No your wording was perfect Cliff! Haven't time right now myself, but
hopefully someone will have a stab at this conundrum before the day's out.
(Maybe Rowley's order is correct but he hasn't explained the imaging
priorities.)
Adrian
----- Original Message -----
From: "Cliff Reid" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, September 17, 2002 3:16 AM
Subject: Re: radiologists compromise timely emergency care
They were treated together. The question (probably poorly worded) referred
to your imaging priorities, with one CT scanner, the radiologist not in yet,
and an US machine available.
>From: Rowley Cottingham <[log in to unmask]>
>Ah, my arcane message was my answer to the trauma quiz set by Cliff -
>the order in which I would have treated his five patients.
>
>Q:
>
>1. 30 yr M, open head injury, combative, GCS E3V4M5, compound right knee
>injury. Large heart on CXR ++
>2. 65 yr F, Abdo pain, hypotensive on scene then sys ~ 90 in ED, wobbly
>humeral fracture with cold hand and absent radial pulse
>3. 62 yr F, flail chest, resps 40, shocked sys BP 75, pelvic butterfly
>#, bilateral distal femoral shaft #s, one compound, conscious but
>non-english speaking, sternotomy scar
>4. 55 yr F, ABC okay, compound left knee injury, closed right ankle #
>5. 12 yr F, vitals okay, pain on inspiration, extensive seatbelt
>bruising to chest, severe seatbelt abrasions over her (tender) pelvis,
>tingling in fingers (no neck pain). some ? pulm contusion on CXR.
>
>A:
>
>31245.
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