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Cease fire NOW or prehospital needle thoracotomy

Forrest Robleto farcpr at gmail.com
Tue Aug 1 03:22:59 BST 2006


I guess I stand corrected.  I got that information from a source I normally
consider reliable.  It sounded reasonable so I believed it.

Is elevation of the lower extremities useful in hypoperfusion for those of
us without the ability to introduce fluids?


On 7/31/06, docrickfry at aol.com <docrickfry at aol.com> wrote:
>
> I disagree with this urban legend presented as some sort of authoritative
> fact--please cite just ONE study showing any benefit whatever to MAST
> trousers in Vietnam in improving casualty outcomes.  I hope you realize that
> simply raising a blood pressure reading in no way indicates that there was
> any benefit whatever?
> ERF
>
>
> -----Original Message-----
> From: farcpr at gmail.com
> To: trauma-list at trauma.org
> Sent: Mon, 31 Jul 2006 10:41 AM
> Subject: Re: Cease fire NOW or prehospital needle thoracotomy
>
>
> MAST trousers got pretty good results in Viet Nam with young otherwise
> healthy men. When applied accross the general population they didn't fare
> as well.
>
> On 7/31/06, Anthony caruso <medic541 at hotmail.com> wrote:
> >
> > Paul, Im not sure what your asking about the Mast trousers
> > comment. Is
> > it two questions or are you trying to figure out how MAST trousers are
> > used
> > in combating Blodd loss? MAST trousers were removed from our units and
> > throughout the state. They were excellent when used for immobilization
> of
> > femurs or pelvis FX and to tampanade bleeding, but there were no
> > documented
> > cases where auto-transfusion took place when inflated. However, that's
> > not
> > to say that i do not disagree with brining them back.
> > Needle thoracostmy is an advanced skill that is thought to all
> > paramedics when attending school. However, unless the TPX causing
> > pressure
> > changes in the chest and pressing agents the heart then M.A.S.T trousers
> > would be useless in this situation. Anyway Our state run office of
> > Emergency Medical Services has there hands in too much of the paramedics
> > daily activities. Hope you have more luck than we do
> > Regards
> > Anthony M. Caruso Paramedic/Town Of Natick Fire Department, Natick
> > Massachusetts.
> > >From: "STEWART, Paul" <PStewart at ambulance.nsw.gov.au>
> > >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: Cease fire NOW or prehospital needle thoracotomy
> > >Date: Mon, 31 Jul 2006 17:23:12 +1000
> > >
> > > Do the Israeli military permit prehospital needle thoracotomies and if
> > >so, what do the arab states think about bringing back the MAST suit to
> > >combat this?
> > >Perhaps we could ask the political leaders to provide us with an
> informed
> > >comment.....
> > >My delete button needs replacing.
> > >
> > >Regards
> > >Paul Stewart
> > >Paramedic
> > >ASNSW
> > >
> > >-----Original Message-----
> > >From: Ronald Gross [mailto:Rgross at harthosp.org]
> > >Sent: Monday, 31 July 2006 3:53 AM
> > >To: Trauma & Critical Care mailing list
> > >Subject: RE: Cease fire NOW
> > >
> > >Eric,
> > >
> > >Seems that Tom has taken the Pulitzer Prize that Rob referred to - this
> > one
> > >is for revisionist history........
> > >
> > >Take care,
> > >Ron
> > >
> > > >>> "Thomas Anthony Horan" <thoran at sarah.br> 7/30/2006 12:54 PM >>>
> > >Dear Erick,
> > >
> > >What is it that you don't understand? Every nation has a right to self
> > >defense. In this case 2 soldiers were captured and a war broke out. Why
> > now
> > >why this incident? Who knows?
> > >
> > >BUT, there is no one on this list who doesn't want to see Israel and
> > >Palestine living in peace. Although we are moved by the horrors of war
> > on
> > >all sides, this is something a lot more dangerous than the usual arab
> > >israeli conflict. Israeli military dominance is being broken and a
> cease
> > >fire won't save it. Olmerts colossal miscalculation has united the
> > >terrorists, reinvigorated Syrian influence in lebanon, a radical Shia
> is
> > >the hero of the islamic world, Iran has the US ocupied in Lebanon, and
> > it
> > >has silenced moderates in Egypt Jordan and Saudi Arabia. Is israel
> safer
> > >today than 2 weeks ago, despite the killing many innocents and a few
> > >terrorists?
> > >
> > >IE It is an unmitigated disaster.
> > >
> > >An eye for an eye just dosn´t work, in this particular case it is two
> > >captured soldiers for a destroyed country.
> > >
> > >Tom
> > >
> > > > ----------
> > > > From: docrickfry at aol.com[SMTP:docrickfry at aol.com]
> > > > Reply To: Trauma & Critical Care mailing list
> > > > Sent: domingo, 30 de julho de 2006 12:36
> > > > To: trauma-list at trauma.org
> > > > Subject: Re: Cease fire NOW
> > > >
> > > > I wonder what you would think, or what we would be advocating, if
> our
> > >third largest city, Chicago, were being indiscriminately fired upon,
> > >unprovoked, by a splinter group over the border in Canada, as Haifa is
> in
> > >Israel as their third largest city, with innocent American citizens
> daily
> > >being killed, the Chicago train station destroyed, and the rest of the
> > >world began blaming us for trying to take out those rockets across the
> > >border that the Canadian government could do nothing about, and calling
> > for
> > >US to cease fire with no comment about the group continuing to fire
> upon
> > >us. Think about whether you would be saying the same thing (call me
> > naive,
> > >but I really don't think so...)--to understand another you must first
> be
> > >able to walk a mile in their shoes. If you can honestly say that you
> > would
> > >still be calling on US, unilaterally to stop defending ourselves, then
> at
> > >least you are consistent, tho I would question your sanity.. I await
> the
> > >first post somehow telling me that this
> > > > is different.......????
> > > > ERF
> > > >
> > > >
> > > > -----Original Message-----
> > > > From: p.bjorn at netzero.net
> > > > To: trauma-list at trauma.org
> > > > Sent: Sun, 30 Jul 2006 7:19 AM
> > > > Subject: Re: Cease fire NOW
> > > >
> > > >
> > > > With sincere respect, I'd challenge you to objectively itemize the
> > > > accomplishments of the Israeli military over the past couple of
> weeks,
> > > > or for that matter the Coalition of the Willing's over the past few
> > >years.
> > > >
> > > > You're insisting that a cease-fire would be stupid; but it's
> > > > increasingly clear that our fire-for-effect mentality hasn't done
> much
> > > > for the future of humanity either.
> > > >
> > > > Civilization hasn't much of a chance until the "good guys" remember
> > > > how to act civilized. We're allowing ourselves to be drawn in the
> > > > other direction -- and if you ask my opinion, it's been entirely too
> > >easy to do.
> > > > Who would have thought in the fall of 2001 that it might ever become
> > > > difficult to distinguish who the good guys are?
> > > >
> > > > Pret Bjorn
> > > > Bangor, ME USA
> > > >
> > > >
> > > > ----- Original Message -----
> > > > From: "Ronald Gross" <Rgross at harthosp.org>
> > > > To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> > > > Sent: Sunday, July 30, 2006 12:31 PM
> > > > Subject: Re: Cease fire NOW
> > > >
> > > >
> > > > Ron also said that the only thing a cease fire now would accomplish
> is
> > > > to make all of the world happy that they did something, while the
> bad
> > > > guys have just that much more time re-arming and preparing for their
> > >next attacks.
> > > > Cease fires do absolutely nothing unless there is a pre-determined
> > > > plan that all know both sides will accept. We know this because we
> > > > have seen history repeat itself for as long as it has been recorded.
> > > > Ron
> > > >
> > > > >>> ******** ******** <geokgeo at otenet.gr> 7/30/2006 6:22 AM >>>>
> > > > Dear listers,
> > > > I think this is a trauma forum and not a political arena.
> > > > Is like going to a Trauma Congress and instead of listening Trauma
> > > > topics we are hearing the speakers doing political analysis.
> > > >
> > > > George C. Georgiou
> > > > Gen.Surgeon
> > > > Xanthi Gen.Hospital
> > > > Greece
> > > >
> > > >
> > > > P.S. And while we are speaking our views freely -as Ron
> said-innocent
> > > > people are killed in Lebanon and Israel and 700.000 refugees are
> > > > suffering in Lebanon.
> > > > ... at least I would rather expect someone of you saying ,Cease fire
> > >NOW.
> > > >
> > > > G.
> > > >
> > > >
> > > >
> > > > --
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> > > >
> > > >
> > > >
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> -- V/R
>
> Forrest Robleto
> R House Health & Safety
> www.RHouseTraining.com
> FRobleto at RhouseTraining.com
> 609-792-9047
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-- 
V/R

Forrest Robleto
R House Health & Safety
www.RHouseTraining.com
FRobleto at RhouseTraining.com
609-792-9047


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