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Home > List Archives

trauma-list Digest, Vol 62, Issue 12

Robert Smith rfsmithmd at comcast.net
Fri Aug 15 19:22:54 BST 2008


Tim,

Thanks. Was he the one that was suggesting etomidate in trauma = death  
( we're traveling and I don't have the posts on my laptop). I was  
confused about this as we very often use this as an induction agent.

Rob

On Aug 15, 2008, at 1:21 PM, dr.tchardcastle at absamail.co.za wrote:

> Rob
>
> Article focus is septic shock and does not really address trauma to  
> the
> extent originally indicated. I have made a suggestion about a trauma
> focussed article to Rowley off-list and if he is interested will  
> post to
> the list next week.
>
> Tim Hardcastle
> Trauma Surgeon
> IALCH / Univ. KZN
> Durban
> South Africa
>
>> Any chance you could cut and paste the article?
>>
>>
>> On Aug 14, 2008, at 5:14 PM, Blueflightmedic wrote:
>>
>>> Good recent article in the EMJ from Bernard Foex and Hamish Thomson:
>>>
>>> http://emj.bmj.com/cgi/content/extract/25/8/469?maxtoshow=&HITS=10&hits=10&R
>>> ESULTFORMAT
>>> =&fulltext=etomidate&andorexactfulltext=and&searchid=1&FIRSTINDEX
>>> =0&sortspec=relevance&resourcetype=HWCIT
>>>
>>> I apologise for the huge URL.
>>>
>>> Best Wishes,
>>>
>>> Rowley.
>>>
>>> -----Original Message-----
>>> From: trauma-list-bounces at trauma.org
>>> [mailto:trauma-list-bounces at trauma.org
>>> ]
>>> On Behalf Of Dominik Krzanicki
>>> Sent: 14 August 2008 12:38
>>> To: trauma-list at trauma.org
>>> Subject: RE: trauma-list Digest, Vol 62, Issue 12
>>>
>>>
>>>
>>>
>>>
>>> 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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>>> of Kung
>>> Fu Panda prizes to win with Live Search
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