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Fri, 29 Mar 2002 18:31:57 -0500

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Soooooula, how are you.? Are u in Brooklyn or the Bronx now? Dinner=20
sounds good. Can I bring the wife. She's good friends with Iva and Leah.
Ron

Soula Priovolos wrote:

>Hi Ron,
>
>I saw your e-mail on the trauma thing, but I don't need to talk about=20
>that...Just want to know if you would like to attend a dinner for=20
>Stahl and Ivatury May 18 (Saturday). Ask Rohman too.
>
>Val Katz says hi,
>
>Soula
>
>
>
>------------------ Reply Separator --------------------
>Originally From: Ronald Simon <Traumamd@nyc.rr.com>
>Subject: Re: A new interesting case for you...
>Date: 03/28/2002 00:11am
>
>
>Chest tube on Right, think hard about one on the left. ECHO the heart=20
>and off to the OR for a Lap +/- a t-cotomy depending on the output of=20
>the chest tube
>Ron Simon
>JAcobi MEdical Center
>Bronx, NY
>PS some will not be happy with a 3 liter resuscitation while standing=20
>around.
>
>Marcos Reis wrote:
>
>>    This is a very interesting recent case and I'd like to know the=20
>>opinion of the Surgeons of the List. At the end I can send the=20
>>
>photos=20
>
>>if anybody wants.
>>
>>    A 19 years old male patient entered in the ER  last monday (=20
>>2002/03/28 ), in shock, with 2 gunshot wounds  ( 10-20 min before=20
>>admission ); one gunshot wound in the LEFT posterior axilar line (=20
>>
>9th=20
>
>>intercostal space ) and another gunshot wound in the left upper=20
>>abdominal quadrant. No exit wounds . Vital signs: BP 70/30, P 140,=20
>>
>RR=20
>
>>32, GCS 14. The auscultation revealed breath sounds decreased  on=20
>>
>the=20
>
>>RIGHT hemithorax and he had abdominal pain. We obtained a  chest=20
>>
>film=20
>
>>that demonstrated the bullet in the RIGHT hemithorax and=20
>>
>fluid/blood=20
>
>>density  all over the RIGHT side, nothing wrong was seen at the=20
>>
>LEFT=20
>
>>hemithorax and there was NO widened mediastinum .  The abdominal=20
>>
>film=20
>
>>( AP ) demonstrated a bullet in the projection of  L4. After rapid=20
>>administration of 3000ml of IV fluids ( Ringer ) there was no=20
>>
>increase=20
>
>>in his blood pressure and the patient was sent to the operation=20
>>
>room.=20
>
>>Clear yellow urine was obtained at the urinary catheter .
>>
>>    What would you do?
>>
>>=20
>>
>>    Marcos Reis,  MD  Trauma Surgeon
>>
>>    Jo=E3o XXII Hospital - Trauma Center - Belo Horizonte, Brazil=20
>>
>
>
>
>
>--
>trauma-list : TRAUMA.ORG
>To change your settings or unsubscribe visit:
>http://www.trauma.org/traumalist.html
>

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Soooooula, how are you.? Are u in Brooklyn or the Bronx now? Dinner sounds
good. Can I bring the wife. She's good friends with Iva and Leah.<br>
Ron<br>
<br>
Soula Priovolos wrote:<br>
<blockquote type="cite" cite="mid:200203292126.g2TLQ6C25767@web5.po.com">
  <pre wrap="">Hi Ron,<br><br>I saw your e-mail on the trauma thing, but I don't need to talk about <br>that...Just want to know if you would like to attend a dinner for <br>Stahl and Ivatury May 18 (Saturday). Ask Rohman too.<br><br>Val Katz says hi,<br><br>Soula<br><br><br><br>------------------ Reply Separator --------------------<br>Originally From: Ronald Simon <a class="moz-txt-link-rfc2396E" href="mailto:Traumamd@nyc.rr.com">&lt;Traumamd@nyc.rr.com&gt;</a><br>Subject: Re: A new interesting case for you...<br>Date: 03/28/2002 00:11am<br><br><br>Chest tube on Right, think hard about one on the left. ECHO the heart <br>and off to the OR for a Lap +/- a t-cotomy depending on the output of <br>the chest tube<br>Ron Simon<br>JAcobi MEdical Center<br>Bronx, NY<br>PS some will not be happy with a 3 liter resuscitation while standing <br>around.<br><br>Marcos Reis wrote:<br><br></pre>
  <blockquote type="cite">
    <pre wrap="">    This is a very interesting recent case and I'd like to know the <br>opinion of the Surgeons of the List. At the end I can send the <br></pre>
    </blockquote>
    <pre wrap=""><!---->photos <br></pre>
    <blockquote type="cite">
      <pre wrap="">if anybody wants.<br><br>    A 19 years old male patient entered in the ER  last monday ( <br>2002/03/28 ), in shock, with 2 gunshot wounds  ( 10-20 min before <br>admission ); one gunshot wound in the LEFT posterior axilar line ( <br></pre>
      </blockquote>
      <pre wrap=""><!---->9th <br></pre>
      <blockquote type="cite">
        <pre wrap="">intercostal space ) and another gunshot wound in the left upper <br>abdominal quadrant. No exit wounds . Vital signs: BP 70/30, P 140, <br></pre>
        </blockquote>
        <pre wrap=""><!---->RR <br></pre>
        <blockquote type="cite">
          <pre wrap="">32, GCS 14. The auscultation revealed breath sounds decreased  on <br></pre>
          </blockquote>
          <pre wrap=""><!---->the <br></pre>
          <blockquote type="cite">
            <pre wrap="">RIGHT hemithorax and he had abdominal pain. We obtained a  chest <br></pre>
            </blockquote>
            <pre wrap=""><!---->film <br></pre>
            <blockquote type="cite">
              <pre wrap="">that demonstrated the bullet in the RIGHT hemithorax and <br></pre>
              </blockquote>
              <pre wrap=""><!---->fluid/blood <br></pre>
              <blockquote type="cite">
                <pre wrap="">density  all over the RIGHT side, nothing wrong was seen at the <br></pre>
                </blockquote>
                <pre wrap=""><!---->LEFT <br></pre>
                <blockquote type="cite">
                  <pre wrap="">hemithorax and there was NO widened mediastinum .  The abdominal <br></pre>
                  </blockquote>
                  <pre wrap=""><!---->film <br></pre>
                  <blockquote type="cite">
                    <pre wrap="">( AP ) demonstrated a bullet in the projection of  L4. After rapid <br>administration of 3000ml of IV fluids ( Ringer ) there was no <br></pre>
                    </blockquote>
                    <pre wrap=""><!---->increase <br></pre>
                    <blockquote type="cite">
                      <pre wrap="">in his blood pressure and the patient was sent to the operation <br></pre>
                      </blockquote>
                      <pre wrap=""><!---->room. <br></pre>
                      <blockquote type="cite">
                        <pre wrap="">Clear yellow urine was obtained at the urinary catheter .<br><br>    What would you do?<br><br> <br><br>    Marcos Reis,  MD  Trauma Surgeon<br><br>    Jo&atilde;o XXII Hospital - Trauma Center - Belo Horizonte, Brazil <br><br></pre>
                        </blockquote>
                        <pre wrap=""><!----><br><br><br><br>--<br>trauma-list : TRAUMA.ORG<br>To change your settings or unsubscribe visit:<br><a class="moz-txt-link-freetext" href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://www.trauma.org/traumalist.html">http://www.trauma.org/traumalist.html</a><br><br></pre>
                        </blockquote>
                        <br>
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