Can I get a census from the group on what services are considered "Trauma
Services?" Is this just your general surgeons or does this include Ortho &
Neuro too? If it includes Ortho & Neuro, what service is the isolated
injuries for Ortho or Neuro listed under?
-----Original Message-----
From: Gemmell, Sandy [mailto:SGemmell@che-east.org]
Sent: Tuesday, April 22, 2003 12:27 PM
To: 'traumanurses@mailman.listserve.com'
Subject: [traumanurses] Re: Trauma and Coumadin
We include all pts on coumadin with evidence of head trauma in our trauma
activations, (lower level response). If initial workup is all negative, but
the INR is >2.4. The pt has a repeat CT in 6-8 hours, then can be d/c'ed
home. If the pt has a positive finding(of any kind) the pt is admitted to
the trauma service. Still with repeat CT in 6-8 hours.
Pts on coumadin, diagnosed with rib fxs are observed under the trauma
service.
Other Pts on coumadin with other injuries are processed like other ED pts.
Hope that is helpful,
Sandy Gemmell, RN, BSN,CEN
St Mary Regional Trauma Center
Langhorne, PA. 19047
215-750-2134
Beeper 215-818-2028
-----Original Message-----
From: eric.peterson@aurorabaycare.com
[mailto:eric.peterson@aurorabaycare.com]
Sent: Tuesday, April 22, 2003 1:15 PM
To: TraumaNurses@TraumaNurseSoc.org
Subject: [traumanurses] Trauma and Coumadin
I wanted to query the group in regards to the emphasis being placed on
elderly pts who are on coumadin. I think it is fairly standard practice
now or is becoming so, that if a pt on coumadin is admitted with even a
same level fall they have a trauma consult at the least?? We have not had
the elderly hip fractures as part of our registry, but do we consult on all
those now that are on coumadin?
The big question I am getting from our ED group is that if they have a pt
who is on coumadin, fell hit their head or has other assundry complaints,
but are able to be discharged from the ED, do you get a Trauma Consult on
those before they go home?
Has anyone come up with guidelines in reference to this population? I
agree that this is an at risk population and is need of closer scrutiny,
but our Physicians are having some heartburn with consulting all elderly
pts on coumadin with simple falls etc. Just wondering if anyone else is
struggling with this also?
Thanks
Eric Peterson
Trauma Coordinator
Aurora Baycare Medical Center
Email: eric.peterson@aurorabaycare.com
Phone: 920-288-4301
Pager: 920-556-1846
Fax: 920-288-4067
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