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Thu Jul 20 13:07:47 BST 2006

please take me off your mailing list, I will not be at this job any more
starting 07/25/06. So I will not be getting these e-mails .

Thank You,
Scott Abram
Trauma Registrar
Grant Trauma Services

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                                                                   Subject 
             07/20/2006 07:00          trauma-list Digest, Vol 37, Issue   
             AM                        23                                  

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Today's Topics:

   1. Re: SW Neck zone 2- BARIUM vs Gastrographin (Ronald Gross)

----- Message from "Ronald Gross" <Rgross at harthosp.org> on Thu, 20 Jul 2006
07:57:12 -0400 -----

         To: <trauma-list at trauma.org>                                      

    Subject: Re: SW Neck zone 2- BARIUM vs Gastrographin                   

AGREED!

>>> <KMATTOX at aol.com> 7/19/2006 7:40 PM >>>

In a message dated 7/19/2006 5:36:33 P.M. Central Standard Time,
cal at iafrica.com writes:

Obviously you have never opened a mediastinum inflamed due to barium
...
stay away, especially in children ... do use the  gastrograffin.

Andre
South Africa

I have probably been into the mediastinum following trauma and
perforations
as many times as anyone on this list.   I have been there for
mediastinitis
after a MISSED INJURY because the gastrographin swallow was  reported
as being
negative, including in children.      Should there be an esophagogram
with
barium, showing perforation, I am in the  mediastinum within the hour.
 Any
inflammation was due to the time  lag between the perforation and the
study, not
from the  barium.

Please, please, stop this NONSENSE and potentially iatrogenically
LETHAL
practice of using gastrographin as a contrast material when an
esophageal injury
is suspected.

Kenneth L. Mattox, MD
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