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Thu Jan 18 05:06:16 GMT 2007

Ian

In our very busy unit we only routinely do the following (normal day - like a disaster anywhere else!):
Age < 45: Hb, urine dipstix and dextrose, blood gas if a resus case and X-match, liberal use of CK if myoglobinuria a possiblity (selective)
Age > 45: Na/K/Urea/Creat - to make the Anaesthetists happy.

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Ian Seppelt
Sent: Thursday, January 18, 2007 5:10 AM
To: joe.nemeth at mcgill.ca; trauma-list at trauma.org
Subject: Blood tests during a disaster

Following this to get some discussion going ....

In a disaster situation [or even just a trauma surge in your ED] what
are the minimum laboratory requirements / blood tests? Just a Hb / Hct
and cross match? What else is REALLY necessary, and why? Lactate? And if
you don't need all the other tests in a surge situation, then why do you
need them in "everyday" trauma??

Cheers, Ian

Ian Seppelt FANZCA FJFICM
Senior Staff Specialist
Dept of Intensive Care Medicine
The Nepean Hospital, PO Box 63 Penrith NSW 2751
Clinical Lecturer, University of Sydney

>>> joe.nemeth at mcgill.ca 18/01/2007 1:40pm >>>

Question/Survey....

J Trauma Jan 2007....article from Hermann...

who uses 1:1 from the get go? i.e. in the ED/trauma bay...

joe
Emergency Medicine
McGill University
Montreal
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Blood tests during a disaster