List Archives

Fri Aug 17 04:45:16 BST 2007

Dr. Mattox said it for me.  A patient who presented hypotensive should be
taken to the OR.  I really can't think of a reason not to take this patient
directly to the OR.  The patient gets 2 liter of saline and some packed
cells if he hasn't responded then to the OR.  15 - 30 minutes in the ER.  No
more.  

I'm not sure why any trauma center no matter what level would consider
transferring this patient.  Fix the abdominal problem then worry about
transfer.  If the aorta is the problem then the patient's survival depends
on the skill of the trauma surgeon. 

E

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Author - Letter to America
Asheville, NC

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of KMATTOX at aol.com
Sent: Thursday, August 16, 2007 11:29 PM
To: trauma-list at trauma.org
Subject: Re: Transfer - NO

If there was ANY attempt to try to transfer this patient to a Level I
trauma 
center, those involved simply do not understand and the hospital must  
immediately either voluntarilly relinquish or the regional certifying
authority  
should remove the Level 3 Trauma Center designation and any funding from
state  
trauma sources returned.    

AS DESCRIBED this patient should have NEVER have been in the CT scanner,
but 
should have been in the OR.      There was NOTHING  which would have been 
found in the CT scanner which would have changed the  indication to have
done a 
laparotomy.      

k

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Transfer - NO