Prevetable death? from a Qc MD

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Never done it, never seen it done, but large areas of Canada (no,
Mont-Temblant would probably not be one of them) would be candidates for
non-neurosurgeon brain surgery in emergencies. I do recall asking some of
the general surgeons I worked with as a family medicine resident (nearest
neurosurgeon probably almost an hour away-by fixed-wing air transport) who
said they'd talked rural GPs through the procedure over the phone a few
times.
>From the Canadian Journal of Rural Medicine:
http://www.cma.ca/index.cfm/ci_id/37275/la_id/1.htm
(first thing listed as "equipment needed" is "a sense of historical
proportion."



On Tue, Mar 24, 2009 at 12:46 AM, Matt Oliver <moliverzw at gmail.com> wrote:

> There is no reason why a general surgeon should not be able to deal with an
> extradural haemorrhage. Here in Australia there is a workshop run by a
> neurosurgeon from Brisbane on how to do it. There are many hospitals in
> remote areas where this skill is required from time to time. The surgery is
> not complex.
>
> Matt Oliver
> Bendigo
> Australia
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org]
> On Behalf Of Charles Brault
> Sent: Tuesday, 24 March 2009 7:19 AM
> To: Trauma &amp; Critical Care mailing list
> Subject: Re: Prevetable death? from a Qc MD
>
>
>
>
>
>
> ----- 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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