List Archives

Fri Jan 30 19:54:40 GMT 2009

We have recently put in a purchase request for the Ribloc (TM) plates just for this very reason. We'd be very interested in participating in a multi-institutional trial on this subject.

Bill Bromberg

William J. Bromberg, MD, FACS
Savannah Surgical Group
912 350-7412

>>> "Gross, Ronald" <Ronald.Gross at bhs.org> 1/30/2009 2:35 PM >>>
Terrific!  I look forward to hearing from y'all - and just maybe working on this together!
Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Errington Thompson
Sent: Friday, January 30, 2009 2:32 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Lung Contusion

Ron -

I think that it is a good idea.  We have a large elderly population.  They
fell in the shower or down steps and get 4 - 8 rib fractures and are in the
hospital for 10 days or more.  Stabilizing the chest maybe helpful.  Let me
run it by the guys.

E

Errington C. Thompson, MD, FACS, FCCM
Trauma/Surgical Critical Care
Radio Talk Host - WPEK 880 AM
Author - Letter to America
Asheville, NC

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On Behalf Of Gross, Ronald
Sent: Friday, January 30, 2009 8:37 AM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: Lung Contusion

Sure - the INITIAL damage has been done, but I am convinced that in the
really nasty flails, or even in the really nasty multiple fractures with
severe displacement of the fracture edges, (1) continued lung injury from
markedly displaced fracture edges, (2) persistent abnormal chest wall
mechanics, and (3) persistent and poorly managed PAIN!!! end up keeping a
lot of people on vents for a whole lot longer than they should/need to
be....

Ron
-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On Behalf Of thomas konig
Sent: Friday, January 30, 2009 8:06 AM
To: trauma list
Subject: RE: Lung Contusion

Hasn't the damage to lung parenchyma already been done?
I understand that continued abnormal force from fractured rib may continue
to injure lung is this damage as severe as the initial insult?

Tom> From: Ronald.Gross at bhs.org> To: trauma-list at trauma.org> Date: Fri, 30
Jan 2009 07:42:27 -0500> Subject: RE: Lung Contusion> > How 'bout repair of
the fractures? Looks like this "antiquated" procedure is coming back into
use - with initial results appearing to be impressive. Anecdotal but
impressive. No LARGE studies to date, to my knowledge and this is why we are
looking to put together a multicenter PRT to look at this very issue.> > Any
takers?> > 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 baystatehealth.org> -----Original Message-----> From:
trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On
Behalf Of Jose Luis Danguilan> Sent: Thursday, January 29, 2009 6:19 PM> To:
Trauma &amp, Critical Care mailing list> Subject: Re: Lung Contusion> > Dear
Karim,> > Anything new in treating flail chest wi
 th pulmonary contusion? Mechanical> ventilator (internal splinting), etc.?>
> Thanks.> > Jose Luis J. Danguilan, MD> Manila, Philippines> > > On
1/29/09, Karim Brohi <karimbrohi at gmail.com> wrote:> >> > While I would agree
with minimizing crystalloids and maintaining euvolaemia> > I don't think
there's any evidence to support fluid restriction in these> > patients. A
normal enteral fluid requirement should be adequate. No> > diuretics.> >
Karim> >> >> > On 01/29/2009, KMATTOX at aol.com <KMATTOX at aol.com> wrote:> > >>
> > You are correct. Lasix is probably contraindicated in> > > pulmonary
contusion.> > > We would use fluid RESTRICTION to even almost no crystalloid
fluid at> > > all. AVOID ALBUMIN at all cost. ONE doctor, not a team of
multiple> > > consultants writing orders> > >> > > k> > >> > >> > >> > > In
a message dated 1/28/2009 8:32:21 P.M. Central Standard Time,> > >
errington at erringtonthompson.com writes:> > >> > > As a rule we don't use
Lasix in pulmonary contusions. T
 he goal in> > > caring for patients with pulmonary contusions is> > >
euvolemia. Intubate early> > > if necessary. Head of the bed should be
elevated. No prophylactic> > > antibiotics. Early tracheostomy.> > >> > >
Guys, am I missing anything?> > >> > >> > > **************From Wall Street
to Main Street and everywhere in between,> > > stay> > > up-to-date with the
latest news. (> > http://aol.com?ncid=emlcntaolcom00000023> > > )> > > --> >
> 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/> >> --> trauma-list :
TRAUMA.ORG> To change your settings or unsubscribe visit:>
http://www.trauma.org/index.php?/community/>
-----------------------------------------> CONFIDENTIALITY NOTICE: This
email communication and any> attachments may contain confidential and
privileged info
 rmation for> the use of the designated recipients named above. If you are
not> the intended recipient, you are hereby notified that you have> received
this communication in error and that any review,> disclosure, dissemination,
distribution or copying of it or its> contents is prohibited. If you have
received this communication in> error, please reply to the sender
immediately or by telephone at> (413) 794-0000 and destroy all copies of
this communication and any> attachments. For further information regarding
Baystate Health's> privacy policy, please visit our Internet web site at>
http://www.baystatehealth.com.> --> trauma-list : TRAUMA.ORG> To change your
settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/ 
_________________________________________________________________
Twice the fun-Share photos while you chat with Windows Live Messenger. Learn
more.
http://www.microsoft.com/uk/windows/windowslive/products/messenger.aspx 
--
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/ 

--
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/ 

List Archives

For your convenience, find the Trauma List Archive Below

Lung Contusion