ERDoc Posted June 14, 2008 Share Posted June 14, 2008 The spanking may have lead to rhabdomyolysis which might have necessitated the dialysis. Difficult to explain the colostomy unless there was a little Justin Volpe action involved. Link to comment Share on other sites More sharing options...
firedoc5 Posted June 14, 2008 Author Share Posted June 14, 2008 The spanking may have lead to rhabdomyolysis which might have necessitated the dialysis. Difficult to explain the colostomy unless there was a little Justin Volpe action involved. I was hoping that you'd post here, Doc. No penetration noted. Any way that pressure on the rectum could have caused some kind of spasm of the colon? Other than possibly hitting high striking the flank/kidney area can there be direct trauma to the kidney. Link to comment Share on other sites More sharing options...
ERDoc Posted June 14, 2008 Share Posted June 14, 2008 I was hoping that you'd post here, Doc. No penetration noted. Any way that pressure on the rectum could have caused some kind of spasm of the colon? Other than possibly hitting high striking the flank/kidney area can there be direct trauma to the kidney. Again, it's hard to explain the colostomy without penetration. I'd be reaching, but maybe some sort of ischemic event from the renal failure? Link to comment Share on other sites More sharing options...
VentMedic Posted June 14, 2008 Share Posted June 14, 2008 Rarely do Paramedics ever get see what some of those perceived minor injuries can turn into. Even some ER doctors do not want to hear about what may happen to the patient in the course of treatment once they leave the ER. The fond memories of keeping the patient's heart beating until the OR or ICU is enough. Infection, sepsis, renal failure and ischemic bowel are things sometimes expected and can usually be treated effectively or NOT. Resistant and multiple strains of infection can occur with even the simplest skin break from a needle. Infections can also originate from prehospital and inhospital procedures. Slightly off topic but I believe the article I'm referencing below has been required reading in almost every hospital for every healthcare professional since the Medicare announcement last year for no reimbursement for hospital acquired infections. The Checklist http://www.newyorker.com/reporting/2007/12...fa_fact_gawande Link to comment Share on other sites More sharing options...
firedoc5 Posted June 14, 2008 Author Share Posted June 14, 2008 Slightly off topic but I believe the article I'm referencing below has been required reading in almost every hospital for every healthcare professional since the Medicare announcement last year for no reimbursement for hospital acquired infections. The Checklist http://www.newyorker.com/reporting/2007/12...fa_fact_gawande Outstanding article. Reminds me of a drowning I may start a new topic on here. Link to comment Share on other sites More sharing options...
VentMedic Posted June 14, 2008 Share Posted June 14, 2008 Outstanding article. Reminds me of a drowning I may start a new topic on here. Did you read all 8 pages? The other case examples get more intense. Link to comment Share on other sites More sharing options...
firedoc5 Posted June 14, 2008 Author Share Posted June 14, 2008 Did you read all 8 pages? The other case examples get more intense. I just got to read the first page, the shower is calling. I was planning on coming back to it. Link to comment Share on other sites More sharing options...
Asysin2leads Posted June 16, 2008 Share Posted June 16, 2008 The spanking may have lead to rhabdomyolysis which might have necessitated the dialysis. Difficult to explain the colostomy unless there was a little Justin Volpe action involved. ERDoc, I don't know whether to be proud or ashamed that I actually know that reference you just made. Link to comment Share on other sites More sharing options...
ERDoc Posted June 16, 2008 Share Posted June 16, 2008 ERDoc, I don't know whether to be proud or ashamed that I actually know that reference you just made. I didn't think about out international membership when I said that, but I'm sure a simple google search will help for those that are curious enough. Not one of NYC's finer moments. Link to comment Share on other sites More sharing options...
firedoc5 Posted June 16, 2008 Author Share Posted June 16, 2008 I didn't think about out international membership when I said that, but I'm sure a simple google search will help for those that are curious enough. Not one of NYC's finer moments. I do remember that. Link to comment Share on other sites More sharing options...
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