We stock a pediatric CT tray in the ED which includes rib spreaders. I am
not aware of us ever having used it except for the case of an adult police
officer who was brought into our department with a GSW to the chest.
Obviously, the pediatric sized equipment was inadequate, and we had to
obtain larger rib spreaders from central supply.
Zach Kassutto, M.D.
St. Christopher's Hospital for Children
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----- Original Message ----- >
> At 11:11 PM 9/19/99 EDT, Randolph J Cordle wrote:
> >1. How many of your departments actually have pediatric rib spreaders
> >available for emergent thoracotomy? If yours does not, do you think they
> >should? Why or Why not.
> >2. In prior discussions we discussed the work up of potential SIDS
> >recently did a post mortem ammonia level (about 1.5 hours) and it
> >very high. Does anyone know or have literature addressing post mortem
> >ammonia levels? Do you think this child had a metabolic disease or a
> >worthless test drawn?
> >Thank You,
> >Randy Cordle MD
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