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Sat Apr 15 15:13:09 BST 2006

Hmmmmm..I read this article and I hope nobody really thinks this at all justifies any use of liver enzymes in liver trauma.  It says the obvious--blunt liver trauma is associated with liver damage in children--wow, what a revelation! And I have another news flash--this is true in adults as well!  So drawing liver enzymes in liver trauma shows when CT is indicated.  Guess what--this decision to use CT does not at all require liver enzymes.  What the study did not show was any outcome difference associated with their use compared to those who do not get them drawn.
Modern science--what miracles will come next?
ERF

-----Original Message-----
From: Rangraj Setlur <rangraj at gmail.com>
To: Trauma &amp, Critical Care mailing list <trauma-list at trauma.org>
Sent: Sat, 15 Apr 2006 19:08:26 +0530
Subject: Re: Liver enzyme estimation in Liver trauma and other querries.

the first question is interesting. In addition, what is the value of
tracking them and if there is a value, which enzymes?
the following article looks at the value of liver enzymes as predictors of
liver damage in pediatric blunt abdominal trauma, but if anyone has more
information, i'd be glad to hear it.
http://www.medscape.com/viewarticle/429535_print
R Setlur
Associate Professor
Department of Anaesthesiology and Critical Care
Armed Forces Medical College, Pune

On 4/15/06, rm khattar <dr_rm_khattar at yahoo.co.in> wrote:
>
> Is it approprite to measure Liver enzymes in Liver
> trauma?
> What is the incidence of delayed rupture of Liver
> haematoma?
> Are Antibiotics necessary in conservatively managed
> Liver Injuries?
>
>
>
>
>
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Liver enzyme estimation in Liver trauma and other querries.