List Archives

Tue Dec 19 20:19:43 GMT 2006

Yes - quite actively, in fact.  And your point is????

>>> "Forrest Robleto" <farcpr at gmail.com> 12/19/2006 3:11 PM >>>
Are you practicing medicine?

On 12/19/06, Ronald Gross <Rgross at harthosp.org> wrote:
>
> 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
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/traumalist.html 
>
> Confidentiality Notice
>
> This e-mail message, including any attachments, is for the sole use
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> disclosure, or distribution is prohibited.  If you are not the
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> recipient, please promptly contact the sender by reply e-mail and
> destroy all copies of the original message.
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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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To change your settings or unsubscribe visit:
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head injury- termi ation of resuscitative efforts