List Archives

Mon Aug 28 13:14:44 BST 2006

The gravid uterus is the first organ sacrificed in the shock response cascade.  By the time mom is symptomatic, the fetus has been abandoned by her struggle for homeostasis: God and/or Darwin would rather she live to rejoin the herd than die for the sake of her unborn child.  All of which suggests that with regard to perimortem C-section, the mess-to-success ratio is stultifying.

Where mom is undeniably dead, you can at least claim to be doing no (physical) harm; but then you're stuck for an indication to justify her evisceration.  In all other cases, a proper retrospective review may rightly contend that you were treating the wrong patient without proper training or direction.  What kind of back-up employment do you have?

The goals are earnest and admirable, but nonetheless delusional.  Focus on mom's vital signs, make for a trauma center, and prepare for disappointment.

Sorry.  Heroic motives are no substitute for critical thinking.

Pret Bjorn, RN
Bangor, ME USA

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of David Sullivan
Sent: Sunday, August 27, 2006 3:18 PM
To: Trauma &amp, Critical Care mailing list
Subject: pre-hospital C-section

Hello List,

  I was sittting around the fire station at work, and one of my co-workers brought up an argument that we all had differing opinions on. Is there any reading out there about the pre-hospital c-section on a pregnant female that has injuries incompatable with life? ie decapitation, major trauma ect..has anyone on this list ever run into a situation like that or similar. i do this is far fetched, but it must have happened somewhere?

  dave sullivan BA NREMT-P

---------------------------------
Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls.  Great rates starting at 1¢/min.
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/traumalist.html

List Archives

For your convenience, find the Trauma List Archive Below

pre-hospital C-section