{"id":11628,"date":"2017-08-18T10:56:32","date_gmt":"2017-08-18T16:56:32","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=11628"},"modified":"2025-01-17T13:28:02","modified_gmt":"2025-01-17T20:28:02","slug":"life-saved-25-seconds","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/life-saved-25-seconds\/","title":{"rendered":"A life saved in 25 seconds"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>Daniel Bryce is like a sculptor in the sky.<\/p>\n<p>He loves nothing more than climbing dozens of feet in the air into majestic old trees. Then, anchored by safety ropes, he swings from branch to branch, shaping limbs and keeping trees healthy.<\/p>\n<figure id=\"attachment_11634\" aria-describedby=\"caption-attachment-11634\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-11634 size-large\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035140\/Daniel-lead-photo-sized.webp\" alt=\"Daniel Bryce is shown high in a tree. Bryce works as an arborist.\" width=\"640\" height=\"853\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035140\/Daniel-lead-photo-sized.webp 750w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035140\/Daniel-lead-photo-sized-225x300.webp 225w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035140\/Daniel-lead-photo-sized-113x150.webp 113w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035140\/Daniel-lead-photo-sized-200x267.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-11634\" class=\"wp-caption-text\">Daniel Bryce loves working as an arborist. Photo courtesy of Daniel Bryce.<\/figcaption><\/figure>\n<p>But on Easter Sunday in April, the arborist was working about 15 feet off the ground on a Chinese elm in his hometown of Gillette, Wyo. when a scary accident tested all of Bryce\u2019s skills.<\/p>\n<p>He made a cut in a branch like he has hundreds of times before. He set the break on his chainsaw and held it at rest by his right thigh. Then the limb he had cut rolled in just the wrong way and hit Bryce\u2019s safety rope, tipping his saw up and slicing into Bryce\u2019s left arm.<\/p>\n<p>While the cut didn\u2019t look large, Bryce knew right away that it was bad.<\/p>\n<p>\u201cIt was an instant gusher, like a garden hose running out of my arm. I knew right off the bat that it was an artery,\u201d said Bryce, 35, who also works as a coal miner and thankfully has received extensive safety and first aid training over the years.<\/p>\n<p>Without thinking, Bryce sprang into action, rappelling to the ground while calling out to his assistant below.<\/p>\n<p>\u201cCall 911. You\u2019re taking me to the hospital.\u201d<\/p>\n<p>Once on the ground, Bryce used his safety rope, called a lanyard, and wrapped it as tightly as he could high up around his armpit.<\/p>\n<p>\u201cI had to wrap it around my arm five times. I knew that was an artery in there. It was pure adrenaline,\u201d Bryce said.<br \/>\n<div class=\"su-callout-box col-xs-6 col-sm-6 right\" style=\"background-color:#dce4e7; color:#2e3b44;\"><strong><br \/>\nHow to <a href=\"https:\/\/www.stopthebleed.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Stop the Bleed<\/a><br \/>\n<\/strong><\/p>\n<ul>\n<li>Before offering help, ensure your own safety.<\/li>\n<li>If possible, wear gloves.<\/li>\n<li>Find the source of the bleeding.<\/li>\n<li>Compress and control the wound by covering the wound or if it\u2019s large and deep, trying to \u201cstuff\u201d a cloth down into the wound.<\/li>\n<li>Apply continuous pressure, pushing down as hard as you can.<\/li>\n<li>For life-threatening bleeding from an arm or leg, wrap a tourniquet about two to three inches above the injury.<\/li>\n<li>Make the tourniquet as tight as possible.<br \/>\n<\/div><\/li>\n<\/ul>\n<p>Cinching the rope so tightly that it hurt far more than the original cut, Bryce managed to create a tourniquet and stop the flow of blood.<\/p>\n<p>He did this all in about 25 seconds.<\/p>\n<p>\u201cI\u2019m glad it happened to me and not someone else. I believe everything happens for a reason and God only gives us what we can handle,\u201d Bryce said.<\/p>\n<h2><strong>Stop the Bleed \u2013 Save an arm<\/strong><\/h2>\n<p>Doctors who cared for Bryce in Gillette and at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-university-of-colorado-hospital-uch\/\" target=\"_blank\" rel=\"noopener noreferrer\">UCHealth\u2019s University of Colorado Hospital<\/a> said he performed perfectly under pressure. His quick actions saved his life. And, as health experts work to spread the word about how everyday people can save lives during traumatic events, they are highlighting Bryce\u2019s quick thinking as part of the <a href=\"https:\/\/www.stopthebleed.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Stop the Bleed <\/a>campaign.<\/p>\n<p>\u201cThe campaign has a goal of reaching 300 million people,\u201d said <a href=\"https:\/\/www.uchealth.org\/provider\/robert-mcintyre-jr-md-surgery\/\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Robert McIntyre<\/a>, director of trauma and acute care surgery for University of Colorado Hospital.<\/p>\n<p>\u201cBryce saved his own life with a tourniquet, which is exactly what we\u2019re trying to teach immediate bystanders to do. There have been multiple high-casualty events recently and bystanders can offer immediate assistance,\u201d McIntyre said.<\/p>\n<p>Thus far, throughout the UCHealth system, trauma services experts have trained many health care workers on how to react quickly if they see someone who is losing blood due to an injury, mass shooting or attack. Those health workers, in turn, can go to schools, businesses and community groups to teach people without medical training how they can step in and save lives. The goal is to have zero preventable deaths.<\/p>\n<figure id=\"attachment_11632\" aria-describedby=\"caption-attachment-11632\" style=\"width: 500px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-11632\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035128\/Daniel-Bryce-working-in-a-tree-sized.webp\" alt=\"Daniel Bryce is shown high in a tree as he cuts limbs with a chainsaw.\" width=\"500\" height=\"513\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035128\/Daniel-Bryce-working-in-a-tree-sized.webp 975w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035128\/Daniel-Bryce-working-in-a-tree-sized-293x300.webp 293w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035128\/Daniel-Bryce-working-in-a-tree-sized-768x788.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035128\/Daniel-Bryce-working-in-a-tree-sized-146x150.webp 146w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035128\/Daniel-Bryce-working-in-a-tree-sized-200x205.webp 200w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><figcaption id=\"caption-attachment-11632\" class=\"wp-caption-text\">Daniel Bryce was working up high in a tree like he has hundreds of times before when a limb he had cut hit his chainsaw, sending it up toward his left arm and cutting an artery. Photo courtesy of Daniel Bryce.<\/figcaption><\/figure>\n<p>Over decades, armies of everyday people have learned how to do CPR and step in if they see someone stop breathing from a drowning, heart attack or electrocution. When a person\u2019s heart stops, people know to act fast. Blood loss is very similar in that every second counts and anyone can help. Medical experts hope bystanders can learn to have the same reflexes Bryce did. He intuitively did everything right. He stopped his bleeding, stabilized himself and then allowed medical experts to make critical decisions that saved his arm.<\/p>\n<p>Bryce credits the regular first aid training he has gotten over the years at the mine and in other jobs where he\u2019s worked with heavy equipment. He\u2019s also a guy who gets calm when life gets crazy. During a Fourth of July celebration, a neighbor\u2019s fireworks set off a small grass fire. While others panicked and inadvertently fanned the flames, Bryce quickly found a fire extinguisher and put out several hotspots.<\/p>\n<p>\u201cMy wife calls me superman, but I don\u2019t wear a cape. I wear a helmet,\u201d Bryce said with a sly grin. \u201cI don\u2019t hesitate. I react. That\u2019s why I saved my life.\u201d<\/p>\n<p>Once Bryce stopped the bleeding, he knew his arm was going to start swelling fast.<\/p>\n<p>Drenched in his own blood, Bryce jumped in the passenger seat of his work truck while his assistant struggled to drive the stick shift. Fortunately, they only had to go a short distance before they heard sirens. An ambulance was on its way.<\/p>\n<p>The EMTs included Bryce\u2019s own sister-in-law.<\/p>\n<p>\u201cHow are you?\u201d she asked.<\/p>\n<p>\u201cI\u2019ve lost a lot of blood,\u201d Bryce said. \u201cIf I hadn\u2019t gotten it to stop, I\u2019d be dead.\u201d<\/p>\n<p>The ambulance rushed Bryce to the nearest hospital, where his arm turned blue and swelled up like a football.<\/p>\n<h2><strong>Seamless medical handoff<\/strong><\/h2>\n<p>McIntyre happened to be on call on Easter.<\/p>\n<p>\u201cI got a call from the ER in Gillette,\u201d McIntyre recalled.<\/p>\n<figure id=\"attachment_11635\" aria-describedby=\"caption-attachment-11635\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-11635 size-large\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035144\/Stop-the-Bleed-Daniel-photo-during-exam-sized.webp\" alt=\"Daniel Bryce is shown during an appointment with his doctor, Dr. Ashley Ignatiuk, at University of Colorado Hospital.\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035144\/Stop-the-Bleed-Daniel-photo-during-exam-sized.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035144\/Stop-the-Bleed-Daniel-photo-during-exam-sized-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035144\/Stop-the-Bleed-Daniel-photo-during-exam-sized-1024x683.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035144\/Stop-the-Bleed-Daniel-photo-during-exam-sized-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035144\/Stop-the-Bleed-Daniel-photo-during-exam-sized-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035144\/Stop-the-Bleed-Daniel-photo-during-exam-sized-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-11635\" class=\"wp-caption-text\">Daniel Bryce meets with his doctor, Dr. Ashley Ignatiuk, at University of Colorado Hospital. Ignatiuk said Bryce is having an excellent recovery. Photo by UCHealth.<\/figcaption><\/figure>\n<p>Doctors there wanted to transfer Bryce immediately to University of Colorado Hospital (UCH). But McIntyre knew that getting blood flow restored as fast as possible was critical.<\/p>\n<p>\u201cBy the time the patient gets flown here and we can take care of him, he\u2019s probably going to lose his arm,\u201d McIntyre said.<\/p>\n<p>So he urged doctors in Wyoming to create a temporary conduit called a shunt to carry blood from Bryce\u2019s upper proximal artery to the lower distal artery.<\/p>\n<p>Dr. Sara Hartsaw, a general surgeon, was enjoying Easter with her family when she got the call about Bryce\u2019s injury. She had recently returned from serving nearly a year as a Navy surgeon in Afghanistan. Her experience there certainly helped with what she found when she arrived at the hospital.<\/p>\n<p>She initially planned to do a shunt as a temporary fix and fly Bryce to UCH. She consulted with McIntyre and her partner, Dr. Jake Rinker. He was on his way to a family ranch near Montana, but detoured back to the hospital. Rinker felt he could team up with Hartsaw to do a more complex, but permanent fix called a vein graft.<\/p>\n<p>The Wyoming surgeons raced against the clock. If they could complete the surgery in about 45 minutes, they felt they could restore the blood flow in time to save Bryce\u2019s arm.<\/p>\n<p>Together, they found a good vein in Bryce\u2019s injured arm. They snipped part of that vein, reversed it and stitched it into Bryce\u2019s damaged artery, creating a new pathway for blood. Hartsaw had done a similar procedure with surgeons in Afghanistan for a soldier who had stepped on an IED. He had had good results, so she was hopeful for Bryce.<\/p>\n<p>As soon as Hartsaw and Rinker stabilized Bryce, they transferred him by helicopter to UCH.<\/p>\n<p>McIntyre was there when Bryce arrived in the ICU. He found that blood was flowing well through Bryce\u2019s arm. That\u2019s when Dr. Ashley Ignatiuk, a plastic surgeon and hand surgery expert, took the lead and made a critical discovery. In addition to cutting through the artery, the chainsaw had sliced through about 70 percent of Bryce\u2019s median nerve. As a result, he had lost feeling in his left thumb and fingers.<\/p>\n<p>Ignatiuk said the nerves in the arm are like a bag of spaghetti. Using a microscope to see each strand, Ignatiuk carefully realigned and reconnected all the strands so they could once again send signals down Bryce\u2019s arms to his fingers.<\/p>\n<p>Little by little, the nerve pathways will regenerate and Bryce should regain full sensation in his fingers.<\/p>\n<p>Bryce recently returned to Aurora for a checkup and Ignatiuk was stunned by his progress. Aside from scars, his arm looks great and the nerve regeneration is moving along faster than expected.<\/p>\n<p>\u201cThis is what I call an amazing outcome,\u201d Ignatiuk told Bryce as he tapped his forearm to detect sensation.<\/p>\n<p>Bryce still has some numbness in his left thumb and forefinger, but Ignatiuk expects that to heal soon.<\/p>\n<p>\u201cKeep massaging the arm. Give it time and it will sort itself out,\u201d Ignatiuk said. \u201cYou\u2019re impressing the hell out of me. You\u2019re excellent.\u201d<\/p>\n<p>Ultrasounds of Bryce vascular system also showed great results.<\/p>\n<p>\u201cThe blood flow to his hand is perfect,\u201d McIntyre said. \u201cWe want to help patients get back to doing the things they enjoy. He\u2019s a perfect example of that.\u201d<\/p>\n<p>Bryce\u2019s case illustrates how a smart patient and seamless medical care created a great outcome.<\/p>\n<figure id=\"attachment_11630\" aria-describedby=\"caption-attachment-11630\" style=\"width: 477px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-11630\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035116\/Daniel-arm-healing-sized.webp\" alt=\"Daniel Bryce shows a healed scar on his left arm that he received from a chain saw injury.\" width=\"477\" height=\"358\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035116\/Daniel-arm-healing-sized.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035116\/Daniel-arm-healing-sized-300x225.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035116\/Daniel-arm-healing-sized-1024x768.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035116\/Daniel-arm-healing-sized-768x576.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035116\/Daniel-arm-healing-sized-150x113.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2017\/08\/18035116\/Daniel-arm-healing-sized-200x150.webp 200w\" sizes=\"auto, (max-width: 477px) 100vw, 477px\" \/><figcaption id=\"caption-attachment-11630\" class=\"wp-caption-text\">Daniel Bryce saved his own life by acting fast when his chain saw cut his arm. His injury is healing well. Photo by UCHealth.<\/figcaption><\/figure>\n<p>\u201cThe patient saved his own life. He stopped the bleed. The local doctors provided excellent care within the capacity that they could. We helped him, then sent him back. This is a partnership between the physicians and hospitals in a local community and us,\u201d McIntyre said.<\/p>\n<p>A father of four and a self-acknowledged workaholic, Bryce is feeling great and committed to regaining 100 percent of his arm and hand function.<\/p>\n<p>\u201cUse it or lose it. I\u2019ve got kids. I\u2019m not going to lose it,\u201d he said.<\/p>\n<p>These days, Bryce is back at work at the mine and back in the trees. Until full sensation returns to his left hand, he\u2019s using assistants to run the chainsaw. He envisions a time soon when he\u2019ll once again be sawing limbs.<\/p>\n<p>\u201cI\u2019m not at all afraid of the chainsaw. I just don\u2019t want to do large removals until I can feel it fully.\u201d<\/p>\n<p>As for the trees, he\u2019s in heaven up in the sky.<\/p>\n<p>\u201cIt\u2019s like flying. It\u2019s relaxing. There\u2019s no better job out there for me. I thrive on it. I feel like a little kid.<\/p>\n<p>\u201cI will probably climb trees until I can\u2019t anymore because I love it.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Daniel Bryce is like a sculptor in the sky. He loves nothing more than climbing dozens of feet in the air into majestic old trees. Then, anchored by safety ropes, he swings from branch to branch, shaping limbs and keeping trees healthy. But on Easter Sunday in April, the arborist was working about 15 feet [&hellip;]<\/p>\n","protected":false},"author":2123,"featured_media":11632,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[235,274],"class_list":["post-11628","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-emergency-care","tag-emergency-medicine"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>A life saved in 25 seconds - UCHealth Today<\/title>\n<meta name=\"description\" content=\"He made a cut in a branch like he has hundreds of times before. Then the limb rolled in the wrong way, tipping his saw up and slicing into Bryce\u2019s left arm.\" \/>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A life saved in 25 seconds\" \/>\n<meta property=\"og:description\" content=\"He made a cut in a branch like he has hundreds of times before. 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