List Archives

Fri Apr 8 16:39:32 BST 2005

If I were the patient, I'd dispute the charge.

-----Original Message-----
From: Moore Rick [mailto:Rick.Moore at TriadHospitals.com]
Sent: Friday, April 08, 2005 11:32 AM
To: 'Trauma & Critical Care mailing list'
Subject: RE: Chest Xray as protocol

Unless your trauma surgeons insist on a CXR on any patient that they
evaluate.
REM

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Green, Brian
Sent: Friday, April 08, 2005 9:55 AM
To: Trauma & Critical Care mailing list
Subject: RE: Chest Xray as protocol

Under what imaginable conditions would a patient come into a Trauma Center,
have the Trauma Team activated, and not have "an indication" for CXR?

How about a through and through GSW to the thigh, normal vital signs.  Meets
criteria for a code two trauma.  Just a thought....but....it would seem like
a total waste to do a chest x-ray in this circumstance.

BJG

-----Original Message-----
From: Lorick Fox, PA-C [mailto:Lorick at Lorick.org]
Sent: Friday, April 08, 2005 10:26 AM
To: Trauma & Critical Care mailing list
Subject: Chest Xray as protocol

While neither surgeon nor anesthesiologist, I thought no one with any trauma
ever went to the O.R. without a CXR; to r/o Pneumo, unknown pre-existing
pulmonary disease, provide a baseline for future films post op, catch
injuries missed because of distraction, etc.
Under what imaginable conditions would a patient come into a Trauma Center,
have the Trauma Team activated, and not have "an indication" for CXR?
If the answer is "Well I can concoct some bizarre scenario, but it's never
happened", then why NOT make it "protocol?  If someone takes time to worry
about whether a CBC, CXR, etc are "indicated", that takes some time and
effort away from the critical thinking required AND slows the process, as
someone has to wait for the decision to be made and the order given - which
was always the reason for "protocols" in the first place.

Lorick
Lorick Fox, PA-C
SEAVIN/GSC
USAF Peace Vector IV www.gscfamily.com <http://www.gscfamily.com/>
Gianaclis Egyptian Air Force Base
Gianaclis, Egypt
+(20)3-338-2335 or FAX +(20)3-448-2339
www.lorick.org <http://www.lorick.org/>

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Chest Xray as protocol