List Archives

Fri Nov 30 21:18:58 GMT 2007

For those who advocate rescanning, what is it that they need to see that the
presence of would make them confident that it's OK to take a helmet in the
gut and the absence would let them know it was unsafe?

Rob Smith

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of caesar ursic
Sent: Friday, November 30, 2007 12:43 PM
To: Trauma &amp, Critical Care mailing list
Subject: Re: BIG NEWS - CT Causes Leukemia ?

Ron, I did get your original post and responded (indirectly) above.  I think
I'm going to have to go back and re-read all the studies to convince myself
that the preponderance of evidence does (or does not?) truly support
re-scanning asymptomatic spleens after discharge.  I'll be surprised if it
is the latter.

My own (and I suspect others') motivation in obtaining these scans is to
diagnose the occasional 'silent' post-traumatic intrasplenic pseudoaneurysm
that can suddenly rupture and bleed, as well as to 'document' early and
ongoing healing and resolution of hematomas, etc.  I suppose that ultrasound
can be used for this, but that its sensitivity is way below that of CT's. I
do remember reading posts by at least one other regular contributor to this
list ("Don' Think You Are, Know You Are -Morpheus") who routinely performs
surveillance angiography on the injured spleen for this very reason.

Karim Brohi, what do you do at the Royal London Hospital?

CM Ursic
Santa Fe, NM, USA

On 11/30/07, Ronald Gross <Rgross at harthosp.org> wrote:
>
> Ceasar,
>
> I am puzzled as to why my posts haven't been getting through.  What I
> did say was that I do not scan and I do not allow the kids to return to
> contact sports until the FOLLOWING season.  I have not as yet heard from
> any others on the list as to their opinions/practices.
>
> Ron
>
>
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BIG NEWS - CT Causes Leukemia ?