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Poor quality of emergency care in DR.
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09-22-2012, 06:48 AM
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Ygd2qr8k
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Oct 2005
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I would agree that transfer is definately in order. The standard of care in the US for open fractures is immediate (within 6 hours) surgical cleansing and debridement of the wound and insertion of a drain, in the operating room along with IV antibiotics. The femur fracture would have been reduced at tge same time by insertion of a rod into the canal under flouroscopy. This is a common injury in every trauma center. To delay surgery by days is risking life and limb. Once sepsis occurs, loss of the limb will be the only way to save life. If necessary, hire a doctor to assist in the transfer. Don' t wait for things to go sour.
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