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Fri Apr 13 12:05:02 BST 2007

Peter

Was the hernia repair open or laparoscopic? Did he look "bled out" - one of the possibilities is a femoral arterial injury with retroperitoneal blood tracking causing this pain picture.

Let us know what the autopsy shows!

Since you are also from South Africa, feel free to mail me off-list if there is "local" related issues you may need advice on in this case.

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Peter Klopper
Sent: Friday, April 13, 2007 7:14 AM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: advice

Hi Fiona
I am a 100% sure it was morphine . all drugs that get administerd  gets
double chek and also the schedule 7 drugs are counted cheked and written in
to the habirforming register with 2 nurses signing , one who is a rnpost
mortem was done yesterday so we will know what the results of he death was.
-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of fiona wallace
Sent: 12 April 2007 10:20 PM
To: Trauma &amp; Critical Care mailing list
Subject: RE: advice

Are they 100% certain it was morphine given?

Could it have been a drug mix up?

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Jenny Moncur
Sent: 11 April 2007 11:43
To: Trauma &amp; Critical Care mailing list
Subject: Re: advice

pulmonary embolus?

----- Original Message -----
From: "Peter Klopper" <plklopper at webmail.co.za>
To: "'Trauma &amp; Critical Care mailing list'" <trauma-list at trauma.org>
Sent: Wednesday, April 11, 2007 3:25 PM
Subject: advice

> Hi every one I need some advise and would appreciate all input I can get.
> I
> am nurse in a private hospital. I was called to a resus in one of the
> wards,
> young male patient , 20 years old. Had an inguinal hernia repair
> yesterday,
> complained of back pian associate with hypoxia and also abdominal pian, 15
> mg morphine given imi as prescribed by he surgeon, ten minuts later he was
> in full arress no signs of anaphalaxis or rash noted, he had morphine in
> theatre for pain. Do you think it can be anephalixis or even a aortic
> aneurism. Hes mother is a nurse and also a friend. I advise her to have a
> post mortem , to have closure to this unfortunate incedent. Please give me
> your input I would appreciate aal.
>
> Thank you
>
> Peter
>
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