HELP with a Case

[Timothy Craig Hardcastle]

Ken

Only one question here - you mention L1 and L3: Are there no L2 centers
who could take this patient? Exactly how much do your L1 and L3
facilities differ.

Our laws and ethics rules are different for South Africa, so I will
refrain from comment on the other issues.

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 KMATTOX at aol.com
 
A patient sustains a 38 caliber GSW to the posterior L shoulder, more in
the 
chest than arm.   The patient is stable with a very good BP and  pulse 
180/100, 90.     No exit hole is found on the  body.   The abdomen is
soft and 
without pain.    
2.    What duty do the Level 3 regional hospitals have in this case?