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Fri Sep 7 02:37:54 BST 2007

Ok so you have an 18 yr old male presenting with a stab wound over the
precordium. His pulse is 90, BP 110/70, RR 18. No retained missile. Would
you do any diagnostic studies and why and what findings would you take
action on?

Rob

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of KMATTOX at aol.com
Sent: Thursday, September 06, 2007 9:19 PM
To: trauma-list at trauma.org
Subject: Re: 2D or 3D TEEin penetrating cardiac injury No NO 

In a message dated 9/6/2007 8:14:04 P.M. Central Daylight Time,  
rfsmithmd at comcast.net writes:

3. With  appropriate mechanism, and a positive finding on FAST, what
clinical
findings are you going to wait to  see?

A patient with symptoms that matches the positive image seen on the  FAST.

It is ludicrous to operate on a patient that does  not need an operation,
put 
a stent graft in a patient without a vascular lesion,  etc.  

VOMIT.    Treat and OPERATE on a patient NOT an  image.   The image test is 
just a something to aid in  diagnosis.    

k 

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2D or 3D TEEin penetrating cardiac injury No NO