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Old 29 Dec 2013, 12:53 (Ref:3378298)   #1
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BBC Sport has a link on the story, but not much info.


Michael Schumacher injured in skiing accident in France

Seven-time world champion Michael Schumacher has been injured in a skiing accident in France.
The German, who retired from Formula 1 for the second time at the end of the 2012 season, has been taken by helicopter to hospital in Grenoble.

More to follow.

http://www.bbc.com/sport/0/formula1/25542340
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Old 29 Dec 2013, 13:11 (Ref:3378299)   #2
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http://rmcsport.bfmtv.com/.../pas-tres-grave-schumacher/

Quote:
He dropped to 11:07, off-piste at Meribel. He was wearing a helmet and banged against a rock, he said. Relief responded quickly, at 11:15. He was airlifted and taken to hospital in Moutiers. He was shocked, a little shaken but conscious. It may be a head injury but it is not very serious
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Old 29 Dec 2013, 19:41 (Ref:3378300)   #3
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Japanese Auto Sport Web also reported the accident. http://as-web.jp/news/info.php?c_id=1&no=53651

NOTE: Only Japanese
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Old 29 Dec 2013, 20:49 (Ref:3378301)   #4
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French source, which gets updated regularly:
http://www.ledauphine.com/savoie/201...ccident-de-ski
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Old 29 Dec 2013, 21:02 (Ref:3378302)   #5
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That french link I just posted is talking about a http://en.wikipedia.org/wiki/Cerebral_hemorrhage since 21:30 which cannot be underestimated.
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Old 29 Dec 2013, 21:47 (Ref:3378303)   #6
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It appears that he underwent neurosurgery after the hospital admission..
http://www.gazzetta.it/Sport-Motori/...37781569.shtml
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Old 29 Dec 2013, 21:48 (Ref:3378304)   #7
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Schumachers managment just confirmed his condition is critical and that Michael is in a coma

http://www.google.com/hostednews/afp...3c9636d3&hl=en
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Old 29 Dec 2013, 22:06 (Ref:3378305)   #8
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Quote:
Formula One legend Michael Schumacher is in a "critical condition" in a coma after striking his head in a ski accident in the French Alps on Sunday, the hospital treating him said.

The 44-year-old German "was suffering a serious brain trauma with coma on his arrival, which required an immediate neurosurgical operation," the hospital in the southeast French city of Grenoble said in a statement.
(AFP)
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Old 30 Dec 2013, 09:31 (Ref:3378306)   #9
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On a more serious issue, Michael Schumacher is no longer in a serious condition. He is now in a critical condition.

http://www.f1times.co.uk/news/display/08353

http://www.autosport.com/news/report.php/id/111979

http://www.jamesallenonf1.com/2013/1...-ski-accident/
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Old 30 Dec 2013, 12:10 (Ref:3378307)   #10
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Full video of the press conference on BBC website: http://www.bbc.co.uk/news/world-europe-25549263
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Old 31 Dec 2013, 05:55 (Ref:3378308)   #11
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DC gives his thoughts.

http://www.telegraph.co.uk/sport/mot...about-him.html
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Old 31 Dec 2013, 11:12 (Ref:3378309)   #12
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A minor improvement noted: http://www.bbc.co.uk/news/world-europe-25558709
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Old 31 Dec 2013, 16:32 (Ref:3378310)   #13
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Originally Posted by thetool View Post
Unfortunately I would imagine brain damage is a best case scenario. Just the extent of the damage is what is unknown. Realistically a full recovery is highly unlikely - we can only hope the damage affects him physically rather than mentally, as then at least there is a lot doctors can do to help him.
Says who?

Neuro injuries are never defined until the patient is fully awake, and off sedation. Prognostication in a still sedated patient is nothing short of fully pointless, and is 100% an assumption.

He had an epidural hematoma, they are frequently fatal without immediate interventions, he's had a number of surgeries, and is still listed as "critical" due to the fact that he may re-bleed at any point. This is purely a waiting game and a very precise balance of sedation, brain rest, and necessary surgical intervention.

He may wake up fine, he may die. It will be two or three weeks before we know fully. Until he is weaned off sedation, there is little point in speculating anything.
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“We’re trying to close the doors without embarrassing ourselves, the France family and embarrassing (the) Grand American Series,” he said in the deposition. “There is no money. There is no purse. There’s nothing.”
Old 2 Jan 2014, 15:09 (Ref:3378311)   #14
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He tried to help a child, the daughter of a friend...

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Old 2 Jan 2014, 16:08 (Ref:3378312)   #15
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the map's wrong in that they indicate chamois is a green run when in fact it's a red (see the meribel piste map), but i suspect that's artistic licence rather than intentional misinformation.

no idea if that's a recent picture or not, but you'll notice the background and the foreground are "tracked out" and the area between the two pistes is relatively untouched except for the path through the middle. that tells you that the majority choose not to cut the corner and go for the hideous moguls on the left (the bumpy stuff, more visible in the photo f1toy posted before) or the less steep and far less mogully run on the right. people will do insane things for untracked powder, but apparently not that.

i don't mean that as a judgement about anyone involved in the incident at all or an indication of blame or whathaveyou, but again, like my previous posts, just as a bit of background if you're not a mountain user.
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Old 8 Jan 2014, 11:47 (Ref:3378313)   #16
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Quote:
Originally Posted by autosport.com
Patrick Quincy said: "We are going to study the film with the best qualified people and with experts.

"If necessary we will be able to say what the speed was - but speed is not a particularly important aspect for us, nor [will it be] important for decisions we will likely take at the end of the inquiry."
also, regarding previous concerns expressed about the marking out of the piste:
Quote:
"The piste was very well marked so that every skier can tell where the slope actually ends," he said.

"It is very well marked where the slope ends to prevent skier going into a dangerous zone."
http://www.autosport.com/news/report.php/id/112057

it sound like quite rightly, they're going to be heading towards a verdict of "accident".

Last edited by bella; 13 Mar 2014 at 19:11.
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Old 13 Jan 2014, 19:46 (Ref:3378314)   #17
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Originally Posted by davyboy View Post
Changing the subject for a moment. There's a very interesting article written by ex-F1 medical delegate, consultant anaesthetist and A+E physician, Gary Hartstein in this week's Autosport print magazine. He doesn't speculate on the prognosis for Schumacher but rather goes into detail about what's happened to date based on the press conference information and his own expertise/experience. I'm not going to transcribe it here but would recommend those interested read it.

One point he does make at the very end is this :

"The future ? A long, long road. Months at least. Short term, the anaesthetic* needs to be lightened when intracranial pressure is normal and stable. That's the next big step."

* He's referring here to the controlling factor of Schumacher's medically induced coma.
The article mentioned above is available on the premium part of Autosport's web site.
http://plus.autosport.com/premium/fe...exf1-doc-view/
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Old 23 Jan 2014, 07:06 (Ref:3378315)   #18
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A doctor not connected to Michael's medical team reports on Michael's possible condition, and what the future holds HERE.
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Old 31 Jan 2014, 01:28 (Ref:3378316)   #19
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Originally Posted by Zico View Post
Does the fact that he was conscious after reaching the hospital after the fall mean we can afford to be a bit more positive about the outcome than if he was already in a coma... or is it more to do with the damage the swelling might have done and the surgery intrusion level?
So, lemme give you the basics..

He had multiple epidural hematomas. An epidural hematoma is a collection of blood between the dura mater(sometimes called the tough matter)it's the fibrous covering of the brain that carries the arterial blood supply. What happened is that the inside of the skull, which is actually very rough, cut a few of those arteries. What happens then is that the blood collects, sometimes slow, sometimes rapidly. The case here is that he was unconscious, followed by a time frame of being awake, then essentially, decompenstating into a period of unconsciousness.

The part where that all goes bad is if he would have bled enough to push the brain our of the skull through the magnum foramen(herniation), that's where the spinal cord enters the skull. If that occurs it's 100% fatal.

So, what was done here, is that a head CT or MRI showed the bleeds, and he was subsequently sedated, intubated, and placed on the ventilator. He would have then been taken to surgery to remove the trapped blood. That may have been a craniotomy, or a burr-hole. In extreme circumstances, the can remove portions of the skull, and allow the brain to swell through them, then replace those later on.

He will have been on sedation for brain rest and comfort, with a pressure bolt to measure severity of intra-cranial pressures, a constant EEG for brain activity and IV feeds.

Currently he likely has a tracheostomy, and will slowly be weaned from sedation to judge level of function. until he is fully weaned, we won't know level of dysfunction.

It may be serious, it may be something as simple as memory issues. The fact that he is responding is a great sign..but, it needs to be approached with great restraint. This may be the highest level of function he will ever have, then again, he may be back to drifting Ferrari's like the Stig in two years.

Very hard to say. I prefer the latter to the former, but, neuro injuries are damn near impossible to predict.
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“We’re trying to close the doors without embarrassing ourselves, the France family and embarrassing (the) Grand American Series,” he said in the deposition. “There is no money. There is no purse. There’s nothing.”
Old 5 Feb 2014, 21:51 (Ref:3378317)   #20
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There's an interesting piece on the BBC about the challenges ahead...

http://www.bbc.co.uk/news/health-26033972
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Old 15 Feb 2014, 00:58 (Ref:3378318)   #21
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Checking back in....

A few things...

He's probably been fully weaned from sedation by now if everything went to plan. If it didn't, he's probably on light to moderate sedation as he can't or is having difficulties being weaned from the ventilator.

It takes time to learn to breathe on your own again...

As for the pneumonia, it's highly probable. Ventilator acquired pneumonia, or VAP, is a very, very common problem. It comes from being unable to remove the secretions from the airway. The fluids becomes dependent in the lower airway, and forms a pneumonia.

As I had said earlier in the thread, getting him to a state of normalcy, may take months....if ever.

If he's been weaned entirely, they will know what his cognitive functions are already, and may be wrapping up their care.

I would highly doubt we hear anything other than little snippets on and off for a very long time. My best guess is that they are doing this to reduce the media attention.

Though, it's pure assumption, I would bet they are just having issues getting him off the vent.
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“We’re trying to close the doors without embarrassing ourselves, the France family and embarrassing (the) Grand American Series,” he said in the deposition. “There is no money. There is no purse. There’s nothing.”
Old 15 Feb 2014, 13:01 (Ref:3378319)   #22
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Statement from his family. It doesn't really add anything but does try to put to bed recent rumours.

http://www1.skysports.com/f1/news/12...d-will-recover
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Old 25 Feb 2014, 19:19 (Ref:3378320)   #23
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A recent article by a perplexed 'former F1 Doc' that raises a few questions regarding what is effectively a wall of silence from Grenoble.


http://formerf1doc.wordpress.com/2014/02/24/perplexity/

Whether you agree with his views or not, (I don't btw, but I must admit to sharing his frustration) other than Felipe's recent optimistic comments we have heard pretty much nothing from any official or trustworthy sources. If there was any good news it would make little/no sense for the family to withhold it from the world.

Someone please say something positive to help rid me of my current pessimism...
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Old 10 Mar 2014, 18:28 (Ref:3378321)   #24
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I've not read through this in some time.

I think we can safely assume he is not likely to recover much further than what he has already. Dr. Hartstein wrote a piece in February about where he assumes his condition is, I have to agree. The prognosis at this point is incredibly bleak.

My assumption, and this is 100% assumption...is that the family is likely deciding on how much longer to hold out, get further evaluations, and making a choice on when, not if, to withdraw care.

As terrible as it is, I think it's worth noting that reality has a harsh way of slapping us all in the face, and we need to face it. As much as I'd love to see him make a full recovery, I just don't see any way that it's possible this far along. 70+ days post injury, and still in a coma that is likely not drug induced, it's not good...and if so...

I would imagine sometime in the next month-ish we will either see a death notification, or a progress note that he's a persistent vegetative state and the death notification will follow sometime after that when he finally succumbs to an infection of some sort. That may be years down the road, but, nonetheless, it will eventually occur.

If he doesn't even have low-level functions of eye opening/fluttering or hand grasp then...I'd have to argue that he likely doesn't have much of a respiratory drive either if that's the case then he will be on a ventilator for the remainder of his life, as well as tube feeding...essentially a wasting state until death.


Again this is assumption on my part, I have not much else to base on except for timing. I would highly doubt the family would be keeping quiet if he is awake, talking and normal, or even semi-normal. I feel that his days are limited, as bad as it sounds, and as terrible as it is, I think e need to accept that death probably isn't far off.
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“We’re trying to close the doors without embarrassing ourselves, the France family and embarrassing (the) Grand American Series,” he said in the deposition. “There is no money. There is no purse. There’s nothing.”
Old 12 Mar 2014, 11:08 (Ref:3378322)   #25
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Michael's manager issued a statement from the family this morning:

http://www.bbc.co.uk/news/world-europe-26541565

The statement reads:

Quote:
We are and remain confident that Michael will pull through and will wake up. There sometimes are small, encouraging signs, but we also know that this is the time to be very patient.

Michael has suffered severe injuries. It is very hard to comprehend for all of us that Michael, who had overcome a lot of precarious situations in the past, has been hurt so terribly in such a banal situation.

It was clear from the start that this will be a long and hard fight for Michael. We are taking this fight on together with the team of doctors, whom we fully trust. The length of the process is not the important part for us.

It is heart-warming to see how much sympathy his family is shown and I can say that the family is extremely grateful for it. However, it should not be forgotten that Michael's family is dealing with an extremely intimate and fragile situation. And I would like to remind all of us that Michael has always actively kept his family out of the public eye and consequently protected their private lives.

We try to channel all the energies we have toward Michael and we firmly believe that this will help him. And we believe that he will also win this fight.
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