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preop lines in unstable patients

Andrew J Bowman andrewj.bowman at gmail.com
Sat Aug 20 02:24:47 BST 2011


A chance to cut IS a chance to cure. CUT HIM!!!!

 Andrew J Bowman

On Aug 19, 2011, at 21:19, caesar ursic <cmursic at gmail.com> wrote:

> *You are right.  They are wrong.  *
> *Open up the belly up ASAP, find the bleeding, and stop it.  *
> *At the very least you can pack and manually compress the aorta while they
> start their lines.*
> 
> On Fri, Aug 19, 2011 at 10:29 AM, Rwolfer <rwolfer at aol.com> wrote:
> 
>> Got a question for everyone.  For some reason our anethsia now says the abc
>> of trauma gor unstable pt with positve fast includes putting in  a line
>> prior to making abd incision.  Pt w no palp distal pulse no cuff pressur and
>> grey.  Just want to know if i am missing some new artical. They seem to
>> think "bleeding is tamponoded" and cutting open will lwt restart.  I try to
>> tell them that one can put entire blood volume easily into belly and will
>> not get a line in until i stop bleeding bit they wont listen thanks
>> Rw
>> 
>> 
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