trauma-list Digest, Vol 61, Issue 22

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Carol

Your solution is very harsh and violates the freedom of the individual.
Most professionals are working abroad to gain more experience, broaden
their minds, make more money.

The only way to keep any professional is money and working conditions.
We, in the public sector, can not give that to our professionals; I
challenge you to come see for yourself, and then make such a ridiculous
remark.

Andre Loubser, South Africa

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of
czuehlke at frontiernet.net
Sent: Monday, July 14, 2008 4:53 PM
To: trauma-list at trauma.org
Subject: Re: trauma-list Digest, Vol 61, Issue 22

Hi Tim:

Shortage of nurses

Hmmm, we have three or four nurses who came from South Africa working  
in our Emergency department at the moment and probably more on the  
units. I read an article recently that reiterated that we must not  
allow nurses the opportunity to leave one country to work in another.  
The reason is obvious, it short changes the other countries, which is  
obviously the case here.

Northern California seems to have an abundance of nurses and we are  
turning away and not hiring our own nurses because of it. Yet, we  
continue to keep nurses from different countries, while their  
countries suffer. I don't know what the answer is, but it seems like  
their visas should be revoked and the nurses sent back. Sad, but it  
seems like the medical community is not thinking globally when they  
make decisions to transplant nurses from abroad.

Sorry to hear about all your problems in South Africa, but there is an
answer!

Carol RN, BSN




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> Today's Topics:
>
>    1. RE: Michael Debakey (Eaves.Wanda)
>    2. Advances in Medicine From the Frontlines (Stephen Richey)
>    3. Re: [CCM-L] Advances in Medicine From the Frontlines
>       (KMATTOX at aol.com)
>    4. Re: [CCM-L] Advances in Medicine From the Frontlines
>       (KMATTOX at aol.com)
>    5. Re: [CCM-L] Advances in Medicine From the Frontlines
>       (KMATTOX at aol.com)
>    6. Because many of you have asked- Dr. DeBakey (KMATTOX at aol.com)
>    7. A guestbook for Dr. DeBakey at Legacy (Kate Warren)
>    8. Re: Advances in Medicine From the Frontlines
>       (Richard Wigle MD FACS)
>    9. Busy weekend - nursing shortage (Timothy Craig Hardcastle)
>   10. FW: Busy weekend - nursing shortage (Timothy Craig Hardcastle)
>   11. Re: Busy weekend - nursing shortage (Mathias Kalkum)
>   12. RE: Busy weekend - nursing shortage (Richard van der Kleyn)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Sun, 13 Jul 2008 12:46:55 -0400
> From: "Eaves.Wanda" <Eaves.Wanda at mccg.org>
> Subject: RE: Michael Debakey
> To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
> Message-ID:
>
<21748F6AC936A04BBEE6F5D2081993110C00D5D9 at exchng2.cghsnt.mccg.org>
> Content-Type: text/plain; charset=us-ascii
>
> Here, Here! Great insight. My prayers go out to the family and Dr.
> Mattox. WE
>
> -----Original Message-----
> From: Louis N. Molino, Sr. [mailto:LNMolino at aol.com]
> Sent: Saturday, July 12, 2008 7:59 AM
> To: Trauma &amp; Critical Care mailing list
> Subject: Re: Michael Debakey
>
> God needed a consult. He wanted the best, he got it.
>
> LNM
> ------Original Message------
> From: Dr. Norman E Jr. McSwain
> Sender: trauma-list-bounces at trauma.org
> To: trauma-list at trauma.org
> ReplyTo: Trauma &amp; Critical Care mailing list
> Sent: Jul 12, 2008 06:37
> Subject: Michael Debakey
>
> A true leader of medicine that lived during our life time has died.
> Michael Debakey, MD died last night around midnight CDT just 60 days
> short of his 100th birthday. He contributed so much to he mechanics,
> physiology, technology and philosophy of medicine and of how we
> practice, that is no way that it can be stated in an e-mail. It will
> fill volumes of books if anyone were ever to try to list it
>
> He will be missed.
>
> Ken Mattox was a very good and close friend. Please send your thoughts
> and prayers to Ken and to the Debakey Family
>
> 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>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
>
> Sent via BlackBerry by AT&T
>
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>
> ------------------------------
>
> Message: 2
> Date: Sun, 13 Jul 2008 13:26:23 -0400
> From: "Stephen Richey" <stephen.richey at gmail.com>
> Subject: Advances in Medicine From the Frontlines
> To: trauma-list at trauma.org, ccm-l at ccm-l.org
> Message-ID:
> 	<4a5fc68a0807131026s1eaeadefs9eb3cbec070f43b2 at mail.gmail.com>
> Content-Type: text/plain; charset=ISO-8859-1
>
> I am in the process of writing a short article for a newsletter about
> advances in critical care and emergency medicine based upon military
> medicine.  I have a basic idea for most of the topics I want to touch
upon,
> but I would appreciate hearing what everyone thinks are the most
important
> contributions to arise out of military medicine- at any time, not just
> recently.  Please feel free to contact me off-list.
>
> Thank you in advance.
>
>
> Sincerely,
> --
> Stephen L. Richey, CRT
> Aviation Injury Research Project Leader
> Saginaw Valley State University
> Phone: 248-366-4452
>
>
> ------------------------------
>
> Message: 3
> Date: Sun, 13 Jul 2008 15:11:05 EDT
> From: KMATTOX at aol.com
> Subject: Re: [CCM-L] Advances in Medicine From the Frontlines
> To: stephen.richey at gmail.com, trauma-list at trauma.org, ccm-l at ccm-l.org
> Message-ID: <c74.31aa1280.35abad49 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> I would strongly suggest you contact Dr. Jeana Dorlac, Cincinatti, Dr.
> Norman Rich, USUHS , Bethesda,  Dr. Ben Eisman in Denver Colorado,   
> and I  can help
> you with a few thoughts.
>
> k
>
>
> In a message dated 7/13/2008 12:27:25 P.M. Central Daylight Time,
> stephen.richey at gmail.com writes:
>
> I am in  the process of writing a short article for a newsletter about
> advances in  critical care and emergency medicine based upon   
> military medicine.  I
> have a basic idea for most of the topics I want to touch upon, but I
would
> appreciate hearing what everyone thinks are the most important   
> contributions  to
> arise out of military medicine- at any time, not just recently.
Please feel
> free to contact me off-list.
>
> Thank you in advance.
>
>
> Sincerely,
> --
> Stephen L. Richey, CRT
> Aviation Injury  Research Project Leader
> Saginaw Valley State University
> Phone:  248-366-4452
>
> _______________________________________________
> Ccm-l  mailing  list
> Ccm-l at lists.ccm-l.org
> http://lists.ccm-l.org/mailman/listinfo/ccm-l
>
>
>
>
>
> **************Get the scoop on last night's hottest shows and the live
music
> scene in your area - Check out TourTracker.com!
> (http://www.tourtracker.com?NCID=aolmus00050000000112)
>
>
> ------------------------------
>
> Message: 4
> Date: Sun, 13 Jul 2008 15:13:40 EDT
> From: KMATTOX at aol.com
> Subject: Re: [CCM-L] Advances in Medicine From the Frontlines
> To: prasannasimha at gmail.com, stephen.richey at gmail.com
> Cc: trauma-list at trauma.org, ccm-l at ccm-l.org
> Message-ID: <ce3.358046d6.35abade4 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> The MASH surgical hospitals were actually developed during WWII, and
> expanded during Korea
>
> k
>
>
>
>
> In a message dated 7/13/2008 12:33:12 P.M. Central Daylight Time,
> prasannasimha at gmail.com writes:
>
> MASH  units in Korea
>
>
>
>
> **************Get the scoop on last night's hottest shows and the live
music
> scene in your area - Check out TourTracker.com!
> (http://www.tourtracker.com?NCID=aolmus00050000000112)
>
>
> ------------------------------
>
> Message: 5
> Date: Sun, 13 Jul 2008 15:16:02 EDT
> From: KMATTOX at aol.com
> Subject: Re: [CCM-L] Advances in Medicine From the Frontlines
> To: prasannasimha at gmail.com, stephen.richey at gmail.com
> Cc: trauma-list at trauma.org, ccm-l at ccm-l.org
> Message-ID: <bca.2aa2398a.35abae72 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> Ironically, as Dr. DeBakey who had a great deal to do with the MASH
> hospitals during his time in the Office of the Surgeon General and   
> Europe during
> WWII, and in that he died last Friday, his body is to lie in state   
> in the open
> Rotunda of the Houston City Hall on Tuesday in two days.   To enter
the
> Rotunda, all those paying respects to him will have to pass through   
> a MASH  Tent
> Hospital to enter the City Hall Rotunda.
>
> k
>
>
> In a message dated 7/13/2008 12:33:12 P.M. Central Daylight Time,
> prasannasimha at gmail.com writes:
>
> MASH  units in Korea
>
>
>
>
> **************Get the scoop on last night's hottest shows and the live
music
> scene in your area - Check out TourTracker.com!
> (http://www.tourtracker.com?NCID=aolmus00050000000112)
>
>
> ------------------------------
>
> Message: 6
> Date: Sun, 13 Jul 2008 16:48:39 EDT
> From: KMATTOX at aol.com
> Subject: Because many of you have asked- Dr. DeBakey
> To: trauma-list at trauma.org, ccm-l at ccm-l.org
> Cc: SURGINET at listserv.utoronto.ca
> Message-ID: <c0c.3cc008de.35abc427 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> I apologize for this crude attempt to communicate.
>
> First, I wish to thank the many of you who have individually sent
> condolences to me personally following the Friday night death of Dr.  
>  Michael E.
> DeBakey.
>
> Secondly, I am not suggesting anything other than merely letting you
know
> about arrangements.  In many ways with the difficulty in travel and
the  very
> very high temperatures in Houston this time of year, I would   
> discourage  travel
> to Houston, however, many have asked for knowledge of specific
arrangements.
>
>
>
>
>> From the Public Affairs office of Baylor College of Medicine
>
> Dr. DeBakey's body will lie in state in the ROTUNDA of Houston City
Hall
> beginning at 10 AM on Tuesday July 15.   At 3:00 PM Mrs. DeBakey and
Olga
> DeBakey will be available for public visitation until 7:00 PM.    I   
> do not know if
> other members of the family will be there.    To  enter the Rotunda,
visitors
> will pass through a US Army MASH Hospital Tent. (if  one can be found
and
> erected in time).
> .
>
> The Funeral is now  confirmed for Wednesday, July 16 at 11 a.m. at St.
Luke's
> United  Methodist located at 3471 Westheimer.   It holds 1200 with
overflow
> for 400.   It is expected that this church  will be overflowing with  
>  people who
> want to pay their last  respects.
>
> Kenneth L. Mattox, MD
>
>
>
>
>
>
>
>
>
> **************Get the scoop on last night's hottest shows and the live
music
> scene in your area - Check out TourTracker.com!
> (http://www.tourtracker.com?NCID=aolmus00050000000112)
>
>
> ------------------------------
>
> Message: 7
> Date: Sun, 13 Jul 2008 16:22:59 -0700
> From: "Kate Warren" <traumadocs at cox.net>
> Subject: A guestbook for Dr. DeBakey at Legacy
> To: <trauma-list at trauma.org>, <ccm-l at ccm-l.org>
> Message-ID: <JEEIJADBHGEBPDGHMGNLEEFJDAAA.traumadocs at cox.net>
> Content-Type: text/plain;	charset="iso-8859-1"
>
>
>    There is an obit and a guestbook here at Legacy.com for comments
and
> thoughts.
>
>
> http://www.legacy.com/gb/guestbookview.aspx?personId=113212422
>
>
>
> ------------------------------
>
> Message: 8
> Date: Sun, 13 Jul 2008 18:25:23 -0700 (PDT)
> From: Richard Wigle MD FACS <rlwigle at yahoo.com>
> Subject: Re: Advances in Medicine From the Frontlines
> To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
> Message-ID: <685959.8776.qm at web38802.mail.mud.yahoo.com>
> Content-Type: text/plain; charset=us-ascii
>
> Steve,
>
> You have touched on an area that I have had quite an interest in   
> over the last years. The military has contributed many things to   
> medicine over time, some of which you wouldn't expect. On the other   
> hand, many things you would think would have been military in origin  
>  turn out not to be
>
> Everyone knows about Larrey and the ambulance although most people   
> don't realize that the term ambulance (ambulancia) is several   
> centuries earlier and referred to a field hospital- what Larrey   
> contributed was the "ambulance volante"(spell??) or "flying   
> ambulance" which was an equipped wagon which took the hospital and   
> surgery to the wounded but could also transport them to the rear.   
> These were part of one of the first organized medical corps   
> (Wellington at Waterloo believed that medical personnel just got in   
> the way and the British seemed to more or less continue to feel that  
>  way right up the Crimea snd Florence Nightingale)
>
> The Letterman plan during the Civil war was a direct derivative of   
> Larrey's ambulance corps in it's organization and although  multiple  
>  designs were tried two came to predominate. The first civilian   
> medical service in the US was organized by  Dr Dalton (I've   
> forgotten his first name) in New York about 1868 and initially used   
> surplus army ambulances although they rapidly switched to a design   
> modified from the army vehicles
>
> First Aid is of military origin and surprisingly recent. In the   
> 1870's Esmarch in Prussia wrote a text "Erste Hilfe" to teach   
> soldiers to treat each other on the battlefield. The first civilian   
> first aid course was in England at about the same time and was   
> developed and taught to factory workers by a military surgeon, name   
> of Roberts I think, who was posted to the area. It proved immensely   
> popular and was rapidly copied, many small first aid books were   
> published  which often taught useful skills such as splinting   
> extremities with the bayonet or rifle that I guess factory workers   
> were supposed to carry. Anyway they got the point across
>
> The first air transport has been given as being by balloon out of   
> the Paris siege during during the commune although this is disputed.  
>  Air transport was proposed during WWI although never, as far as I   
> know, actually took place, being forbidden by the command. In the   
> immediate post war years the first transport used a military fixed   
> wing although civilians were transported. The first helicopter   
> transport occurred during the Korean conflict
>
> These are some of the major prehospital contributions. Obviously one  
>  would also have to mention Ambrose Pare and the treatment of  
> wounds,  Larrey's many surgical contributions as well as his  
> aforementioned  organizational pieces of genius, the work on shock  
> during WWI by  Crile and many others, early abdominal surgery for  
> penetrating  injuries during the Russo Japanese conflict by a female  
> Russian  surgeon whose name escapes me (who operated in a specially  
> equipped  RR car) and of course the work on burns during and after  
> the Korean  conflict by Dr Basil Pruit and others at the Army  
> surgical research  unit. And, despite the fact they are not surgical  
> or trauma, Walter  Reed and yellow fever and the Russians (that's  
> right)and PTSD.
>
> Something else to look at is the Knights Hospitabler (sp?) or the   
> knights of Malta which one continues to see not only as a worldwide   
> NGO but also as the Johannes Rutter or Maltesers in Germany and St   
> John's Ambulance in Britain and Australia.
>
>
> These are the things that most rapidly come to mind, sorry some of   
> the facts are a bit vague but I don't have access to either my   
> library or PowerPoints at present. If anything strikes you or there   
> is any other area that comes to mind I'll at least be able to get at  
>  my PPt slides and pictures in a day or two. Apologies for all the   
> misspellings.
>
>
> Dick Wigle
> LTC (ret) USAMC
> Dept Surgery, LSU Shreveport
>
>
>
> --- On Sun, 7/13/08, Stephen Richey <stephen.richey at gmail.com> wrote:
>
>> From: Stephen Richey <stephen.richey at gmail.com>
>> Subject: Advances in Medicine From the Frontlines
>> To: trauma-list at trauma.org, ccm-l at ccm-l.org
>> Date: Sunday, July 13, 2008, 1:26 PM
>> I am in the process of writing a short article for a
>> newsletter about
>> advances in critical care and emergency medicine based upon
>> military
>> medicine.  I have a basic idea for most of the topics I
>> want to touch upon,
>> but I would appreciate hearing what everyone thinks are the
>> most important
>> contributions to arise out of military medicine- at any
>> time, not just
>> recently.  Please feel free to contact me off-list.
>>
>> Thank you in advance.
>>
>>
>> Sincerely,
>> --
>> Stephen L. Richey, CRT
>> Aviation Injury Research Project Leader
>> Saginaw Valley State University
>> Phone: 248-366-4452
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
>
>
>
>
>
> ------------------------------
>
> Message: 9
> Date: Mon, 14 Jul 2008 07:39:32 +0200
> From: "Timothy Craig Hardcastle" <TimothyHar at ialch.co.za>
> Subject: Busy weekend - nursing shortage
> To: <trauma-list at trauma.org>
> Message-ID: <36BA31504543804886C1E8967FEC9229BDF7BB at alsex.ialch.co.za>
> Content-Type: text/plain;	charset="US-ASCII"
>
> Hi all
>
> We had a rather hectic weekend - but were even more curtailed by a
> shortage of nurses; had to close ICU beds and refuse some patients
from
> the EMS. Is this just a South African problem or is this really an
issue
> in the USA, Europe and UK as well? Do you have any ideas about how to
> attract dedicated trauma nurses to one's unit?
>
> Tim
> Dr Timothy C Hardcastle
> M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
> Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
> Deputy director: Trauma Unit and Trauma ICU
> Inkosi Albert Luthuli Central Hospital / UKZN
> 800 Bellair Road
> Mayville, Durban
>
> Postal: PostNet Suite 27
> Private Bag X05
> Malvern, 4055
> KwaZulu Natal
>
> timothyhar at ialch.co.za
>
>
>
>
> ------------------------------
>
> Message: 10
> Date: Mon, 14 Jul 2008 08:13:54 +0200
> From: "Timothy Craig Hardcastle" <TimothyHar at ialch.co.za>
> Subject: FW: Busy weekend - nursing shortage
> To: <trauma-list at trauma.org>
> Message-ID: <36BA31504543804886C1E8967FEC9229BDF7BF at alsex.ialch.co.za>
> Content-Type: text/plain;	charset="US-ASCII"
>
> -----Original Message-----
> From: Timothy Craig Hardcastle
> Sent: 14 July 2008 07:40
> To: 'trauma-list at trauma.org'
> Subject: Busy weekend - nursing shortage
>
> Hi all
>
> We had a rather hectic weekend - but were even more curtailed by a
> shortage of nurses; had to close ICU beds and refuse some patients
from
> the EMS. Is this just a South African problem or is this really an
issue
> in the USA, Europe and UK as well? Do you have any ideas about how to
> attract dedicated trauma nurses to one's unit?
>
> Tim
> Dr Timothy C Hardcastle
> M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
> Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
> Deputy director: Trauma Unit and Trauma ICU
> Inkosi Albert Luthuli Central Hospital / UKZN
> 800 Bellair Road
> Mayville, Durban
>
> Postal: PostNet Suite 27
> Private Bag X05
> Malvern, 4055
> KwaZulu Natal
>
> timothyhar at ialch.co.za
>
>
>
>
> ------------------------------
>
> Message: 11
> Date: Mon, 14 Jul 2008 11:06:36 +0200
> From: Mathias Kalkum <listen at doc-kalkum.de>
> Subject: Re: Busy weekend - nursing shortage
> To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
> Message-ID: <487B171C.6090607 at doc-kalkum.de>
> Content-Type: text/plain; charset=ISO-8859-1; format=flowed
>
> Tim,
>
>
>> We had a rather hectic weekend - but were even more curtailed by a
>> shortage of nurses; had to close ICU beds and refuse some patients
from
>> the EMS. Is this just a South African problem or is this really an
issue
>> in the USA, Europe and UK as well?
>
> The shortage of medical personal, be it nurses or physicians, is not a
> specifically South African problem. Though the extend of the problem
may
> differ very much, every now and then (even ICU-) beds or ERs are
closed
> here in Germany as well due to insufficient staffing.
>
> Take care!
>
> Mathias
>
>
> ------------------------------
>
> Message: 12
> Date: Mon, 14 Jul 2008 12:40:41 +0200
> From: Richard van der Kleyn <vdkleyn at hotmail.com>
> Subject: RE: Busy weekend - nursing shortage
> To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
> Message-ID: <BAY103-W25335930D70BD99F1F074CA88D0 at phx.gbl>
> Content-Type: text/plain; charset="iso-8859-1"
>
>
> Dear Tim,
>
> A recent survey here in Catalonia (north east spain) showed that we   
> were short of 15,000 nurses, Spain as a whole needs 3000 more ER   
> docs. in our hospital in the summer months we always have 1 ward   
> closed (about 40 beds) due to a lack of nurses...even though in the   
> summer our catchment area populacion triples. Its much the same all   
> other europe, a lot of spanish nurses/doctors go to the UK ( better   
> pay), most of our new doctors come from south america (better pay),   
> a lot of african doctors now go to south america (better   
> pay)......finally the well paid western doctors go to africa as   
> charitable organisations because of the lack of doctors...it looks   
> like money is the way to atract personal.
>
> Richard van der Kleyn
>
>> > -----Original Message-----> From: Timothy Craig Hardcastle >   
>> Sent: 14 July 2008 07:40> To: 'trauma-list at trauma.org'> Subject:   
>> Busy weekend - nursing shortage> > Hi all> > We had a rather hectic  
>>  weekend - but were even more curtailed by a> shortage of nurses;   
>> had to close ICU beds and refuse some patients from> the EMS. Is   
>> this just a South African problem or is this really an issue> in   
>> the USA, Europe and UK as well? Do you have any ideas about how to>  
>>  attract dedicated trauma nurses to one's unit?> > Tim> Dr Timothy  
>> C  Hardcastle> M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS  
>> (SA)>  Principal Surgeon-Lecturer / Sub-specialist: Trauma and  
>> Critical  Care> Deputy director: Trauma Unit and Trauma ICU> Inkosi  
>> Albert  Luthuli Central Hospital / UKZN> 800 Bellair Road>  
>> Mayville,  Durban> > Postal: PostNet Suite 27> Private Bag X05>  
>> Malvern, 4055>  KwaZulu Natal> > timothyhar at ialch.co.za > > > -->  
>> trauma-list :  TRAUMA.ORG> To change your settings or unsubscribe  
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> End of trauma-list Digest, Vol 61, Issue 22
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