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Trauma lab panels

Krin135 at aol.com Krin135 at aol.com
Wed May 17 22:05:06 BST 2006


 
In a message dated 17-May-06 14:43:02 Central Daylight Time,  
jedpeterson at gmail.com writes:

So, in  the absence of anyone else stepping up, Pret, I will allow you to
pull me  in to the point of saying "crutches have a time and place" but I am
not  going to defend a STAT sed rate...  ;-)


 
While it's been a couple of months since I've  had to transfer any major 
trauma, I can tell you what a certain Level I Trauma  center in Northern Louisiana 
used to require:
 
Chest radiograph, at least plain films of the c  spine, abdomen and pelvis 
(if not CTs of same) and plain films of any  injured extremities...
 
CBC, Chem 7 and LFT
 
UA
 
two to four liters of crystalloid with at least  two large bore peripheral 
IVs...
 
tubes in every orifice, even if the injury is an  isolated femoral fracture 
in a stable patient with a GCS of 14-15 and vital  signs of 110/70 with a pulse 
of 70...
 
And no, I'm not exaggerating...
 
and that was for the simple  cases...
 
Charles S. Krin, DO  FAAFP



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