Re: Scenario 1/29/00

[Guest guest]

I have asked a genuine trauma surgeon to comment on another list about the

PASG. Will be interested in what he says. I think I mentioned to you the

AAES position paper favoring them in this situation.

GG

In a message dated 1/29/2000 19:39:29 Central Standard Time,

dfluffy01@... writes:

I agree. Only stress that IV access needs to be two, count them two, largest

bore you can put in, pre-IV blood needs to be drawn (Including 2 T & C tubes).

We've all stopped doing that since the hospitals here just throw them in the

trash. They claim they're unusable. Anybody else still doing it? Do the

hospitals use the blood?

You should also get bilateral bp (to make sure it isn't a AA). You should

also run a 12-lead to help ROMI (just in case you are wrong). I would also

consider placing (but not inflating) PASG on this one. I doubt they would do

any good, but you at least won't be caught with your pants down (no pun

intended) when the guy crashes and the doctor asks for them.

Biggest thing is that the patient is scared to death (literally). Make SURE

the students reassure the guy. They should also tell him/her what is going

on, in a non- " Oh My God " way (any suggestions on that one?). Code 3 would

be a no-no (raises the BP & HR, plus makes for a rougher ride).

I'd like to hear what some others have to say about this. We ran it Code 3

on the theory that seconds might count. I have to agree with you that there

are way too many Code 3 transports, but I probably would have done the same

thing again. A lot of critical patients actually expect it and wonder why

you're not doing it. Let's hear some others' opinions on the use of the

siren in THIS case.

Other than getting a surgeon to come in a tell them the mortality rate, I

can't thing of anything to make this more serious than it already is.

Webb

PS: Go ahead and flame over the PASG. I still think the things have a place,

beside the garbage.

I'm not gonna flame over it because I still believe in them under certain

very limited circumstances and so do my medical directors.

GG

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Subject: [texasems-L] Re: Scenario 1/29/00

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