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Fri Nov 30 13:57:34 GMT 2007

Further pursuing the hypotheticals and scratching around for informative
controversy:

Various media reports put this victim in surgery for "several hours"
during the acute phase (I've heard as few as seven and as many as
eleven).  I'm wondering why damage control for this injury in an
unstable patient would extend beyond tens of minutes.

Takes me back to the child in Florida who had his arm ripped off by a
shark some years ago: arrived in extremis, reportedly coded once or
twice, but nonetheless underwent something like eight hours of surgery
to reattach his arm.

Is there something about Taylor's injury that might require an
improbably LONG life-saving procedure -- or is it possible that everyone
got too invested in that leg?

Pret Bjorn, RN
Bangor, ME USA

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Robert F. Smith
Sent: Wednesday, November 28, 2007 10:27 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Femoral Artery Injury

I don't know if this is what Dr. Mattox is alluding to, but when special
people get treated "specially" often bad things happen. We stop doing
what
we routinely do and invent new way to approach injuries that are not
totally
unique.

I seriously doubt that this professional athlete had more thigh flesh
than
many of our trauma patients.

I was not there and don't know anything about the case.

Rob Smith

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Femoral Artery Injury