Innom GSW: Surgeons ??

• Previous message: Influenza A
• Next message: Transmediastinal GSW: THE PACAN AORTA
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

 
In a message dated 8/22/2007 3:05:31 PM W. Europe Daylight Time, 
KMATTOX at aol.com writes:

As I stated once.   I would  NOT operate on this patient 
immediately in the middle of the night or on the  weekend, with the 
arteriogram posted.   I would wait until I fully  knew his pulmonary AND 
cerebral 
status.   I do not believe that his  cerebral status is due to the innominate 
artery injury and even if it is, I do  not believe that there is ongoing 
embolization from the injury and I would WAIT  until tomorrow and then have 
several 
operative plans in mind.   I dont  mind sharing my simple approach with the 
list, 
but so far I dont have enough  infomation.   WHat about the hip and what 
about 
the head. ??

k
 
perhaps you missed the post
 
the ct scan of the head did not show ANY evidence of anything significant. No 
brain edema, no bullet tract or air. there were no skull or facial fractures. 
only a missing tooth. Of course, ct is now particularly revealing within a 
couple of hours of the stroke.
 
The pulmonary problems are the most perplexing part of this case. There was 
significant air space opacities throughout all lobes. Nothing to suggest that 
this is all caused by the gunshot wound of the chest and more likely 
representing aspiration of blood. If you want i can photo a pix of the ct of the lungs
 
There is no expanding hematoma of the lower extremity. No evidence of prior 
and active hemorrhage from the leg. pulses are present.
 
s



************************************** Get a sneak peek of the all-new AOL at 
http://discover.aol.com/memed/aolcom30tour

• Previous message: Influenza A
• Next message: Transmediastinal GSW: THE PACAN AORTA
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]