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Sat, 4 Jan 2003 21:17:43 GMT
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Dr Mattox, I raised the question of CPR being appropriate for trauma in my recent update of my ALS certification. It cost me the chance to move to being an instructor (and try and change the system from within). If they are going to such lengths to preserve the orthodoxy that they will disbar anyone who questions it, how long before the system becomes ossified (if it hasn't already) and what should be done about it? Belonging to this list is making me increasingly uncomfortable with what I am expected to teach my staff. I have to teach CPR in trauma, 2L fluid for hypotension, needle thoracotomy...the list goes on. Before anyone suggests it I have jumped ship from my present post - but only before I was pushed overboard. My temerity to question the management of cases, and decisions that have resulted in deaths that I know elsewhere should not occur, has resulted in senior management threatening to have me struck off. With your seniority and experience, Dr Mattox, it is a position you are unlikely to find yourself in. Some hospitals (doctors?) are so bound up in their outdated beliefs that they would rather someone die than consider the concept that junior staff or those from another specialty might just be right. Faced with the choice of stretching my clinical abilities elsewhere or staying silent while people die, I have made a decision. It is a different world some of us are faced with, where the patient is well down the list of priorities. Driving home from every shift weeping with frustration is not something I can handle long term. I did not know what else to do but leave. But I still feel like a rat. Fiona Wallace ________________________________________________________________________ All email and attachments sent from http://www.Doctors.net.uk have been scanned by the MessageLabs SkyScan antivirus system ________________________________________________________________________