Ang: Level 1 Fluid Infusor

[Stewart Chan]

We only very occasionally use our level one in the trauma room. But it does 
make a difference if the nurses can set it up speedily - needs practice.

Another question comes to mind.
ATLS does recommend traction splintage (with commercial splints) of fracture 
femurs, does it? In Hong Kong, we apply commercial splints in the ED in the 
first instance.

But after about 5-10 mins. when the Orthopedic team arrives, they change it 
to a long leg slab before admission to Ortho ward.

Do you think we should standardise and follow the Ortho practice, or should 
the Ortho team keep our commercial splints?




Dr. Stewart Chan
Senior Medical Officer
Dept. of Accident & Emergency
Prince of Wales Hospital





>From: "Ronald Gross" <Rgross at harthosp.org>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: "Critical Care mailing list Trauma &amp" <trauma-list at trauma.org>
>Subject: Re: Ang: Level 1 Fluid Infusor
>Date: Thu, 17 May 2007 09:03:24 -0400
>
>Johan - you need to get the patient to the OR, and one without any BP is
>not going to survive the trip!
>
> >>> <johan.malmgren at vgregion.se> 5/17/2007 7:09 AM >>>
>
>We have one in the trauma bay but I think it was bought just because
>the head of the ER thought it was cool... (He's from Internal Medicine).
>I personally would never use it in the ER, a pat who needs that level of
>massive transfusion more than anything needs to get to the elevator to
>OR instead. We also have one in OR which is occasionally used. When used
>though, it gives enough pressure to wash your car.
>
>
>
>Johan Malmgren, MD
>Intensive Care, Traumatology & Anaesthesia
>Sahlgrenska University Hospital
>Gothenburg, Sweden
>
>-----trauma-list-bounces at trauma.org skrev: -----
>
>
>
>Till: "Trauma &amp, Critical Care mailing list"
><trauma-list at trauma.org>
>Från: "caesar ursic" <cmursic at gmail.com>
>Sänt av: trauma-list-bounces at trauma.org
>Datum: 2007-05-15 19:53
>Ärende: Level 1 Fluid Infusor
>
>How many of you out there are using a Level
>1<http://www.smiths-medical.com/catalog/fluid-warming/fast-flow/hardware/level-1-h-1200.html>(or
>equivalent) fluid infusor in your emergency room?  Why or why not?
>How
>many have purchased a new one recently, or are contemplating such a
>purchase?  Why or why not?
>Regards,
>C. Ursic, MD
>Santa Fe
>USA
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