sw heart

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I'm sorry for not being clearer.  The neck wound as a slash wound from the
right SCM to just to the patient's left of the mid-line.  The strap muscles
and thyroid cartilage were exposed.  

Thanks for your input and question.

E

Errington C. Thompson, MD
Trauma/Surgical Critical Care
Talk Show Host - WPEK
www.whereistheoutrage.net
Asheville, NC


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Joe Catino
Sent: Monday, December 01, 2008 3:34 PM
To: trauma-list at trauma.org
Subject: re: sw heart

Dr. Thompson,
 
What were the indications for neck exploration? i would argue you have a
stable pt who you felt comfortable enough to take to CT... then why not
continue with a non-op algorithm?
 
As for the chest, i believe you stated the CT showed a pericardial
collection..small but still present. I would therefore have done a window at
presentation. 
 
Joseph Catino MD
trauma/critical care
Ft. lauderdale , FL


      
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