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Role of Steroids in Spinal Cord Inj

Candy Marcus candy.marcus at gmail.com
Thu Nov 4 02:43:38 GMT 2010


Pls see Canadian research from robin hurlburt !!!

A. Candace Marcus RN MSN ARNP HCRM JD ESQ
McIntosh Sawran Peltz & Cartaya
1776 E. Sunrise Blvd
Ft Lauderdale Fl
954-765-1001

Sent from my iPhone to respond expeditiously so forgive errors

On Nov 3, 2010, at 10:29 PM, "Rob Ojala" <Rob.Ojala at cdhb.govt.nz> wrote:

> Mmm - I agree - but.... I suspect most of us are old enough to remember
> a fair number of treatment edicts confidently espoused over the years
> that filp-flop from definitely yes to definitely no and back again as
> new information emerges
> 
> Re steriods I know that it is unlikely that anyone could muster a big
> enough trial to robustly examine this question due to ethical
> constraints etc.....but -. What I am suggesting in the words of Ian
> Fleming - "Never say Never"....ie currently no proven role for steroids
> [except addisons or chronic steroid use]
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Kmattox
> Sent: Thursday, 4 November 2010 2:33 p.m.
> To: Trauma-List [TRAUMA.ORG]
> Cc: Trauma-List [TRAUMA.ORG]
> Subject: Re: Role of Steroids in Spinal Cord Inj
> 
> Steroids should be given to known Addisonians.   Otherwise. NO
> 
> K
> 
> Sent from my iPhone
> 
> On 2010-11-03, at 8:01 PM, "Rob Ojala" <Rob.Ojala at cdhb.govt.nz> wrote:
> 
>> Perhaps that should read - there is no proven role for steroids?
>> Rob
>> 
>> -----Original Message-----
>> From: trauma-list-bounces at trauma.org
>> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Gross, Ronald
>> Sent: Wednesday, 3 November 2010 4:46 p.m.
>> To: 'Trauma-List [TRAUMA.ORG]'; Paramedicine at yahoogroups.com;
>> EMS-L at EMS-L.org; ems_research at yahoogroups.com
>> Subject: RE: Role of Steroids in Spinal Cord Inj
>> 
>> Simply put - there is NO ROLE for steroids.  Period.
>> 
>> Ron
>> 
>> 
>> -----Original Message-----
>> From: trauma-list-bounces at trauma.org
>> [mailto:trauma-list-bounces at trauma.org] On Behalf Of James Richardson
>> Sent: Tuesday, November 02, 2010 10:09 PM
>> To: Paramedicine at yahoogroups.com; 'Trauma-List [TRAUMA.ORG]';
>> EMS-L at EMS-L.org; ems_research at yahoogroups.com
>> Subject: Role of Steroids in Spinal Cord Inj
>> 
>> I know it's opening Pandora's box again but can someone share what the
>> current standard is regarding use of steroids' in spinal cord injury?
>> 
>> Case is a 13 year old male ice hockey injury stable with t-spine
>> tenderness
>> and weakness in one leg being transferred from a rural level 3 to an
>> urban
>> level 1 neuro / spine center about 4 hours ground inter-facility
>> transport. 
>> 
>> ER physician and the trauma surgeon at the level 3 were against
> starting
>> steroids prior to the transfer but the Neurologist at the receving
> level
>> 1
>> "required" a solu-medrol drip be started for the transfer which we did
>> and
>> upon arriving at the receiving center we were asked by the ER doc
> there
>> "why
>> is the child on a solu-medrol drip?"
>> 
>> I thought my most recent readings were no benefit found, but have
> things
>> changed again?
>> 
>> Thanks Jim<
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