List Archives

Wed May 6 01:29:35 BST 2009

Clarification: not my pt, I was asked the question.

Yes, am aware of high FP rates of imaging in blunt carotid injury, but took the results at face value. Given your comment on 'missecting' hematoma and the fact taht the pt is asymptomatic, probably reimaging him w angio is a better option. I just do not understand what LOW dose UFH treatment is for. Agree about coumadin, but would it be SAFE to just sit on this pt without anticoagulating him fully if he has a true injury? and when to image him again? same day, 24h later or wait till he develops suspicious signs? should one keep him in the hospital if he has been ok for 24hrs? and what if the imaging shows HEMATOMA? wait and dont a/coagulate? what is the incidence of pseudoaneurysm in true dissections? 
Wouldnt stent a young pt (if he had true dissection) since long term results are unknown.
thanks. KH

      __________________________________________________________________
Yahoo! Canada Toolbar: Search from anywhere on the web, and bookmark your favourite sites. Download it now
http://ca.toolbar.yahoo.com.

List Archives

For your convenience, find the Trauma List Archive Below

Be CAREFUL Blunt CCA injury ina stable YOUNG pt