In article <[log in to unmask]>, Bartucci, Richard
<[log in to unmask]> writes
> If your travel time to a Level 1 trauma center is the same as to the
>nearet Level 1 children's hospital, and the adult patient cannot be
>resuscitated, your *second* patient -- the fetus -- has the better chance at
>the children's hospital.
never having been involved in a post-mortem caesarian section, I bow to
the voice of experience. however,
a) "cannot be resuscitated" was in my opinion far too vague to even try
an answer the question. was she dead on scene ? did she have predictable
non-survivable injuries but a good haemodynamic state during transport ?
what was necessary to keep the mother alive long enough - cardiac
b) I have been taught "forget the about baby. treat the mother." what
are the survival rates of post-mortem caesarian sections for near term
> Perinatologists and neonatologists (together with
>all the nursing support and necessary hardware best suited to pre-term
>infant resuscitation and medical management) are probably *not* going to be
>as readily available at your average trauma center, and that's the simple,
> And, if you want to take it one step further, the pediatric EM guys at
>children's hospitals can handle adult trauma in their sleep.
forgive my ignorance - I practice in the UK: do US paediatric centres
have gynaecologists/surgeons/anaesthetists who can get the baby out ?
it's technically easy enough, but I doubt they're set up to do that sort
of thing routinely.
chris taylor queen mary's A&E sidcup, kent, UK
"I am dying with the help of too many physicians." Alexander the Great
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