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Abdominal CT for Trauma: vomit

McSwain, Norman E Jr. nmcswai at tulane.edu
Tue Aug 5 03:35:35 BST 2008


We routinely send patients to the CT on ventilators. I do not consider a vent as a contraindication any more than going back to the OR for a wash out after damage control surgery
 
Norman
 
Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu> 

________________________________

From: trauma-list-bounces at trauma.org on behalf of sjasmd at aol.com
Sent: Mon 8/4/2008 8:20 PM
To: trauma-list at trauma.org
Subject: Re: Abdominal CT for Trauma: vomit



sounds like the patient is a Victim Of Medical Interference with Technology

I am sure most of us regularly visit scanners with patients on ventilators.



sal


-----Original Message-----
From: Ranjith Ellawala <ranjithellawala at yahoo.com>
To: Trauma &amp, Critical Care mailing list <trauma-list at trauma.org>
Sent: Mon, 4 Aug 2008 1:29 pm
Subject: Re: Abdominal CT for Trauma



Dear Norman,
  
   Our consultant anesthetist looking after trauma ICU is very reluctant to send
ventillated patient for contrast abdominal CT; CT is about 3-4 min away.Though
they are ventillated ( probably due to head injury) only the 'Stable' pats are
sent there.Once or twice he experienced deterioration of the condition.I belive
that there could be other reasons for that.
  Comments?
  Thanks
  Ranjith

"McSwain, Norman E Jr." <nmcswai at tulane.edu> wrote:
  I asked the question because it seems that allergic and renal are the ones
usually discussed and that are usually questioned by the radiologists. Sal has
just addressed these well. Are there others that you frequently see or that you
are concerned about?
Typed by the thumbs of
Norman on his BlackBerry

Norman McSwain, MD
Tulane Univ Surgery
504 988-5111

----- Original Message -----
From: trauma-list-bounces at trauma.org
To: Trauma &, Critical Care mailing list
Sent: Sun Aug 03 19:42:46 2008
Subject: RE: Abdominal CT for Trauma

Dear norman,
Any side effect which will add to patinets morbidity and mortality.
Thanks
Ranjith

"McSwain, Norman E Jr." wrote:
What side effects do you refer to?

Norman

Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu

________________________________

From: trauma-list-bounces at trauma.org on behalf of Ranjith Ellawala
Sent: Sun 8/3/2008 12:29 PM
To: Trauma & Critical Care mailing list
Subject: Abdominal CT for Trauma



Dear all ,
Have you confronted with side effects of IV contrast given in CT for patints who
are ventillated but haemodynamically stable.?
Are there any reports?
Thank you
Ranjith Ellawala
Trauma Unit
Colombo

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