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EC Surgeons presence NOT needed for major trauma

KMATTOX at aol.com KMATTOX at aol.com
Fri Apr 21 20:18:19 BST 2006


 
In a message dated 4/21/2006 12:58:39 P.M. Central Standard Time,  
JonWalsh at Borgess.com writes:

Research  from multiple centers 
and
in multiple varying formats has not  identified improvement in 
patient-oriented
outcomes from early surgeon  involvement. Surgeons are not routinely 
present
during the  resuscitative phase of Canadian and European trauma care, with  
no
demonstrated or perceived decrease in the quality of care. American  trauma
surgeons themselves do not consistently believe that their use in  this 
capacity
is either necessary or an efficient distribution of  resources. There is 
not
compelling evidence to support the assumption  that trauma outcomes are 
improved
by the routine presence of surgeons  on patient arrival. Research is 
necessary
to clarify which trauma  patients require either emergency or urgent unique
expertise of a general  surgeon during the initial phase of trauma 
management.
Individual  trauma centers should be permitted the flexibility necessary to
perform  such research and to use such findings to refine and focus their
secondary  triage criteria.





I would be honored and delighted to respond to each of these  comments, when 
the evidence to support these statements is produced.    My impression, as 
weak as it might be is just the opposite.   
 
k


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