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[Fwd: Re: Prehospital Care]]

Sue suefire6 at charter.net
Sun Apr 9 23:22:15 BST 2006


The answer from the PHTLS Chairman.
Sue

-------- Original Message --------
Subject: 	Re: Prehospital Care]
Date: 	Sun, 09 Apr 2006 17:40:56 -0400
From: 	wchapleau at aol.com
To: 	suefire6 at charter.net
References: 	<44386FDD.5080408 at charter.net>



ah- thoracostomy - not aware of any literature in support of it. PHTLS 
still talsk about needle thoracostomy as a field intervention

Chief Will Chapleau EMT-P, RN, TNS
Chicago Heights Fire Department
83 East Joe Orr Road
Chicago Heights, Illinois  60411
USA
708-756-5370
fax 708-756-5358

-----Original Message-----
From: Sue <suefire6 at charter.net>
To: Chapleau, Will <WChapleau at aol.com>
Sent: Sat, 08 Apr 2006 19:22:21 -0700
Subject: [Fwd: Re: Prehospital Care]

Can you answer this for us, please?
Sue


-------- Original Message -------- Subject: Re: Prehospital Care
Date: Sat, 08 Apr 2006 19:08:43 -0400
From: docrickfry at aol.com
Reply-To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
To: trauma-list at trauma.org


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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Sue Roundy, M.Ed., EMT-P (ret.)
President, High Sierra Resources
email:  suefire6 at charter.net  or  suencbrt at lsu.edu
National Association of EMT's:  Secretary, Paramedic Division;
    Liaison to International Association of Emergency Managers
Past President, Nevada Emergency Medical Assoc.
President & Captain (ret.), Dayton (NV) Volunteer Fire Department


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"I am the master of my house and what my wife says shall be done."
Frank Thornton Olmstead




-- 

Sue Roundy, M.Ed., EMT-P (ret.)
President, High Sierra Resources
email:  suefire6 at charter.net  or  suencbrt at lsu.edu 
National Association of EMT's:  Secretary, Paramedic Division; 
     Liaison to International Association of Emergency Managers 
Past President, Nevada Emergency Medical Assoc.
President & Captain (ret.), Dayton (NV) Volunteer Fire Department 


All email checked by Norton Anti-Virus


"I am the master of my house and what my wife says shall be done."
Frank Thornton Olmstead




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