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Sun Jun 10 13:52:25 BST 2007

Phil do you have any info on the current st praesens of this patient?what
are her dgs? was direct transfer really necessary?

2007/6/10, pjcabdds at mchsi.com <pjcabdds at mchsi.com>:
>
> Thanks for your reply Tim.
>
> --
> Kind regards,
> Phil
> Phil Caropreso, MD, FACS
> 1813 Grand Avenue
> Keokuk, Iowa, USA, 52632
> pjcabdds at mchsi.com
>
>
> ----------------------  Original Message:  ---------------------
> From:    "Hardcastle, Tim, Dr <tch at sun.ac.za>" <tch at sun.ac.za>
> To:      "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Subject: RE: EMS management/crush injury
> Date:    Sun, 10 Jun 2007 05:39:39 +0000
>
> > Phil
> >
> > We need more info - but if it has decreased time to definitive care (i.e.
> your
> > hospital would refer on) then there is no major critique. Having said
> that you
> > did have a team on standby and since this was a lim-only injury by
> description,
> > may have been managed by you definitively. Would take this up with the
> > EMS-medical director, since this would constitute an EMS crew overriding
> their
> > Medical Control (you - they put you on standby; you should make the
> call!).
> > Having said all this I'm in another country, with different rules!
> >
> > 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 pjcabdds at mchsi.com
> > Sent: Saturday, June 09, 2007 11:06 PM
> > To: trauma-list at trauma.org
> > Subject: EMS management/crush injury
> >
> >
> > Colleagues,
> > Opinions, comments, analysis, advice would be appreciated on the
> pre-hospital
> > management of this case:
> > Adult woman, driver of a motorcycle, which was stopped at an
> intersection in
> > town (10,000 pop). Seven blocks from the hospital. A semi truck, hauling
> a
> > bulldozer type, heavy equipment, pulled up along side of the motorcycle.
> > Restraining chain broke and the implement fell off of the truck,
> crushing the
> > woman's right leg beneath the tread of the equipment. Unable to get VS.
> IV
> > started. Patient awake. At least 30 minute extrication. Local, ground
> EMS advise
> > trauma alert. A full trauma team (boarded ERP, GS, anesthesia, OR crew)
> all in
> > house and waiting for patient. A helicopter was dispatched to the
> hospital for
> > likely transfer, after local evaluation and stabilization, to tertiary
> center,
> > 45 air minutes away. Ground EMS personnel diverted the helicopter to the
> scene.
> > The patient was transferred from the site. I have no other details.
> > I will present this case at the local trauma committee meeting. I am
> looking for
> > help in organizing my thoughts. Thank in advance.
> >
> > --
> > Kind regards,
> > Phil
> > Phil Caropreso, MD, FACS
> > 1813 Grand Avenue
> > Keokuk, Iowa, USA, 52632
> > pjcabdds at mchsi.com
> > --
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