List Archives

Mon Sep 8 01:53:13 BST 2008

I have a question that is in line with sicu consults.? what about pediatric traumas.? At what age do you or your hospital require a peds or picu consult for pedi trauma cases. Our hospital recently instituted a all pts under 14. the problem we have with that is that the picu nurses then refuse to contact our trauma service and instead the picu staff. we also have different philosphies. we belive in early extubation and early mobilization. they believe in extremely heavy sedation and prolonged intubation. In fact most of the picu kids leave picu going into withdrawl from benzos and narcotics
thanks
rw

-----Original Message-----
From: Sue <suefire6 at charter.net>
To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
Sent: Sat, 6 Sep 2008 6:00 pm
Subject: Re: Surgical Intensivist Consultations

Cathy,?
?
I would urge you to also address this question to the Critical?
Care Medicine list, led by Fearless Leader Dave Crippen:?
Here is the link to subscribe:?
?
http://www.ccm-l.org/about.html?
?
Sue?
?
?
Dudick, Cathy wrote:?
?
>I have a question about the care of non trauma surgical intensive care?
>patients.?
>?
> >?
>We are a level 2 trauma center with a busy SICU. We the trauma?
>attendings(all double boarded in surgery/cc), provide 99% of the?
>critical care-lines, etc (no real resident/PA coverage at night). We?
>and our surgery department support a formal policy of mandatory surgical?
>intensivist consultation for all SICU patients. Our goal is to provide?
>24hour/7day intensivist in house coverage. We feel this is in the best?
>interest of patient care. Also, it prevents us from "meeting" the?
>patient for the first time during a crisis, as we often are called for?
>septic shock, airway emergencies, etc, when no other intensivists are?
>readily available(mostly after hours and at night). We would prefer to?
>be acquainted with the patients and perhaps treat small problems before?
>they escalate. Lastly, it would help us manage our beds in the ICU.?
>The medical intensivists (private practitioners) do not stay in house,?
>but balk at the idea of a mandatory surgical Intensivist (hospital?
>faculty) consult policy for surgical ICU patients. >?
> >?
>Who cares for that patient in your unit, the surgical intensivist, the?
>medical intensivist, etc??
>?
> >?
>Are your intensivists in house 24/7??
>?
> >?
>Do you have a written policy that mandates a surgical intensivist?
>consult for all admissions to the SICU??
>?
> >?
>Your input is much appreciated.?
>?
> >?
>Cathy >?
>--?
>trauma-list : TRAUMA.ORG?
>To change your settings or unsubscribe visit:?
>http://www.trauma.org/index.php?/community/?
>?
>?
> >?
?
-- ?
Sue Roundy, M.Ed., EMT-P (ret.)?
President, High Sierra Resources?
email: suefire6 at charter.net Past President, Nevada Emergency Medical Assoc.?
President & Captain (ret.), Dayton (NV) Volunteer Fire Department ?
All email checked by Norton Anti-Virus?
?
"I am the master of my house and what my wife says shall be done."?
Frank Thornton Olmstead?
?
?
--?
trauma-list : TRAUMA.ORG?
To change your settings or unsubscribe visit:?
http://www.trauma.org/index.php?/community/?

List Archives

For your convenience, find the Trauma List Archive Below

peds consults