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Re: 'There is no gold standard for decision-to-incision time' ??? From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca) Tue Oct 9 19:38:27 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1" Previous message: ljmidwife@aim.com: "Elective inductions" In reply to: Gordon Goldman: "Re: 'There is no gold standard for decision-to-incision time' ???" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 'There is no gold standard for decision-to-incision time' ???" > >On Oct 8, 2007, at 8:04 PM, Andrew Folley wrote: > >> Let me get this straight. We are racing back for an emergency stat >> C-section due to non reassuring tracing with an internal electrode. >> Baby having severe variables past 20 minutes and thenbaby just >> started a prolonged deceleration heading downwards from 100 to 90 >> to 80 etc. Decison made for stat c-section. Clock is running. >> >> We get back in the OR and hook up the monitor and the heart rate is >> 50s and steady. She gets her epidural dosed and is being prepped >> and the doctor does a 10 second "scrub". the internal is in place >> and suddenly drops to zero. The baby may very well indeed be dead. >> Who is in favor of froglegging her and inserting another electrode >> just in case the first one is not picking up? Who on the list is in >> favor of having one of the nurses listen for the heart rate with a >> doppler on the abdomen? Who opts for a quick US scan?? Or who >> says "Give me the scapel and get out of my way and I will have a >> baby dead or alive for you in less than 60 seconds?????? Sign me >> up for the latter option,. >> >> Respectfully yours Dr. Bard A. Parker >> Clear cut case, 50 CC of 2%, ketamine or some other joy juice, c-section. no fetal heart for 15min, Well I think long and hard. no featal heart for 30 min, no thanks. -- Take care, John Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1" Previous message: ljmidwife@aim.com: "Elective inductions" In reply to: Gordon Goldman: "Re: 'There is no gold standard for decision-to-incision time' ???" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: 'There is no gold standard for decision-to-incision time' ???"

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