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Fri Jan 16 20:22:40 GMT 2009

Juan,
I am terribly jealous!  I was hoping to get to EAST this year, but with the new job, and two of my crew had to be there - one for the guidelines committee and the other to become a member!  So, I figured I best stay here.

Anyway, have fun for the rest of the meeting, and get home safe.

Take care,
Ron

Ronald I. Gross, MD, FACS
Chief of Trauma & Emergency Surgery Services
Baystate Medical Center
759 Chestnut Street
Springfield, MA  01199
413-794-4022  phone
413-794-0142  fax
ronald.gross at bhs.org<mailto:ronald.gross at bhs.org>

________________________________
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Duchesne, Juan C
Sent: Friday, January 16, 2009 3:16 PM
To: Trauma &amp; Critical Care mailing list
Subject: RE: Factor VII (7) clinical triggers for use in the trauma OR

Ron- Sure!
I am still at the EAST meeting with the family. As soon as Ill get back to the big house will email it to you.
Cheers!
Juan

Juan C. Duchesne MD, FACS, FCCP
Director Surgical Hospital Center
Director Tulane Surgical Intensive Care Unit
AMR Regional Director Louisiana Emergency Response Network

Division of Trauma and Critical Care Surgery
Tulane & LSU Department of Surgery and Anesthesiology
1430 Tulane Ave., SL-22
New Orleans LA 70112-2699
Tel. 504-988-5111
Fax. 504-988-3683

________________________________
From: trauma-list-bounces at trauma.org on behalf of Gross, Ronald
Sent: Fri 1/16/2009 10:53 AM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Factor VII (7) clinical triggers for use in the trauma OR

Juan,
I tried to get into the link but my wonderful IT folks have it blocked.  Could you send the actual publication?
Thanks,
Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Duchesne, Juan C
Sent: Friday, January 16, 2009 7:25 AM
To: Trauma &amp; Trauma &amp
Subject: RE: Factor VII (7) clinical triggers for use in the trauma OR

Dear Marc- since the institution of Early Hemostatic Resuscitation at Charity, NO we counted only 2 cases were factor VII was used over the last 2 years, for which both patients end up dying. Based on our experience we decided to look further into this question. The below reference may be of help:
Good Luck
Juan

Current evidence based guidelines for factor VIIa use in trauma: the good, the bad, and the ugly. <https://ent.tulane.edu/pubmed/19097529?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum>

Duchesne JC, Mathew KA, Marr AB, Pinsky MR, Barbeau JM, McSwain NE.

Am Surg. 2008 Dec;74(12):1159-65.

Juan C. Duchesne MD, FACS, FCCP
Director Surgical Hospital Center
Director Tulane Surgical Intensive Care Unit
AMR Regional Director Louisiana Emergency Response Network

Division of Trauma and Critical Care Surgery
Tulane & LSU Department of Surgery and Anesthesiology
1430 Tulane Ave., SL-22
New Orleans LA 70112-2699
Tel. 504-988-5111
Fax. 504-988-3683

________________________________

From: trauma-list-bounces at trauma.org on behalf of Marc Matthews - MedPro MMC X
Sent: Thu 1/15/2009 9:34 PM
To: Trauma &amp
Subject: RE: Factor VII (7) clinical triggers for use in the trauma OR

All,

Does anybody have clinical triggers for the use of Factor VII (7) in the trauma OR? I am looking for any institution that has a guideline based on the literature for the triggers that they could share with me and anyone on this list server. I am looking to educate and provide economically sound advice on a very expensive medication. There have to be guidelines in trauma centers.

Anyone with a guideline or protocol regarding this would help as well as any salient pieces of advice in its use or non-use.

Thank you,

MRM
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CONFIDENTIALITY NOTICE: This email communication and any
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the intended recipient, you are hereby notified that you have
received this communication in error and that any review,
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Factor VII (7) clinical triggers for use in the trauma OR