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Long life to thoracotomy in trauma - Open chest CPR is the only effective...

trauma-list@trauma.org trauma-list@trauma.org
Sun, 11 May 2003 20:52:28 EDT 

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In a message dated 5/11/2003 6:14:02 PM Eastern Daylight Time, alster@usp.br 
writes:

> (AHA GUIDELINES) - ER 
> 
> Aggressive fluid resuscitation plus CPR 
> If chest compressions give no hemodynamic response consider open chest CPR 
> Prolonged closed chest CPR is of no benefit 
> Benefits of open chest CPR: 
> Better hemodynamic effect 
> 

Uhhhh--why would AHA guidelines have anything to do with TRAUMA???  Do you 
think cardiologists would at all think Trauma guidelines have any relevance 
to cardiac patients??  Why should the converse be any different?  Two 
different pathophysiological mechanisms in very different patient 
substrates....
ERF

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<HTML><FONT FACE=3Darial,helvetica><FONT  SIZE=3D2 FAMILY=3D"SANSSERIF" FACE=
=3D"Arial" LANG=3D"0">In a message dated 5/11/2003 6:14:02 PM Eastern Daylig=
ht Time, alster@usp.br writes:<BR>
<BR>
<BLOCKQUOTE TYPE=3DCITE style=3D"BORDER-LEFT: #0000ff 2px solid; MARGIN-LEFT=
: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px"></FONT><FONT  COLOR=3D"#800000"=
 style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D2 FAMILY=3D"SANSSERIF" FACE=3D"A=
rial" LANG=3D"0">(AHA GUIDELINES) - ER <BR>
<BR>
Aggressive fluid resuscitation plus CPR <BR>
If chest compressions give no hemodynamic response consider open chest CPR <=
BR>
Prolonged closed chest CPR is of no benefit <BR>
Benefits of open chest CPR: <BR>
Better hemodynamic effect <BR>
</BLOCKQUOTE></FONT><FONT  COLOR=3D"#000000" style=3D"BACKGROUND-COLOR: #fff=
fff" SIZE=3D3 FAMILY=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0"><BR>
</FONT><FONT  COLOR=3D"#000000" style=3D"BACKGROUND-COLOR: #ffffff" SIZE=3D2=
 FAMILY=3D"SANSSERIF" FACE=3D"Arial" LANG=3D"0"><BR>
Uhhhh--why would AHA guidelines have anything to do with TRAUMA???&nbsp; Do=20=
you think cardiologists would at all think Trauma guidelines have any releva=
nce to cardiac patients??&nbsp; Why should the converse be any different?&nb=
sp; Two different pathophysiological mechanisms in very different patient su=
bstrates....<BR>
ERF</FONT></HTML>

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