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Trauma CT

McSwain, Norman E nmcswai at tulane.edu
Mon Aug 22 15:17:02 BST 2011


Also apparently (I have not looked this up) the new contrast material the we use at SoCTC has very little hazard.

Norman
Norman McSwain MD, FACS
Professor, Tulane School of Medicine
President, Orleans Parish Medical Society
Trauma Director, Spirit of Charity Trauma Center, ILH/MCLNO 
norman.mcswain at tulane.edu
504 988 5111


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of McSwain, Norman E
Sent: Monday, August 22, 2011 9:04 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: Trauma CT

In our institution, for severely injured trauma patients, the renal studies are not required for the initial CT/CTA. The feeling is that the risk of delaying  the CT to obtain the BUN & Cr is greater that the risk of a renal injury produced by the initial dye load. This has been our policy for upwards of 10 years. We have no (antidotal) data that demonstrates otherwise.

Norman
Norman McSwain MD, FACS
Professor, Tulane School of Medicine
President, Orleans Parish Medical Society
Trauma Director, Spirit of Charity Trauma Center, ILH/MCLNO 
norman.mcswain at tulane.edu
504 988 5111


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Dan Burgess
Sent: Monday, August 22, 2011 9:00 AM
To: STN General; Trauma & Critical Care mailing list
Subject: Trauma CT

Although it seems a bit intuitive to me there is discussion (for lack of
a better term) between the Radiologists and Surgeons regarding the
necessity of a BUN and Cr prior to contrasted CT Scans.  The discussion
centers around the seriously injured patient. I have been tasked with
identifying literature support (if any is available) to inform the
decision.  Does anyone have a reference you would like to suggest?
Thanks
Dan

 
Dan P Burgess MS RN CEN
Trauma Program Manager
Trauma Service
Memorial Hospital at Gulfport
228-575-2079
 
“Nurses are the heart and soul of everything you do. Pay close
attention to their wants and needs, and take meaningful steps to address
them, and you can transform your entire organization. When nurses are
happy, patients are happy--and everything else naturally falls into
place.” Quint Studer


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