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Fri Sep 7 02:40:27 BST 2007

I guess the dissatisfaction with TEE may partly be due to the fact that one has to be knowledgeable to determine what one is looking at. If the doc is not experienced, certified etc, then I agree you may get nonsensical results and don't even go there. Is that it ?Ivan Hronek MDChief, Critical Care & Trauma AnesthesiaSFMC Gas, Inc.St. Francis Medical Center3630 E. Imperial HighwayLynwood, CA 90262 Cell: 310 487-3288Pager: 310 636-6020

> From: KMATTOX at aol.com> Date: Thu, 6 Sep 2007 21:02:41 -0400> To: trauma-list at trauma.org> Subject: Re: 2D or 3D TEEin penetrating cardiac injury No NO > > I had intended to watch and learn, but I can no longer remain silent. My > fear is that the unprepared mind might become confused by this discussion, or > even might make the evaluation of cardiac injury more difficult. I am > very concerned that the focus is now on technology and not the patient. EVERY > technology can be helpful and can be a VOMIT. > > 1. WHY in the name of whatever is decent and honorable, why are we trying > to make things more difficult. > > 2 FAST is helpful (if the test is POSITIVE) to suggest hemopericardium, > but NOT diagnosic of any real clinical condition unless the test coorelates > with the clinical findings. PERIOD. > > 3. ANY ECHO (TTE, TEE, 2D, 3d, ETC. ETC. ) is a RANDOM NUMBER GENERATOR > and creates more problems, including increasing the cost of care, much more > than it is worth. The risk benefit ratio is just not worth it. TEE is a > test suggested by someone who needs some way of making a living because they > have no other skills that this particular patient needs. There are some > narrow indications and benefits for TEE, but this and use of TEE for potential > aortic injury are just not among those indications > > 4. For trauma, TEE is a massive, MASSIVE VOMIT. Enough said on this > subject. > > k> > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/

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2D or 3D TEEin penetrating cardiac injury No NO