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Fri Nov 21 20:21:30 GMT 2008

No I haven't, but a good idea.  Welcome home!!

Dell.......

-----Original Message-----
From: Marc Matthews - MedPro MMC X <Marc_Matthews at medprodoctors.com>
To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
Sent: Fri, 21 Nov 2008 1:19 pm
Subject: RE: WIDE MEDIASTINUM IN CHILDREN

Dell,
Have you checked with the pediatric radiologists at St. Joseph's Medical Center. 
erhaps they know of something written in their literature from years past.
Dutch 

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----Original Message-----
rom: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On 
ehalf Of moore677 at aol.com
ent: Friday, November 21, 2008 1:16 PM
o: trauma-list at trauma.org
ubject: Re: WIDE MEDIASTINUM IN CHILDREN
Thanks for replying, and you are right in that there is likely not a good 
nswer.? I have not found anything in the literature on how to define a wide 
ediastinum in a child, and while very rare,=2
0the adult definition will not 
uffice for a 4 year old.? We have admitted two this past year, both under 10.? 
Anyone else like to comment?????
Dell................

----Original Message-----
rom: Bjorn, Pret <pbjorn at emh.org>
o: Trauma & Critical Care mailing list <trauma-list at trauma.org>
ent: Fri, 21 Nov 2008 1:08 pm
ubject: RE: WIDE MEDIASTINUM IN CHILDREN

I'm disappointed that your interesting question hasn't found a reply.
y long experience as a member and admirer of the Trauma List leaves me thinking 
hat there simply isn't a good answer.  
That said, and assuming you're looking for an aortic injury, I think the 
ncidence among pre-adolescents is almost exactly zero.  Isn't it?  So in 
ractical terms you're talking about a small handful of teenagers, for whom the 
-cm rule (and a whole lot of clinical context) should suffice.  
Points for trying?
Pret Bjorn, RN
angor, ME USA

-----Original Message-----
rom: trauma-list-bounces at trauma.org
mailto:trauma-list-bounces at trauma.org] On Behalf Of moore677 at aol.com
ent: Wednesday, November 19, 2008 2:01 PM
o: trauma-list at trauma.org
ubject: WIDE MEDIASTINUM IN CHILDREN

e have defined a wide mediastinum in an adult trauma patient as >8cm.?
an anyone tell me how we define a pediatric patient with a wide mediastinum?

Forrest "Dell" Moore, MD, FACS
rauma Critical Care Surgery
t. Joseph's Hospital and Medical Center Phoenix, AZ
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WIDE MEDIASTINUM IN CHILDREN