Hypertonic Saline

[rwolfer at aol.com]

we only use for symptomatic hyponatremia. It was difficult to get med exec committee to approve even for that.? they? and the P and T committee looked into it and found to many complications to use on a routine basis



Rebecca Wolfer, MD, FACS, FCCP
Associate Professor, Marshall University School of Medicine
Dept of Surgery
Director Thoracic Surgery
Director, Surgical Critical Care Cabell Huntington Hospital
Director, Trauma Cabell Huntington Hospital


-----Original Message-----
From: Sanjay Gupta MD <sanjaygupta99_91 at yahoo.com>
To: Trauma &amp, Critical Care mailing list <trauma-list at trauma.org>
Sent: Tue, 1 Apr 2008 12:53 pm
Subject: Hypertonic Saline 



Dear List Members,

A new partner has joined our trauma team and she has
great faith in Hypertonic saline, not only for
resuscitation, but also for regular maintenance fluid
for patients with head injuries as well as for all
sorts of other critically ill surgical patients.  

I have not been able to find any hard data on this and
I and my other partners are having a difficult time
accepting this management.  

Any comments, education, references would be highly
appreciated. 


Thank you


Sanjay Gupta



--- Krin135 at aol.com wrote:

>  
> In a message dated 04/01/2008 01:27:41 Central
> Daylight Time,  
> listen at doc-kalkum.de writes:
> 
> Charles,  Daniel,
> 
> > The Mt. Sinai Journal of Medicine has a website
> which  contains the current 
> issue, as well as previous issues. The website is  
> http://www.mssm.edu/msjournal/back.shtml If this
> link does not work, I have  uploaded the article in
> PDF 
> format.
> 
> interesting read. I wonder if a  paper telling us
> that "MAST pants has 
> been shown to benefit patients in  hemorrhagic
> shock" and that 
> methylprednisolon is of benefit in spine  trauma is
> doing good represents 
> today's  wisdom....
> 
> Cheers!
> 
> Mathias
> 
> 
> I noticed the same deal...so I start to understand
> why my associate  
> commented about the paper reading like his 90's era
> Intermediate Paramedic  book...
>  
> ck
> Charles S. Krin, DO FAAFP
> 
> 
> 
> **************Create a Home Theater Like the Pros.
> Watch the video on AOL 
> Home.      
>
(http://home.aol.com/diy/home-improvement-eric-stromer?video=15&ncid=aolhom00030000000001)
> --
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> 


Sanjay Gupta
Tel: 412 335 6304


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