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Tue Jun 12 13:40:48 BST 2007

Hi Rob,
Thanks again for taking the time to write and answer the questions that I
presented. Rumor has it that the patient had a traumatic amputation thru the
thigh, and a crush/loss of substance in the opposite leg. Terrible. Such
injuries will require tertiary care. Obviously, if a leg is severed, there is no
need for suspicion. When I get more definite information, I will forward it. A
few thoughts: transferring a patient on suspicion alone will result in
significant overtriage; faster transport and bypass of a facility may not always
be the best tactic, ie, in this case, major vessels open up and hemorrhage in
route; decision to transfer/destination may be facilitated by
discussion/communication with readily available physicians, who are actively
involved with trauma care. 

--
Kind regards,
Phil
Phil Caropreso, MD, FACS
1813 Grand Avenue
Keokuk, Iowa, USA, 52632
pjcabdds at mchsi.com

----------------------  Original Message:  ---------------------
From:    "Rob Farnum" <latigo at firehousemail.com>
To:      <trauma-list at trauma.org>
Subject: Re: EMS management/crush injury
Date:    Tue, 12 Jun 2007 03:37:47 +0000

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EMS management/crush injury