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pasg question

Larry Torrey LTorrey at maine.rr.com
Sun Nov 7 23:05:15 GMT 2010


Than you  Pret.  I thought that MAST/PASG was pretty well out of the 
picture for the last decade or two.  Apparently it is still a device in 
search of an indication.

LT


On 11/7/2010 5:03 PM, Pret Bjorn wrote:
> 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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