trauma-list Digest, Vol 104, Issue 1

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> There is a very small risk of missed ligamentous injury, but the number of these which are clinically significant is extremely small

Lance, I would agree that it is small, but is one transection worth it?   We, and every senior trauma surgeon I know has seen at least one severe unstable ligament injury with normal CT.  Rebuttle question:  How do you treat thoracic aortas: clamp & sew or bypass?   Most bypass because of lawyers.  When you get your iatrogenic spinal injury,......

Also, in regards to CTs at the outside hospital.   Our radiologists dont like to read them as they dont get paid and may be liable for reading poor quality scans.   When we repeat them, our insurance companies dont pay as it has already been done

J
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John R. Hall, M.D., F.A.C.S., F.C.C.M.
Professor of Surgery

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