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Sat Feb 7 21:48:12 GMT 2009

Oops! Apologies - last email sent in error to the list.
Paul

2008/4/28 Ian Seppelt <seppeli at wahs.nsw.gov.au>

> Does anyone have pdf copies of NASCIS 1,2,3  that they might be able to
> send me [my electronic library doesn't go back that far]
>
> Thanks, Ian
>
> correspondence to: seppelt at med.usyd.edu.au
>
> Ian Seppelt FANZCA FJFICM
> Senior Staff Specialist
> Dept of Intensive Care Medicine
> The Nepean Hospital, PO Box 63 Penrith NSW 2751
> Director of Clinical Research, Sydney West AHS
> Clinical Lecturer, University of Sydney
>
> >>> ivanhronek at yahoo.com 04/23/08 2:03 pm >>>
> Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try
> it now.
> I got an approval from Sandy Miller to post this here, anyone feels
> strongly about it ?
>
>
>
> At the PGA (Postgraduate Assembly of the NYSSA)last December, the
> question came up in a discussion during a panel (I missed the main
> talk because of another meeting).
>
> This is for those who deal with acute spinal cord injured patients.
> The question asked was: given a patient who is both head and spinal
> cord injured,would you use megadose steroids? To my surprise--and
> shock--the panelist answered yes. I didn't get a chance to make a
> comment myself because time was up.
>
> Now, I had thought that it was generally understood by now that the
> evidence for any good effect of steroids in SCI is at best
> questionable, and that the evidence for harm from steroids in acute
> brain injury is unequivocable. Hence my shock. Certainly, if you have
> to be most concerned with any injury, one to the brain should be at
> the top of the list.
>
> So, my question for the list: does anyone still use megadose steroids
> for spinal cord injured pts? If so, why? If not, why not? If you have
> a pt with SCI who also has a head injury, would you use them then? If
> so, why?
>
> Shameful self-promotion: I have an article on this in the current
> issue of Jopurnal of Neurosurgical Anesthesiology, and just finished
> our chapter on Trauma and Burns for the next issue of Barash, so I
> have gone over the literature pretty thoroughly. I'll post some
> references if you like; I'm running out of time now.
>
> Sanford M. Miller, MD
>
>
> Ivan Hronek MD
> SFMC, Los Angeles
> cell: 310 487-3288
> http://health.groups.yahoo.com/group/Anesthideas/
> Your most unhappy customers are your greatest source of learning. Bill
> Gates.
> P Please don't print this e-mail unless you really need to.
>
>
>
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>
>
>
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-- 
Associate Professor Paul M Middleton
RGN MBBS FRCS(Eng) DipIMCRCS(Ed) FCEM FACEM

Senior Medical Adviser
Ambulance Service of NSW

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