Re: STAT Breech!

From: Dr Eberhard W Lisse (el@lisse.na)
Mon Jan 26 21:30:09 2009


As I hate to agree with this Shabanay from texas who can't spell his name right, and I totally disagree with allowing nurses dictate medical practice, I think the correct answer to the page is: "Get the OR ready, I'm coming". On arrival I would have examined the patient and said something like "I think you are so far already I doubt we'll make it to the OR. Can you take a deep breath for me and give me a good push or two, please?" "Congratulations, it's a boy/girl".

Fortunately this particular situation can't happen here, I do not see unknown patients and in particular no unknown walk ins at full dilation. I do an elective vaginal bypass on all breeches.

But, if a patient of mine walks in and turns out to be a breech, and (by the time of my arrival) to be too late for C/S, we'd just catch the baby. Our midwives have seen breeches :-)-O

el

On 27 Jan 2009, at 02:29 , vnellsch wrote:

> probably the only way to answer the page and not get everyone
> wrought up would be to say " i will be there shortly, have the o.r.
> crew and anesthetist stand by for a possible stat cesarean."
> because i will tell you this, that nursing supervisor and the folks
> who had already decided what you needed to do, will never forgive
> you for being right. they will get you, for something, sometime,
> maybe after you have already forgotten this little fracas. verner
> nellsch, md. private practice near houston, texas





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