Re: 24hr in house MD (was Catastrophic VBAC's)

From: Myer S. Bornstein (mborn@massmed.org)
Thu Feb 12 09:49:36 1998


I live six miles from the hospital, however at night if I am at home and get called by the time I wake up get dressed, use the john and drive to hospital and get to the labor Suite, It can be 15-20 minutes. Therefore for a better night sleep (the nurse screen the calls, not waking the family I stay at the hospital. If there is a problem I am immediately available. The other night a patient came in at 29-30 weeks bleeding and pushing. Full dilatation, Called thew pedi, anesthesia in house (BTW live less than a mile from the hospital) and the transport team from the teriary care center. delivered the infant . If I wasn't there, much problems. Myer -----Original Message----- From: R. Daniel Braun, M.D. <rbraun@iunet.iupui.edu> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: February 12, 1998 08:42 Subject: Re: 24hr in house MD (was Catastrophic VBAC's)

>In many US hospitals, the scrub team and anesthesia aren't called until
>after the OB doc gets there and sees the patient.
>RDB
>-----Original Message-----
>From: Bernard Cristalli <bcrist@club-internet.fr>
>To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net>
>Date: Wednesday, February 11, 1998 5:23 PM
>Subject: Re: 24hr in house MD (was Catastrophic VBAC's)
>
>>Stephen A. Szabo wrote:
>>>
>>> I agree, there should be an MD in house or able to start a c/s within 30
>>> minutes from the time the distress was first noted.
>>--
>>
>>30 minutes is quite enough to be there. During that time the scrub team
>>prepares everything. BTW we must be in a 15 minutes area when on call.
>>
>>--
>>Bernard Cristalli MD CNGOF
>>AIHP - ACCA
>>Paris - France
>>http://www.obgyn.net/corresp/cristalli.htm
>>
>





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