List Archives

Tue, 10 Jun 2003 19:40:06 -0500

This is a multi-part message in MIME format.

------=_NextPart_000_05FE_01C32F88.18597740
Content-Type: text/plain;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

we have very low threshold for ordering CT scans of the abdomen and =
pelvis.  For all the reasons that were stated earlier this patient is a =
prime candidate for CT scan of the abdomen and pelvis.  One can argue =
that this patient did not have any loss of consciousness and therefore =
CT of the head is not indicated.

Clearing the cervical spine in this instance may be a mistake.

E

Errington C. Thompson, MD, FACS
Trauma Surgeon
Trinity Mother Frances
Tyler, Tx.
ecthompson@tyler.net

Don't think you are
Know you are
=20
                           - Morpheus (The Matrix)
  ----- Original Message -----=20
  From: KMATTOX@aol.com=20
  To: gunnsr@ccm.upmc.edu ; ccm-l@list.pitt.edu=20
  Sent: Tuesday, June 10, 2003 9:37 AM
  Subject: Re: Wheelie @100 mph

  Would anyone do a CT of his head, neck,  chest, abdomen  or pelvis.   =
He is stable and the Cervical spine was cleared, the chest x-ray is =
stone cold normal.   The orthopods are happy with the pelvic and =
extremity x-rays.  =20

  k 
------=_NextPart_000_05FE_01C32F88.18597740
Content-Type: text/html;
	charset="iso-8859-1"
Content-Transfer-Encoding: quoted-printable

<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN">
<HTML><HEAD>
<META http-equiv=3DContent-Type content=3D"text/html; =
charset=3Diso-8859-1">
<STYLE></STYLE>

<META content=3D"MSHTML 6.00.2800.1170" name=3DGENERATOR></HEAD>
<BODY id=3DMailContainerBody=20
style=3D"PADDING-LEFT: 10px; FONT-WEIGHT: normal; FONT-SIZE: 12pt; =
COLOR: #000000; BORDER-TOP-STYLE: none; PADDING-TOP: 15px; FONT-STYLE: =
normal; FONT-FAMILY: Times New Roman; BORDER-RIGHT-STYLE: none; =
BORDER-LEFT-STYLE: none; TEXT-DECORATION: none; BORDER-BOTTOM-STYLE: =
none"=20
leftMargin=3D0 topMargin=3D0 acc_role=3D"text" CanvasTabStop=3D"true"=20
name=3D"Compose message area"><?xml:namespace prefix=3D"v" =
/><?xml:namespace prefix=3D"o" />
<DIV>
<DIV>we have very low threshold for ordering CT scans of the abdomen and =

pelvis.&nbsp; For all the reasons that were stated earlier this patient =
is a=20
prime candidate for CT scan of the abdomen and pelvis.&nbsp; One can =
argue that=20
this patient did not have any loss of consciousness and therefore CT of =
the head=20
is not indicated.</DIV>
<DIV>&nbsp;</DIV>
<DIV>Clearing the cervical spine in this instance may be a =
mistake.</DIV>
<DIV>&nbsp;</DIV>
<DIV>E</DIV>
<DIV>&nbsp;</DIV>
<DIV>Errington C. Thompson, MD, FACS<BR>Trauma Surgeon<BR>Trinity Mother =

Frances<BR>Tyler, Tx.<BR><A=20
href=3D"mailto:ecthompson@tyler.net">ecthompson@tyler.net</A></DIV>
<DIV>&nbsp;</DIV>
<DIV>Don't think you are<BR>Know you=20
are<BR>&nbsp;<BR>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;=20
- Morpheus (The Matrix)</DIV>
<BLOCKQUOTE=20
style=3D"PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; =
BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
  <DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>From:</B> <A=20
  href=3D"mailto:KMATTOX@aol.com">KMATTOX@aol.com</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
  href=3D"mailto:gunnsr@ccm.upmc.edu">gunnsr@ccm.upmc.edu</A> ; <A=20
  href=3D"mailto:ccm-l@list.pitt.edu">ccm-l@list.pitt.edu</A> </DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Tuesday, June 10, 2003 =
9:37=20
AM</DIV>
  <DIV style=3D"FONT: 10pt arial"><B>Subject:</B> Re: Wheelie @100 =
mph</DIV>
  <DIV><BR></DIV><FONT face=3Darial,helvetica><FONT lang=3D0 =
face=3DArial size=3D2=20
  FAMILY=3D"SANSSERIF">Would anyone do a CT of his head, neck,&nbsp; =
chest,=20
  abdomen&nbsp; or pelvis.&nbsp;&nbsp; He is stable and the Cervical =
spine was=20
  cleared, the chest x-ray is stone cold normal.&nbsp;&nbsp; The =
orthopods are=20
  happy with the pelvic and extremity x-rays.&nbsp;&nbsp; =
<BR><BR>k</FONT>=20
  </FONT></BLOCKQUOTE></DIV></BODY></HTML>

------=_NextPart_000_05FE_01C32F88.18597740--

List Archives

For your convenience, find the Trauma List Archive Below

Wheelie @100 mph