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No longer "Re: Riots in London", as the subject seems to have drifted here...

Rwolfer rwolfer at aol.com
Sat Aug 20 15:23:45 BST 2011


Its an arterial line he wanted not venous
Rw

Sent from my iPhone so I can reply quickly so please forgive any errors

On Aug 20, 2011, at 6:01 AM, Kmattox <kmattox at aol.com> wrote:

> For a person in hemorrhagic hypotension and a pulse or is talking, there is no need to start IVs including IO, until the OR as the surgeon cuts.  The function of the ER is to wave as the patient rolls by.  The IV in the OR should contain plasma, blood, and platelets.    Elevation of the BP is not the objective.   "Resuscitation" needs a complete redefinition.   I agree with the anesthestist.    
> 
> k
> 
> 
> 
> Sent from my iPhone
> 
> On 2011-08-20, at 6:15 AM, Andre Carneiro <a.carneiro at enflurane.com> wrote:
> 
>> It would be interesting to find out what literature your Anaesthetist colleagues are basing their views on.
>> 
>>> From my perspective (I'm an anaesthetist), efforts to stop life-threatening haemorrhage and securing vascular access should be done at the same time, not sequentially. If said haemorrhage is incompressible and cannot be stopped by any other means other than surgical ones then it would seem illogical to delay this.
>> Ultimately, in this situation, large bore access won't save a life, it will simply keeps things going long enough for you guys to fix the damage.
>> 
>> Just my two cents (or pence, I suppose, as I'm in the UK)
>> 
>> Happy weekend to all!
>> 
>> 
>> On 19 Aug 2011, at 21:29, Rwolfer 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
>>> 
>>> Sent from my iPhone so I can reply quickly so please forgive any errors
>>> 
>>> On Aug 19, 2011, at 12:09 PM, caesar ursic <cmursic at gmail.com> wrote:
>>> 
>>>> *
>>>> 
>>>> - Looting and riots in London 2011...
>>>> - Looting and riots in South Central Los Angeles 1992...
>>>> - Cronulla (Sydney) race riots of 2005...
>>>> - Looting and mayhem in NYC 1977...
>>>> - Riots in the streets of Spain and Belgium 2010...
>>>> - Athens "austerity" riots of 2011...
>>>> - Riots in China 2011....
>>>> 
>>>> *
>>>> *
>>>> *
>>>> *The thin veneer of "civilization", even in so-called "civilized" societies
>>>> or the "cradles of culture," cracks frequently and indiscriminately.
>>>> Nothing new here...*
>>>> *
>>>> *
>>>> *
>>>> *
>>>> *"Violence is the last refuge of the incompetent" - Isaac Asimov*
>>>> *
>>>> *
>>>> *"This morning I woke up in a curfew;
>>>> O God, I was a prisoner, too - yeah!
>>>> Could not recognize the
>>>> faces standing over me;
>>>> They were all dressed in
>>>> uniforms of brutality. Eh!"  - Bob Marley*
>>>> *
>>>> *
>>>> *
>>>> CM Ursic, MD
>>>> Honolulu
>>>> *
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>> 
>> Dr. André de Castro Carneiro Lic. Med. FRCA
>> Specialist Registrar (Anaesthesia and Critical Care)
>> The Leeds Teaching Hospitals NHS Trust 
>> 
>> 
>> 
>> 
>> 
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