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Rib Plates And Snowmobiles

P. Hoffman trauma-list@trauma.org
Tue, 11 Feb 2003 09:21:05 -0500 

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Pret,

Probably nothing poses a greater threat than US Cowboy Foreign Policy
(please no flames from the right), but we are seeing the same with regard to
snowmobile crashes here in northern Michigan.

This appears to be a "sport" wherein the mixture of etoh and velocity are
required to demonstrate the size of ones cahones (which seems to be
inversely proportional to brain function)!

Phil Hoffman
EMTP
  -----Original Message-----
  From: trauma-list-admin@trauma.org [mailto:trauma-list-admin@trauma.org]On
Behalf Of Bjorn, Pret
  Sent: Tuesday, February 11, 2003 7:35 AM
  To: Trauma-List (E-mail)
  Subject: Rib Plates And Snowmobiles


  Two birds, one missive:

  Interested in the List's thoughts on operative reduction and fixation of
select rib cage injuries.  Not much literature out there (one of the studies
suggests using Judet Plates--available only from Russia, far as I can tell,
and I can't read MedTex's Cyrillic web site), but what we've read suggests a
role in reducing morbidity, vent/ICU times, length of stay, etc.  The notion
is punctuated by a young man in our ICU with a deeply dented chest wall from
a snowmobile accident.

  Speaking of which--is it just Maine, or are snowmobiles posing a greater
threat to civilization than US foreign policy?

  Pret Bjorn
  Trauma Coordinator
  EMMC Trauma Program
  489 State Street
  Bangor, ME 04401

  207.973.7260 (office)
  207.973.7673 (fax)
  207.941.5085 (voice pager)


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<BODY>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =

size=3D2>Pret,</FONT></SPAN></DIV>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =

size=3D2>Probably nothing poses a greater threat than US Cowboy Foreign =
Policy=20
(please no flames from the right), but we are seeing the same with =
regard to=20
snowmobile crashes here in northern Michigan.</FONT></SPAN></DIV>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =
size=3D2>This=20
appears to be a "sport" wherein the mixture of etoh and velocity are =
required to=20
demonstrate the size of ones cahones (which seems to be inversely =
proportional=20
to brain function)!</FONT></SPAN></DIV>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =

size=3D2></FONT></SPAN>&nbsp;</DIV>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =
size=3D2>Phil=20
Hoffman</FONT></SPAN></DIV>
<DIV><SPAN class=3D270261214-11022003><FONT face=3DArial color=3D#0000ff =

size=3D2>EMTP</FONT></SPAN></DIV>
<BLOCKQUOTE dir=3Dltr style=3D"MARGIN-RIGHT: 0px">
  <DIV class=3DOutlookMessageHeader dir=3Dltr align=3Dleft><FONT =
face=3DTahoma=20
  size=3D2>-----Original Message-----<BR><B>From:</B> =
trauma-list-admin@trauma.org=20
  [mailto:trauma-list-admin@trauma.org]<B>On Behalf Of </B>Bjorn,=20
  Pret<BR><B>Sent:</B> Tuesday, February 11, 2003 7:35 AM<BR><B>To:</B>=20
  Trauma-List (E-mail)<BR><B>Subject:</B> Rib Plates And=20
  Snowmobiles<BR><BR></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D140541512-11022003>Two=20
  birds, one missive:</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D140541512-11022003></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D140541512-11022003>Interested in the List's thoughts on =
operative=20
  reduction and fixation of select rib cage injuries.&nbsp; Not much =
literature=20
  out there (one of the studies suggests using Judet Plates--available =
only from=20
  Russia, far as I can tell, and I can't read MedTex's Cyrillic web =
site), but=20
  what we've read suggests a role in reducing morbidity, vent/ICU times, =
length=20
  of stay, etc.&nbsp; The notion is punctuated by a young man in our ICU =
with a=20
  deeply dented chest wall from a snowmobile =
accident.</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D140541512-11022003></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D140541512-11022003>Speaking of which--is it just Maine, or are =

  snowmobiles posing a greater threat to civilization than US foreign=20
  policy?</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D140541512-11022003></SPAN></FONT><FONT face=3DArial =
color=3D#800000=20
  size=3D2><SPAN class=3D140541512-11022003></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D030133519-19052000>Pret=20
  Bjorn</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D030133519-19052000>Trauma Coordinator</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D030133519-19052000>EMMC=20
  Trauma Program</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN =
class=3D030133519-19052000>489=20
  State Street</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D030133519-19052000>Bangor, ME 04401</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D030133519-19052000></SPAN></FONT>&nbsp;</DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D030133519-19052000>207.973.7260 (office)</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D030133519-19052000>207.973.7673 (fax)</SPAN></FONT></DIV>
  <DIV><FONT face=3DArial color=3D#800000 size=3D2><SPAN=20
  class=3D030133519-19052000>207.941.5085 (voice=20
  pager)</SPAN></FONT></DIV></FONT></DIV>
  <DIV>&nbsp;</DIV></BLOCKQUOTE></BODY></HTML>

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