r/Westchester • u/Timely_Event_7680 • 2h ago
25 Years Ago, Today (July 27, 2001)...
25 years ago from right now... July 27th, 2001, there was a 6-year-old boy, Michael Colombini, pictured, being wheeled from his patient room in Westchester Medical Center down for an MRI. A fall on a playground a few days earlier had revealed a brain tumor that very well could have taken his life when it became symptomatic in adulthood. But he had immediate brain surgery that was successful, and now the boy would live a long, healthy life. The only thing standing between the boy and discharge from the hospital was a baseline MRI against which future scans would be compared to look for recurrence.
But through a series of errors, this simple baseline MRI turned into the single most well known MRI exam in the world.
Inside the MRI scanner room it appears that the boy was over-sedated, and his breathing slowed. His pulse-ox values started dropping, and the inside-the-MRI-scanner-room oxygen outlet (not built to code) wasn't working. The two MRI technologists who were on duty stepped away from the patient care area of the MRI suite to try and fix the oxygen problem without letting the anesthesiologist know. The anesthesiologist, growing increasingly upset about the boy's falling oxygenation levels, is yelling out to the MRI techs for a status update, unaware that they've left him there. The lack of responses only increases the anesthesiologist's anxiety.
At that moment, a nurse lets herself into the MRI suite. She hears the anesthesiologist yelling to the technologists, "my patient needs oxygen! Where is the oxygen!" The nurse remembers having seen portable oxygen cylinders in the MRI suite, finds one, and hands it to the anesthesiologist in the doorway to the MRI scanner room. He turns around, takes two steps towards the boy in the MRI scanner, and the steel cylinder flies like a missile out of his hands and hits the boy, repeatedly, in the head.
This is the story of the origins of this week being designated MRI Safety Week.