Certainly an hour is plenty, anything longer than that is taking advantage of the ER, in my opinion.
> Date: Thu, 1 Apr 2010 08:53:34 -0400
> From: [log in to unmask]
> Subject: Length of plastic surgery procedures in the ED
> To: [log in to unmask]
> Recently, one of our plastic surgeons is repairing complex wounds in small
> children in the ED rather than take them to the operating room. Several of
> these cases have lasted 4 hours (one case was 6 hours). He has been
> resistant to having these patients sedated for their procedure. I don't take
> patients to the OR so I don't know everything that goes into the decision
> making process. My gut tells me that a case that takes longer than 90
> minutes or so needs to be done elsewhere (OR). Besides the care issues,
> tying up my PCA/nurse for hours (or ED MD if he would let us sedate these
> patients) is detrimental to our patient flow.
> I am trying to get a feel for what is done in other peds EDs.
> Do you have a limit on the length of the case that can be done in the ED?
> How do you handle these type of cases in your institution?
> Thomas Krzmarzick M.D.
> Medical Director
> Dayton Childrens
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
Hotmail has tools for the New Busy. Search, chat and e-mail from your inbox.
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: