Very cool case

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Probably at least a dextrocardia

Looks like he may have had a chest tube placed at the outside hospital  
to treat a tension pneumo that was not there

In shock

Hypovolemic vs. Neuro vs. Both


Typed by my index finger and sent from my iPhone.

Andrew J Bowman
Acute Care Nurse Practitioner
Trauma Nurse Specialist
Paramedic

Witham Health Services
Emergency Department
Lebanon, Indiana
765-485-8500 Work
765-426-4189 Cell
765-485-8509 Fax

On Jun 26, 2009, at 19:20, Karim Brohi <karimbrohi at gmail.com> wrote:

> Great case a couple of weeks ago.  Patient secondarily transferred  
> to us for
> management of a thoracic spinal fracture-dislocation with associated  
> spinal
> cord injury.  Re-trauma called on arrival as is our protocol.   He  
> arrived
> 12 hours or so following the injury on very large doses on inotropes  
> to
> support his blood pressure.  I've posted the chest-Xray to one of  
> the new
> blogs on the website
> http://www.trauma.org/index.php/community/blog_post/karim_brohi/882/
>
> What's going on?  We might have a blog comment discussion on this  
> one :-)
>
> K
> --
> trauma-list : TRAUMA.ORG
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