trauma-list Digest, Vol 59, Issue 1
Angela Johnson
angie504 at hotmail.com
Thu May 1 22:42:29 BST 2008
Does anyone have a phone number or resource person they know of that would allow a tour of the Emergency Room/ TICU at Cook county hospital in Chicago, Illinois? Myself and a few co-workers from Ryder Trauma Center in Miami, Florida are in town for the American Burn Association meeting and would love to visit the hospital while here. Calls to the hospital aren't getting me anywhere. Any help is greatly appreciated! Thanks
Angela Johnson RN, BSN
Ryder Trauma Center
Miami, Florida
----------------------------------------
> From: trauma-list-request at trauma.org
> Subject: trauma-list Digest, Vol 59, Issue 1
> To: trauma-list at trauma.org
> Date: Thu, 1 May 2008 17:26:59 +0100
>
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>
> Today's Topics:
>
> 1. RE: trauma-list Digest (Patrick McSherry)
> 2. RE: trauma-list Digest (McSwain, Norman E Jr.)
> 3. Re: trauma-list Digest (nappio at aol.com)
> 4. Re: trauma-list Digest (Ronald Gross)
> 5. unusual case (daniel simon)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Thu, 1 May 2008 08:57:33 -0400
> From: "Patrick McSherry"
> Subject: RE: trauma-list Digest
> To:
> Message-ID:
>
> Content-Type: text/plain; charset="us-ascii"
>
>
> Hello,
>
> We are designing a new dedicated trauma O.R. in the mid-Atlantic states.
> We have a question for which members of this group may be able to
> provide some insight.
>
> Specifically, the question of room temperature was discussed. The staff
> has indicated a desire for the ability to raise the temperature of the
> space above the usual norms, indicating that trauma patients are often
> already compromised, often with an already low body temperature. The
> desire is to not have the room contribute to a continuing lowering of
> the patient's body temperature.
>
> Our question is, what is the optimum high temperature your members
> desire to see in their trauma operatories.
>
> Thanks!
>
> Patrick McSherry
>
>
>
>
> ------------------------------
>
> Message: 2
> Date: Thu, 1 May 2008 09:08:41 -0500
> From: "McSwain, Norman E Jr."
> Subject: RE: trauma-list Digest
> To: "Trauma &"
> Message-ID:
>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Since the concern is for the PATIENT and not either the surgeons nor the other OR personnel, the room should be kept as close to normal body temperature as possible (37o C)
>
> The problem is that the patient's ability to produce significant amounts of energy (ATP) to maintain their core temperature is significant compromised. This is a basic part of shock. Hypothermia is not a CAUSE of shock but a RESULT of anaerobic metabolism and the reduction of ATP production from 38 to 2. Since one of the results of shock and that associated hypothermia is coagulopathy, then until the patient is out is shock and able to keep them selves warm, it is our responsible as patient care providers to keep the patient as close to their functioning core temperature as possible. At a minimum that assists in solving part of the coagulopathy problem that the patient has in the OR.
>
> ATP production and a warm patient obviously does other things than to simply reduce coagulopathy. Keeping the patient as warm as possible until they can take over their own heat control is important on all fronts
>
> Norman
>
> Norman McSwain MD
> Trauma Director, Charity Hospital
> Professor of Surgery, Tulane University
> New Orleans LA
> 504 988 5111
> norman.mcswain at tulane.edu
>
> ________________________________
>
> From: trauma-list-bounces at trauma.org on behalf of Patrick McSherry
> Sent: Thu 5/1/2008 7:57 AM
> To: trauma-list at trauma.org
> Subject: RE: trauma-list Digest
>
>
>
>
> Hello,
>
> We are designing a new dedicated trauma O.R. in the mid-Atlantic states.
> We have a question for which members of this group may be able to
> provide some insight.
>
> Specifically, the question of room temperature was discussed. The staff
> has indicated a desire for the ability to raise the temperature of the
> space above the usual norms, indicating that trauma patients are often
> already compromised, often with an already low body temperature. The
> desire is to not have the room contribute to a continuing lowering of
> the patient's body temperature.
>
> Our question is, what is the optimum high temperature your members
> desire to see in their trauma operatories.
>
> Thanks!
>
> Patrick McSherry
>
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
>
> -------------- next part --------------
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>
> ------------------------------
>
> Message: 3
> Date: Thu, 1 May 2008 15:25:42 +0000
> From: nappio at aol.com
> Subject: Re: trauma-list Digest
> To: "Trauma & Critical Care mailing list"
> Message-ID:
>
>
> Content-Type: text/plain
>
> Room temp is only relative to patients temperature depending on size of room, traffic thru it, number of doors, number of people in it and air flow. At my old center theses variables were put in check with a dedicated radiant heater directly over the trauma stretcher. DN
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: "Patrick McSherry"
>
> Date: Thu, 1 May 2008 08:57:33
> To:
> Subject: RE: trauma-list Digest
>
>
>
> Hello,
>
> We are designing a new dedicated trauma O.R. in the mid-Atlantic states.
> We have a question for which members of this group may be able to
> provide some insight.
>
> Specifically, the question of room temperature was discussed. The staff
> has indicated a desire for the ability to raise the temperature of the
> space above the usual norms, indicating that trauma patients are often
> already compromised, often with an already low body temperature. The
> desire is to not have the room contribute to a continuing lowering of
> the patient's body temperature.
>
> Our question is, what is the optimum high temperature your members
> desire to see in their trauma operatories.
>
> Thanks!
>
> Patrick McSherry
>
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
> ------------------------------
>
> Message: 4
> Date: Thu, 01 May 2008 11:51:42 -0400
> From: "Ronald Gross"
> Subject: Re: trauma-list Digest
> To: "Trauma & Critical Care mailing list"
> Message-ID:
> Content-Type: text/plain; charset=US-ASCII
>
> We have set the thermostat - actually we have DISABLED the thermostat - and the room temp we keep is a steady 82 degrees F.
>
> Ron
>
>>>> 5/1/2008 11:25 AM>>>
> Room temp is only relative to patients temperature depending on size of room, traffic thru it, number of doors, number of people in it and air flow. At my old center theses variables were put in check with a dedicated radiant heater directly over the trauma stretcher. DN
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: "Patrick McSherry"
>
> Date: Thu, 1 May 2008 08:57:33
> To:
> Subject: RE: trauma-list Digest
>
>
>
> Hello,
>
> We are designing a new dedicated trauma O.R. in the mid-Atlantic states.
> We have a question for which members of this group may be able to
> provide some insight.
>
> Specifically, the question of room temperature was discussed. The staff
> has indicated a desire for the ability to raise the temperature of the
> space above the usual norms, indicating that trauma patients are often
> already compromised, often with an already low body temperature. The
> desire is to not have the room contribute to a continuing lowering of
> the patient's body temperature.
>
> Our question is, what is the optimum high temperature your members
> desire to see in their trauma operatories.
>
> Thanks!
>
> Patrick McSherry
>
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
>
>
> ------------------------------
>
> Message: 5
> Date: Thu, 1 May 2008 18:29:22 +0300
> From: "daniel simon"
> Subject: unusual case
> To: trauma-list at trauma.org
> Message-ID:
>
> Content-Type: text/plain; charset="iso-8859-1"
>
> 43 year old motorcycle crash victim , on scene intubation for GCS of 5. On
> admission intubated and ventilated, B.P 130/80 P 82 sat 100% , GCS 7 (T) .
> PE: skin lacerations and central hematoma anterior neck - zone 1.
> Head CT - SAH, Frontal contusions,small Frontal SDH, many skull fractures.
> C-spine: fracture of C1
> Chest XR and relevant cuts from the chest CTA included.
> Abdominal CT normal
> What would you do now?
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> ------------------------------
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
> End of trauma-list Digest, Vol 59, Issue 1
> ******************************************
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