ideal ER lengths of stay?

[KMATTOX at aol.com]

I happen to be on trauma call in house tonight, so I just came back to my  
computer from the last GSW to hit the door.   Code 3 - sold to us as  GSW to 
head.    Apparently a murder attempt.     Bumper to shock room, to cloths off, to 
examination, to CT scanner = 5  minutes flat.    Neurosurgery and GS in shock 
room when  patient arrived.   Plan initially to go to OR,   OR is ready  to 
go.    In CT 5 min later TWO GSWs are seen and are both in BAD  locations.   NS 
decides to go to Neurosurgery ICU based on the TWO  trajectories.   No OR.    
 To NICU 15 min after  arrival or pressurfe monitoring.      GCS not  
determinable as EMS paralyzed patient.     
 
k



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