Could you give us the name of the Paper. I'd like to quote it at our local
neurosurgical centre
Ray McGlone
Lancaster
----- Original Message -----
From: "Anton van Dellen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Friday, March 04, 2005 6:27 PM
Subject: Re: Trauma teams and hospital at night
> There's very robust data from the US from Donald Becker showing a
> cut-off of four hours from time of injury to theatre for subdurals makes
> a big difference to outcomes.
>
> Anton
> Staffs
>
> [log in to unmask] wrote:
>>
>> Wasn't there something from the UK TARN group suggesting that outcomes
>> are better with senior surgical involvement. There was certainly a paper
>> suggesting senior resuscitators do it better. There are Guidelines from
>> the RCS on time to theatre both for orthopaedics and general surgery. I
>> presented them to my surgical teams on an audit day 2-3 years ago.
>> I am recieving reports from them that
>> ---------- Original Message ----------------------------------
>> From: "Brown, Ruth" <[log in to unmask]>
>> Reply-To: Accident and Emergency Academic List
>> <[log in to unmask]>
>> Date: Wed, 2 Mar 2005 07:51:28 -0000
>>
>> >Dear list
>> >We are having difficulty in reconciling new rotas for Surgical SpRs with
>> >the requirements for early Surgical expertise for major trauma - not
>> >that we have an enormous amount here but even more reason to have a team
>> >that functions well. Currently our Surgical colleagues are on call from
>> >home - and may take up to an hour to get in.
>> >
>> >I think this will only get worse with H@N since my understanding is that
>> >the project aims to get as many senior docs off site as possible at
>> >night.
>> >
>> >Does anyone have either a comprehensive review of the effect of the
>> >presence of senior surgical decision makers in trauma, and a validated
>> >standard for the attendance time,
>> >or evidence form existing pilots for H@N that there is no problem with
>> >this approach?
>> >
>> >I have read the RCS trauma guidelines, which are a bit woolly -"senior
>> >surgeon present" but no statement as to whether should be present when
>> >patient arrives or within 30 minutes or 2 hours into resus.
>> >
>> >thanks RUth
>> >Ruth Brown FRCS FFAEM
>> >Emergency Medicine Consultant
>> >
>> >
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