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Sat Oct 13 18:18:35 BST 2007

In a message dated 10/13/2007 12:11:37 P.M. Central Daylight Time,  
Rgross at harthosp.org writes:

Ken,

I am going to have to disagree here, and may God have  mercy!!  ;-)  

The FAST will tell you whether the unstable  patient with a pelvic fracture 
needs angio or needs to go directly to the  OR.  As I see it, bad fracture with 
negative FAST needs angio; unstable  patient with bad fracture and POSITIVE 
FAST needs OR, ex-lap, packing and then  angio

I have NO problem in staying in the EC long enough to make a decision as to  
just where to go.  No problem.  Most posters on this subject have  agreed that 
the protracted LONG times that people stay in the EC when it is  obvious that 
they cannot go home is excessive.

k

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