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Mon Jan 22 17:11:45 GMT 2007

Well, i have been sometimes in MCS here and you always see that one 
of the bottle necks you have is getting the blood tests.
I agree that usually you order somethings but nobody sees them 
before the patient goes to OR or ICU or home, so the one test you 
are going to need to everypatient that is going to stay in the 
hospital is the xmatch, and we order the rest of the test later on , 
when we know the situation is going back to normal in the ER.
Sometimes for some patients with minor injuries we dont order 
anything at all.
Of course that everything is changing with the specific laws in 
everycountry, because sometimes you just HAVE to order the basic 
stuff just to be relax if anything goes wrong later on with the 
lawers investigating the original cause of the incident.
Here we are teaching our surgeons just to order only what they need 
but the fear is underground still.
---- Begin Included Message ----

From: "Ian Seppelt" <SeppelI at wahs.nsw.gov.au>
Sent: Thu, 18 Jan 2007 14:09:58 +1100
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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