RE: MDs for field amputations/abgl-response

["Laurie A. Romig, MD" <laurie.romig@verizon.net>]

And here I was, trying to figure out why goat ropes put people at such high
risk for emergency amputation.... :-)

We would also fly one of our trauma surgeons out to the scene, but I don't
think that we have any organized plan or equipment for it. We would probably
just manage with our usual selection of meds, unless the doc happened to
grab some of his favorites on the way out the door.

Laurie Romig, MD
Bayflite, St. Pete, FL

> -----Original Message-----
> From: flightmed-admin@flightweb.com
> [mailto:flightmed-admin@flightweb.com]On Behalf Of David Steele
> Sent: Saturday, June 15, 2002 11:02 PM
> To: flightmed@flightweb.com
> Subject: Re: MDs for field amputations/abgl-response
>
>
> The last amputation that was done on our freeway system was done I believe
> with a standard hacksaw by an ED doc.  The accident was a few minutes away
> from the level one trauma center.  The first doc on the scene was
> to big to
> get into the compartment so they had to get the smallest doc on duty to go
> to the scene...
>
> Now I am in no way advocating training to do amputations in the field.  It
> would be one of those procedures that you wouldn't do enough of to stay
> current in.  However I don't believe by going to med school
> qualifies you to
> do a amputation either.  I have always said you could train anyone to do
> procedures in our industry and this isn't any different.  We could be
> trained to do this.  It would be an emergent procedure, Life saving
> procedure, you surely wouldn't worry about your stump closure..
> Who do you
> think did them during Vietnam??  talk with some of those hero's in the
> field.  I can guarantee you they weren't physicians...
>
> So now that we know we can do them..  should we.....  Again..  I think it
> boils down to can you stay current in the procedure..  or in your training
> and what is the industry standard.  I don't think you probably could stay
> current, nor is the industry standard to let aeromedical crews (RN,Medics)
> do amputations in fields (that I am aware of).
>
> Now to the question.
>
> We don't have a procedure at our program either.  I am also sure
> it would be
> a goat rope (new term for me)..  We probably would fly to one of
> our level 1
> trauma centers and pick up a ED doc a minute away (airport based service)
> and proceed to scene.  They would be responsible to bring their own
> craftsman tools.
>
> David Steele
> email   dsteele1@mn.rr.com
>
>
>
>
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