Etomidate and RSI
Hardcastle, Tim, Dr <tch at sun.ac.za>
tch at sun.ac.za
Thu Aug 2 19:08:44 BST 2007
John
Thanks - small study, but interesting result. They don't comment on mortality difference though!! The also don't specify injury type and mix - ISS is notoriously unreliable to compare groups given the huge variables that determine the score.
At least it is food for thought. Attached find an article I put together reviewing the available literature on the subject, which is yet to be published (Journal of Trauma did not want it - they rejected it as it only focussed on Etomidate, rather than all RSI drugs!). Still begs the question as to what good alternatives are available?
Not sure if I should even try to submit it anymore given the latest study.
Thanks too to all who responded to my original query
Regards
Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
M.Med (Emergency Medicine) Executive Committee member
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Division of Surgery (General) Room 4064
Department of Surgical Sciences
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302
-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]On Behalf Of Green, John
Sent: Thursday, August 02, 2007 6:47 PM
To: trauma-list at trauma.org
Subject: Etomidate and RSI
There is a nice pilot study to be presenteed at the upcoming AAST in September that examines this specifically. The abstract is available on the AAST website.
http://www.aast.org
John M. Green, M.D.
Section of Acute and Critical Care Surgery
Washington University in St. Louis
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Sent: Thu 8/2/2007 10:59 AM
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Subject: trauma-list Digest, Vol 50, Issue 3
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