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pasg question

Pret Bjorn p.bjorn at tds.net
Sun Nov 7 22:03:50 GMT 2010


Wrong.  Putting them on invites, compounds, or causes all manner of misery.
All else being equal, patients are more likely to die with PASG's than
without.  We've known this for ten or twenty years at least.  Ask Dr.
Mattox.

 

Taking them off is easy.  Use scissors.

 

Pret Bjorn, RN

Bangor, ME USA

 

  _____  

From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Blueflightmedic
Sent: Sunday, November 07, 2010 2:40 PM
To: 'Trauma-List [TRAUMA.ORG]'
Subject: RE: pasg question

 

Umm. It's not the putting on but the taking off that causes problems. Except
putting it on takes longer than doing up Tina Turner's stays. Allegedly.

 

  _____  

From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of McSwain, Norman E
Sent: 07 November 2010 15:14
To: Trauma-List [TRAUMA.ORG]
Cc: PHTLS r
Subject: RE: pasg question

 

 

PASG is included only as a box note in the 7th edition of PHTLS. Its use is:

 

 "In the following three conditions, the PASG may have significant benefit
in patients with shock from blood loss.

1. Suspected pelvic fractures associated with blood pressure <90 mmHg
to....... decrease the volume of the pelvis........

2. Suspected intraperitoneal hemorrhage.......this may result in slowing or
cessation of hemorrhage (tampanade)......

3. Suspected retroperitoneal hemorrhage....this device may cause
tampanade.....

 

The PASG is probably significantly less effective than direct pressure or
pressure dressing...in control of external hemorrhage for the extremities"

 

There are other parts of the  box that includes physiology,
contraindications and deflation. This is significantly less attention that
placed on PASG in the 4,5, and 6th editions of PHTLS

 

Norman

Medical Director PHTLS

 

Norman McSwain, MD, FACS

Trauma Director, Spirit of Charity Trauma Center, ILH/MCLNO

Professor of Surgery, Tulane University

New Orleans LA

504 988 5111

 <mailto:norman.mcswain at tulane.edu> norman.mcswain at tulane.edu

 

  _____  

From: trauma-list-bounces at trauma.org on behalf of schecters at gmail.com
Sent: Sun 11/7/2010 7:56 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re:pasg question

Folks,  in the latest edition of  pepid under PASG it says under indications
" 1. PASG use is strongly encouraged in the current PHTLS.". So is it coming
back or did it not ever go away?
Sent from my Verizon Wireless BlackBerry
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