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> every trauma goes to the donut of truth anyway Yes, and that's also not supposed to work like that. ATLS says FAST+ -> OR without donut. As an anesthesiologi
by rscho 4y ago
> every trauma goes to the donut of truth anyway
Yes, and that's also not supposed to work like that. ATLS says FAST+ -> OR without donut. As an anesthesiologist, I can tell you it's very frustrating to lose patients because you spent an hour and a half in the ER because the trauma surgeon doesn't have the balls to open the patient without a CT. Lost a 20 yo, probably in good part due to that.
- n8henrie 4y ago> ATLS says FAST+ -> OR without donut > you spent an hour and a half in the ER because the trauma surgeon doesn't have the balls to open the patient without a CT. Lost a 20 yo, probably in good part due to that. Rough case, sorry to hear about that. I imagine the logic of blindly following ATLS probably depends on circumstances; where I trained the CT scanners were basically in the trauma bay, whereas the OR might as well have been a mile away. I imagine estimating the cumulative harms of opening a patient for a false-positive FAST (ascites, physiologic pelvic fluid in a reproductive age female) every once in a while vs the harm of spending an extra 5-10 minutes for CT (when it takes longer than that to get to the OR) is some complex math. Of course the farther away the OR is, it would taken even longer to get CT and then get there...