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Sun Jun 7 16:35:47 BST 2009

OK, gotcha now.

Yes this is a primary care concept, in that we are all primary care physicians when we accept the care of any patient, and need to treat any and all diseases to the best of our (or our consultants') abilities.  And so, if I admit a trauma patient who was driving while intoxicated, or fell down a flight of stairs with A BAC of 476 (a gent that I just actually counselled a few minutes ago), I need to sew up the lacerations, have the ortho guys fix the broken bones and have the neurosurgeons comment on the small SDH.  And then, before I discharge the patient someone (and yes it often is me, as that patient's physician) needs ot try and prevent that patient from becoming a patient again.

The ACS COT has mandated that we, as trauma surgeons and our hospitals, as verified trauma centers, screen ALL trauma admission for substance abuse; while initially it was alcohol, due to the frequency of alcohol-related injury, but it will soon be all substance abuse.  Once the screening has turned up a positvie result, we need to then determine if there is a problem (i.e. chronic abuse) and if so treat the problem as we would any other disease.

Hope that helps.

Ron

PS - the goal is 100% of all patients get screened.  As with anything else, we should all strive for perfection, but accept no less than excellence!

RIG

________________________________________
From: trauma-list-bounces at trauma.org [trauma-list-bounces at trauma.org] On Behalf Of Doc Holiday [drydok at hotmail.com]
Sent: Sunday, June 07, 2009 10:28 AM
To: .Trauma List
Subject: RE: alcohol screening and intervention.

What is meant by "alcohol screening and intervention"?

What is this in the context of a trauma centre? (Sounds like a primary care concept to me - or am I missing something?)

Does saying that someone "strives" for 80% indicate that there are other numbers one could strive for?

What happens and to whom does it happen if you strive for a number and don't get there?

Simply curious...

> From: Ronald.Gross at baystatehealth.org
> To: trauma-list at trauma.org
> Date: Sun, 7 Jun 2009 08:17:55 -0400
> Subject: RE: alcohol screening and intervention.
>
> Hey Doc Holiday,
> HUH???? I'm not quite sure exactly what you are asking here.
> Ron
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Doc Holiday
> Sent: Saturday, June 06, 2009 8:10 AM
> To: .Trauma List
> Subject: RE: alcohol screening and intervention.
>
>
> From: SSherry at LHS.ORG
> > And while I am on my soap box, exactly how many on this list take the time and make the effort to actually do screening and intervention?
>
>
>
> --> Can you explain what this is, please?
>
> And how it is related to soap boxes?
>
>
>
> > strive for 80% screening and intervention.
>
>
>
> --> And so, for whatever you will explain that this is, you have the option of deciding how much to "strive" for? Once you decide upon this, what happens if you do not make your "target"?
>
> Just curious as to what this is all about - I have no idea...
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alcohol screening and intervention.