Blind burr holes

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Dear Pret  - 
I suspect the comments you make pertain nicely to the certain trauma
care systems. Given this is an international list where systems vary in
different regions [and shock- horror produce good outcomes too]...i
think your assertion "Occasionally this will save a life; but much of
the time it will delay proper care" ...generalises certain assumptions
perhaps?

Regards,

Rob Ojala

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Pret Bjorn
Sent: Tuesday, 26 May 2009 9:32 p.m.
To: 'Trauma-List [TRAUMA.ORG]'
Subject: RE: Blind burr holes

... and so we are inclined to move patients not to trauma centers, but
rather to the nearest CT scanners.  (There was a day when it amounted to
the
same thing, but hardly now.)

Occasionally this will save a life; but much of the time it will delay
proper care.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]
On Behalf Of Jarek
Sent: Tuesday, May 26, 2009 12:30 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: Blind burr holes

No, not only one. At the beginning of my career I had few as well- truly
blind, no CT, just localizing signs, some of them turned out to be
oedema .

Jarek
2009/5/25 Miranda Voss <mvossak at yahoo.co.uk>

>
> Re: Congratulations to Australian Doctor
>
> I also read this case with great admiration for the doctor, the system
and
> the outcome. However, I would like to give another perspective on
blind
burr
> holes.
>
> I have had to do it a handful of times when in the bush with no
possibility
> of referral/advice (NOT South Africa) and I think it is a HORRIBLE
> operation. I have only done it with documented decrease in
consciousness
and
> localising signs, but I have never found a nice hematoma that could be
> evacuated with good results; either high pressure brain has come
pouring
out
> of the burr hole, or occasionally there has been bleeding that I have
not
> been able to stop satisfactorily. It has always left me feeling far
from
> warm and fuzzy and to be honest, I am now very reluctant to do it.
>
> Am I the only general surgeon/occasional skull trephiner who has never
had
> a patient waking up on the end of the drill?
>
> Miranda Voss
> Worcester, South Africa
>
>
> From: "ramalinga reddy" <drarumalla at yahoo.com>
> To: trauma-list at trauma.org
> Congrats to Rob Carson for saving the chaild
>  Many times doctors are afraid to do such thing for fear of legal
> implications
>  It is the medical faculty which should educate the general public so
that
>  litigations are minimised and doctors do such things confidently
>  Hats off to Dr RobCarson
>
>
> Dr.A.R.Reddy
> SKS Neuro Hospitals
> Mobile: 9849018017
>
> --- On Fri, 22/5/09, trauma-list-request at trauma.org <
> trauma-list-request at trauma.org> wrote:
>
>
>
>
> --
> trauma-list : TRAUMA.ORG <http://trauma.org/>
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>



-- 
_______________________
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jarekgucwa at gmail.com
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