List Archives

Mon Sep 14 07:18:47 BST 2009

Sal you beat me to it again! I agree completely - every tool is exactly
that - a tool. The surgeon should be as good a radiologist as the
radiologist! We will only scan the stable, be present for the scan process
and read the scan ourselves (before or with the radiologist) and make our
decisions on the scan PLUS clinical findings. I also think it depends
onthe scanner you have and where it is plus what can be done in the
scanner.

The basics can never be replaced by pictures.

I would personally NOT have scanned the case as presented by Dell, but
that is another debate.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer University of KwaZulu-Natal Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa
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>  ken
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> blame it on the CT?
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> i say blame it on the attending surgeon who doesnt look at the images or
> expect an attending radiologist.
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> sal
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> -----Original Message-----
> From: KMATTOX at aol.com
> To: trauma-list at trauma.org
> Sent: Sun, Sep 13, 2009 8:33 pm
> Subject: Re: GSW Mediastinal Travverse
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> Sal:   You and I find some cases of CT helpful.   We  use CT in
> conjunction
> with all of the findings, including history, physical  examination,
> regular
> x-rays, and arteriograms when indicated.  I dont think  you and really
> recognize just how prevalent ordering CT and CTA in stead of  doing an
> examination really is.    AND then a very junior person  reads the CT and
> most
> persons do not ever go look at themselves, but merely  react to the
> reading.
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> k
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> In a message dated 9/13/2009 4:41:56 P.M. Central Daylight Time,
> sjasmd at aol.com writes:
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> CT  have been helpful in missing the VOMITs that occured in the case I
> added to  this discussion
> Would like some  comments
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> sal
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> -----Original  Message-----
> From: KMATTOX at aol.com
> To: trauma-list at trauma.org
> Sent:  Sun, Sep 13, 2009 2:02 pm
> Subject: Re: GSW Mediastinal  Travverse
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> I am increasingly  convinced that CT for trauma has more VOMITS than
> benefits.
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> k
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> In a message dated 9/13/2009 12:42:21 P.M.  Central Daylight Time,
> moore677 at aol.com writes:
>
> abd CT   was an over-read by me
>
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GSW Mediastinal Travverse