a life-threatening incident, 911 would have been called."

It doesn't sound like the nurse made a medical decision, she just followed standard procedures for a non-life threatening medical condition.

It is not clear how much time elapsed between the child's injury and when her parents got her to the hospital.  Sure, calling 911 would have gotten the child there faster, but it is not immediately obvious that the delay resulted in a worse outcome.

The article is not clear on how much of the fingertip was avulsed.  If it was a chunk of skin and subcutaneous tissue without exposed bone, then the "reattachment" was likely not a revascularization - the soft tissue is sewn on to cover the wound bed, and serves as a biological band-aid to cover the site as the tip regenerates.  If the amputated part included anything more than a sliver of the tuft of the distal phalanx, then the school should have called 911 for immediate transport to the hostpial.

Enemabag Jones: Attaching fingertips really isn't that big of a deal, assuming the body part is kept on ice and it is attended to quickly.

Latesha Coleman arrived at the hospital where Amazing had been taken by her father to find him holding a bag, "and he had the tip of her pinky in the bag."

I really hope there was some ice in that bag.


DO NOT PUT THE AMPUTATED PART DIRECTLY ON ICE!  FREEZING THE PART MAY KILL IT!

Ideally, you should use a wad of gauze moistened with normal saline to make a bulky wrapping, put that in a sealed plastic bag, and then put the bag o' finger in another plastic bag that contains ice and saline to keep it cool.  The part is not receiving oxygen and nutrition because it no longer receives blood.  Chilling the part slows down the metabolic activity of its cells, so they will remain viable longer.

In a non-ideal situation, e.g. cutting off a finger with the saw in your garage, first yell for your wife or kids to call 911 right the hell away.  If you are alone, call 911 yourself immediately.  Do not stop to do anything else, in case you get lightheaded and pass out, delaying your treatment.  If you can still keep your shiat together, stick a rag, paper towel, whatever on the digit and manually squeeze it to slow the bleeding.  DO NOT APPLY A RUBBER BAND OR ANY OTHER TOURNIQUET.  EMS will determine if that is appropriate, and you should let the professional first responders do it.

If you can find the amputated part, you will need to preserve it.  Moisten a small cloth towel, or a wad of paper towels.  The wrapping doesn't have to sterile, but it shouldn't be filthy.  Saturate the wrapping, and loosely squeeze it once so that it is sopping wet. Water is not ideal, but allowing the part to desiccate is worse than exposing it to hypotonic solution. Wrap the finger in the moistened cloth/rag/whatever.  Put the wad o' finger in a Ziploc bag and seal the bag.  Wrap the finger in the moistened cloth/rag/whatever.   Put that bag in a larger Ziploc bag or any other sealed container (you will not get the container back from the hospital, btw) that contains some ice and water.  TELL THE EMS CREW THE BAG/CONTAINER HAS THE FINGER IN IT.

Get your ass to a hospital that has microvascular surgeons that do this kind of thing frequently.  Get there as soon as possible.  If you live in the boonies, you may get a helicopter ride to the big city's level 1 trauma center.

/hand surgeon
//or Holiday Inn Express customer
 
2013-12-15 09:17:26 PM  

hardinparamedic: Quantum Apostrophe: Exactly. I think not having a 3D printer per child is abuse.

I think exposing a child to what you 3D print on your makerbot 2 would be child abuse.


I guess it's Sunday, I can't expect good comebacks. Tired?
 
2013-12-15 09:18:01 PM  
Not so amazing now.
 
2013-12-15 09:23:08 PM  

doglover: Only works in kids. Like greenwood fractures.


my link was a 33 y/o jockey but when you read the whole article i'm not sure it truly regenerated. they used the pig bladder cells to make a scaffold for the tissue to grow onto. kind of like the ear grown on the back of a mouse. close but on OEM quality.
 
2013-12-15 09:25:45 PM  
Little Girl expresses her thoughts on this using her undamaged finger.

4.bp.blogspot.com
 
2013-12-15 09:27:26 PM  

Quantum Apostrophe: hardinparamedic: Quantum Apostrophe: Exactly. I think not having a 3D printer per child is abuse.

I think exposing a child to what you 3D print on your makerbot 2 would be child abuse.

I guess it's Sunday, I can't expect good comebacks. Tired?


Seriously, what is it with you and 3D printers?
 
2013-12-15 09:27:39 PM  
You people are all farking idiots. Why should they call 911? 911 is for life-threatening emergencies. What are they gonna do, rush her to the hospital in the ambulance to fix her finger? Are you people farking retarded? Just DRIVE her to the hospital, probably would've saved them a several thousand dollar ambulance bill too.

Would you people call 911 over a farking papercut too? Give me a break
 
2013-12-15 09:27:48 PM  
Similar thing happened this year at the school I teach at.  Play ground has a large metal gate that is closed when kids are on the playground to keep them from running away I guess.  Anyway, as kids are leaving the playground someone pushes the gate open and another kid had a finger stuck in between the gate and the gate post.

Finger was cut off clean right below the nail, looked like it was cut off by a knife.  911 wasn't called, but the kid was taken to the hospital about 3 blocks away.  I don't think they reattached, just cleaned and stitched it up.

I think in this case the school did what was needed.  The parents would have complained about the ambulance bill if they had called 911.

The only real solution will be removing all doors from all schools.

/Think of the children
 
2013-12-15 09:31:21 PM  

Parthenogenetic: hardinparamedic: You have four hours, from the point the finger is detached, to get that child to a micro-vascular surgeon capable of performing re-implantation surgery. The loss of a finger, or part of a digit, is a time-critical emergency from which delaying can result in substantial life-long disability and cost to that child and his/her parents in rehabilitation and lost ability to perform a job later in life. This is a situation which would have been ideal for EMS intervention.

In reality, this child, barring a hospital being overloaded with critical patients, would be taken back immediately, and either assessed by surgery, or shipped by ground or air to a facility which has a microvascular team, if the digit was still viable.

So yeah. This was an emergency, just as much so as a guy in shock would be. First Aid doesn't qualify you to make a decision on whether or not the finger was viable, and every rational first aid instructor would tell you to call 911 in that instance.

First of all, the Debbie Downer part from the article:   "In a prepared statement, Dickinson I.S.D. confirms Amazing lost the tip of her finger and that her parents were called to take her to the hospital. Had they not been able to reach Amazing's parents or if it were a life-threatening incident, 911 would have been called."

It doesn't sound like the nurse made a medical decision, she just followed standard procedures for a non-life threatening medical condition.

It is not clear how much time elapsed between the child's injury and when her parents got her to the hospital.  Sure, calling 911 would have gotten the child there faster, but it is not immediately obvious that the delay resulted in a worse outcome.

The article is not clear on how much of the fingertip was avulsed.  If it was a chunk of skin and subcutaneous tissue without exposed bone, then the "reattachment" was likely not a revascularization - the soft tissue is sewn on to cover the wound bed, and serves as a biological band-aid to cover the site as the tip regenerates.  If the amputated part included anything more than a sliver of the tuft of the distal phalanx, then the school should have called 911 for immediate transport to the hostpial.

Enemabag Jones: Attaching fingertips really isn't that big of a deal, assuming the body part is kept on ice and it is attended to quickly.

Latesha Coleman arrived at the hospital where Amazing had been taken by her father to find him holding a bag, "and he had the tip of her pinky in the bag."

I really hope there was some ice in that bag.

DO NOT PUT THE AMPUTATED PART DIRECTLY ON ICE!  FREEZING THE PART MAY KILL IT!

Ideally, you should use a wad of gauze moistened with normal saline to make a bulky wrapping, put that in a sealed plastic bag, and then put the bag o' finger in another plastic bag that contains ice and saline to keep it cool.  The part is not receiving oxygen and nutrition because it no longer receives blood.  Chilling the part slows down the metabolic activity of its cells, so they will remain viable longer.

In a non-ideal situation, e.g. cutting off a finger with the saw in your garage, first yell for your wife or kids to call 911 right the hell away.  If you are alone, call 911 yourself immediately.  Do not stop to do anything else, in case you get lightheaded and pass out, delaying your treatment.  If you can still keep your shiat together, stick a rag, paper towel, whatever on the digit and manually squeeze it to slow the bleeding.  DO NOT APPLY A RUBBER BAND OR ANY OTHER TOURNIQUET.  EMS will determine if that is appropriate, and you should let the professional first responders do it.

If you can find the amputated part, you will need to preserve it.  Moisten a small cloth towel, or a wad of paper towels.  The wrapping doesn't have to sterile, but it shouldn't be filthy.  Saturate the wrapping, and loosely squeeze it once so that it is sopping wet. Water is not ideal, but allowing the part to desiccate is worse than exposing it to hypotonic solution. Wrap the finger in the moistened cloth/rag/whatever.  Put the wad o' finger in a Ziploc bag and seal the bag.  Wrap the finger in the moistened cloth/rag/whatever.   Put that bag in a larger Ziploc bag or any other sealed container (you will not get the container back from the hospital, btw) that contains some ice and water.  TELL THE EMS CREW THE BAG/CONTAINER HAS THE FINGER IN IT.

Get your ass to a hospital that has microvascular surgeons that do this kind of thing frequently.  Get there as soon as possible.  If you live in the boonies, you may get a helicopter ride to the big city's level 1 trauma center.

/hand surgeon
//or Holiday Inn Express customer


Wow, tons of good info here! One quick question, how much does it take for a little girl to go into shock? Could this have been life threatening?
 
2013-12-15 09:32:58 PM  
So the kid made it to the hospital with her father and the finger tip was reattached. Sounds like the nurse made the right call.
 
2013-12-15 09:33:12 PM  

hardinparamedic: Do you think shiathead is a good name for a baby?


Don't be ridiculous. Junior will suffice.
 
2013-12-15 09:33:12 PM  
this article has it all.  "Amazing Johnson", "Dickinson". "he had the tip of her pinky in the bag"
 
2013-12-15 09:34:16 PM  

kwame: Curious: kwame: As someone who talks to a few thousand college students every semester, I appreciate something different or unique.

While I've got you, though, choke on a dick you smug racist cocksucker.

even you can't think this girl's name is appropriate. Amazing Johnson --- for a girl. really?

I've known a lot of people with a lot of very unusual names. Once you get to know them and avoid being a judgmental prick, you forget how odd the name originally sounded.


Can we just establish that there is a huge difference between mocking the names of people we have never met and will never meet, and mocking people in real life because of their names? I have worked with lovely people who have names that made me feel gross when I said them. I got over it. When I hear of friends or coworkers giving their babies awful names, I cringe and shake my head privately (well, out of gossip range anyway).

Personally, I draw the line at crazy, effed up spellings, jokes, sex words, food/alcohol and consumer products. I won't blink at "Unique" for a girl, but "You-Neek" screams of maternal non-employment. See, "Sunny" is okay, but "Sunny Summers"? No, stop. Why would you do that? "Peaches" is a double whammy. Try calling your elderly boss "Peaches" every day (she loves to hear her name). True story. Likewise, "Delicious" may be beautiful, but it's not exactly of help when you're building your corporate career, you know? Doesn't need to be an ethnicity thing. The days of naming after family members being mostly over, babies are getting awful names in all quarters now.
 
2013-12-15 09:38:00 PM  

Mugato: Quantum Apostrophe: hardinparamedic: Quantum Apostrophe: Exactly. I think not having a 3D printer per child is abuse.

I think exposing a child to what you 3D print on your makerbot 2 would be child abuse.

I guess it's Sunday, I can't expect good comebacks. Tired?

Seriously, what is it with you and 3D printers?


I question the exaggerated claims made for them by people with more marketing than engineering knowledge. That's all.
 
2013-12-15 09:38:15 PM  
So let me see if I understand how our public schools work.  Someone correct me if I am wrong.

If your child draws a gun, bites a pop tart into a gun shape, says the word gun, or if someone simply decides he's a threat, he will be expelled.

If your child kisses another student, he is a sex offender and will be expelled.

In later years your child my be offered personal tutoring in sex education.

if your child hurts him or her self, it's nothing.  Don't worry yourself.  The lost of body parts is a normal part of education.
 
2013-12-15 09:42:30 PM  

E5bie: I have worked with lovely people who have names that made me feel gross when I said them. I got over it.


Moist VanGellica.

Ji`Haad Il`Jabella

Lovely Johnson

Vaccine Duodinal

Candy Krushinka

Mo'Fuggly

/yes, these are real names.
 
2013-12-15 09:45:09 PM  
1. Messy but in no way an emergency. If you phone up an ambulance for a relatively minor accident then that's one less ambulance available if someone in the area has a heart attack/serious car accident/etc.

2. Not everyone has coverage for amuulance rides (does the ACA fix this) and wouldn't appreciate an extra $1000 bill for a broken finger.
 
2013-12-15 09:46:42 PM  

Curious: doglover: Only works in kids. Like greenwood fractures.

my link was a 33 y/o jockey but when you read the whole article i'm not sure it truly regenerated. they used the pig bladder cells to make a scaffold for the tissue to grow onto. kind of like the ear grown on the back of a mouse. close but on OEM quality.


I meant the natural growback.

I knew guys and girls who lost their fingertips on the cutting board. Some were wee, and their fingers are fine now. Some were not so wee, and they can only count to 9.95
 
2013-12-15 09:46:56 PM  
www.obscureinternet.com
 
2013-12-15 10:00:42 PM  
It was always fun in high school to hear the principal call "Anita Mann" over the intercom.

35a59187dd725071ab09-4115d042ae08198197dff10db0ba43c9.r29.cf1.rackcdn.com
 
2013-12-15 10:05:57 PM  

whidbey: happydude45: kwame: majestic: Dear black people:

Cut it out with the stupid names.

Sincerely,

The World

As someone who talks to a few thousand college students every semester, I appreciate something different or unique.

While I've got you, though, choke on a dick you smug racist cocksucker.

Nothing racist about pointing out their proclivity for idiotic made-up names.

I love it when socially conservative white people think they qualify as some kind of Negro Social Fashion Police for all those poor stupid black people out there buying flatscreens with hard earned tax dollars.


Do you know what "hypocrite" means?

You should look it up, because I'm pretty sure you are treading all over that territory.
 
2013-12-15 10:08:33 PM  
Amazing Johnson

Meet

Stupifyin' Jones

s18.postimg.org
 
2013-12-15 10:09:19 PM  

DrVoice: It was always fun in high school to hear the principal call "Anita Mann" over the intercom.

[35a59187dd725071ab09-4115d042ae08198197dff10db0ba43c9.r29.cf1.rackcd n .com image 235x350]


I went to school with a girl named Mary Christmas. Fox News told me someone declared war on her.
 
2013-12-15 10:11:15 PM  
Are 911 operators incapable of determining whether an ambulance needs to be sent out or not?

In Australia, emergency services operators are trained to be able to make these determinations and advise callers on the appropriate course of action. This includes non-life threatening events, like severing a finger.
 
2013-12-15 10:13:29 PM  
"...and at the end of the day, Mister Hugh Jafarkin Johnson, if that IS your real name, you knew what was up when you chose to send your kid to Hockey School. Now...are we done? Can I go back to doing my job? Yes? Wonderful. Get back on the ice, kid."
 
2013-12-15 10:13:46 PM  
Compare this to the story about those hysteric asshats in Colorado who tried to arrest a little kid and declare him a lifetime registered sex offender just for kissing a girl, and know one of the chief reasons why our country sucks so.god.damn.f*cking.much.
 
2013-12-15 10:14:49 PM  
You know who else lost a piece of a finger and didn't call 911?
wa1.cdn.morefm.co.nz
 
2013-12-15 10:29:55 PM  

99.998er: With all of the name and 911 stuff aside, slamming your pinky in a door hard enough to sever the tip must have hurt like a mofo. Poor little girl.


Damn. Makes my nuts hurt just to think about it.
 
2013-12-15 10:32:46 PM  

phrawgh: You know who else lost a piece of a finger and didn't call 911?
[wa1.cdn.morefm.co.nz image 620x413]


It's darryl hannah. Why do I get the idea that a table of elderly korean men, betting, and a knife were involved?
 
2013-12-15 10:32:46 PM  

Kahabut: whidbey: happydude45: kwame: majestic: Dear black people:

Cut it out with the stupid names.

Sincerely,

The World

As someone who talks to a few thousand college students every semester, I appreciate something different or unique.

While I've got you, though, choke on a dick you smug racist cocksucker.

Nothing racist about pointing out their proclivity for idiotic made-up names.

I love it when socially conservative white people think they qualify as some kind of Negro Social Fashion Police for all those poor stupid black people out there buying flatscreens with hard earned tax dollars.

Do you know what "hypocrite" means?

You should look it up, because I'm pretty sure you are treading all over that territory.


I love it when other posters make vague fingerwagging type comments like this.
 
2013-12-15 10:36:40 PM  

phrawgh: You know who else lost a piece of a finger and didn't call 911?
[wa1.cdn.morefm.co.nz image 620x413]


http://mentalfloss.com/article/21263/quick-10-10-famous-spare-parts- or -missing-parts

http://izismile.com/2010/06/16/celebrities_and_their_physical_defect s_ 17_pics.html


odd.

/not that there's anything wrong with that.
 
2013-12-15 10:38:37 PM  

wambu: 99.998er: With all of the name and 911 stuff aside, slamming your pinky in a door hard enough to sever the tip must have hurt like a mofo. Poor little girl.

Damn. Makes my nuts hurt just to think about it.


Yes, but just be thankful your name isn't Amazing Johnson.
/just kidding
 
2013-12-15 10:38:55 PM  

Fury Pilot: Are 911 operators incapable of determining whether an ambulance needs to be sent out or not?

In Australia, emergency services operators are trained to be able to make these determinations and advise callers on the appropriate course of action. This includes non-life threatening events, like severing a finger.


The operator who handled the call for Billy Mays was pretty determined. She was instructing them on how to start CPR while two witnesses were describing him as long dead. Maybe there is a special 911 for celebrities that is willing to fight to save your ass, while the others hang up in the case of foul language or general disinterest in your medical predicament.
 
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