Where are the SURGEONS?

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Indiana is currently working to put together a statewidetrauma plan.  
Meetings include surgeons ER physicians and nurses and prehospital  
care providers.

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 Mar 22, 2009, at 10:26, Robert Smith <rfsmithmd at comcast.net> wrote:

> I'm stunned in one sense, but perhaps not totally surprised I guess,  
> to read that surgeons are being systematically excluded from  
> planning of EMS and disaster management. It's also sad that you  
> would even feel a need to defend the surgeon's current and historic  
> role. I would have liked to think that everyone was aware of those  
> by now.
>
> Why do you think this has come about?
>
> Rob
> On Mar 22, 2009, at 9:30 AM, McSwain, Norman E Jr. wrote:
>
>> This is the old story of when the elevator door closes with the  
>> patient  headed to the OR from the ED, that the emergency is over.  
>> No one thinks of the continued care that the patient needs and the  
>> importance of how the planning of the initial care impacts the  
>> later care. Ken is correct. of late there has been a "purposeful  
>> EXCLUSION of surgeons in many  areas" from the planning of EMS,  
>> disaster management both outside the hospital and in the hospital.
>>
>> This is interesting because surgeons have been actively involved in  
>> the starting of all emergency care and EMS. Starting from Larrey  
>> with Napoleon in 1699, to Farrington starting EMS in the US in the  
>> 1950's, the start of ATLS in the late 1970's, the start of PHTLS in  
>> the early 1980's and yes  even emergency medicine was started by  
>> surgeons in the US.
>>
>> Norman
>>
>> Norman McSwain MD
>> Trauma Director, Charity Hospital
>> Professor of Surgery, Tulane University
>> New Orleans LA
>> 504 988 5111
>> norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu>
>>
>> ________________________________
>>
>> From: trauma-list-bounces at trauma.org on behalf of KMATTOX at aol.com
>> Sent: Sun 3/22/2009 8:02 AM
>> To: trauma-list at trauma.org
>> Subject: Where are the SURGEONS?
>>
>>
>>
>> Pret:   My question about "where are the surgeons" related to the   
>> discussion
>> as it entered into the regional trauma system and  EMS/EM system   
>> development
>> (in general).   The post at that point talked about  emergency  
>> medicine and
>> EMS, but nothing about surgical involvement in a  regional, area  
>> wide, or even
>> city trauma system.   It was surgeons,  working with all others in  
>> health care
>> (EMS, nursing, EM, administrators,  politicians, and yes, YOU, with  
>> your many
>> hats) that developed and grew the  Trauma System in Maine.     I  
>> can tell you
>> from first  experience in talking to people around the world, and  
>> including
>> medical disaster  planning and response, there is a purposeful  
>> EXCLUSION of
>> surgeons in many  areas, thinking trauma care is in the arena of  
>> emergency
>> medicine and ems  only.    We are all in this together.
>>
>> k
>>
>>
>>
>>
>> In a message dated 3/22/2009 7:48:05 A.M. Central Daylight Time,
>> p.bjorn at netzero.net writes:
>>
>> So.  Four hours later, as her brainstem squeezes out the bottom of   
>> her
>> skull... WHERE are the SURGEONS?
>>
>> Forgive me when I  suggest that this is at least an unnecessarily  
>> obtuse, if
>> not altogether  silly, question.  There is zero assurance that her  
>> outcome
>> would be  any better had she been injured in any resort in Montana,  
>> Utah,
>> Colorado,  or Maine.  Speaking only for Maine, I'm confident that  
>> she would
>> have  been at a trauma center in well under an hour (probably half  
>> of that)
>> from  the time of the second EMS call
>>
>> **************Feeling the pinch at the grocery store?  Make dinner  
>> for $10 or
>> less. (http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001)
>> --
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>>
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>
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