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Sun Oct 15 02:39:17 BST 2006

The ENA has been trying to FORCE surgeons to allow family members in the OR site for major surgery in the EC for almost a decade.   This is yet another attempt to do something far beyond their understanding.    

K

Sent via BlackBerry, return via KMattox at aol.com

-----Original Message-----
From: revegg at att.net
Date: Sun, 15 Oct 2006 01:19:50 
To:KMATTOX at aol.com
Cc:gabiford at hotmail.com, ccm-l at ccm-l.org, trauma-list at trauma.org
Subject: Re: ccml IO again

Ken,
I believe the statement was "Family Presence during a CODE" and yes, this is common practice and one that is favorably acceted by family members who WISH to be present, not forced. 
I do accept your statement that family members should not be in the OR, there are too many issues regarding that openness. 
Contamination is a big one. Not really understanding the process and procedure, limited anatomic, scientific knowledge are among the other big ones. Unfortunately, the misunderstanding is understandable.

 -------------- Original message ----------------------
From: KMATTOX at aol.com
>  
> In a message dated 10/14/2006 7:00:29 P.M. Central Standard Time,  
> gabiford at hotmail.com writes:
> 
> Take a  chill pill, K.  ;)
> 
> 
> Not required. 
>  
> 1.    The predominant discussion at the AAST and the  ACS was that 
> prehospital  and emergency room post traumatic hypotension  care was to allow 
> permissive 
> resuscitation and RESTRICT  fluids.     Aggressive fluids resulted in 
> repeated  documentation of unacceptable complications.    Should this be  true 
> and 
> the predominance of evidence is that it is, then the need for IO and  other 
> large bore venous access for large volumes of fluid becomes a mute  point.   
>  
> 2.    The last I checked, the predominant nursing  organization interacting 
> with trauma systems, trauma surgeons, and hospital  policy was the SOCIETY OF 
> TRAUMA NURSES, not the ENA.   AND the policy  regarding who is in the OR (or an 
> OR surrogate location such as the trauma  resuscitation area of the emergency 
> center), is the surgeon, not a national  nursing organization.  The trauma 
> surgeons have repeatedly stipulated that  the policy of having family members 
> present during surgery is NOT A GOOD  IDEA.   After the surgery is over (either 
> in the holding area of the  EC or the PACU) surgeons have no problem with the 
> family visiting the patient in  keeping with hospital policy.     
>  

> I would recommend that chill out pills are not needed by the surgeons, but  
> common sense pills are needed by other clip board carrying policy making do  
> gooders who have lost contact with reality.  
>  
> k
>  
>  
> I just returned from a local trauma course.  One of the topics was, of  
> course, intra osseous needles.
> The general opinion was that they were  being used more than in the past. 
> With the newish screw tips, people claimed  they were easy enough to insert.
> 
> Two ER nurses in attendance stated they  had IOs placed and found the pain 
> related to the insertion to be minimal --  comparable to having an IV cath 
> placed.
> 
> Also, was told that the  official position of the ENA (Emergency Nurses 
> Association) is in favor of  family's presence during codes.
> 
> Take a chill pill, K.   ;)
> 
> Gabi, RN
> 
> 

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ccml IO again