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Tue Feb 21 15:29:13 GMT 2006

The exact same rationale was used for the switch way back when from 5:1 to 10:1--without knowing history we are doomed to repeat it -- no matter what scheme is used, we are always going to see some percieved rationale, just like bloodletting 250 years ago was promoted because of the obvious good that should come from letting out the evil humors--until some actual evidence of benefit is shown (after all, this is the 21st century with due attention given to evidence based medicine) we will continue to flail every couple years with these fruitless debates, and CPR will continue to be the largely fruitless exercise it is with extremely low measurable yields if any, and truly unknown benefits.  How many of us can cite a single bit of evidence that 30:2 is any better than 5:1 in terms of patient outcome????
ERF

-----Original Message-----
From: Jago Miloguz <japrak at gmail.com>
To: Trauma &amp, Critical Care mailing list <trauma-list at trauma.org>
Sent: Tue, 21 Feb 2006 15:17:40 +0100
Subject: Re: better things to talk about...

you are probably right,but as you said we don't know now fore sure so
doesn't it seams to you all that ratio 30:2 is to be more successful because
is provides better perfusion to myocardium,and these new recommends are
better in way that things are simple and easier to learn,can anyone confirm
usefullyness of these ratio or recommend some other.....

On 2/21/06, docrickfry at aol.com <docrickfry at aol.com> wrote:
>
> More like arguing how many angels can fit on the head of a pin--you would
> think that after the dozens of changes in this method over the years, we
> would finally realize how little difference it really makes, and most
> certainly, the fact that we really do not and probably never will really
> know the answer.
> ERF
>
> -----Original Message-----
> From: joe.nemeth at staff.mcgill.ca
> To: trauma-list at trauma.org
> Sent: Tue, 21 Feb 2006 07:00:36 -0500
> Subject: better things to talk about...
>
>
> 30:2...15:2...
> tomAtoe...tomatOe
> come on gang...
> you think it truly makes a difference...
>
> it's akin to arguing whether to give 750 cc's or 500 cc'c crystalloid to
> someone with hemorrhagic shock...
>
> just push fast and hard...and pray..
>
> joe
> -- Dr. Joe Nemeth
> Assistant Professor
> Emergency Medicine
> Montreal General Hospital
> Montreal Children's Hospital
> McGill University Health Center
>
>
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better things to talk about...