SCIP guidelines

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Hello All,
Quick question. 
How many of you are following SCIP guideline ( inf 3 )regarding  discontinuation of antibiotics within twenty four when you encounter a trauma patient with moderate to severe enteric spillage?

// TS
"Aut viam inveniam Aut faciam"
 
"Omnibus per artem fidemque prodesse"

On Jun 25, 2012, at 8:00 AM, KMATTOX at aol.com wrote:

> Prehospital Cardiac Arrest following blunt trauma.     Pronounce dead 
> unless part of an ongoing protocol with tight  review.     
> 
> Blunt trauma and arrest in the EC.     If EKG does nota  have a tight 
> rhythm , pronounce dead, unless there is a surgical protocol 
> 
> Blunt trauma and arrest anywhere.     NO External  cardiac compression, NO 
> ATLS drugs.     Will be  ineffective.   If there is to be a reversal it will 
> be something  surgical such as pericardial herniation, hemopericardium, 
> ruptured right artium,  etc.    
> 
> Any CPR and ACLS will only make the situation WORSE, and should prompt a  
> peer review and education of those who propose such an action.    
> 
> MANY MANY articles have been written on this subject and appear in the  
> trauma literature.   
> 
> k
> 
> 
> 
> 
> 
> 
> 
> In a message dated 6/24/2012 6:33:59 P.M. Central Daylight Time,  
> edcritcare at gmail.com writes:
> 
> Hi  Folks,
> 
> I have been a long-term lurker on this list.
> 
> I do a  podcast called the EMCrit Podcast, which covers Resuscitation,
> Trauma, and  Critical Care topics. [http://emcrit.org] It gets >100,000
> downloads per  month from EM, anesthesia, critical care, and  trauma
> practitioners.
> 
> One of my listeners can't convince her  attendings that giving CPR and ACLS
> medications to a blunt traumatic arrest  is not sound resuscitation. On
> literature search, there's not much  evidence. Physiologically, these
> interventions make no sense.
> 
> My own  practice is to perform bilateral finger thoracosotomies (chest  tube
> placement without actually placing the tube unless there is air or  blood
> return) and echo the heart for tamponade. If those two don't reveal  a
> reversible cause, we call the code.
> 
> I think this mirrors the  practice of most of my trauma colleagues.
> 
> But since there is not great  evidence, your expert opinion is the next best
> thing.
> 
> If you have a  minute and you have an opinion on this topic, call the
> podcast voiceline at  1-781-436-2748 and leave a voice message with your
> feelings. I will compile  them all and release them as a podcast. Make sure
> you state who you are and  where you work when leaving the message.
> 
> If you are shy or would rather  stick with the written word, reply to this
> post and I'll give voice to your  thoughts.
> 
> I know this topic has been discussed on the list before and  on
> trauma.orgas well, so I will definitely discuss those opinions  from
> the archives as
> well.
> 
> Much  thanks,
> 
> Scott
> 
> --
> Scott Weingart  <http://scottweingart.com>, MD
> 
> Associate  Professor
> 
> Director of ED Critical Care
> 
> Mount Sinai School of  Medicine
> 
> New York, NY
> ED Critical Care Blog & Podcast  <http://blog.emcrit.org>
> [image: YouTube]  <http://youtube.com/emcrit>  [image:
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> [image:
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