trauma-list Digest, Vol 62, Issue 12

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Date: Wed, 13 Aug 2008 22:04:44 +0100From: "Blueflightmedic" <trauma at emergencyunit.com>Subject: RE: trauma-list Digest, Vol 62, Issue 7 - sedation and NICE	guidance.To: "'Trauma &amp; Critical Care mailing list'"	<trauma-list at trauma.org>Message-ID: <000201c8fd88$3798f5d0$0901a8c0 at vaio>Content-Type: text/plain;	charset="windows-1256" There is ample evidence that even a single shot of etomidate increasesmortality in trauma. It is absolutely contraindicated. I can see the evidence that single dose etomidate has an increased mortlity rate in septic patients - unless seondary steroid supplementation is administered. Continuous infusion is also pretty clear...not sure if I can see the overwhelming evidence for mortality following a single shot in trauma - could you expand on that please?
Dom Krzanicki Dr Dominik Krzanicki 
MBChB(Hons), MRCS (Eng), DIMC (RCSEd)
StR Anaesthetics and Intensive Care  
Tel: +44 (0) 7801 118790
E-mail: dominikkrzanicki at hotmail.com

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