List Archives

Fri Nov 30 22:53:12 GMT 2007

I do think so Caesar.  As we all now acknowledge (almost all of us,
anyway) that there is no use for steroids in the bluntly injured spinal
cord, I think that we will eventually all come to the conclusion that
there is no need for repeat imaging of the injured spleen - or liver,
for that matter - in a patient who has shown no downward movement in
vital signs.  

Just my 2 cents.
Ron

>>> "caesar ursic" <cmursic at gmail.com> 11/30/2007 12:27 PM >>>
I've just logged off PubMed where I was a bit overwhelmed by all the
literature on the matter.  Additionally, it's interesting to read
(abstracts
only, so far) the conflicting studies on whether or not to even re-scan
the
injured spleen in the asymptomatic patient.  Scalea and co. say 'don't
nother.'  Others advocate it even for grade I injuries.  Clearly there
is no
consensus.

Will this parallel the "steroids in spinal cord injury' dilemma (some
would
say hysteria) from the early 90's?

CM Ursic
Santa Fe, NM, USA

On 11/30/07, kmattox at aol.com <kmattox at aol.com> wrote:
>
> Caesar.   Not just this one article.   There are now about six
articles.
> In addition there is an extensive review on the internet.   Do a
google
> search for Radiation Risks from CT scans and be prepared for 8 hours
of
> reading from all of your secondary searches and surfing.
>
> K
>
>
> Sent via BlackBerry by AT&T
>
> -----Original Message-----
> From: "caesar ursic" <cmursic at gmail.com>
>
> Date: Fri, 30 Nov 2007 09:26:05
> To:"Trauma &amp, Critical Care mailing list"
<trauma-list at trauma.org>
> Subject: Re: BIG NEWS - CT Causes Leukemia ?
>
>
> Normally I make them wait four-six months if the interval scan shows
no
> problems, depending on the severity of the original injury and what
I
> perceive to be the patient's proclivity to common sense, reason and
self
> restraint.  In these two cases where such scan will (likely) *not*
be
> forthcoming, I am going to tell them that I *cannot* in good
conscience
> write them such a letter, and that they will just need to decide on
their
> own if and when they will allow their son to resume contact sports
and
> other
> high risk activities (it's starting to snow here, and the skis and
> snowboards are getting restless).  Curious about what the rest of
you
> would
> do in my situation.
>
> And now I'm off to the library to find that NEJM article.  I get the
> feeling
> that this will be a recurring matter.
>
> CM Ursic
> Santa Fe, NM, USA
>
>
>
> On 11/30/07, William Bromberg <brombwi1 at memorialhealth.com> wrote:
>
> > Caesar — so when are you going to allow the return?
> >
> > Did you think I'd let THAT one go?
> >
> > Bill
> >
> >
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/ 
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/ 
>

-- 
'Twas brillig, and the slithy toves
Did gyre and gimble in the wabe:
All mimsy were the borogoves,
And the mome raths outgrabe.
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

BIG NEWS - CT Causes Leukemia ?