Traumatic full arrest: intubate ?

Mon Jul 21 07:28:46 BST 2008

Ditto for South Africa

Tim
Dr Timothy C Hardcastle
M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
Deputy director: Trauma Unit and Trauma ICU
Inkosi Albert Luthuli Central Hospital / UKZN
800 Bellair Road
Mayville, Durban

Postal: PostNet Suite 27
Private Bag X05
Malvern, 4055
KwaZulu Natal

timothyhar at ialch.co.za 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Keith Lamb
Sent: 20 July 2008 17:16
To: Trauma &amp, Critical Care mailing list
Cc: anesthideas at yahoogroups.com
Subject: Re: Traumatic full arrest: intubate ?

Agree with John except we do not extubate. All traumatic arrests/deaths
are
mandatory ME (medical examiner) cases, and all lines and tubes must
remain
in situ.

Keith

Keith D. Lamb, RRT
Newark, DE USA

2008/7/20 John Holmes <docjohnholmes at hotmail.com>:

> Yes, and perform IPPV until cardiac arrest is confirmed.
>
> If cardiac arrest is confirmed then extubate and stop all.
>
> Intubation (which may be useful) does not equate to CPR (which is
not).
>
>
> John
>
>
> Dr John L Holmes
> Director Emergency Medicine Training
> AMC & OLVG, Amsterdam
> The Netherlands
>
> > Date: Sun, 20 Jul 2008 07:13:54 -0700
> > From: ivanhronek at yahoo.com
> > Subject: Traumatic full arrest: intubate ?
> > To: Anesthideas at yahoogroups.com
> > CC: trauma-list at trauma.org
> >
> > Doyou intubate a traumatic full arrest before you check the ekg
leads or
> not ?
> >
> > Ivan Hronek MD
> > Los Angeles, CA
> > http://health.groups.yahoo.com/group/Anesthideas/
> >                                           Do not fear to be
eccentric in
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> >
> > ----- Original Message ----
> > From: Art Zwerling <a.to.z at comcast.net>
> > To: Anesthideas at yahoogroups.com
> > Sent: Sunday, July 20, 2008 6:51:49 AM
> > Subject: RE: [ai] Traumatic full arrest: intubate ?
> >
> >
> > Ivan,
> >
> > I'd have to agree with Sanford. ABC then the rest of the
> > ATLS sequence.
> >
> > On another note what have others done when you've
> > intubated a full arrest with no right heart output and the code team
> leader
> > asks for re-intubation?
> >
> > Best,
> >
> > Art Z
> >
> > From:Anesthideas@ yahoogroups. com
> > [mailto:Anesthideas @yahoogroups. com] On Behalf Of Miller, Sanford
> > Sent: Sunday, July 20, 2008 9:20 AM
> > To: Anesthideas@ yahoogroups. com
> > Subject: RE: [ai] Traumatic full arrest: intubate ?
> >
> > The sequence is airway, breathing, circulation. If there's any
> > chance of cardiac activity, I'd intubate; you can always pull the
tube
> out if
> > he's unresucitatable.
> >
> > Sanford M.
> > Miller, MD
> > sanford.miller@ nyumc.org
> >
> >
> >
> > ________________________________
> >
> > From:Ivan Hronek
> > Sent: Sun 7/20/2008 2:17 AM
> > To: Anesthideas@ yahoogroups. com
> > Subject: [ai] Traumatic full arrest: intubate ?
> > Here's one for our antipods and
> > everyone else: a traumatic full arrest wheels in and they're about
to
> check the
> > ekg: do you intubate the patient in the meantime or do you wait if
they
> > call it?
> >
> > Ivan Hronek MD
> > Los Angeles, CA
> > http://health. groups.yahoo. com/group/ Anesthideas/
> >
> > Do
> > not fear to be eccentric in opinion, for every opinion now
> > accepted was once eccentric. - Bertrand
> > Russell-
> >
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