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Tue Oct 3 15:53:17 BST 2006

In a message dated 10/3/2006 8:27:19 A.M. Central Standard Time,  
japrak at gmail.com writes:

l thnik  that there are 2 types of hispital politics on trauma management.
one is  that all trauma patients are seen by trauma surgeon, and the other is
that  iniciative treatment is started by ER docs and based on their
assessment  surgeons are called or not.this only stands for US and Canada, as
l know. l  think that in UK trauma surgeon is part of every core trauma  team.

It has nothing to do with politics, but patient outcomes.    Trauma centers 
define the trauma activation criteria, especially for the  critical injured 
patients.   For this class, all data shows that  surgeons being responsible for 
the patient care from the time the patient  arrives in the hospital results in 
the best outcomes.   After all that  is what we all are for.   For this very 
sick traumatized patient, the  function of the EC is often to wave to the 
patient as the patient goes from the  ambulance dock to the OR or to the ICU.    To 
tarry in the EC in  such patients only INCREASES the complication and death 
rates.  

k

k

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