List Archives

Thu, 12 Dec 2002 08:47:20 +0930

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 How in the world could such educated people on this list for one second =
believe that pumping on a chest could in any way help these problems?  =
It astounds me how many do this--completely because they just want to =
feel like they are doing something--without ever questioning why they do =
it, or what possible good it could do.  A classic example of =
extrapolating a somewhat useful modality in one setting (ischemic heat =
disease) to another totally different setting in young healthy people in =
whom there is nothing wrong with the heart, without even considering =
that the physiologic basis is totally different.  When will eminent =
common sense or evidence-based approaches prevail in these ludicrous =
practices?
ERF=20
It would seem to me that the person is questioning their practice and =
asking the list for advice. This sort of response does little to help =
the process other than to belittle the person requesting advice. We are =
not all perfect niether do we all have access to tertiary facilities or =
even Libraries. Personally I am 6 hours drive form a hospital and 16hrs =
drive from the nearest teaching hospital and university library, I have =
no monitoring equipment (other than those I come equiped with) and =
limited clinical supplies. I use lists like this that I can access at =
home to question my practice and hopefully give better care to those =
unfortunate enough to need it. This list boast some truly amazing people =
with experience that I can only hope to have, yet at times it seems that =
those of us who ask for advice on "the simple matters" often get used as =
target practice.
Cheers Matt Mason
Remote Area Nurse
Central Australia.
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<DIV><FONT face=3DArial size=3D2>&nbsp;<FONT color=3D#000080>How in the =
world could=20
such educated people on this list for one second believe that pumping on =
a chest=20
could in any way help these problems?&nbsp; It astounds me how many do=20
this--completely because they just want to feel like they are doing=20
something--without ever questioning why they do it, or what possible =
good it=20
could do.&nbsp; A classic example of extrapolating a somewhat useful =
modality in=20
one setting (ischemic heat disease) to another totally different setting =
in=20
young healthy people in whom there is nothing wrong with the heart, =
without even=20
considering that the physiologic basis is totally different.&nbsp; When =
will=20
eminent common sense or evidence-based approaches prevail in these =
ludicrous=20
practices?<BR>ERF </FONT></FONT></DIV>
<DIV><FONT face=3DArial size=3D2>It would seem to me that the person is =
questioning=20
their practice and asking the list for advice. This sort of response =
does little=20
to help the process other than to belittle the person requesting advice. =
We are=20
not all perfect niether do we all have access to tertiary facilities or =
even=20
Libraries. Personally I am 6 hours drive form a hospital and 16hrs drive =
from=20
the nearest teaching hospital and university library, I have no =
monitoring=20
equipment (other than those I come equiped with) and limited clinical =
supplies.=20
I use lists like this that I can access at home to question my practice =
and=20
hopefully give better care to those unfortunate enough to need it. This =
list=20
boast some truly amazing people with experience that I can only hope to =
have,=20
yet at times it seems that those of us who ask for advice on "the simple =

matters" often get used as target practice.</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Cheers Matt Mason</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Remote Area Nurse</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Central =
Australia.</FONT></DIV></BODY></HTML>

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