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Thu Jan 18 08:57:08 GMT 2007

As I remember it they were drawn in resus, as is standard for our teams. All
the usual, but with the retrospectoscope only the X-match was any use, the
others being baselines. Taken for all as it is a little difficult to tell a
patient's age when they are profoundly shocked, covered in soot to the
extent that they were still washing it out of their hair a week later (as
were we, but from inside their stumps), and missing the odd limb or three.

Any attempt to rationalise such a pannel, appart form the X-match, was all
moot. We were far more interested in rapid sequence transfer to theatre.

Guy Jackson
London, UK.

----- Original Message ----- 
From: "Ian Seppelt" <SeppelI at wahs.nsw.gov.au>
To: <joe.nemeth at mcgill.ca>; <trauma-list at trauma.org>
Sent: Thursday, January 18, 2007 3:09 AM
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