ATLS, PE, Chest X-Ray.

[IVAN HRONEK]

OK Ken, you're really impressing me with all the minutes at your hospital.
In the meantime, the TEE would show you - while you're opening the belly -
that you shouldn't be opening the belly and you should be cutting a little higher up - in 30 seconds.
Fast enough for you ?Ivan Hronek MDChief, Critical Care & Trauma AnesthesiaSFMC Gas, Inc.St. Francis Medical Center3630 E. Imperial HighwayLynwood, CA 90262 Cell: 310 487-3288Pager: 310 636-6020



> From: KMATTOX at aol.com> Date: Thu, 6 Sep 2007 22:24:46 -0400> To: trauma-list at trauma.org> Subject: ATLS, PE, Chest X-Ray. > > In a message dated 9/6/2007 9:17:58 P.M. Central Daylight Time, ih7 at msn.com > writes:> > pulse: weak CNS status: poor NIR : low O2 delivery Urine output: low > to none Skin color& temp: pale, cold.> Primary Survey, Secondary Survey. Look for causes of the above. In our > institution, this patient would have gone from ER ambulance loading dock to > the OR in less than 3 minutes, and look for just what to do in the OR. He > would NOT get a sub xyphoid pericardial window. If it was obvious that > there was no site of blood loss in the abdomen or pleural cavity or externally, > and he was the patient we all have been talking about the last hour, I would > cut his chest via a 4ICS anteriorlateral incision about 6 minutes after he > arrived at the hospital. > > k> > > > > > > > > ************************************** Get a sneak peek of the all-new AOL at > http://discover.aol.com/memed/aolcom30tour> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/