List Archives

Mon Sep 14 18:07:55 BST 2009

Dell,

I understand what you were saying. My question was really directed  
toward Dr. Mattox. If he thought CT scan had no value AND the pt had a  
bp of 40 because he also didn't want to do anything to improve his bp  
(yeah I'm sure he would do nothing for someone who's bp is 40!!), the  
why did he say he personally would have gotten a CT??? Of course he  
didn't answer the question.

I was kind of knee  jerk in my original thinking re: the pts.  
stability; basically thinking anyone with that initial bp was in no  
way stable. I asked Rocky, aka, the young and beautiful Dr. Roberts,  
Chair of the Dept of Trauma at Cook County about her thoughts. She  
said the pt could be stable if the base deficit had improved a lot or  
resolved and the hemothoraces had been fully drained and there was no  
or dramatically diminshed output from the chest tubes. Of course in  
that case why go to the OR, lol? Rocky thought it sounded like the L  
hemothorax had not fully drained. I wondered what you saw on CT that  
was an abdominal injury and how you decided not to pursue that because  
of what you saw in the chest with EGD and diaphragms etc.

We would be less likely to send this pt. to CT because it is remote  
from the resus area, and it's only a 4 slice scanner.

Rob Smith
On Sep 13, 2009, at 6:12 PM, moore677 at aol.com wrote:

>
> We have a dedicated 6 bay trauma resuscitation department, which  
> contains?two 64 slice CT scanners, separate from the ED, .
>
>
>
> Dell..........
>
>
>
>
>
>
>
>
> -----Original Message-----
> From: Doc Holiday <drydok at hotmail.com>
> To: .Trauma List <trauma-list at trauma.org>
> Sent: Sun, Sep 13, 2009 2:14 pm
> Subject: RE: TRANSMEDIASTINAL GSW
>
>
>
>
> From: Tidewater001 (tidewater001 at aol.com)
>> Radiology dept is a horrible place to die
>
>
>
> --> There are "nice" places?
>
>
>
> A better option than taking the patient to the radiology department  
> is placing
> the CT scanner, in a sufficiently-spacious room to teamwork in,  
> adjacent to your
> "trauma bay" or whatever you call it and making sure you only use it  
> when
> appropriate.
>
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