List Archives

Sat Aug 18 18:59:30 BST 2007

i WILL TRY AGAIN 

At our institution, angiography is used frequently to diagnose and treat a 
variety of injuries. We have done so since 1977 with enthusiastic support from 
our trauma surgical colleagues. 

Many times when I have expressed my opinions about interventional radiology's 
timeliness, safety, efficiency and success I am met with comments regarding 
hesitant (at best) to obstructive radiologists, about the long time it takes to 
get patients to the angio suite, etc. I have had my share of junior faculty 
who joined my staff after being trained at institutions that have taught that 
there was really NO indication for EMERGENCY ANGIOGRAPHY in trauma. After all, 
"if that patient is so  sick they should go to the OR, if they are not that 
sick it can wait until the morning"

In my last email on this subject I asked the group to describe impediments to 
and innovations for timeliness of emergency angiography. My goal was to hear 
the impediments and see if the practices at our and others' hospitals that 
employ angiography has any lessons for those who are down on its use. 

This surely is a question that all who practice trauma can comment on. 

sal

a message dated 8/18/2007 7:42:35 PM W. Europe Daylight Time, 
wildmedic at gmail.com writes:

(In the fashion of Charles)

Oh Mattoxian guru
I speak for myself but perhaps many others
We follow
With interest
But are under-qualified to comment

R.

Dr Ross Hofmeyr
MBChB(Stell) ATLS ACLS
wildmedic at gmail.com
ross at wildmedix.com
www.wildmedix.com
Mobile +2784 54 99259
Skype:  wildmedic
"Semper Paratus"
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-
> bounces at trauma.org] On Behalf Of KMATTOX at aol.com
> Sent: 18 August 2007 07:34 PM
> To: SJASMD at aol.com
> Cc: trauma-list at trauma.org
> Subject: Transmediastinal GSW with radiographic changes
> 
> HELLO
> hello
> 
> Is this list alive or brain dead.      Has someone  cut me off from the
> dialogue?    What is happening?
> 
> I was so looking forward to learning about the:
> 
> Workup
> Position in the OR
> Incision (s) in the OR
> Injuries found
> What was done
> etc.
> 
> I thought this would be one of those cases that went on for several weeks
> and had dozens of people communicating about their views on imaging, 3 D
> reconstructions, timing of operation, pump vs no pump, hypothermia,
shunts,
> grafts,
> or not, etc. etc. etc.
> 
> It looks like only Sal and I had been  talking.      Sal,   I will write
> you
> off  line and you and I will exclude the other members of Trauma-list as
> it
> appears  they were not interested.
> 
> k
> 
> 
> 
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Transmediastinal GSW: to the underqualified