Isolated spleen injury with hemodynamic stability -->> observe in intermediate care unit, generally for 1 day if grade 1-III and 1-2 days if grade IV. <BR>N.B: "stability" implies not tachycardic. <BR> <BR>Jeffrey Hammond MD, MPH<BR>New Brunswick, NJ<BR><BR>----- Original Message -----<BR>From: Ian Seppelt <seppeli@wahs.nsw.gov.au><BR>Date: Wednesday, May 7, 2008 2:50 am<BR>Subject: Blunt splenic injuries<BR>To: trauma-list@trauma.org<BR><BR>> Quick and dirty survey:<BR>> <BR>> Where do you nurse haemodynamically stable patients with an isolated<BR>> spleen injury being managed conservatively, and no other <BR>> injuries? ICU?<BR>> General ward? Higher acuity ward?<BR>> What acuity of nursing? What monitors? <BR>> Does the exact CT grade of injury matter, or merely the fact <BR>> that the<BR>> patient is stable and the trauma surgeon is comfortable to watch?<BR>> <BR>> Many thanks,<BR>> <BR>> Ian<BR>> <BR>> correspondence to: seppelt@med.usyd.edu.au<BR>> <BR>> Ian Seppelt FANZCA FJFICM<BR>> Senior Staff Specialist<BR>> Dept of Intensive Care Medicine<BR>> The Nepean Hospital, PO Box 63 Penrith NSW 2751<BR>> Director of Clinical Research, Sydney West AHS<BR>> Clinical Lecturer, University of Sydney<BR>> <BR>> ______________________________________________________________________________<BR>> <BR>> This electronic message and any attachments may be <BR>> confidential. If you<BR>> are not the intended recipient of this message would you please <BR>> delete the<BR>> message and any attachments and advise the sender. Sydney West<BR>> Area Health Service (SWAHS) uses virus scanning software but <BR>> excludes <BR>> any liability for viruses contained in any email or attachment.<BR>> <BR>> This email may contain privileged and confidential information <BR>> intendedonly for the use of the addressees named above. If you <BR>> are not the<BR>> intended recipient of this email, you are hereby notified that <BR>> any use,<BR>> dissemination, distribution, or reproduction of this email is <BR>> prohibited. If<BR>> you have received this email in error, please notify SWAHS<BR>> immediately. <BR>> <BR>> Any views expressed in this email are those of the individual <BR>> sender <BR>> except where the sender expressly and with authority states them <BR>> to be the views of SWAHS.<BR>> --<BR>> trauma-list : TRAUMA.ORG<BR>> To change your settings or unsubscribe visit:<BR>> http://www.trauma.org/index.php?/community/