Prehospital Care

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I teach BTLS (very akin to PHTLS, just a different sponsoring organization,
after all TRAUMA IS TRAUMA).

Here is the slide from BTLS regarding tension pneumo.

Take notice of the instructor notes, it should be done per protocol.

Andrew Bowman
----- Original Message ----- 
From: <docrickfry at aol.com>
To: <trauma-list at trauma.org>
Sent: Saturday, April 08, 2006 7:08 PM
Subject: Re: Prehospital Care


>
> I have not seen the last two editions of PHTLS, so perhaps someone can
inform me and the rest of us--what does this standard and widely accepted
document on prehospital care say exactly about prehospital placement of
chest tubes and needles?
> ERF
>
> -----Original Message-----
> From: Michael Ferker <xg2k2 at yahoo.com>
> To: Trauma &amp, Critical Care mailing list <trauma-list at trauma.org>
> Sent: Sat, 8 Apr 2006 15:55:41 -0700 (PDT)
> Subject: Re: Prehospital Care
>
>
> But who are we trying to prove the benefit to in this scenario? Any
colleague
> who believes this may save a life will likely implement it; those who
don't
> believe it's worth the risk will consider alternatives. In the long run, I
> believe that it's our duty to first provide the best circumstances
possible, in
> our best educated opinion, that will minimize suffering and optimize the
quality
> of care the pt receives. In cases where there isn't sufficient
documentation to
> lead a provider to inevitably come to a conclusion one way or another
regarding
> whether benefits outweigh the risks, it's up to the provider to determine
> whether or not such a course of action should be taken; some may opt for
it,
> other may opt against it. But conclusivity at times can be a matter of
> perspective and quite subjective, so it depends on the individual provides
to
> decide for themselves.
>
> docrickfry at aol.com wrote:  Absolutely there may be--but to follow the
tenets of
> science AND safety first for the patient, it is our obligation to FIRST
prove a
> benefit BEFORE subjecting them to this risk
> ERF
>
> -----Original Message-----
> From: HAXScott at aol.com
> To: trauma-list at trauma.org
> Sent: Sat, 8 Apr 2006 09:05:31 EDT
> Subject: Re: Prehospital Care
>
>
> ...especially when we don't know who or what the modern paramedic is or
will
> be.. Cloud everything the dark side does.
>
> Is it not unreasonable to concede that there MAY be some benefit to
> out-of-hospital tube thoracostomy in a select group of patients, in the
hands of
>
> a
> skilled provider functioning as a member of a critical care transport
team,
> who has intense medical director oversight, answers to a rigorous PI
process,
> in an environment where access to another provider in a hospital setting
> (physician or mid-level) is not possible within a considerable time frame
from
> injury?
>
>
>
>
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>
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