• by rgbrenner on 7/8/2018, 3:19:26 AM

    So your idea is that the people at the site, with the most information on the conditions, should ignore what they know and carry out the wishes of internet commenters who have no direct information about what's happening.

    And further, the people with the most at stake.. whos full attention is on accomplishing it safely... should instead use ideas from people with no real attachment to its success, and no real consequences to its failure, who came up with an idea on a whim.

    I think it's a waste of time to build anything like you suggest. The experts on the ground, with all of the information at their hands about current conditions, who's full attention is on this issue... can handle it without the internets help. The people on the ground aren't dummies either. Maybe instead work on trusting that they really do want to help, and they're doing the best work they can considering the resources and conditions they are working under.

  • by viraptor on 7/8/2018, 3:07:48 AM

    > Crowd review and voting

    We haven't even "solved" internet comments yet, so applying this to any real life critical situation seems weird. Why crowd? People doing actual engineering do this process inside companies all the time: collecting requirements, processing ideas, evaluating solutions.

    I feel like the last thing you want to replace them with is a vague internet crowd. See YouTube comments under a random "I made this thing" video for reasons why...

  • by craigdalton on 7/8/2018, 3:04:17 AM

    An example below of admittedly last resort option :

    Idea Title: Anaesthetise boys and remove from cave.

    Idea Description: The boys would be anaesthetised, intubated (tube down throat to protect airway) placed in waterproof bag and pulled from cave by diver. Portable battery operated ventilators can ventilate a sedated patient for well more than 3 hours required to extract them. Ideally a long acting sedative/anaesthetic could be used and readministered at the rest spots on the route out. This idea would be a last resort for boys who were unable to use scuba equipment.

    My level of expertise: While I am a doctor I am not trained in anaesthetics and have forgotten everything I learned in a PADI diving course 25 years ago.

    Gaps in my knowledge: 1 I don’t know what equipment would be required to ensure stabilisation of an endotracheal tube in a patient being dragged through a cave. E.g. If the endotracheal tube leaked or came out of the trachea, then 1. The patient would no longer be ventilated and would die within minutes, and 2. The thick plastic bag they are held within would begin to inflate making them difficult to manoeuvre and potentially trapping them in narrow crevasses. 2. Susceptibility of battery operated ventilators to minor water infiltration is an unknown. 3. Availability of large thick waterproof vinyl dry-bag required to protect the patient.