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Traumatic Aortic Rupture

Bercier, Karen trauma-list@trauma.org
Thu, 31 Jan 2002 08:04:10 -0600 

Please remove me from this list. Thank you.
karenbercier@chi-midwest.org

-----Original Message-----
From: KMATTOX@aol.com [mailto:KMATTOX@aol.com]
Sent: Wednesday, January 30, 2002 2:41 PM
To: trauma-list@trauma.org
Subject: Re: Traumatic Aortic Rupture


Thanks for the X-ray.   The X-ray contains at least 6 of the signs which
have 
a high correlation with transection of the descending thoracic aorta.  

I would NOT do a CT on this patient.  I would be highly critical of anyone 
who ordered a CT with this X-ray.   If the patient were stable, I would 
perform an arteriogram.  If the patient were unstable, I would perform a
Left 
4th interspace posterolateral thoracotomy.   

k 

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