List Archives

Wed Oct 1 16:18:32 BST 2003

Where I work everyone gets CT unless they are bleeding out, as in OUT.

I had to laugh the other day... the surgeon told the transporter to just tell the CT techs to CT the patient, they already know what to do.

It does help those of us who watch the CTs to see the anatomy and note the problems and issues and correlate them with signs/symptoms. I have seen a lot of interesting things.

Nick

____________________________________________
Nick Nudell, NREMT-P, CCEMT-P
California
nudell at prehospitalperspective.net

"Perception is reality" - Wise Old Paramedic

  ----- Original Message ----- 
  From: Bruce Way 
  To: Trauma & Critical Care mailing list 
  Sent: Wednesday, October 01, 2003 3:08 PM
  Subject: RE: Normotension, Fluids, CT Scans & Chest Tubes

  How worlds differ. In my world, the love affair is between the surgeons and the CT scanner. It has largely replaced physical examination, probably because it removes the need to interact with a conscious patient. The emergency physician just wants a decision. More tests just means a longer stay in our department.
  Bruce Way
  Emergency Physician
  Sydney Australia

  Email way-----Original Message-----
  From: KMATTOX at aol.com [mailto:KMATTOX at aol.com]
  Sent: Tuesday, 30 September 2003 22:55
  To: trauma-list at trauma.org
  Subject: Re: Normotension, Fluids, CT Scans & Chest Tubes

    In this case, as in the majority of thoracic trauma cases, especially penetrating thoracic trauma, and most especially as this patient presented, there is absolutely NO additional information that is gained from thoracic CT, especially enhanced spiral CT.   As a matter of fact, the enhanced spiral CT causes more confusion, as it did in this case, and is probably contraindicated.   I still do not understand the love affair between some physicians that work in emergency rooms and the CT scanner; especially as it relates to appendicitis and to thoracic trauma.     

    k

------------------------------------------------------------------------------

  --
-------------- next part --------------
An HTML attachment was scrubbed...
URL: http://list.ftech.net/pipermail/trauma-list/attachments/20031001/f73e8c4c/attachment.htm

List Archives

For your convenience, find the Trauma List Archive Below

Normotension, Fluids, CT Scans & Chest Tubes