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Sun Feb 8 22:04:17 GMT 2009

Don't use them either, however, being affiliated with the renown Barrow Neurosurgical Institute (and a significant contributor to NASCIS I), they place all blunt complete and incomplete SCI's on steroids.? 

Dell..................

Forrest "Dell" Moore, MD, FACS
Trauma Critical Care Surgery
Co-director Trauma & Surgical ICU
St. Joseph's Hospital and Medical Center
Phoenix, AZ
Cell 480 284 1703 

-----Original Message-----
From: Schulz, John <pjschu at bpthosp.org>
To: trauma-list at trauma.org
Sent: Sun, 8 Feb 2009 2:44 pm
Subject: Steroids in SCI

I don't use them!

John T Schulz III, MD, PhD, FACS
Associate Chairman, Department of Surgery
Chief, Trauma/Burns/Surgical Critical Care
Director, Andrew J Panettieri Burn Center
Bridgeport Hospital
267 Grant Street
Bridgeport, CT
203-384-3890
pjschu at bpthosp.org

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Today's Topics:

   1. Re: Steroids in spinal cord injury ? (Paul Middleton)
   2. Re: Spam:trauma-list Digest, Vol 68, Issue 10 (Connie)

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Message: 1
Date: Sun, 8 Feb 2009 08:48:12 +1100
From: Paul Middleton <pmmiddleton at gmail.com>
Subject: Re: Steroids in spinal cord injury ?
To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
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    <157cf2f20902071348j74a93fd4v435fe4514017e697 at mail.gmail.com>
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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 Wes
t 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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-- 
Associate Professor Paul M Middleton
RGN MBBS FRCS(Eng) DipIMCRCS(Ed) FCEM FACEM

Senior Medical Adviser
Ambulance Service of NSW

------------------------------

Message: 2
Date: Sun, 8 Feb 2009 00:37:57 +0000
From: "Connie" <connie at traumafoundation.org>
Subject: Re: Spam:trauma-list Digest, Vol 68, Issue 10
To: trauma-list at trauma.org
Message-ID:

<419000240-1234053477-cardhu_decombobulator_blackberry.rim.net-771678762
- at bxe1069.bisx.prod.on.blackberry>

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-----Original Message-----
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Date: Sat, 07 Feb 2009 12:00:36 
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Subject: Spam:trauma-list Digest, Vol 68, Issue 10

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Steroids in SCI