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Tue Dec 12 16:07:52 GMT 2006

Magic of the holiday season.

Thanks for your kind comments.  

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Ronald Gross
Sent: Tuesday, December 12, 2006 11:03 AM
To: Trauma &amp; Critical Care mailing list
Subject: RE: Incidence of the "Knife & Gun Club" vs military medicine

Pret,

I believe that you hit the nail on the head, and I couldn't agree with
you more.  And for you cynics who are counting, that is TWICE in one
month!  ;-)

Ron
>>> "Bjorn, Pret" <pbjorn at emh.org> 12/12/2006 10:49 AM >>>
As one who has never worked in either military or urban trauma, I lack
credibility here.  More than usual, even.  

Having admitted that, I nonetheless insist that it has become WAY too
easy for many of us comfy civilians to casually compare Baghdad to
Baltimore for our own rhetorical purposes.

Take a breath, clear your head, and try again.  It's not even close.
Meaningful comparisons, especially with regard to process and protocol
(as opposed to direct patient care) are hard to find.  On the
battlefield, tourniquets and intraosseous access devices are used as
much in the interests of EVACUATION as treatment.

Cynical me; I'm confident that there's more commerce than science
behind
the re-emergence of tourniquets in civilian EMS.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org 
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Gustavo E. Flores
Sent: Monday, December 11, 2006 10:11 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: Incidence of the "Knife & Gun Club" vs military medicine

Just playing the Devil's Advocate.

Would it be prudent to consider adapting military experiences and/or
concepts to civilian life in places where the "Knife and Gun Club" is
exceedingly more than national averages? If so, what would they be?

Granted, civilian EMS is different from military prehospital care in
many
aspects regardless of how severely injured the victim is. The
available
immediate resources and the logistics vary greatly. 

Gustavo E. Flores Bauer, MSIII EMT-P :.
 <http://www.EmergencyTeam.Net> www.EmergencyTeam.Net 
San Juan, Puerto Rico
Iberoamerican University School of Medicine
Santo Domingo, Dominican Republic

Cel: 829-770-0707
Fax: 809-686-6988
MSN Messenger: gustavoflores911
Skype: gflores911
E-Mail:  <mailto:gustavo at emergencyteam.net> gustavo at emergencyteam.net 

Ideas not coupled with action never become bigger 
than the brain cells they occupied.

     - Arnold H. Glasgow

"My dogma ran over your karma".

S:.F:.U:.

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Incidence of the "Knife & Gun Club" vs military medicine