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Mon Oct 24 15:14:13 BST 2005

First, I's like to thank you both for your pashionate intrest in medical 
education not directly regarding you and your concerning answers (and I'm 
truely not being cinical. I do deeply appreciate it).

Second, I do agree with your line of thinking- I too find myself from time 
time (at least once a week) debating with instructors about the need to 
teach something- I usually claim that only what is rellevant directly to the 
practice and is mandatory to know to give treatment should be taught.
However, we do teach them about procedures and treatments they are not 
authorized to perform- such as intubation, becuase they do need to assist 
the doctor in performing them (have the rellevant equipment ready once the 
doctor orders, perform MICI, serve the doctor the equipment under sterile 
technique and so on). You can not teach that to them without explaining 
"Intubation is a... performed when..."
Moreover, I believe that if you have had the chance of having such a new 
trainee asking a question that is truely an exception to what he has to 
know, you too think that just telling him "there is no need for you to know 
that" is not the best answer, don't you think?

>From: "Moore Rick" <Rick.Moore at TriadHospitals.com>
>Reply-To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
>To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
>Subject: RE: Colloid infusion in the trauma patient
>Date: Mon, 24 Oct 2005 08:10:36 -0500
>
>I agree with Pret (did I really say that?) EMT-B classes are entry level
>and teaching things that they can't use is just time consuming and
>confusing.
>REM
>
>-----Original Message-----
>From: trauma-list-bounces at trauma.org
>[mailto:trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
>Sent: Monday, October 24, 2005 8:04 AM
>To: 'Trauma & Critical Care mailing list'
>Subject: RE: Colloid infusion in the trauma patient
>
>Where's the need-to-know?  I'm all for education and transparency, but
>it seems to me that at the EMT-B level, you've got bigger things to
>teach than controversial or contraindicated medical management
>strategies.  Do you talk about the Whipple procedure too?
>
>Trauma education for basic field providers must be very specific:
>excellent first aid in the process of rapid conveyance to surgical
>resources.  End of chapter.  Move on to seizures and heart attacks and
>insulin shock.
>
>Pret
>
>
>
>-----Original Message-----
>From: oded private [mailto:tangentcarrot at hotmail.com]
>Sent: Monday, October 24, 2005 8:46 AM
>To: trauma-list at trauma.org
>Subject: Re: Colloid infusion in the trauma patient
>
>
>
>I just wanna make things clear- we don't train them to use them, but we
>do
>teach them about thier excitence, since they are available for
>physicians
>(who also are not too couraged to use them).
>It's beeing taking into consideration today to withhald their
>availablity to
>
>use by physicians as well.
>
>
> >From: "p.bjorn" <p.bjorn at netzero.net>
> >Reply-To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
> >To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> >Subject: Re: Colloid infusion in the trauma patient
> >Date: Sat, 22 Oct 2005 20:07:41 -0000
> >
> >Excellent question, for which I wish I could recall an answer.  The
>last
> >time I recall giving albumin was at least a dozen years ago.  Might
>have
> >been a burn... ?  But that was back when I was doing other emergencies
>too,
> >and I haven't much of a memory.
> >
> >The point is, colloids don't have any common use in acute trauma
> >resuscitation.  Training medics to administer them is a waste of time,
> >effort, and expense.
> >
> >Pret
> >
> >----- Original Message -----
> >From: "oded private" <tangentcarrot at hotmail.com>
> >To: <trauma-list at trauma.org>
> >Sent: Saturday, October 22, 2005 3:18 PM
> >Subject: RE: Colloid infusion in the trauma patient
> >
> > > By the way, I think it's the first time I hear that someone used
>Albumin
> >for
> > > a trauma patient.
> > > (though I have heard about using it for hemotoxic venoum poisoning)
> > > Happen to recall what indicated it for that patient?
> >
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Colloid infusion in the trauma patient