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Tue Mar 24 03:09:29 GMT 2009

As part of our residency procedure lab and I believe part of the
Comprehensive Advanced Life Support course pioneered at the U of
MN/HCMC teaches skull trephination for epidural hematomas (talk and
deteriorate, anisicoria) when neurosurgical services not available.

-----
Michael Clark, MD
Emergency Medicine Resident, Class of 2009
Hennepin County Medical Center
Minneapolis, MN

Medical Director
Special Olympics-Wisconsin

651-263-4850 Cell
612-336-0493 Pager

"Medicine is the only profession that labors incessantly to destroy
the reason for its own existence." --James Bryce

"Whoever wants to become great among you must be your servant, and
whoever wants to be first must be slave of all." Mark 10:43-44

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On Mon, Mar 23, 2009 at 3:19 PM, Charles Brault <c_brault at yahoo.com> wrote:
>
>
>
>
>
> ----- Original Message ----
> From: "Joe Nemeth, Mr" <joe.nemeth at mcgill.ca>
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>; "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Sent: Sunday, March 22, 2009 9:28:16 PM
> Subject: RE: Prevetable death? from a Qc MD
>
>
> Agree with Pret's summary: the only surgeon who could've made a difference would have been a Neurosurgeon...
>
>
> **************************
>
>
> The question is left suspended...
>
> Should general surgeons (emergency Physicians) be credentialed to do emergency cranial decompressions?
> Should there be a basic consensus as to the point where a "field" (outlying hospital) neurochir. Intervention
> Should there be a credentialing system put in place (Advanced Neuro-Chirurgical Rescue certification)
>
> If not
> Why not ?
>
>
> Charles
> While you are twisting their arm
> Slap them a good one across the head and tell them to stop doing neonatal transports
> --
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Prevetable death? from a Qc MD