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trauma-list Digest, Vol 101, Issue 9

fahim.habib at aol.com fahim.habib at aol.com
Thu Nov 24 22:41:22 GMT 2011 

I did have a case where a bullet fired into the air to celebrate te New Years came down and hit a 6 year old in the abdomen causing intrabdominal injuries necessitating laparotomy. 
Fahim



Fahim Habib, MD
Ryder Trauma Center
Miami, Florida


On Nov 24, 2011, at 4:45 AM, trauma-list-request at trauma.org wrote:

> Send trauma-list mailing list submissions to
>    trauma-list at trauma.org
> 
> To subscribe or unsubscribe via the World Wide Web, visit
>    http://list.mistral.net/mailman/listinfo/trauma-list
> or, via email, send a message with subject or body 'help' to
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> 
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of trauma-list digest..."
> 
> 
> Today's Topics:
> 
>   1. Trauma Registry Position Opening.  (Lopez, Sheila)
>   2. Re: Even if the managed to trace the bullet, I do not think
>      they    would bother... (Larry Torrey)
>   3. Re: Trauma Registry Position Opening. (Krin135 at aol.com)
>   4. Re: Even if the managed to trace the bullet, I do not think
>      they would bother giving a reckless endangerment fine ! ?
>      (James Smirniotopoulos)
>   5. Re: Even if the managed to trace the bullet,    I do not think
>      they would bother... (Krin135 at aol.com)
>   6. RE: Even if the managed to trace the bullet,    I do not think
>      they would bother... (McSwain, Norman E)
>   7. Insteresting abstracts. (Dr. Alejandro Cabrera Esquenazi)
>   8. RE: Trauma Haemorrhage: New Scientist 19.10.2011 (josemaya01)
>   9. Re: Trauma Haemorrhage: New Scientist 19.10.2011 (Krin135 at aol.com)
>  10. Re: Trauma Haemorrhage: New Scientist 19.10.2011
>      (Ranjith Ellawala)
>  11. Re: Trauma Haemorrhage: New Scientist 19.10.2011 (Krin135 at aol.com)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Wed, 23 Nov 2011 18:02:19 +0000
> From: "Lopez, Sheila" <Sheila.Lopez at memorialhermann.org>
> Subject: Trauma Registry Position Opening. 
> To: "'trauma-list at trauma.org'" <trauma-list at trauma.org>
> Message-ID:
>    <E695660073DC1245A5095DF32555FE66049B3B8B at EXHHINMBX03.mh.org>
> Content-Type: text/plain; charset="us-ascii"
> 
> Memorial Hermann Hospital in The Texas Medical Center has an opening for a trauma registrar.
> If you are interested please inquire.
> Click here to view the job!<http://www.memorialhermann.org/careers/iframe-tellafriend.aspx?jobreqno=100010910>
> 
> Sheila Lopez RN, BSN, MA
> Director of Trauma and EMS
> Memorial Hermann Texas Medical Center
> 
> Office Phone 713-704-5297
> Fax 713-704-5659
> .
> 
> 
> 
> ------------------------------
> 
> Message: 2
> Date: Wed, 23 Nov 2011 13:02:56 -0500
> From: Larry Torrey <LTorrey at maine.rr.com>
> Subject: Re: Even if the managed to trace the bullet, I do not think
>    they    would bother...
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: <4ECD3550.2090809 at maine.rr.com>
> Content-Type: text/plain; charset=ISO-8859-1; format=flowed
> 
> On 11/22/2011 6:10 PM, Forrest Robleto wrote:
>> http://www.straightdope.com/columns/read/1199/can-a-bullet-fired-into-the-air-kill-someone-when-it-comes-down
>> 
>> I have a friend who tells the story of another friend who was just released
>> from prison after 20 years.  He saw someone trying to steal his fathers
>> car.  Went and got his fathers gun.  Fired a shot in the air to scare off
>> the would be theft.  A young boy driving the car the thief arrived in was
>> hit and killed by that bullet.
> 
> So you're saying that a bullet fired in warning, upward, came down and 
> coincidentally struck someone in direct line of sight?  While that 
> someone was helping steal the shooter's (father's) car?
> 
> I can see when he spent time in prison, if only for trying to sell that 
> story with a straight face.
> 
> 
> Not that this is impossible, but the odds of this happening are 
> nearly...well...impossible.
> 
> LT
> 
> 
> ------------------------------
> 
> Message: 3
> Date: Wed, 23 Nov 2011 13:45:41 -0500 (EST)
> From: Krin135 at aol.com
> Subject: Re: Trauma Registry Position Opening.
> To: trauma-list at trauma.org
> Message-ID: <16e7b.914c0d2.3bfe9955 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
> 
> 
> 
> In a message dated 11/23/2011 12:02:47 P.M. Central Standard Time,  
> Sheila.Lopez at memorialhermann.org writes:
> 
> Memorial  Hermann Hospital in The Texas Medical Center has an opening for a 
> trauma  registrar.
> If you are interested please inquire.
> Click here to view the  
> job!<http://www.memorialhermann.org/careers/iframe-tellafriend.aspx?jobreqno=100010910>
> 
> Sheila  Lopez RN, BSN, MA
> Director of Trauma and EMS
> Memorial Hermann Texas  Medical Center
> 
> 
> Ms. Lopez:
> 
> Since this is an international list, and "Registrar" can mean anything from 
> "Physician's scribe and general dog robber" to "Upper Level Resident,"
> 
> would you be kind enough to give more information for our other  colleagues?
> 
> ck
> 
> 
> Charles S.  Krin, DO
> Retired FM/EM/EMS Physician; Author and  Educator
> 
> ------------------------------
> 
> Message: 4
> Date: Wed, 23 Nov 2011 14:32:37 -0500
> From: "James Smirniotopoulos" <james-smirnio at usuhs.mil>
> Subject: Re: Even if the managed to trace the bullet, I do not think
>    they would bother giving a reckless endangerment fine ! ?
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID: <4ECD0405.0BC3.0076.1 at usuhs.mil>
> Content-Type: text/plain; charset=US-ASCII
> 
> MythBusters did a show about "celebratory gunfire" ... "What goes up, MUST come down ... unless it reaches "escape velocity" ... 
> -- 
> 
> James G. Smirniotopoulos, M.D.
> Program Director, Diagnostic Imaging Program
> Center for Neuroscience and Regenerative Medicine (CNRM)
> Professor of Radiology, Neurology, and Biomedical Informatics
> Chief Editor, MedPix
> Uniformed Services University
> 4301 Jones Bridge Road
> Bethesda, MD 20814 USA
> 
> FAX: 301-295-3893
> TEL: 301-295-3145
> WEB: rad.usuhs.edu/medpix
> 
> "Success is not measured by who gets credit.  Success is measured by getting things done."
> Connie Morella, former Congresswoman from Montgomery Cty MD
> 
> "May we never confuse honest dissent with disloyal subversion."  Dwight D. Eisenhower 
> 
> 
> Classification:  UNCLASSIFIED 
> Caveats: None
> 
> 
>>>> On 11/22/2011 at  5:45 PM, in message
> <1322001953.11624.YahooMailNeo at web113511.mail.gq1.yahoo.com>, Charles Brault
> <c_brault at yahoo.com> wrote:
> 
>> Happy people are shouting in the air alot these days
>> Even with Pickpup truck mounted anti-aircraft guns ?
>> 
>> Boys will be boys
>> I guess
>> 
>> I mean really
>> What welse can you do with a gun 
>> But kill
>> 
>> 
>> I understand human beings do not, out in the open air, do not occupy much 
>> surface
>> 0,001 %  ? (You think ?)
>> In a major city
>> 0.1 % ? ? ?
>> 
>> But them bullets and their terminal velocity
>> Can kill, maim, injure people
>> 
>> I remember reading a piece of resewarch in one of the coroner's pathology 
>> medical journal
>> Circa 2000
>> 
>> I searched for it
>> Can't not retrace this article
>> 
>> Anybody knows of it
>> Or some similarly scientificaly supported litterature ?
>> 
>> Would be kindly obliged if you would share
>> 
>> Thanks
>> 
>> Charles
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
> 
> 
> Classification:  UNCLASSIFIED 
> Caveats: None
> 
> 
> 
> ------------------------------
> 
> Message: 5
> Date: Wed, 23 Nov 2011 14:38:32 -0500 (EST)
> From: Krin135 at aol.com
> Subject: Re: Even if the managed to trace the bullet,    I do not think
>    they would bother...
> To: trauma-list at trauma.org
> Message-ID: <4473d.4c10ae6b.3bfea5b7 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
> 
> yep...but they also showed that a: once the bullet hits the peak, it looses 
> aerodynamic stability (often landing base first or even sideways), and b: 
> that  the effects of atmospheric resistance are much more significant on the 
> way down  than going up....just like a penny dropped from the observation 
> deck of the  Empire State Building won't build up sufficient terminal 
> velocity to do serious  damage when it hits the roof (or sidewalk) below.
> 
> ck
> 
> In the NOLA case, it was shown to be a standard parabolic arc and not a  
> near vertical one.
> 
> 
> 
> 
> In a message dated 11/23/11 13:33:07 Central Standard Time,  
> james-smirnio at usuhs.mil writes:
> 
> MythBusters did a show about "celebratory gunfire" ... "What goes  up, MUST 
> come down ... unless it reaches "escape velocity" ... 
> --  
> 
> James G. Smirniotopoulos, M.D.
> Program Director, Diagnostic Imaging  Program
> Center for Neuroscience and Regenerative Medicine  (CNRM)
> Professor of Radiology, Neurology, and Biomedical  Informatics
> Chief Editor, MedPix
> Uniformed Services University
> 4301  Jones Bridge Road
> Bethesda, MD 20814 USA
> 
> FAX: 301-295-3893
> TEL:  301-295-3145
> WEB: rad.usuhs.edu/medpix
> 
> "Success is not measured by  who gets credit.  Success is measured by 
> getting things done."
> Connie  Morella, former Congresswoman from Montgomery Cty MD
> 
> "May we never  confuse honest dissent with disloyal subversion."  Dwight D. 
> Eisenhower  
> 
> 
> Classification:  UNCLASSIFIED 
> Caveats:  None
> 
> 
>>>> On 11/22/2011 at  5:45 PM, in  message
> <1322001953.11624.YahooMailNeo at web113511.mail.gq1.yahoo.com>,  Charles 
> Brault
> <c_brault at yahoo.com> wrote:
> 
>> Happy people  are shouting in the air alot these days
>> Even with Pickpup truck  mounted anti-aircraft guns ?
>> 
>> Boys will be boys
>> I guess
>> 
>> I mean really
>> What welse can you do  with a gun 
>> But kill
>> 
>> 
>> I  understand human beings do not, out in the open air, do not occupy 
> much  
>> surface
>> 0,001 %  ? (You think ?)
>> In a major  city
>> 0.1 % ? ? ?
>> 
>> But them bullets and their  terminal velocity
>> Can kill, maim, injure people
>> 
>> I remember reading a piece of resewarch in one of the coroner's 
> pathology  
>> medical journal
>> Circa 2000
>> 
>> I searched  for it
>> Can't not retrace this article
>> 
>> Anybody  knows of it
>> Or some similarly scientificaly supported litterature  ?
>> 
>> Would be kindly obliged if you would  share
>> 
>> Thanks
>> 
>> Charles
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or  unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
> 
> 
> Classification:   UNCLASSIFIED 
> Caveats: None
> 
> --
> trauma-list : TRAUMA.ORG
> To  change your settings or unsubscribe  visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> 
> ------------------------------
> 
> Message: 6
> Date: Wed, 23 Nov 2011 14:22:10 -0600
> From: "McSwain, Norman E" <nmcswai at tulane.edu>
> Subject: RE: Even if the managed to trace the bullet,    I do not think
>    they would bother...
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Message-ID:
>    <B79C02DCC4FA074DB02381DF1C5D60BA0560E595 at EX07.ad.tulane.edu>
> Content-Type: text/plain;    charset="us-ascii"
> 
> As a 'for what it is worth' in this discussion:
> 
> During one year at New Year's Eve I treated 5 falling bullet injures in
> the French Quarter where I live. As the police surgeon and with active
> involvement in EMS, I had my police/EMS radio and did walking responses
> to nearby reports. I responded to all five incidents as the first
> medical person one on the scene. Several were after going through a
> slate roof. 
> 
> One injury traversed a foot. This one did not go through any obstruction
> before hitting the patient. There other injures but not as severe.
> 
> One EMS person, the same year, I think,  was hit in the skull receiving
> a significant TBI. I knew the EMS person but I was not close enough to
> provide on scene treatment. There were about 3 years of such injures
> until the NOPD took strong action to respond to the gun shots origins.
> We have not had severe injures for the last several years
> 
> Norman
> Professor, Tulane  Univ, Surgery
> Trauma Director, Spirit of Charity Trauma Center, ILH 
> 
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Krin135 at aol.com
> Sent: Wednesday, November 23, 2011 1:39 PM
> To: trauma-list at trauma.org
> Subject: Re: Even if the managed to trace the bullet,I do not think they
> would bother...
> 
> yep...but they also showed that a: once the bullet hits the peak, it
> looses  aerodynamic stability (often landing base first or even
> sideways), and b: 
> that  the effects of atmospheric resistance are much more significant on
> the way down  than going up....just like a penny dropped from the
> observation deck of the  Empire State Building won't build up sufficient
> terminal velocity to do serious  damage when it hits the roof (or
> sidewalk) below.
> 
> ck
> 
> In the NOLA case, it was shown to be a standard parabolic arc and not a
> near vertical one.
> 
> 
> 
> 
> In a message dated 11/23/11 13:33:07 Central Standard Time,  
> james-smirnio at usuhs.mil writes:
> 
> MythBusters did a show about "celebratory gunfire" ... "What goes  up,
> MUST 
> come down ... unless it reaches "escape velocity" ... 
> --  
> 
> James G. Smirniotopoulos, M.D.
> Program Director, Diagnostic Imaging  Program
> Center for Neuroscience and Regenerative Medicine  (CNRM)
> Professor of Radiology, Neurology, and Biomedical  Informatics
> Chief Editor, MedPix
> Uniformed Services University
> 4301  Jones Bridge Road
> Bethesda, MD 20814 USA
> 
> FAX: 301-295-3893
> TEL:  301-295-3145
> WEB: rad.usuhs.edu/medpix
> 
> "Success is not measured by  who gets credit.  Success is measured by 
> getting things done."
> Connie  Morella, former Congresswoman from Montgomery Cty MD
> 
> "May we never  confuse honest dissent with disloyal subversion."  Dwight
> D. 
> Eisenhower  
> 
> 
> Classification:  UNCLASSIFIED 
> Caveats:  None
> 
> 
>>>> On 11/22/2011 at  5:45 PM, in  message
> <1322001953.11624.YahooMailNeo at web113511.mail.gq1.yahoo.com>,  Charles 
> Brault
> <c_brault at yahoo.com> wrote:
> 
>> Happy people  are shouting in the air alot these days
>> Even with Pickpup truck  mounted anti-aircraft guns ?
>> 
>> Boys will be boys
>> I guess
>> 
>> I mean really
>> What welse can you do  with a gun 
>> But kill
>> 
>> 
>> I  understand human beings do not, out in the open air, do not occupy 
> much  
>> surface
>> 0,001 %  ? (You think ?)
>> In a major  city
>> 0.1 % ? ? ?
>> 
>> But them bullets and their  terminal velocity
>> Can kill, maim, injure people
>> 
>> I remember reading a piece of resewarch in one of the coroner's 
> pathology  
>> medical journal
>> Circa 2000
>> 
>> I searched  for it
>> Can't not retrace this article
>> 
>> Anybody  knows of it
>> Or some similarly scientificaly supported litterature  ?
>> 
>> Would be kindly obliged if you would  share
>> 
>> Thanks
>> 
>> Charles
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or  unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
> 
> 
> Classification:   UNCLASSIFIED 
> Caveats: None
> 
> --
> trauma-list : TRAUMA.ORG
> To  change your settings or unsubscribe  visit:
> http://www.trauma.org/index.php?/community/
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> ------------------------------
> 
> Message: 7
> Date: Wed, 23 Nov 2011 17:17:06 -0600
> From: "Dr. Alejandro Cabrera Esquenazi" <spe at prodigy.net.mx>
> Subject: Insteresting abstracts.
> To: "'Trauma-List [TRAUMA.ORG]'" <trauma-list at trauma.org>
> Message-ID: <701B2249A71A448DA401D4EEAECA5874 at INSPIRON6400>
> Content-Type: text/plain;    charset="UTF-8"
> 
> 
> 
> Cardiopulmonary resuscitation after traumatic cardiac arrest - there are survivors. An analysis of two national emergency registries 
> Graesner J, Wnent J, Seewald S, Meybohm P, Fischer M, Paffrath T, Wafaisade A, Bein B, Lefering R, Working Group G, (dgu) T 
> Critical Care 2011, 15:R276 (22 November 2011)
> 
> 
> 
> 
> http://ccforum.com/content/15/6/R276/abstract
> 
> 
> 
> http://ccforum.com/content/?pdf/cc10558.pdf
> 
> 
> 
> 
> 
> 
> 
> ------------------------------
> 
> Message: 8
> Date: Wed, 23 Nov 2011 17:15:38 -0800
> From: "josemaya01" <josemaya01 at prodigy.net.mx>
> Subject: RE: Trauma Haemorrhage: New Scientist 19.10.2011
> To: trauma-list at trauma.org
> Message-ID: <LV54U2$C4E79F8BC3076FA12E30AF9FE027BD01 at prodigy.net.mx>
> Content-Type: text/plain; charset=utf-8
> 
> Please send me a copy of full text. 
> Thank you 
> 
> josemaya01 at prodigy.net.mx 
> De: "Stephanie Williford" sw at ebmedicine.net
> Para: "Trauma-List [TRAUMA.ORG]" trauma-list at trauma.org
> Cc: 
> Fecha: Tue, 22 Nov 2011 15:54:12 -0500
> Asunto: RE: Trauma Haemorrhage: New Scientist 19.10.2011
> 
> 
>> This topic was discussed in-depth in a recent Emergency Medicine Practice article titled, "Traumatic Hemorrhagic Shock: Advances In Fluid Management."
>> 
>> The abstract is available at http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=282. I would be happy to send a copy of the full-text article to anyone who is interested. 
>> 
>> Stephanie 
>> 
>> Stephanie Williford
>> President & Publisher, EB Medicine
>> 5550 Triangle Pkwy Ste 150 / Norcross, GA  30092
>> Phone: 1-800-249-5770 or 678-366-7933 / Fax: 770-500-1316
>> Website: www.ebmedicine.net
>> Connect with me on LinkedIn: http://www.linkedin.com/pub/stephanie-williford/5/856/707
>> 
>> 
>> 
>> 
>> 
>> -----Original Message-----
>> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Ian Seppelt
>> Sent: Tuesday, November 15, 2011 8:42 AM
>> To: Trauma-List [TRAUMA.ORG]
>> Subject: Re: Trauma Haemorrhage: New Scientist 19.10.2011
>> 
>> Just looked up the PROPPR website. It is actually 1:1:1 vs 1:1:2 vs 
>> 1:1:3 (ie platelet ratios, not plasma ratios which are accepted at 1:1) 
>> in a PRCT design .
>> Ian
>> 
>> On 13/11/11 6:41 AM, Karim Brohi wrote:
>>> Paul
>>> Apologies for the delay in replying. There is a planned RCT in the US
>>> called 'PROPPR' - which will compare FFP ratios of 1:1 vs 1:2 in a
>>> multicentre trial. It will probably start recruiting late in 2011.
>>> Karim
>>> 
>>> On Sat, Oct 29, 2011 at 12:01, PAUL FROST wrote:
>>>> Karim
>>>> 
>>>> Although not my field of interest I really enjoyed this thank you for posting.
>>>> 
>>>> For follow up reading are there any large prospective RCCT (in print or planned) investigating optimal FFP/RBC ratios for major haemorrhage?
>>>> 
>>>> Kind Regards
>>>> 
>>>> Paul
>>>> 
>>>> --- On Thu, 20/10/11, Karim Brohi wrote:
>>>> 
>>>> From: Karim Brohi
>>>> Subject: Trauma Haemorrhage: New Scientist 19.10.2011
>>>> To: "Trauma and Critical Care mailing list"
>>>> Date: Thursday, 20 October, 2011, 13:58
>>>> 
>>>> Dear all,
>>>> Bit of a plug but it's not often trauma gets into a popular science
>>>> journal so I thought you might be interested in this article in this
>>>> week's New Scientist on traumatic coagulopathy, damage control resus
>>>> etc.
>>>> Karim
>>>> 
>>>> -----Inline Attachment Follows-----
>>>> 
>>>> --
>>>> trauma-list : TRAUMA.ORG
>>>> To change your settings or unsubscribe visit:
>>>> http://www.trauma.org/index.php?/community/
>>>> --
>>>> trauma-list : TRAUMA.ORG
>>>> To change your settings or unsubscribe visit:
>>>> http://www.trauma.org/index.php?/community/
>>>> 
>>> --
>>> trauma-list : TRAUMA.ORG
>>> To change your settings or unsubscribe visit:
>>> http://www.trauma.org/index.php?/community/
>> 
>> -- 
>> Dr Ian Seppelt FANZCA FCICM
>> Senior Specialist in Intensive Care Medicine
>> Nepean Hospital, Penrith NSW
>> Sydney Medical School - Nepean, University of Sydney
>> 
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
>> 
> 
> 
> ------------------------------
> 
> Message: 9
> Date: Wed, 23 Nov 2011 21:08:27 -0500 (EST)
> From: Krin135 at aol.com
> Subject: Re: Trauma Haemorrhage: New Scientist 19.10.2011
> To: trauma-list at trauma.org
> Message-ID: <1d24a.b05c1a9.3bff011b at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
> 
> Dr. Maya:
> 
> Please check your inbox....I have sent the PDF to the Trauma list twice in  
> the past 24 hours.
> 
> If you cannot find the message (search on either my name or the thread  
> title), please respond to me off list (Krin135 at aol.com) and I will forward  you 
> a copy.
> 
> ck
> Charles S. Krin, DO
> Retired FM/EM/EMS Physician; Educator and Author
> 
> 
> In a message dated 11/23/11 19:16:59 Central Standard Time,  
> josemaya01 at prodigy.net.mx writes:
> 
> Please  send me a copy of full text. 
> Thank you 
> 
> josemaya01 at prodigy.net.mx  
> De: "Stephanie Williford" sw at ebmedicine.net
> Para: "Trauma-List  [TRAUMA.ORG]" trauma-list at trauma.org
> Cc: 
> Fecha: Tue, 22 Nov 2011  15:54:12 -0500
> Asunto: RE: Trauma Haemorrhage: New Scientist  19.10.2011
> 
> 
>> This topic was discussed in-depth in a recent  Emergency Medicine 
> Practice article titled, "Traumatic Hemorrhagic Shock:  Advances In Fluid 
> Management."
>> 
>> The abstract is available at  
> http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=282. I  would be happy to send a copy of the full-text 
> article to anyone who is  interested. 
>> 
>> Stephanie 
>> 
>> Stephanie  Williford
>> President & Publisher, EB Medicine
>> 5550 Triangle  Pkwy Ste 150 / Norcross, GA  30092
>> Phone: 1-800-249-5770 or  678-366-7933 / Fax: 770-500-1316
>> Website: www.ebmedicine.net
>> Connect with me on LinkedIn:  
> http://www.linkedin.com/pub/stephanie-williford/5/856/707
>> 
>> 
>> 
>> 
>> 
>> -----Original Message-----
>> From:  trauma-list-bounces at trauma.org 
> [mailto:trauma-list-bounces at trauma.org] On  Behalf Of Ian Seppelt
>> Sent: Tuesday, November 15, 2011 8:42 AM
>> To: Trauma-List [TRAUMA.ORG]
>> Subject: Re: Trauma Haemorrhage: New  Scientist 19.10.2011
>> 
>> Just looked up the PROPPR website. It is  actually 1:1:1 vs 1:1:2 vs 
>> 1:1:3 (ie platelet ratios, not plasma  ratios which are accepted at 1:1) 
>> in a PRCT design .
>> Ian
>> 
>> On 13/11/11 6:41 AM, Karim Brohi wrote:
>>> Paul
>>> Apologies for the delay in replying. There is a planned RCT  in the US
>>> called 'PROPPR' - which will compare FFP ratios of 1:1  vs 1:2 in a
>>> multicentre trial. It will probably start recruiting  late in 2011.
>>> Karim
>>> 
>>> On Sat, Oct 29,  2011 at 12:01, PAUL FROST wrote:
>>>> Karim
>>>> 
>>>> Although not my field of interest I really enjoyed  this thank you for 
> posting.
>>>> 
>>>> For follow up  reading are there any large prospective RCCT (in print 
> or planned)  investigating optimal FFP/RBC ratios for major haemorrhage?
>>>> 
>>>> Kind Regards
>>>> 
>>>> Paul
>>>> 
>>>> --- On Thu, 20/10/11, Karim Brohi  wrote:
>>>> 
>>>> From: Karim Brohi
>>>> Subject: Trauma Haemorrhage: New Scientist 19.10.2011
>>>> To:  "Trauma and Critical Care mailing list"
>>>> Date: Thursday, 20  October, 2011, 13:58
>>>> 
>>>> Dear all,
>>>> Bit of a plug but it's not often trauma gets into a popular  science
>>>> journal so I thought you might be interested in this  article in this
>>>> week's New Scientist on traumatic  coagulopathy, damage control resus
>>>> etc.
>>>> Karim
>>>> 
>>>> -----Inline Attachment  Follows-----
>>>> 
>>>> --
>>>> trauma-list  : TRAUMA.ORG
>>>> To change your settings or unsubscribe  visit:
>>>> http://www.trauma.org/index.php?/community/
>>>> --
>>>> trauma-list : TRAUMA.ORG
>>>> To  change your settings or unsubscribe visit:
>>>> http://www.trauma.org/index.php?/community/
>>>> 
>>> --
>>> trauma-list : TRAUMA.ORG
>>> To change your settings  or unsubscribe visit:
>>> http://www.trauma.org/index.php?/community/
>> 
>> -- 
>> Dr  Ian Seppelt FANZCA FCICM
>> Senior Specialist in Intensive Care  Medicine
>> Nepean Hospital, Penrith NSW
>> Sydney Medical School -  Nepean, University of Sydney
>> 
>> --
>> trauma-list :  TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
>> 
> --
> trauma-list :  TRAUMA.ORG
> To change your settings or unsubscribe  visit:
> http://www.trauma.org/index.php?/community/
> 
> 
> 
> ------------------------------
> 
> Message: 10
> Date: Thu, 24 Nov 2011 01:29:26 -0800 (PST)
> From: Ranjith Ellawala <ranjithellawala at yahoo.com>
> Subject: Re: Trauma Haemorrhage: New Scientist 19.10.2011
> To: "Trauma-List \[TRAUMA.ORG\]" <trauma-list at trauma.org>
> Message-ID:
>    <1322126966.20975.YahooMailNeo at web161901.mail.bf1.yahoo.com>
> Content-Type: text/plain; charset=iso-8859-1
> 
> I would appreciate a copy of full text?if possible
> Thanks
> Dr Ranjith Ellawala
> colombo
> Sri Lanka
> ranjithellawala at yahoo.com
> 
> 
> ________________________________
> From: Stephanie Williford <sw at ebmedicine.net>
> To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org> 
> Sent: Wednesday, 23 November 2011, 2:24
> Subject: RE: Trauma Haemorrhage: New Scientist 19.10.2011
> 
> This topic was discussed in-depth in a recent Emergency Medicine Practice article titled, "Traumatic Hemorrhagic Shock: Advances In Fluid Management."
> 
> The abstract is available at http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=282. I would be happy to send a copy of the full-text article to anyone who is interested.? 
> 
> Stephanie 
> 
> Stephanie Williford
> President & Publisher, EB Medicine
> 5550 Triangle Pkwy Ste 150 / Norcross, GA? 30092
> Phone: 1-800-249-5770 or 678-366-7933 / Fax: 770-500-1316
> Website: www.ebmedicine.net
> Connect with me on LinkedIn: http://www.linkedin.com/pub/stephanie-williford/5/856/707
> 
> 
> 
> 
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Ian Seppelt
> Sent: Tuesday, November 15, 2011 8:42 AM
> To: Trauma-List [TRAUMA.ORG]
> Subject: Re: Trauma Haemorrhage: New Scientist 19.10.2011
> 
> Just looked up the PROPPR website. It is actually 1:1:1 vs 1:1:2 vs 
> 1:1:3 (ie platelet ratios, not plasma ratios which are accepted at 1:1) 
> in a PRCT design .
> Ian
> 
> On 13/11/11 6:41 AM, Karim Brohi wrote:
>> Paul
>> Apologies for the delay in replying.? There is a planned RCT in the US
>> called 'PROPPR' - which will compare FFP ratios of 1:1 vs 1:2 in a
>> multicentre trial.? It will probably start recruiting late in 2011.
>> Karim
>> 
>> On Sat, Oct 29, 2011 at 12:01, PAUL FROST<paulrachel at btopenworld.com>? wrote:
>>> Karim
>>> 
>>> Although not my field of interest I really enjoyed this thank you for posting.
>>> 
>>> For follow up reading are there any large prospective RCCT (in print or planned) investigating optimal FFP/RBC ratios for major haemorrhage?
>>> 
>>> Kind Regards
>>> 
>>> Paul
>>> 
>>> --- On Thu, 20/10/11, Karim Brohi<karim at trauma.org>? wrote:
>>> 
>>> From: Karim Brohi<karim at trauma.org>
>>> Subject: Trauma Haemorrhage: New Scientist 19.10.2011
>>> To: "Trauma and Critical Care mailing list"<trauma-list at trauma.org>
>>> Date: Thursday, 20 October, 2011, 13:58
>>> 
>>> Dear all,
>>> Bit of a plug but it's not often trauma gets into a popular science
>>> journal so I thought you might be interested in this article in this
>>> week's New Scientist on traumatic coagulopathy, damage control resus
>>> etc.
>>> Karim
>>> 
>>> -----Inline Attachment Follows-----
>>> 
>>> --
>>> trauma-list : TRAUMA.ORG
>>> To change your settings or unsubscribe visit:
>>> http://www.trauma.org/index.php?/community/
>>> --
>>> trauma-list : TRAUMA.ORG
>>> To change your settings or unsubscribe visit:
>>> http://www.trauma.org/index.php?/community/
>>> 
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
> 
> -- 
> Dr Ian Seppelt FANZCA FCICM
> Senior Specialist in Intensive Care Medicine
> Nepean Hospital, Penrith NSW
> Sydney Medical School - Nepean, University of Sydney
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
> ------------------------------
> 
> Message: 11
> Date: Thu, 24 Nov 2011 07:43:20 -0500 (EST)
> From: Krin135 at aol.com
> Subject: Re: Trauma Haemorrhage: New Scientist 19.10.2011
> To: trauma-list at trauma.org
> Message-ID: <13435.28def370.3bff95e7 at aol.com>
> Content-Type: text/plain; charset="us-ascii"
> 
> One more time: The text is attached, courtesy EBMedicine.net
> 
> ck
> 
> 
> In a message dated 11/24/11 03:30:03 Central Standard Time,  
> ranjithellawala at yahoo.com writes:
> 
> I would  appreciate a copy of full text if possible
> Thanks
> Dr Ranjith  Ellawala
> colombo
> Sri  Lanka
> ranjithellawala at yahoo.com
> 
> 
> ________________________________
> From:  Stephanie Williford <sw at ebmedicine.net>
> To: Trauma-List [TRAUMA.ORG]  <trauma-list at trauma.org> 
> Sent: Wednesday, 23 November 2011,  2:24
> Subject: RE: Trauma Haemorrhage: New Scientist 19.10.2011
> 
> This  topic was discussed in-depth in a recent Emergency Medicine Practice 
> article  titled, "Traumatic Hemorrhagic Shock: Advances In Fluid  
> Management."
> 
> The abstract is available at  
> http://www.ebmedicine.net/topics.php?paction=showTopic&topic_id=282. I  would be happy to send a copy of the full-text 
> article to anyone who is  interested.  
> 
> Stephanie 
> 
> Stephanie Williford
> President  & Publisher, EB Medicine
> 5550 Triangle Pkwy Ste 150 / Norcross,  GA  30092
> Phone: 1-800-249-5770 or 678-366-7933 / Fax:  770-500-1316
> Website: www.ebmedicine.net
> Connect with me on LinkedIn:  
> http://www.linkedin.com/pub/stephanie-williford/5/856/707
> 
> 
> 
> 
> 
> -----Original  Message-----
> From: trauma-list-bounces at trauma.org  
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Ian Seppelt
> Sent:  Tuesday, November 15, 2011 8:42 AM
> To: Trauma-List [TRAUMA.ORG]
> Subject:  Re: Trauma Haemorrhage: New Scientist 19.10.2011
> 
> Just looked up the  PROPPR website. It is actually 1:1:1 vs 1:1:2 vs 
> 1:1:3 (ie platelet  ratios, not plasma ratios which are accepted at 1:1) 
> in a PRCT design  .
> Ian
> 
> On 13/11/11 6:41 AM, Karim Brohi wrote:
>> Paul
>> Apologies for the delay in replying.  There is a planned RCT in the  US
>> called 'PROPPR' - which will compare FFP ratios of 1:1 vs 1:2 in  a
>> multicentre trial.  It will probably start recruiting late in  2011.
>> Karim
>> 
>> On Sat, Oct 29, 2011 at 12:01, PAUL  FROST<paulrachel at btopenworld.com>  
> wrote:
>>> Karim
>>> 
>>> Although not my field of interest I really  enjoyed this thank you for 
> posting.
>>> 
>>> For follow up  reading are there any large prospective RCCT (in print or 
> planned)  investigating optimal FFP/RBC ratios for major  haemorrhage?
>>> 
>>> Kind Regards
>>> 
>>> Paul
>>> 
>>> --- On Thu, 20/10/11, Karim  Brohi<karim at trauma.org>  wrote:
>>> 
>>> From: Karim  Brohi<karim at trauma.org>
>>> Subject: Trauma Haemorrhage: New  Scientist 19.10.2011
>>> To: "Trauma and Critical Care mailing  list"<trauma-list at trauma.org>
>>> Date: Thursday, 20 October,  2011, 13:58
>>> 
>>> Dear all,
>>> Bit of a plug but  it's not often trauma gets into a popular science
>>> journal so I  thought you might be interested in this article in this
>>> week's New  Scientist on traumatic coagulopathy, damage control resus
>>> etc.
>>> Karim
>>> 
>>> -----Inline Attachment  Follows-----
>>> 
>>> --
>>> trauma-list :  TRAUMA.ORG
>>> To change your settings or unsubscribe  visit:
>>> http://www.trauma.org/index.php?/community/
>>> --
>>> trauma-list : TRAUMA.ORG
>>> To change your settings or  unsubscribe visit:
>>> http://www.trauma.org/index.php?/community/
>>> 
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe  visit:
>> http://www.trauma.org/index.php?/community/
> 
> -- 
> Dr  Ian Seppelt FANZCA FCICM
> Senior Specialist in Intensive Care  Medicine
> Nepean Hospital, Penrith NSW
> Sydney Medical School - Nepean,  University of Sydney
> 
> --
> trauma-list : TRAUMA.ORG
> To change your  settings or unsubscribe  visit:
> http://www.trauma.org/index.php?/community/
> --
> trauma-list :  TRAUMA.ORG
> To change your settings or unsubscribe  visit:
> http://www.trauma.org/index.php?/community/
> --
> trauma-list :  TRAUMA.ORG
> To change your settings or unsubscribe  visit:
> http://www.trauma.org/index.php?/community/
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> 
> ------------------------------
> 
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
> 
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