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Fri Aug 17 16:40:02 BST 2007

C'mon Pret,

Just how "flabby" can an OR and a surgeon get (I mean a "real" surgeon) when it comes to opening a room for a STAT case, making an incision, putting a spleen in a bucket, and stuffing the abdomen full of lap pads?

I would hesitate in pointing a finger at the hospital AND the system here, even not knowing either.

Ron

>>> "Bjorn, Pret" <pbjorn at emh.org> 8/17/2007 11:11 AM >>>
"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."

Dr. Thompson,

Lest I have been unclear: we should expect that a level III trauma
center in proximity to a level I might predictably become a bit flabby
in the damage control department.  Such would not (to my understanding)
represent a criteria deficiency for level III -- especially with an
ivory tower fifteen minutes away sucking in all the good cases.

Like you, I know next to nothing of the case or the system in question;
but if only for that reason, I'm less eager to blame the hospital as I
am the local trauma system.

Pret 

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