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sjasmd at aol.com sjasmd at aol.com
Sun Jun 29 21:41:58 BST 2008

As a radiologist, I would try to fix internal carotid artery? with a stent graft IF there were prograde flow into the brain. In this circumstance of occlusion, I am reluctant to manipulate that clotted vessel for fear of creating a thromboembolism?to the brain. As I told Ken, I believe that the injury is at the level of the odontoid process from the angiogram and at our shop is generally not considered suitable for surgical exploration. Given his poorly controlled bleeding, it seemed prudent to intentionally secure all four injured vessels, ECA, ICA, occipital and posterior auricular. 

You obviously have a load of experience in going after high carotid injuries. How high would you go?


-----Original Message-----
From: McSwain, Norman E Jr. <nmcswai at tulane.edu>
To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
Sent: Sun, 29 Jun 2008 12:14 pm

Looks fun!!!. How did you fix it? How did you get into Zone III? I
usually take off the sternomastoid muscle from the mastoid bone. Did you
tie it off or was there enough room to repair it

Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of sjasmd at aol.com
Sent: Sunday, June 29, 2008 11:10 AM
To: trauma-list at trauma.org

A 22 yo male sustained a left zone III neck stab wound that amputated
his ear. He exsanguinated in the field. Intubated, resuscitated,
bleeding from ear wound. Packing was unsuccessful. A Foley catheter was
inflated in the wound with reduction in bleeding. Angiogram requested
shown below.

View full size

how to proceed


-----Original Message-----
From: Kate Curtis <Kate.Curtis at SESIAHS.HEALTH.NSW.GOV.AU>
To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
Sent: Thu, 26 Jun 2008 7:03 pm
Subject: RE: Trauma education for Med-Surg and ICU?

The College of Emergency Nursing Australasia has developed a trauma
nursing course that has modules for ED, ICU and the Ward.  It's quite
good and has an e-learning component The link:


Kate Curtis RN, PhD
Clinical Nurse Consultant Trauma
St George Hospital
P: +612 91133499 or 2686
Pager: +612 91131111 pager 019
F: +612 91133974

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Milici, Justin J.
Sent: Wednesday, 25 June 2008 8:16
To: 'traumanurses at traumanurses.org'; 'traumanurses at listserve.com';
'trauma-list-bounces at trauma.org'; 'trauma-list at trauma.org';
'ena_trauma at neptune.serverside.net'
Subject: Trauma education for Med-Surg and ICU?

See below..... Is anyone familiar with any particular trauma education
for Med-Surg and ICU nurses?? We do a  trauma educational portion
part of their internship and orientation. Any thoughts??

Justin Milici, RN, MSN, CCRN, CEN, CFRN, TNS Trauma Education,
Prevention/Outreach Coordinator Trauma Services - 11 Roberts Baylor
University Medical Center 3500 Gaston Ave.
Dallas, TX 75246
Office: (214) 820-6818
Fax: (214) 820-1086
Pager: (214) 344-3961
JustinM at baylorhealth.edu<mailto:JustinM at baylorhealth.edu>
From: LPressler at urhcs.org [mailto:LPressler at urhcs.org]
Sent: Tuesday, June 24, 2008 10:23 AM
To: Milici, Justin J.
Subject: Question

Hi Justin,  I have been doing hospital wide education using a program
called Trauma Library Sessions.  I have completed the sessions several
times and have been looking for other educational offerings which could
be taught to nurses from  med-surg to ICU regarding trauma. I was
wondering if you had any suggestions.
Laura Pressler, RN
Trauma Nurse Educator
More than a day's work. It's our life's work.
Eleventh Street Campus
1600 Eleventh Street
Wichita Falls, Texas  76301
(940) 764-3088
Fax:   (940) 764-3611
lpressler at urhcs.org<mailto:lpressler at urhcs.org>

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