trauma-list Digest, Vol 35, Issue 14

• Previous message: Trauma lab panels
• Next message: Trauma lab panels
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

>From: trauma-list-request at trauma.org
>Reply-To: trauma-list at trauma.org
>To: trauma-list at trauma.org
>Subject: trauma-list Digest, Vol 35, Issue 14
>Date: Tue, 16 May 2006 12:00:11 +0100 (BST)
>
>Send trauma-list mailing list submissions to
>	trauma-list at trauma.org
>
>To subscribe or unsubscribe via the World Wide Web, visit
>	http://list.mistral.net/mailman/listinfo/trauma-list
>or, via email, send a message with subject or body 'help' to
>	trauma-list-request at trauma.org
>
>You can reach the person managing the list at
>	trauma-list-owner at trauma.org
>
>When replying, please edit your Subject line so it is more specific
>than "Re: Contents of trauma-list digest..."


>Today's Topics:
>
>    1. MRI availability in Level One Trauma Center (robert wagner)
>    2. Re: MRI availability in Level One Trauma Center (KMATTOX at aol.com)
>    3. Re: MRI availability in Level One Trauma Center (robert wagner)
>    4. Re: MRI availability in Level One Trauma Center (KMATTOX at aol.com)
>    5. (no subject) (djinmori.alp)



>From: robert wagner <rwag63 at yahoo.com>
>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: MRI availability in Level One Trauma Center
>Date: Mon, 15 May 2006 06:11:39 -0700 (PDT)
>List Members,
>
>   As we all know there are situations in which a stat MRI is indicated in 
>trauma. That discussion is not necessary at this time as I believe I have 
>recently read a thread on that in the last few months.
>
>   In the ACS Trauma facilities criteria, the availability of MRI is listed 
>as essential. Does this designate that the MRI and a technician must be 
>available 24 hours a day? Do all level one Trauma Centers thusly have that 
>capability?
>
>   Just interested as I can, even in my small (150 bed, 30,000 visit) 
>community hospital, call in the tech and get an MRI in the middle of the 
>night.
>
>   Rob Wagner, M.D.
>   rwag63 at yahoo.com
>
>
>
>---------------------------------
>New Yahoo! Messenger with Voice. Call regular phones from your PC and save 
>big.





>From: KMATTOX at aol.com
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: MRI availability in Level One Trauma Center
>Date: Mon, 15 May 2006 09:24:04 EDT
>
>In a message dated 5/15/2006 8:12:44 A.M. Central Standard Time,
>rwag63 at yahoo.com writes:
>
>In the  ACS Trauma facilities criteria, the availability of MRI is listed 
>as
>essential. Does this designate that the MRI and a technician must be
>available  24 hours a day? Do all level one Trauma Centers thusly have that
>capability?
>
>
>
>
>We have just recently undergone a Level I ACS COT Trauma Center  
>Verification
>site visit.  We have MRI technicians on call for nights,  weekends, and
>holidays.  It would be cost prohibitive to have them in house  for the 
>extremely
>rare emergency MRI, such as for acute cord  compression.   We were not 
>cited
>during the visit or during the exit  briefing that this arrangement is not
>satisfactory.
>
>Kenneth L. Mattox, MD
>Houston
>





>From: robert wagner <rwag63 at yahoo.com>
>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: MRI availability in Level One Trauma Center
>Date: Mon, 15 May 2006 07:38:15 -0700 (PDT)
>Dr. Mattox,
>
>   Thanks for your input.
>
>   How long have you maintained having an MRI tech on call for emergencies? 
>  We have had the ability since 2000, when we moved to a new hospital with 
>full time onsite MRI.  Has an MRI with 24 hour availability been a 
>requirement for trauma centers since that time?
>
>   Rob Wagner, M.D.
>   rwag63 at yahoo.com
>
>KMATTOX at aol.com wrote:
>
>In a message dated 5/15/2006 8:12:44 A.M. Central Standard Time,
>rwag63 at yahoo.com writes:
>
>In the ACS Trauma facilities criteria, the availability of MRI is listed as
>essential. Does this designate that the MRI and a technician must be
>available 24 hours a day? Do all level one Trauma Centers thusly have that
>capability?
>
>
>
>
>We have just recently undergone a Level I ACS COT Trauma Center 
>Verification
>site visit. We have MRI technicians on call for nights, weekends, and
>holidays. It would be cost prohibitive to have them in house for the 
>extremely
>rare emergency MRI, such as for acute cord compression. We were not cited
>during the visit or during the exit briefing that this arrangement is not
>satisfactory.
>
>Kenneth L. Mattox, MD
>Houston


>
>
>---------------------------------
>Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls.  Great rates 
>starting at 1&cent;/min.





>From: KMATTOX at aol.com
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: MRI availability in Level One Trauma Center
>Date: Mon, 15 May 2006 11:30:38 EDT
>
>In a message dated 5/15/2006 9:39:16 A.M. Central Standard Time,
>rwag63 at yahoo.com writes:
>
>How long  have you maintained having an MRI tech on call for emergencies?  
>We
>have  had the ability since 2000, when we moved to a new hospital with full
>time  onsite MRI.  Has an MRI with 24 hour availability been a requirement 
>for
>trauma centers since that time?
>
>
>
>
>We have had a hospital requirement for the MRI technicians and physicians  
>to
>be on-call for emergencies since the MRI was installed about 15 years  ago.
>The physician in MRI has the responsibility to determine if a  requested 
>MRI
>is really an emergency.   Ironically, some of the  ordered "stat" MRIs are 
>not
>really "stat." and after discussion, the  clinician ordering the the MRI
>acknowledge that any results of the MRI would not  have influenced decision 
>making
>or the patient treatment.
>
>k
>





>From: "djinmori.alp" <djinmori at terra.com.br>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: "trauma org" <trauma-list at trauma.org>
>CC: kmattox <kmattox at bcm.edu>
>Subject: (no subject)
>Date: Tue, 16 May 2006 00:21:44 -0300
>Hi trauma listeres
>Next June, 1st, we will be engage in another teletrauma session between Sao 
>Paulo and Manaus (Amazon).
>The mean topics - Aproach to abdominal injuries (liver, spleen and aorta 
>wil be consider...).
>Every session is developed with a case presentation, showing X-Ray, CT 
>scan, endoscope, video session of the patient, etc..followed by a cadaver 
>dissection to demonstrate the aproach of specific injury.
>If  you are interested to participate, please let us know and send me a 
>e-mail with your identification, to provide you a key-pass to access the 
>videostreaming session.
>In this very first time, with an international participation, we will 
>provide a chat place with the video streaming place to interact with us.
>"See you"
>
>MD, Newton Djin Mori
>djinmori at terra.com.br
>Emergency Surgery Service
>Hospital das Clinicas of Univ of Sao Paulo
>School of Medicine

I'm a A+E (ER) Doc at a field hospital in Southern Iraq at the moment, on 
the subject of 24 MRI
we have that facility on call all day and night as well as pathology and 
theatres. If we can provide such facilities in the middle of the desert I'd 
be shocked if a trauma centre or any kind of hospital could not provide this 
facility 24 hours a day.





>--
>trauma-list : TRAUMA.ORG
>To change your settings or unsubscribe visit:
>http://www.trauma.org/traumalist.html

_________________________________________________________________
Are you using the latest version of MSN Messenger? Download MSN Messenger 
7.5 today! http://join.msn.com/messenger/overview

• Previous message: Trauma lab panels
• Next message: Trauma lab panels
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]