Prevetable death? from a Qc MD

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----- Original Message ----
From: Sanjay Gupta <sanjaygupta99_91 at yahoo.com>
To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
Sent: Friday, March 27, 2009 9:46:11 AM
Subject: RE: Prevetable death? from a Qc MD


If your provisional diagnosis is wrong, and even if it is right, but the patient doesn't do well for whatever reason, the operating (non-neuro) surgeon will get ripped apart in the court by the plaintiff's lawyer and by the expert panel and the jury and, in addition, will in all probability lose his / her license.

I mean, this will be an open and shut case with at least 5 million dollars damages.  Well at least the surgeon would have been able to assure that the victim's family gets to live a good life, even if the patient died. 

If there are any attorney's on the list or any trauma surgeons with interest in the legal aspect of trauma, I would really like to have their input and 


*******************

But is this M E D I C I N E

And
Are we sure
That the American legalistic approach is the very best for the patient
... The doctors

... the lawyers

... the patients family


Clear message from the concerned professional bodies discouraging this practice in ANTY scenario
Would help clarify this issue for all (Lawyers included)

IF NOT

Clear guidelines as to Sx, time of onset, progression, forseen chance of survival/death, neuro consult (Tele-Scan)

Correct tools, protocols, alloted times to the procedure and transfer
... and a registry


I think there is room to do this intelligently (not at the last minute, not after the patient is done decorticating....)

Canada, Australia, Asia, Africa, South America


You may want to add to that
If there is sufficient evidence of benefit over complication
Training for installing ICP devices by same staff


Charles
The problem is that we are at the limite of occurence (1 (?) illegible candidat per Life/MD ???
One per 5 year / small hospital ???
Do we at least keep track of the numbers ?
Do we not care ?

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