BIG NEWS - CT Causes Leukemia ?

Hardcastle, Tim, Dr <tch at sun.ac.za> tch at sun.ac.za
Tue Dec 4 04:53:26 GMT 2007


Caesar

None at all - anecdotally picked these time periods up from people like Bill Schwab / Rajan Gupta over the years; they also include a "time in hospital" rule, which, due to our minimised resources, we don't follow.

Tim

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of caesar ursic
Sent: Tuesday, December 04, 2007 3:46 AM
To: Trauma &amp, Critical Care mailing list
Subject: Re: BIG NEWS - CT Causes Leukemia ?


Tim:
What is the evidence to support your timetables for injury grade-specific
abstention from sport/contact sport?
Cheers,
Caesar


On 12/2/07, Hardcastle, Tim, Dr <tch at sun.ac.za> <tch at sun.ac.za> wrote:
>
> Guys, guys, guys!
>
> There is NO evidence that repeat CT is better that clinical management of
> spleen or liver injuries. We stopped doing follow-up CT's about three years
> ago. If they are clinically fine opur rule is a follow:
>
> Grade 1 - 2: 1 month no sport, 3months no contact sport
> Grade 3 - 4: 2 month no sport, 6months no contact sport
> Grade five : 3 months no sport and 12 months no contact sport (i.e. out
> for a season!)
>
> 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 Andrew J. Bowman
> Sent: Friday, November 30, 2007 4:28 PM
> To: Trauma &amp; Critical Care mailing list
> Subject: Re: BIG NEWS - CT Causes Leukemia ?
>
>
> So..refuse to write a return to sports letter.
>
> Andrew
>
>
>
>
> I do not think that either patient will end up getting re-scanned.  But I
> know for a fact that both parents will be calling me back soon to demand
> an
> "OK to resume sporting activity" letter  so that Junior can return to his
> dangerous gridiron activities. Oh well, at least they wear helmets.....
>
> CM Ursic
> Santa Fe, NM, USA
>
>
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