Login
Site Search
Trauma-List Subscription
Modify Your Subscription
Home >
List Archives
Changing the Language
Broyles, Pam V. trauma-list@trauma.orgMon, 6 May 2002 15:11:39 -0500
- Previous message: Changing the Language
- Next message: (no subject)
- Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
This message is in MIME format. Since your mail reader does not understand this format, some or all of this message may not be legible. ------_=_NextPart_001_01C1F53A.3B912200 Content-Type: text/plain; charset="iso-8859-1" I think that Dr. Ursic has hit on the likely reason that the change has been encouraged. Within trauma there is movement to try to get people to consider the causes of trauma and how they could have been prevented. In this way we may ultimately be able to address this and get programs in place to help address injury prevention. This however will not be likely if people continue with the mindset that accidents happen. Pam Broyles RN -----Original Message----- From: Terry Dinerman [mailto:dinerman@computron.net] Sent: Thursday, May 02, 2002 6:19 PM To: trauma-list@trauma.org Subject: Re: Changing the Language Dr. Ursic- As a pre-hospital provider, it is my convention to fully describe the MVA (motor vehicle accident) and it's exact mechanism of injury as fully as possible, including such things as speed of impact of the patients vehicle as well as the impacted vehicle or object, ("How fast was the tree going when it hit you Sir?"), patients position in the vehicle, extent of damage to the patients vehicle, restraints, (if used or air-bags if deployed), extrication maneuvers required and time it took to extricate, photos of the wreckage if possible, as well as the standard patient care summary. In addition, a small sketch of the scene is provided to illustrate speed / direction etc, when time permits. Our local receiving MD's and aircrews appreciate the extra effort since it will predict potential injury patterns and give them a edge in anticipating those issues. They don't have to apply treatments "just in case" if they have an accurate picture of the MOI. With the above said, I have never had anyone either MD or JD or insurance provider downgrade or modify my interpretation of the word "accident" in over 20 years. I now teach as well provide patient service. My students are trained to recognize that when words have multiple meanings, we must convey the broadest picture to ensure we have communicated the true nature of the injury or illness in our therapeutic communications. Plain clear English, without jargon or codes, that paints a clear picture of the case, will pass in my class, even if written on 3" cloth tape or the back of a glove. Regards- T.A. Dinerman EMTP ----- Original Message ----- From: caesar ursic <mailto:cmursic@yahoo.com> To: trauma-list@trauma.org <mailto:trauma-list@trauma.org> Sent: Wednesday, May 01, 2002 9:38 AM Subject: Changing the Language I disagree. Webster's College Dictionary defines the word "accident" in many ways, one of which is "an unfortunate event resulting from carelesness or ignorance." If that doesn't describe most auto mishaps resulting in the injuries we treat, then nothing does. I wonder: has anyobody on this list ever heard of any litigation that was thwarted, compromised, altered or in any fashion twisted around simply because a healthcare provider called the event an "accident" instead of a "crash?" Are we really that worried about secondary and tertiary levels of connotation that we need to change the popular vernacular? Or is all this somehow tied into injury "prevention?" To me, it's like calling a patient a "client." At best, it strikes me as unecessary and extreme political correctness. But that's just me. -C.M. Ursic, M.D. Dept. of Surgery UCSF-East Bay Oakland, California --- "John L. Meade" < jmeade@statdoc.com <mailto:jmeade@statdoc.com> > wrote: > Actually, in spite of the "political correctness" or > "lawyer protection" > that such a change in nomenclature implies, it might > actually be better. > > > This similar to the fact that many of us have > changed our terminology > from "Motor Vehicle Accident" (MVA) to "Motor > Vehicle Crash" (MVC). > "Accident" implies no fault. We are not usually in > position to make such > value judgments as to who is responsible, or in what > proportion to > assess blame. Therefore, MVC is a nonjudgmental > statement of fact. > > JM > > John L. Meade, MD, FACEP > Emergency Medicine Specialist > Emerald Healthcare Group, P.A. > http://www.statdoc.com/ <http://www.statdoc.com/> > > It is well to remember that the entire universe, > with one trifling > exception, is composed of others. > > > > > > -----Original Message----- > From: trauma-list-admin@trauma.org <mailto:trauma-list-admin@trauma.org> > [mailto:trauma-list-admin@trauma.org] > On Behalf Of P. Hoffman > Sent: Wednesday, May 01, 2002 09:33 > To: trauma-list@trauma.org <mailto:trauma-list@trauma.org> > Subject: Spinal Immobilization... ? > > > > Here in Northern Michigan we are being asked to > change our vocabulary > from > "Spinal Immobilization" to "Spinal Motion > Restriction." > > The rationale supposedly involves the medico-legal > end of the business. > We > have been assured that true "Immobilization" can > only be achieved > chemically, while we pre-hospital types are actually > only able to > provide > restriction of spinal motion through our use of > long-boards, KED, etc. > > Anyone out there clever enough to address this for > me? > > Phil Hoffman > EMTP > > > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/traumalist.html <http://www.trauma.org/traumalist.html> > > > > -- > trauma-list : TRAUMA.ORG > To change your settings or unsubscribe visit: > http://www.trauma.org/traumalist.html <http://www.trauma.org/traumalist.html> __________________________________________________ Do You Yahoo!? Yahoo! Health - your guide to health and wellness http://health.yahoo.com <http://health.yahoo.com> -- trauma-list : TRAUMA.ORG To change your settings or unsubscribe visit: http://www.trauma.org/traumalist.html <http://www.trauma.org/traumalist.html> ------_=_NextPart_001_01C1F53A.3B912200 Content-Type: text/html; charset="iso-8859-1" <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML><HEAD> <META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=iso-8859-1"> <META content="MSHTML 6.00.2600.0" name=GENERATOR> <STYLE></STYLE> </HEAD> <BODY bgColor=#ffffff> <DIV><SPAN class=968580620-06052002><FONT face=Arial color=#0000ff size=2>I think that Dr. Ursic has hit on the likely reason that the change has been encouraged. Within trauma there is movement to try to get people to consider the causes of trauma and how they could have been prevented. In this way we may ultimately be able to address this and get programs in place to help address injury prevention. This however will not be likely if people continue with the mindset that accidents happen. </FONT></SPAN></DIV> <DIV><SPAN class=968580620-06052002><FONT face=Arial color=#0000ff size=2>Pam Broyles RN</FONT></SPAN></DIV> <DIV><SPAN class=968580620-06052002><FONT face=Arial color=#0000ff size=2> </FONT></SPAN></DIV> <BLOCKQUOTE dir=ltr style="MARGIN-RIGHT: 0px"> <DIV class=OutlookMessageHeader dir=ltr align=left><FONT face=Tahoma size=2>-----Original Message-----<BR><B>From:</B> Terry Dinerman [mailto:dinerman@computron.net]<BR><B>Sent:</B> Thursday, May 02, 2002 6:19 PM<BR><B>To:</B> trauma-list@trauma.org<BR><B>Subject:</B> Re: Changing the Language<BR><BR></FONT></DIV> <DIV><FONT face="Comic Sans MS">Dr. Ursic-</FONT></DIV> <DIV><FONT face="Comic Sans MS"></FONT> </DIV> <DIV><FONT face="Comic Sans MS">As a pre-hospital provider, it is my convention to fully describe the MVA (motor vehicle accident) and it's exact mechanism of injury as fully as possible, including such things as speed of impact of the patients vehicle as well as the impacted vehicle or object, ("How fast was the tree going when it hit you Sir?"), patients position in the vehicle, extent of damage to the patients vehicle, restraints, (if used or air-bags if deployed), extrication maneuvers required and time it took to extricate, photos of the wreckage if possible, as well as the standard patient care summary. In addition, a small sketch of the scene is provided to illustrate speed / direction etc, when time permits.</FONT></DIV> <DIV><FONT face="Comic Sans MS"></FONT> </DIV> <DIV><FONT face="Comic Sans MS">Our local receiving MD's and aircrews appreciate the extra effort since it will predict potential injury patterns and give them a edge in anticipating those issues. They don't have to apply treatments "just in case" if they have an accurate picture of the MOI. With the above said, I have never had anyone either MD or JD or insurance provider downgrade or modify my interpretation of the word "accident" in over 20 years.</FONT></DIV> <DIV><FONT face="Comic Sans MS"></FONT> </DIV> <DIV><FONT face="Comic Sans MS">I now teach as well provide patient service. My students are trained to recognize that when words have multiple meanings, we must convey the broadest picture to ensure we have communicated the true nature of the injury or illness in our therapeutic communications. </FONT></DIV> <DIV><FONT face="Comic Sans MS"></FONT> </DIV> <DIV><FONT face="Comic Sans MS">Plain clear English, without jargon or codes, that paints a clear picture of the case, will pass in my class, even if written on 3" cloth tape or the back of a glove. </FONT></DIV> <DIV><FONT face="Comic Sans MS"></FONT> </DIV> <DIV><FONT face="Comic Sans MS">Regards-</FONT></DIV> <DIV><FONT face="Comic Sans MS"></FONT> </DIV> <DIV><FONT face="Comic Sans MS">T.A. Dinerman EMTP</FONT></DIV> <BLOCKQUOTE style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px"> <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV> <DIV style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B> <A title=cmursic@yahoo.com href="mailto:cmursic@yahoo.com">caesar ursic</A> </DIV> <DIV style="FONT: 10pt arial"><B>To:</B> <A title=trauma-list@trauma.org href="mailto:trauma-list@trauma.org">trauma-list@trauma.org</A> </DIV> <DIV style="FONT: 10pt arial"><B>Sent:</B> Wednesday, May 01, 2002 9:38 AM</DIV> <DIV style="FONT: 10pt arial"><B>Subject:</B> Changing the Language</DIV> <DIV><BR></DIV>I disagree. Webster's College Dictionary defines the<BR>word "accident" in many ways, one of which is "an<BR>unfortunate event resulting from carelesness or<BR>ignorance." If that doesn't describe most auto<BR>mishaps resulting in the injuries we treat, then<BR>nothing does.<BR><BR>I wonder: has anyobody on this list ever heard of any<BR>litigation that was thwarted, compromised, altered or<BR>in any fashion twisted around simply because a<BR>healthcare provider called the event an "accident"<BR>instead of a "crash?" Are we really that worried<BR>about secondary and tertiary levels of connotation<BR>that we need to change the popular vernacular? Or is<BR>all this somehow tied into injury "prevention?" To<BR>me, it's like calling a patient a "client." At best,<BR>it strikes me as unecessary and extreme political<BR>correctness. But that's just me.<BR>-C.M. Ursic, M.D.<BR>Dept. of Surgery<BR>UCSF-East Bay <BR>Oakland, California<BR><BR>--- "John L. Meade" <<A href="mailto:jmeade@statdoc.com">jmeade@statdoc.com</A>> wrote:<BR>> Actually, in spite of the "political correctness" or<BR>> "lawyer protection"<BR>> that such a change in nomenclature implies, it might<BR>> actually be better.<BR>> <BR>> <BR>> This similar to the fact that many of us have<BR>> changed our terminology<BR>> from "Motor Vehicle Accident" (MVA) to "Motor<BR>> Vehicle Crash" (MVC).<BR>> "Accident" implies no fault. We are not usually in<BR>> position to make such<BR>> value judgments as to who is responsible, or in what<BR>> proportion to<BR>> assess blame. Therefore, MVC is a nonjudgmental<BR>> statement of fact.<BR>> <BR>> JM <BR>> <BR>> John L. Meade, MD, FACEP <BR>> Emergency Medicine Specialist<BR>> Emerald Healthcare Group, P.A. <BR>> <A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://www.statdoc.com/">http://www.statdoc.com/</A> <BR>> <BR>> It is well to remember that the entire universe,<BR>> with one trifling<BR>> exception, is composed of others.<BR>> <BR>> <BR>> <BR>> <BR>> <BR>> -----Original Message-----<BR>> From: <A href="mailto:trauma-list-admin@trauma.org">trauma-list-admin@trauma.org</A><BR>> [mailto:trauma-list-admin@trauma.org]<BR>> On Behalf Of P. Hoffman<BR>> Sent: Wednesday, May 01, 2002 09:33<BR>> To: <A href="mailto:trauma-list@trauma.org">trauma-list@trauma.org</A><BR>> Subject: Spinal Immobilization... ?<BR>> <BR>> <BR>> <BR>> Here in Northern Michigan we are being asked to<BR>> change our vocabulary<BR>> from<BR>> "Spinal Immobilization" to "Spinal Motion<BR>> Restriction."<BR>> <BR>> The rationale supposedly involves the medico-legal<BR>> end of the business.<BR>> We<BR>> have been assured that true "Immobilization" can<BR>> only be achieved<BR>> chemically, while we pre-hospital types are actually<BR>> only able to<BR>> provide<BR>> restriction of spinal motion through our use of<BR>> long-boards, KED, etc.<BR>> <BR>> Anyone out there clever enough to address this for<BR>> me?<BR>> <BR>> Phil Hoffman<BR>> EMTP<BR>> <BR>> <BR>> --<BR>> trauma-list : TRAUMA.ORG<BR>> To change your settings or unsubscribe visit:<BR>> <A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://www.trauma.org/traumalist.html">http://www.trauma.org/traumalist.html</A><BR>> <BR>> <BR>> <BR>> --<BR>> trauma-list : TRAUMA.ORG<BR>> To change your settings or unsubscribe visit:<BR>> <A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://www.trauma.org/traumalist.html">http://www.trauma.org/traumalist.html</A><BR><BR><BR>__________________________________________________<BR>Do You Yahoo!?<BR>Yahoo! Health - your guide to health and wellness<BR><A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://health.yahoo.com">http://health.yahoo.com</A><BR><BR>--<BR>trauma-list : TRAUMA.ORG<BR>To change your settings or unsubscribe visit:<BR><A href=http://www.trauma.org/index.php/community/list/url/http:list.ftech.net/pipermail/trauma-list/2002/"http://www.trauma.org/traumalist.html">http://www.trauma.org/traumalist.html</A><BR><BR></BLOCKQUOTE></BLOCKQUOTE></BODY></HTML> ------_=_NextPart_001_01C1F53A.3B912200--
- Previous message: Changing the Language
- Next message: (no subject)
- Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]
