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Sat Jun 27 12:44:34 BST 2009

OH BOY - I think you are right on with that - why didn't I think of it, instead of the inversus?  Must be in need of a second cup of coffee!  
Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of edazamd at verizon.net
Sent: Friday, June 26, 2009 7:33 PM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: Very cool case

Looks like cardiac hernioation into right chest. Needs a right thoracotomy and reduction of heart with repair of pericardium.

E daza md Bethesda, MD

Sent from my Verizon Wireless BlackBerry

-----Original Message-----
From: Karim Brohi <karimbrohi at gmail.com>

Date: Sat, 27 Jun 2009 00:20:50 
To: Trauma and Critical Care mailing list<trauma-list at trauma.org>
Subject: Very cool case

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
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Very cool case