ECHO in peric.tamponade, ao dissection, volume status

[IVAN HRONEK]

Rob,
 
patience is a virtue and perhaps hard to keep by some.Medidcne should not be about cutting anybody in sight for any little finding, as you well know.
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: rfsmithmd at comcast.net> To: trauma-list at trauma.org> Date: Thu, 6 Sep 2007 22:22:01 -0400> Subject: RE: ECHO in peric.tamponade, ao dissection, volume status> > Ivan,> > We're just simple country doctors and can't get a TEE emergently in real> time. So FAST or an ECHO by the cardiology Fellow emergently is how we make> our decisions. But my point was, it's not a question of how much fluid is in> the pericardium at presentation. The question is how do you decide why there> is any fluid and if it might be a sign of a life threatening injury. We> don't like to wait until all the clinical signs and symptoms of tamponade> are already present because then sometimes there isn't much time left on the> clock. Or so I've heard.> > Night all.> > Rob> > -----Original Message-----> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]> On Behalf Of IVAN HRONEK> Sent: Thursday, September 06, 2007 9:52 PM> To: Trauma & Critical Care mailing list> Subject: RE: ECHO in peric.tamponade, ao dissection, volume status> > That's what it is - it gives you an indication of perfusion by showing you> the volume load of the heart.> It does not show BP.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 21:49:16 -0400> To:> trauma-list at trauma.org> Subject: Re: ECHO in peric.tamponade, ao dissection,> volume status> > > In a message dated 9/6/2007 8:39:11 P.M. Central Daylight> Time, ih7 at msn.com > writes:> > Also, TEE helps as another monitor during a> serious case of hemorrhagic > shock as it dynamically shows the volume> status of the patient. It sure helps me > a lot. The volume status is often> not easy to determine and the reason for > hypotension is often not that> easy to determine.> > > > Unequivically a device in search of an indication.> I no longer worry about > volume status, I am looking for perfusion, NOT> blood pressure. > > 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/--> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/> > --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/