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Fri Dec 28 14:58:22 GMT 2007

The same method is done in our facility during a blunt trauma as long  
as the patient remains stable. The only rsik I can potentially see is  
that if the patient has internal damage and needs to be sent to the OR  
immediately. We usually will not have them drink the contrast and just  
send him to CT without any contrast.
Carol RN

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> Today's Topics:
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>    1. Re: BAT (Dan Burgess)
>    2. Mass casualty management challenges in Rawalpindi
>       (KMATTOX at aol.com)
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>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 27 Dec 2007 08:00:46 -0600
> From: "Dan Burgess" <dburgess at mhg.com>
> Subject: Re: BAT
> To: "Critical Care mailing list Trauma &amp" <trauma-list at trauma.org>
> Message-ID: <47735BAE02000001001BD6F7 at email01.mhghpf.com>
> Content-Type: text/plain; charset=us-ascii
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> IV an PO contrast visualize different pathology.  One form does not   
> substitute for the other.  My understanding is that with PO contrast  
>  the delay is so that the water can be absorbed by the bowel  
> allowing  the iodine residue to enhance the intestinal lining.  IV  
> contast  evaluates vascular distribution of the contrast medium.   
> Different  methods of administration for visualizing different  
> pathology.
>
> Dan P Burgess RN MS
> Education/Skills Coordinator
> Emergency/Urgent Care Services
> Memorial Hospital at Gulfport
> 228-575-2079
>
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>>>> "Ronald Gross" <Rgross at harthosp.org> 12/26/2007 6:39 PM >>>
> IV contrast is fine and we use it on every scan.  Just make sure   
> that the creatinine is normal, or you just might end up with some   
> element of ATN if you are not careful about protecting those beans   
> pre-scan.
>
> Have a safe and healthy New Year,
> Ron
>
>>>> "cathy armstrong" <cathyarmstrong1 at googlemail.com> 12/26/2007 5:24 PM >>>
> why not iv contrast?
> cathy
>
> On Dec 25, 2007 5:37 AM, <ccrone at charter.net> wrote:
>
>> I work at a small, rural ER (about 18, 000 annual ED volume).  We have no
>> FAST/Ultrasound immediately available at all times.  If we have a case of
>> blunt abdominal trauma & order a CT scan, our radiologist demands that we
>> have the patient drink oral contrast & wait 2 hours for the CT to be
>> performed.  It then takes another 30 minutes for the report to be obtained.
>>    What do other institutions currently do regarding the use of oral
>> contrast when obtaining abdominal/pelvic CT's for blunt abdominal trauma in
>> a hemodynamically stable patient-- with suspected internal injuries?
>>
>> Thanks
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> ------------------------------
>
> Message: 2
> Date: Thu, 27 Dec 2007 10:14:06 EST
> From: KMATTOX at aol.com
> Subject: Mass casualty management challenges in Rawalpindi
> To: trauma-list at trauma.org
> Message-ID: <c2f.25e6372f.34a51b3e at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
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>
> I extend prayers for peace and safety for Pakistan and all of our surgical
> friends in Pakistan.   Our commendations for a valiant surgical   
> effort  to the
> surgeons in Rawalpindi General Hospital.   Such a highly  political and
> international event causes disruption at a hospital that never  goes  
>  away.     In
> addition to the injuries in former Prime  Minister Bhutto, many   
> other injuries
> and deaths occurred, giving a mass casualty  situation at that location.
> Surge and multiple casualty  management now face all of us in our individual
> hospitals.
>
> Kenneth Mattox, MD
> Houston
>
>
>
>
>
> **************************************See AOL's top rated recipes
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> End of trauma-list Digest, Vol 54, Issue 36
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