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Blood tests during a disaster

Mathias Kalkum listen at doc-kalkum.de
Thu Jan 18 16:42:39 GMT 2007


Mickey,

I can still remember the images you shared with us in Cyprus very well
and I guess you brought it right back to basics:
> - snip - Type (& cross if you order blood),
> and theoretically a test of the acid/base status (Ph, BE or Lactate - pick
> your choice).  Supposedly, for recognition of the level of "global ischemia"
>   

> - snip - In the majority of admissions to the hospital in the mass casualty incidents
> we had, NO ONE bothered to look at the results of the test taken in the ED
> for the first few (up to 6 in the larger incidents) hours, unless the
> patient was REALLY, REALLY sick (as we said - these were very few in each
> incident).
This does sound more than reasonable to me. Did you (or anyone else on
the list) ever encounter a mismatch between the number of drawn blood
tests and the capabilities of your lab in a disaster setting?

Cheers!

Mathias
awaiting storm Kyrill rolling over Tirschenreuth, Germany


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