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Mon, 25 Mar 2002 23:18:30 -0000

I  still say curry and beer is curry and beer
----- Original Message -----
From: "Rowley Cottingham" <rowley@rowleys-host.compulink.co.uk>
To: <trauma-list@trauma.org>
Sent: Tuesday, March 19, 2002 2:31 PM
Subject: RE: Combitube


> The difference is that these patient groups are different in their
> demographics, and, to put it bluntly, their chances of survival.
>
> > -----Original Message-----
> > From: trauma-list-admin@trauma.org
> > [mailto:trauma-list-admin@trauma.org]On Behalf Of Peter Barrett
> > Sent: 16 March 2002 21:29
> > To: trauma-list@trauma.org
> > Subject: Re: Combitube
> >
> >
> > So its OK to use the LM during cardiac arrest after having curry
> > and a beer
> > but its not safe if you are involved in trauma - I dont think so.
> > Lets apply
> > some commonsense - just use equipment that you are familiar with. For me
> > that would be the LM Proseal (familiar, easy to insert, good pharyngeal
> > seal, ability to vent the oesophagus and a conduit, with the aid of a
> > fibreoptic scope and Aintree catheter to secure a definitive airway) or
> > possibly even ILMA.
> > OK you cant guarantee that the lower airway will be protected against
> > aspiration but surely its a case of risk v's benefit - what are the
risks
> > and where is the data that the LM is dangerous in trauma patients
> > - Benefits
> > are obvious.
> > As for the combitube - use it if you are familiar with it and it works
for
> > you.
> > I wouldn't stand up in court for either side on this one!
> >
> > Pete Barrett
> > ----- Original Message -----
> > From: "Rowley Cottingham" <rowley@rowleys-host.compulink.co.uk>
> > To: <trauma-list@trauma.org>
> > Sent: Thursday, March 14, 2002 11:06 AM
> > Subject: RE: Combitube
> >
> >
> > > I agree entirely with John Holmes. I have gone on record before
> > as stating
> > > that I would act for the prosecution in any case where soiling of the
> > lower
> > > airway occurred after insertion of a laryngeal mask after
> > trauma. There is
> > > good evidence that the soiling is no worse in the cardiac
> > arrest situation
> > > that using BVM (Baskett and Stone) but none that it is anything but
> > > dangerous in the traumatised patient.
> > >
> > > Best wishes,
> > >
> > > Rowley Cottingham
> > > rowley@cix.co.uk
> > > http://emergencyunit.com
> > > premier emergency medicine on the web.
> > >
> > >
> > >
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> >
> >
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>
>
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