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Prevetable death? from a Qc MD

Michael Clark mclark911 at gmail.com
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

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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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