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Sat, 2 Mar 2002 21:56:47 -0000

Thanks Ken and all the other contributors,
I have really enjoyed reading the comments on this thread and it has simply
confirmed what I believed all along...stay out unless you are on familiar
ground, both surgically and hospital-wise.
At least I can damp down the enthusiasm of some of  our 'young guns' packing
the rib-spreaders in the trauma kit!

Ken, just wondered what you thought of Tim's criteria for pre-hospital
intervention?

Thanks again everyone
Mark F
UK
----- Original Message -----
From: <KMATTOX@aol.com>
To: <trauma-list@trauma.org>; <bonecrusher@orthotrauma.freeserve.co.uk>
Sent: Saturday, March 02, 2002 3:21 PM
Subject: Re: Emergency thoracotomy-Rib resectors???

> I have great concern that the comments of Dr. Bonecrusher might be
> misleading.
>
> 1.   I do not understand why and when I would EVER use (any named) rib
> resector when performing an emergency thoracotomy for trauma.   To propose
> rib resection for emergency thoracotomy is simply to ignore any of the
> advances in trauma, thoracic trauma, resuscitation, trauma systems, etc.
of
> the last 40 years.
>
> 2.  External fixators for pelvic fractures was not part of this original
> thread of discussion, but since instrumentation for trauma has been
brought
> up, the data to support "emergency" application of external fixators is
> extremely sparse.   This practice has come under considerable scrutiny and
> debate over the last 15 years.  We have not used and have not regretted
not
> using such in the emergency department (and only very very rarely in the
OR)
> any external fixator device for pelvic fractures.
>
> k
>
> --
> trauma-list : TRAUMA.ORG
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Emergency thoracotomy-Rib resectors???