Interesting Promotion of Steroids for SCI

Robert Smith rfsmithmd at comcast.net
Wed Nov 22 03:46:49 GMT 2006


It's worse than all of that. I was a full time attending and Divisional
Chair in the Department of Trauma at Cook County Hospital until I took
advantage of an early retirement initiative three years ago. I was the only
non-surgeon in the Department. I trained in Internal Medicine and
Occupational Medicine and have a Masters in Public Health from the
University of Illinois. I grandfathered into Emergency Medicine, which means
I never did a residency in that discipline. A lot of my responsibilities
outside of helping to oversee resuscitation and ICU care when in house on
call had to do with trauma systems, epidemiology of injury, pre-hospital
care and prevention. I was functionally the medical director for the Chicago
Trauma System when it existed independently.

That's my story and I'm sticking to it.

Rob Smith 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Jago Miloguz
Sent: Tuesday, November 21, 2006 5:02 PM
To: Trauma &amp, Critical Care mailing list
Subject: Re: Interesting Promotion of Steroids for SCI

l apolagise for inappropriate question, but l would like to know if
Dr.Robert Smith is a trauma surgeon or EM doc? once again sorry for
dullness.... :D

2006/11/21, J.A. Terranson <measl at mfn.org>:
>
>
> On Mon, 20 Nov 2006, Mathias Kalkum wrote:
>
> > started more than 8 hours after injury.  While methylprednisolone is 
> > not a cure, every little bit helps.  Complications are minimal.
> >
> > what is that piece more than opinion and - let's be polite - "moral 
> > support" to the family? Where is the hint that steroids may add 
> > severe harm to the victim?
>
> <sarcasm on>
> I think you missed it.  After all, it's easy to miss, what with the 
> big bold letters and all:
>
>        "Complications are minimal"
>
> --
> Yours,
>
> J.A. Terranson
> sysadmin at mfn.org
> 0xBD4A95BF
>
> "Surely the larger lesson learned from that day is that other men, all 
> over the world, took inspiration not from the heroism of the rescuers 
> in New York or the passengers flying over Pennsylvania, but from the 
> 19 hijackers - the twisted brilliance of their scheme and their 
> willingness to sacrifice their lives to make a political and, as they 
> saw it, religious statement."
>
> Richard Corliss/Time Magazine
> 11 Aug 2006
> --
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