List Archives

Fri Aug 21 02:53:10 BST 2009

Dear Prof Balogh,

Mr Ian Pallister run  the MSC in Trauma Surgery at the 
Morriston Hospital in Swansea

Cheers

On Wed, 19 Aug 2009 12:00:25 +0100
  trauma-list-request at trauma.org wrote:
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> Today's Topics:
> 
>   1. Re: Fwd: MAST pants (Larry Torrey)
>   2. RE: Bangor council OKs Taser for Eastern Maine 
>Medical Center
>      (Bjorn, Pret)
>   3. RE: MAST pants (Bjorn, Pret)
>   4. RE: MAST pants (Shelley Sides)
>   5. Re: Disability Measures,	Assessments & Scores - do 
>you use
>      any routinely? (Robert Smith)
>   6. trauma master's program (Zsolt Balogh)
>   7. Re: trauma master's program (morgan mcmonagle)
>   8. Re: trauma master's program (McSwain, Norman E Jr.)
>   9. Re: trauma master's program (Bob Waddell II)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Tue, 18 Aug 2009 07:27:17 -0400
>From: Larry Torrey <LTorrey at maine.rr.com>
> Subject: Re: Fwd: MAST pants
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: <4A8A9015.4060104 at maine.rr.com>
> Content-Type: text/plain; charset=ISO-8859-1; 
>format=flowed
> 
> htaed_rd at 123mail.org wrote:
>> While it is an old subject, there is a reason it has not 
>>gone away. The
>> research did not cover all of MAST use, so there are 
>>many people
>> claiming that, "The research was only on X. We use MAST 
>>for Y.
>> Therefore, it does not apply to us."...
> 
> Tim, what you are describing is a device in search of in 
>indication. 
> Which is an adequate description of MAST over the past 
>30+ years.
> 
> LT
> 
> 
> ------------------------------
> 
> Message: 2
> Date: Tue, 18 Aug 2009 08:43:26 -0400
>From: "Bjorn, Pret" <pbjorn at emh.org>
> Subject: RE: Bangor council OKs Taser for Eastern Maine 
>Medical Center
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID:
> 	<9CCE32ECAAFDEB4DA01EC771B6AD951B08264E00 at VALIER.me.emh.org>
> Content-Type: text/plain;	charset="US-ASCII"
> 
>>From first-hand accounts, this was a forceful and 
>>unanimous statement,
> even more emphatic than the article might imply.  The 
>city council was
> able to distinguish violent assault as a matter for law 
>enforcement,
> regardless of whether it occurs inside or out of 
>hospital walls.  Bravo.
> 
> Pret Bjorn, RN
> Bangor, ME USA
> 
> -----Original Message-----
>From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of 
>Larry Torrey
> Sent: Tuesday, August 11, 2009 11:12 AM
> To: Trauma &amp; Critical Care mailing list
> Subject: Bangor council OKs Taser for Eastern Maine 
>Medical Center
> 
> http://www.bangordailynews.com/detail/115460.html
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> 
> 
> ------------------------------
> 
> Message: 3
> Date: Tue, 18 Aug 2009 09:18:19 -0400
>From: "Bjorn, Pret" <pbjorn at emh.org>
> Subject: RE: MAST pants
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID:
> 	<9CCE32ECAAFDEB4DA01EC771B6AD951B08264E01 at VALIER.me.emh.org>
> Content-Type: text/plain;	charset="US-ASCII"
> 
> 
> "1.    Does your region or hospital still have MAST 
> available, either
> in 
> the EMS, helicopters or your EC?"
> 
> No.
> 
> "2.    Do you teach the use of MAST in any of your 
> resuscitation
> courses 
> (ATLS, ACLS, PALS, etc)"
> 
> We teach actively AGAINST it in all three courses, plus 
>TNCC.  Can't
> speak offhand for PHTLS, ATOM, etc.
> 
> "3.    In the continuing bleeding patient [who] has 
>received  blood, LR,
> NS, 
> and has a know fractured pelvis, upon which someone else 
>has  placed
> MAST 
> pants, do you remove them in the EC, OR, ICU, where?"
> 
> Hasn't come up in years.  Hypothetically, would most 
>likely be removed
> in the ED, if not before.
> 
> "4.    What do you know or teach about the removal of 
>MAST  pants, 
> recognizing you might see them only once a year or once 
>a decade?"
> 
> a) If you don't apply them, nobody has to worry about 
>removing them.
> b) The standard teaching would be for a staged 
>deflation, compartment by
> compartment, with recheck of vitals at each stage. 
> After deflation, cut
> them off with crash shears.
> 
> "5.    Would you or anyone in your hospital ever just 
>cut  them off in
> such 
> a transferred patient arriving in your EC?"
> 
> Okay.  Honestly?  Probably not, although there's plenty 
>of
> justification.  More likely we'd leverage the teachable 
>moment in real
> time ("Hey, guys.  Do you want us to throw these away, 
>being that you
> should never use them again?  Let's have a cup of coffee 
>and go over
> why.").  Scissors are for shock value (pun intended), 
>which has its
> occasional downside.
> 
> 6.    Who would make the decision to remove the MAST 
>pants -  paramedic,
> EC 
> doctor, EC nurse,  trauma surgeon, ICU doctor, 
>anesthesia, OR  nurse,
> just 
> who and where?
> 
> If it is practicable, this should of course be a 
>prescriptive event, as
> with application or removal of any medical device not 
>otherwise covered
> by protocol.  But then, we have the advantage of a huge 
>and like-minded
> pool of clinicians.  It's not likely that a nurse or 
>medic would be
> criticized for acting independently in this regard; but 
>such
> independence is unnecessary in our system.
> 
> Pret Bjorn, RN
> Bangor, ME USA
> 
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> 
> 
> ------------------------------
> 
> Message: 4
> Date: Tue, 18 Aug 2009 10:27:36 -0400 (Eastern Daylight 
>Time)
>From: "Shelley Sides" <ssides at midmaine.com>
> Subject: RE: MAST pants
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: <4A8ABA58.000007.06272 at TOSHIBA-SHELLEY>
> Content-Type: text/plain; charset="iso-8859-1"
> 
> The use of MAST are still "alive" in EMS but not 
>promoted. It remains in the
> curriculum mostly due to "standard curriculum" and the 
>national registry
> requirements. Some EMS squads still have MAST available 
>to them however it
> is no longer part of the required equipment for 
>ambulance licensure in Maine
>  There use is solely for pelvic instability, they can be 
>applied in the
> field by basic EMT's and not removed pre-hospital. The 
>removal is in the ED
> or OR. I teach only what they are, a brief explanation 
>of their application,
> how they are used and then a statement/recommendation of 
>"you will probably
> never use these, a pelvic binder or sheet can be just as 
>useful if not
> better". 
> 
> -------Original Message-------
> 
>From: Bjorn, Pret
> Date: 8/18/2009 9:18:48 AM
> To: Trauma-List [TRAUMA.ORG]
> Subject: RE: MAST pants
> 
> 
> "1.    Does your region or hospital still have MAST 
> available, either
> in
> the EMS, helicopters or your EC?"
> 
> No.
> 
> "2.    Do you teach the use of MAST in any of your 
> resuscitation
> courses
> (ATLS, ACLS, PALS, etc)"
> 
> We teach actively AGAINST it in all three courses, plus 
>TNCC.  Can't
> speak offhand for PHTLS, ATOM, etc.
> 
> "3.    In the continuing bleeding patient [who] has 
>received  blood, LR,
> NS,
> and has a know fractured pelvis, upon which someone else 
>has  placed
> MAST
> pants, do you remove them in the EC, OR, ICU, where?"
> 
> Hasn't come up in years.  Hypothetically, would most 
>likely be removed
> in the ED, if not before.
> 
> "4.    What do you know or teach about the removal of 
>MAST  pants,
> recognizing you might see them only once a year or once 
>a decade?"
> 
> a) If you don't apply them, nobody has to worry about 
>removing them.
> b) The standard teaching would be for a staged 
>deflation, compartment by
> compartment, with recheck of vitals at each stage. 
> After deflation, cut
> them off with crash shears.
> 
> "5.    Would you or anyone in your hospital ever just 
>cut  them off in
> such
> a transferred patient arriving in your EC?"
> 
> Okay.  Honestly?  Probably not, although there's plenty 
>of
> justification.  More likely we'd leverage the teachable 
>moment in real
> time ("Hey, guys.  Do you want us to throw these away, 
>being that you
> should never use them again?  Let's have a cup of coffee 
>and go over
> why.").  Scissors are for shock value (pun intended), 
>which has its
> occasional downside.
> 
> 6.    Who would make the decision to remove the MAST 
>pants -  paramedic,
> EC
> doctor, EC nurse,  trauma surgeon, ICU doctor, 
>anesthesia, OR  nurse,
> just
> who and where?
> 
> If it is practicable, this should of course be a 
>prescriptive event, as
> with application or removal of any medical device not 
>otherwise covered
> by protocol.  But then, we have the advantage of a huge 
>and like-minded
> pool of clinicians.  It's not likely that a nurse or 
>medic would be
> criticized for acting independently in this regard; but 
>such
> independence is unnecessary in our system.
> 
> Pret Bjorn, RN
> Bangor, ME USA
> 
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> -------------- next part --------------
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> ------------------------------
> 
> Message: 5
> Date: Tue, 18 Aug 2009 11:18:52 -0400
>From: Robert Smith <rfsmithmd at comcast.net>
> Subject: Re: Disability Measures,	Assessments & Scores - 
>do you use
> 	any routinely?
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: 
><E192358E-F888-4D17-BA0F-C2B800253895 at comcast.net>
> Content-Type: text/plain; charset=US-ASCII; 
>format=flowed; delsp=yes
> 
> I know some years ago Ellen Mackenzie was working on 
>developing a  
> disability tool. I don't know if her work came to 
>fruition. It was an  
> ambitious project.
> 
> In any event she would be a good person to ask. 
>emackenz at jhsph.edu. If  
> you do please share the response with the list.
> 
> Rob
> On Aug 16, 2009, at 2:21 PM, Karim Brohi wrote:
> 
>> Are any of you routinely measuring and recording 
>>disability in your  
>> trauma
>> population?If so which tools are you using to conduct 
>>these  
>> assessments and
>> why did you choose that tool over any other?
>> After several decades we seem to have a multitude of 
>>different  
>> tools, with
>> new ones every year, but very few that have been 
>>validated or that  
>> have
>> outcomes.
>> Thoughts?
>> Karim
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
> 
> 
> 
> ------------------------------
> 
> Message: 6
> Date: Wed, 19 Aug 2009 08:11:14 +1000
>From: "Zsolt Balogh" <Zsolt.Balogh at hnehealth.nsw.gov.au>
> Subject: trauma master's program
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: <4A8BB3A0.D0AC.00B7.0 at hnehealth.nsw.gov.au>
> Content-Type: text/plain; charset=US-ASCII
> 
> Dear All,
> 
> Please let me know if you know about a University 
>running trauma master's program (online or face to face). 
>I would like get some of mine troops on it.
> 
> Thanks,
> 
> Zsolt Balogh
> 
> 
> Prof. Zsolt J. Balogh, MD, PhD, FRACS
> Director of Trauma, John Hunter Hospital and Hunter New 
>England Area Health Service
> Discipline Head of Traumatology, University of Newcastle
> Newcastle, NSW
> AUSTRALIA
> Tel: +61 2 49214259
>Fax: +61 2 29214274
> E-mail: zsolt.balogh at hnehealth.nsw.gov.au
> 
> 
> ------------------------------
> 
> Message: 7
> Date: Tue, 18 Aug 2009 18:14:05 -0700 (PDT)
>From: morgan mcmonagle <drmorganmc at yahoo.co.uk>
> Subject: Re: trauma master's program
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: 
><678817.70465.qm at web25905.mail.ukl.yahoo.com>
> Content-Type: text/plain; charset=iso-8859-1
> 
> The University of Cardiff runs a MSc in Trauma aimed at 
>orthopaedics,?plastic surgeons?and Max-Fac surgeons. I 
>think it's mostly distance learning..
> ?
> Morgan
> 
> --- On Tue, 18/8/09, Zsolt Balogh 
><Zsolt.Balogh at hnehealth.nsw.gov.au> wrote:
> 
> 
>From: Zsolt Balogh <Zsolt.Balogh at hnehealth.nsw.gov.au>
> Subject: trauma master's program
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Date: Tuesday, 18 August, 2009, 11:11 PM
> 
> 
> Dear All,
> 
> Please let me know if you know about a University 
>running trauma master's program (online or face to face). 
>I would like get some of mine troops on it..
> 
> Thanks,
> 
> Zsolt Balogh
> 
> 
> Prof. Zsolt J. Balogh, MD, PhD, FRACS
> Director of Trauma, John Hunter Hospital and Hunter New 
>England Area Health Service
> Discipline Head of Traumatology, University of Newcastle
> Newcastle, NSW
> AUSTRALIA
> Tel: +61 2 49214259
>Fax: +61 2 29214274
> E-mail: zsolt.balogh at hnehealth.nsw.gov.au
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> ------------------------------
> 
> Message: 8
> Date: Tue, 18 Aug 2009 22:45:36 -0500
>From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>
> Subject: Re: trauma master's program
> To: <trauma-list at trauma.org>
> Message-ID:
> 	<B79C02DCC4FA074DB02381DF1C5D60BA02216A92 at EX07.ad.tulane.edu>
> Content-Type: text/plain;	charset="utf-8"
> 
> Univ Alabama in Birmingham does
> Norman
> 
> Typed by the thumbs of
> Norman on his BlackBerry 
> 
> Norman McSwain, MD
> Tulane Univ Surgery
> 504 988-5111
> 
> ----- Original Message -----
>From: trauma-list-bounces at trauma.org 
><trauma-list-bounces at trauma.org>
> To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org>
> Sent: Tue Aug 18 17:11:14 2009
> Subject: trauma master's program
> 
> Dear All,
> 
> Please let me know if you know about a University 
>running trauma master's program (online or face to face). 
>I would like get some of mine troops on it.
> 
> Thanks,
> 
> Zsolt Balogh
> 
> 
> Prof. Zsolt J. Balogh, MD, PhD, FRACS
> Director of Trauma, John Hunter Hospital and Hunter New 
>England Area Health Service
> Discipline Head of Traumatology, University of Newcastle
> Newcastle, NSW
> AUSTRALIA
> Tel: +61 2 49214259
>Fax: +61 2 29214274
> E-mail: zsolt.balogh at hnehealth.nsw.gov.au
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> ------------------------------
> 
> Message: 9
> Date: Tue, 18 Aug 2009 21:47:51 -0600
>From: "Bob Waddell II" <bobwaddell at bresnan.net>
> Subject: Re: trauma master's program
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: <web-25214756 at be-2.cluster1.bresnan.net>
> Content-Type: 
>text/plain;charset=iso-8859-1;format="flowed"
> 
> Google "Masters of Disasters" - Dr. Guilana Bruno in 
>Italy is one of the 
> Instructors.
> 
> Take care,
> Bob
> 
> 
> On Wed, 19 Aug 2009 08:11:14 +1000
>  "Zsolt Balogh" <Zsolt.Balogh at hnehealth.nsw.gov.au> 
>wrote:
>> Dear All,
>> 
>> Please let me know if you know about a University 
>>running trauma master's 
>>program (online or face to face). I would like get some 
>>of mine troops on it.
>> 
>> Thanks,
>> 
>> Zsolt Balogh
>> 
>> 
>> Prof. Zsolt J. Balogh, MD, PhD, FRACS
>> Director of Trauma, John Hunter Hospital and Hunter New 
>>England Area Health 
>>Service
>> Discipline Head of Traumatology, University of Newcastle
>> Newcastle, NSW
>> AUSTRALIA
>> Tel: +61 2 49214259
>>Fax: +61 2 29214274
>> E-mail: zsolt.balogh at hnehealth.nsw.gov.au
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
> 
> Take care,
> 
> Bob
> 
> Robert K. Waddell II
> 
> The Sacco Triage Method (STM)
> Wyoming office
> 1302 East 5th Avenue
> Cheyenne, Wyoming 82001
> 307 920 2020
> bwaddell at sharpthinkers.com
> www.sharpthinkers.com
> 
> 
> ------------------------------
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> End of trauma-list Digest, Vol 74, Issue 20
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