PASG/MAST

[Timothy Craig Hardcastle]

Mike

Simple statement: NO place for either. Avoid the use of the MAST / PASG
or any other name by which it goes. There are also simpler devices for
pelvis fractures, which has been another unsubstantiated use of this
(historical) device.

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 Mike Smertka
Sent: 22 May 2008 14:06
To: Trauma &amp, Critical Care mailing list
Subject: PASG/MAST

Hello again all,
   
  I have recently been in a debate about pneumatic anti shock garments
with several EMS providers and thought I would get some opinions here if
you would be so kind. 
   
  No person in the debate disputed that it has a negligible effect in
moving blood, but I have now engaged with several providers if it works
to tamponade bleeding in the ABD region. I could see where it would be
able to increase pressure where you could not very easily otherwise, but
would it help a liver or splenic lac? What stops the organ from simply
migrating towards the diaphragm? If so wouldn't this affect ventilation?
The case was also made for an abdominal AA. Do you think there is enough
call for this to justify the curent practice in many US states requiring
and still teaching how to use them?  Is there any studies on the matter?
   
  Thanks again for your time.
  Mike 

       
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