List Archives

Mon Jul 13 18:57:17 BST 2009

Hi
looking for articles related to Rib fractures and when to admit for
observation. Had a 49 yo patient in the ED with 5 rib fractures (2-6 ) and a
scapular fracture - plus atelectasis appearing on CT. I tend to be
conservative and would have admitted him for observation. Looking for any
evidence regarding rib fractures and delayed complications (pneumo/hemo)

thanks
Michelle Bailey PA-C
Trauma Coordinator

On Mon, Jul 13, 2009 at 10:48 AM, Gross, Ronald <
Ronald.Gross at baystatehealth.org> wrote:

> A mind is a terrible thing to waste!!  I do remember that, but missed your
> inuendo!  Oh well.  we are still working on putting that study together -
> will let you know when it comes to be!
> be well,
> Ron
> ________________________________________
> From: trauma-list-bounces at trauma.org [trauma-list-bounces at trauma.org] On
> Behalf Of Dr Timothy Hardcastle [dr.tchardcastle at absamail.co.za]
> Sent: Friday, July 10, 2009 8:49 AM
> To: Trauma-List [TRAUMA.ORG <http://trauma.org/>]
> Subject: RE: Non invasive Ventilation with Flail Chest
>
> Ron
>
> That was said with tongue firmly in cheek - from our previous mails you
> would recall I would participate in such a study.
>
> I don't believe in using metal plates - the absorbable ones work just as
> well and they give no long-term issues. Having said that I think that the
> real role is for the flail or "stove-in" chest without significant
> contusion who would simply require mechanical stability, the cases with
> real contusion usually require tube and vent - then when they come off the
> pump after about 7 - 10 days the ribs are usually reletively stable
> already.
>
> Tim
>
> Dr T C Hardcastle
> M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
> Principal Specialist Trauma Surgeon /
> Honorary Lecturer University of KwaZulu-Natal Dept Surgery
> Deputy Director - IALCH Trauma Service
> Durban - South Africa
> > Tim,
> > Trunkey, Mayberry and others (including yours truly) would disagree
> > (respectfully, of course).  Would you be interested in participating in a
> > study using this technology?
> > Ron
> >
> > None
> >
> > I think it is still a procedure looking for a pathology!
> >
> > Tim
> >> Dear Dr. Hardcastle,
> >>
> >> Your experience with blunt chest injuries is impressive. May I ask how
> >> many
> >> of these flails were surgically repaired with metal plates, etc.?
>
>
> --
> trauma-list : TRAUMA.ORG <http://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 information 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 <http://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

Non invasive Ventilation with Flail Chest