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head injury- termi ation of resuscitative efforts

oded private tangentcarrot at hotmail.com
Thu Dec 21 08:47:55 GMT 2006


Oh, I know that. I googled it the minute I saw the mail

>From: "Hardcastle, Tim, Dr <tch at sun.ac.za>" <tch at sun.ac.za>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
>Subject: RE: head injury- termi ation of resuscitative efforts
>Date: Wed, 20 Dec 2006 07:31:01 +0200
>
>Oded
>
>FCCP - Fellowship of Critical Care Physicians or Fellow or College of Chest 
>Physicians, depending  on country of origin.
>
>Tim
>
>-----Original Message-----
>From: trauma-list-bounces at trauma.org
>[mailto:trauma-list-bounces at trauma.org]On Behalf Of oded private
>Sent: Tuesday, December 19, 2006 8:55 PM
>To: trauma-list at trauma.org
>Subject: Re: head injury- termi ation of resuscitative efforts
>
>
>
>
>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 &amp; 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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