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Fri Sep 14 21:05:50 BST 2007

I was watching national news last nite, and I guess the hypothermia was started bycool IV therapy was started in the ambulance. Whatever happened after that, couldnt say. I would assume that this patient would be intubated....I have a couple of questions about that. Would Succs be indicated or no, b/c of the side effect of maliginant hypothermia? 

  I believe a field trial of induced hypothermia post cardiac arrest is happening or is going to happen with Boston EMS. There is an article about a saved patient and this therapy on boston.com. 

  dave

Roy Danks <roydanks at hotmail.com> wrote:
  I echo your comments. Sounds great, but as I read the USA Today article, I cringed....however did the team physician get the goods to start the therapy in the ambulance? How is this covered by the 

Nuremberg Code - Declaration of Helsinki

It sounds good. He may walk again...they're doing it at a big research facility. But it certainly makes one wonder what would be the response if the player's outcome hadn't been so (apparently) favorable.

We work hard to get protocols through IRBs, things like this could potentially set us back.

> From: KMATTOX at aol.com> Date: Thu, 13 Sep 2007 22:10:00 -0400> To: trauma-list at trauma.org> Subject: Re: NFL player recoverey> > We each have and will be asked to treat future patients with similar > protocols. We MUST be sure that any such treatment be via an IRB approved tightly > controled protocol. I have searched and searched for OUTCOME data to > support both the continuing use of steroids or this new HYPOTHERMIA treatment, > or even early decompression in acute spinal cord injury. By outcome, I am > talking about a favorable FUNCTIONAL outcome, not the hocus pocus non > functional tiny change reports from the several methylprednisolone studies. > > Because we are going to be innundated with questions, does anyone know the > exact protocol used in Miami and in this patient. Was there a lamenectomy. > Was there local hypothermia, what drugs were used. Were steroids used. > What has been the exact functional improvement and in how many patients?> > Even some of the
 hypothermia in cardiac and stroke patients is marginal. > We are all being asked to buy cooling cradles and blankets for regional EMS > mandated protocols, with very very marginal , but marketing, information. ONE > MUST NOT equate the studies in MI and stroke to cervical spinal cord injury. > > > k> > > > ************************************** See what's new at http://www.aol.com> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
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NFL player recoverey