Prevetable death? from a Qc MD

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Originally sent on 3/24, but my new e-mail address wasn't recognized...........

Sanjay, this is my feeling about this thread.  Just in case you hadn't figured it out as yet!  :-)

-----Original Message-----
From: Gross, Ronald
Sent: Tuesday, March 24, 2009 3:58 PM
To: 'Trauma & Critical Care mailing list'
Subject: RE: Prevetable death? from a Qc MD

"The surgery is not complex"
In other words, "It ain't brain surgery!"  Sorry, but I couldn't resist!

Truth be told, it is something that any good trauma surgeon, or in the new parlance, "acute care surgeon", or from my viewpoint, "military surgeon" could and should be able do.  Simple, life saving and essential.

Just my 2 cents,
Ron


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Ben Addleman
Sent: Tuesday, March 24, 2009 10:12 AM
To: Trauma &amp, Critical Care mailing list
Subject: Re: Prevetable death? from a Qc MD

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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