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Re: 17 minute rule put into practice. From: Braun, R. Daniel (rbraun@iupui.edu) Wed Dec 9 20:31:00 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: TGIF Diversion" Previous message: DoctorJoe@aol.com: "Re: TGIF Diversion" Maybe in reply to: Thomas Ind: "17 minute rule put into practice." Next in thread: Malcolm Griffiths: "Re: 17 minute rule put into practice." Reply: Malcolm Griffiths: "Re: 17 minute rule put into practice." Right on Malcolm. Everything you said is correct except <17 minutes from decision to Recovery ?????? That is a bit quick. Dan -----Original Message----- From: Malcolm Griffiths To: Multiple recipients of list Sent: 12/9/98 4:28 PM Subject: Re: 17 minute rule put into practice. In message <9D916278299FD111A7E100805FA7C2BA032C0F21@cheetah.uits.iupui. edu>, Braun, R. Daniel <rbraun@iupui.edu> writes >You could do better. It takes two things. First it takes having drills >periodically with your people. Second, you need to insist on having an >Operating Room in your labor and delivery unit. In my previous position at a >"Community" hospital which did about 100 deliveries per month, we were able >to do this on a regular basis in less than 10 minutes by the clock. The >record was 7 minutes when a patient walked in the door with a prolapsed cord >dangling on the floor and had her baby 7 minutes later. >Oh BTW, why did you shave? The world's literature shows a lower infection >rate if you don't. I haven't shaved a surgical patient in 10 years except >when the nurses forget and do it on their own without an order. When needs be you can really motor, but only if on site when the call is made. You need to really push others to move quickly. Consent is a fairly pointless issue for emergency CS and I think in UK no court would require signed consent (this is untested). We tend not to consider cross match at all for most CS's, so don't worry too much about having sent serum to the lab, although we prefer to do so. In UK we always have resident anaesthetic and paediatric staff. I once managed to get the patient so quickly to theatre that we not only got the baby out in less than 17 minutes but the mother was awake in recovery by then! My concern is residents and consultant colleagues not calling the CS soon eneough and then not recognising the urgency. Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997]) Next message: Bernard Cristalli: "Re: TGIF Diversion" Previous message: DoctorJoe@aol.com: "Re: TGIF Diversion" Maybe in reply to: Thomas Ind: "17 minute rule put into practice." Next in thread: Malcolm Griffiths: "Re: 17 minute rule put into practice." Reply: Malcolm Griffiths: "Re: 17 minute rule put into practice."

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