List Archives

Tue Dec 19 20:07:05 GMT 2006

Hold on just one cotton-pickin' minute here......You need the practice? 
Did you really say that???  You need the practice - well, then, go into
the simulation lab.  These are real people that you are "practicing on",
and real families that you are lying to, or at best deluding.  Sorry
Forrest, but this issue really rubs me the wrong way, and I am surprised
at your response.  I apologize to the list for being so vociferous in my
response, but.............

>>> "Forrest Robleto" <farcpr at gmail.com> 12/19/2006 1:58 PM >>>
The family always feels better if they feel everything has been done. 
You
may know that the person has no chance of survival but the family wants
to
know you did everything you could anyway.   I always feel I need the
practice anyway.

On 12/19/06, oded private <tangentcarrot at hotmail.com> wrote:
>
>
>
> Hi  Rebecca
> You made teach myself something new today- what's "FCCP"
>
> I'm not sure I understand you- you say you'd call a code just so the
> family
> will be more likely to agree on donation?
>
> >From: rwolfer at aol.com 
> >Reply-To: "Trauma & Critical Care mailing list"
> ><trauma-list at trauma.org>
> >To: trauma-list at trauma.org 
> >Subject: Re: head injury- termi ation of resuscitative efforts
> >Date: Tue, 19 Dec 2006 13:20:58 -0500
> >
> >I would do a code. Nothing heroic.  I agree about organ donation.  I
have
> >actually gotten a couple of donations  because of this. The family
always
> >seems to "feel better" that everything was done and donation
occurred.
> >They state " atleast something good will come of it"
> >
> >Rebecca Wolfer, MD, FACS, FCCP
> >Associate Professor, Marshall University School of Medicine
> >Dept of Surgery
> >Director Thoracic Surgery
> >Director, Surgical Critical Care Cabell Huntington Hospital
> >Director, Trauma Cabell Huntington Hospital
> >
> >
> >-----Original Message-----
> >From: Rgross at harthosp.org 
> >To: trauma-list at trauma.org 
> >Sent: Tue, 19 Dec 2006 12:18 PM
> >Subject: Re: head injury- termi ation of resuscitative efforts
> >
> >
> >I treat the family.  The patient is dead, and will stay dead,
regardless
> >of what you do.  Now is the time to help the family honor the
patient's
> >wishes, if known, and to call the organ donation service in your
region.
> >  Lastly, thoracotomy IS indicated - to procure the heart and lungs
for
> >transplantation. (so there - I did come forward and admit it!)
> >
> >Take care,
> >Ron
> > >>> "oded private" <tangentcarrot at hotmail.com> 12/19/2006 11:47 AM
>>>
> >Hello list
> >
> >I'd like to hear your opinion about deciding to terminate treatment
for
> >
> >isolated TBI resulting in cardiac arrest.
> >
> >What if the pateint is still in PEA? Will you attempt to
defibrilate
> >VF, if
> >it happened for some reason?
> >
> >If you do treat him- what will you do?  ET intubation and
ventilation
> >alone?
> >CPR? Does anybody here practice thoractomy in the scenario and is
ready
> >to
> >"come forward" and admit to it?
> >
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-- 
V/R

Forrest Robleto
R House Health & Safety
www.RHouseTraining.com 
FRobleto at RhouseTraining.com 
609-792-9047
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head injury- termi ation of resuscitative efforts