Comments on: Chris Sims’ Splenic Fracture http://gruntdoc.com/2006/09/chris-sims-splenic-fracture.html Ramblings of an Emergency Physician in Texas Sat, 31 Jul 2010 12:01:12 +0000 hourly 1 http://wordpress.org/?v=3.0 By: TheNewGuy http://gruntdoc.com/2006/09/chris-sims-splenic-fracture.html/comment-page-1#comment-4570 TheNewGuy Tue, 26 Sep 2006 19:01:57 +0000 http://gruntdoc.com/2006/09/chris-sims-splenic-fracture.html#comment-4570 Or maybe he <i>was</i> bleeding, and his world-class-athlete physiology allowed him to compensate for it... never underestimate how much being in top physical condition helps. If Lance Armstrong shows up in your ER complaining that he lost blood after cutting himself on a broken bottle, you'd better take it seriously if he's got a heart rate of 90 (considering that his resting HR is probably in the 30's). Or maybe he was bleeding, and his world-class-athlete physiology allowed him to compensate for it… never underestimate how much being in top physical condition helps.

If Lance Armstrong shows up in your ER complaining that he lost blood after cutting himself on a broken bottle, you’d better take it seriously if he’s got a heart rate of 90 (considering that his resting HR is probably in the 30′s).

]]> By: GruntDoc http://gruntdoc.com/2006/09/chris-sims-splenic-fracture.html/comment-page-1#comment-4569 GruntDoc Tue, 26 Sep 2006 03:36:05 +0000 http://gruntdoc.com/2006/09/chris-sims-splenic-fracture.html#comment-4569 Exactly. Was this spleen sacrificed for a career? Exactly. Was this spleen sacrificed for a career?

]]> By: Sid Schwab http://gruntdoc.com/2006/09/chris-sims-splenic-fracture.html/comment-page-1#comment-4568 Sid Schwab Mon, 25 Sep 2006 22:59:52 +0000 http://gruntdoc.com/2006/09/chris-sims-splenic-fracture.html#comment-4568 An interesting aspect of this is wondering how the option of non-operative treatment was addressed. It seems clear it wasn't bleeding much, based on the fact that he kept playing for a time. In many cases, low-grade bleeding is managed without exploration, at least initially. It means observation in house for a few days, then orders to take it pretty easy. Would an NFL quarterback be inclined (or would his owners) to get it out ASAP with the idea he'd be back on the field sooner? An interesting aspect of this is wondering how the option of non-operative treatment was addressed. It seems clear it wasn’t bleeding much, based on the fact that he kept playing for a time. In many cases, low-grade bleeding is managed without exploration, at least initially. It means observation in house for a few days, then orders to take it pretty easy. Would an NFL quarterback be inclined (or would his owners) to get it out ASAP with the idea he’d be back on the field sooner?

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