List Archives

Mon Dec 31 05:03:48 GMT 2007

 Does anyone have experience with full barrier precautions in all aspects of ICU care?  Not just limited to invasive procedures and patients in isolation.

                                                                                                               TS
                                                                                                              Los Angeles

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> From: KMATTOX at aol.com
> Date: Sun, 30 Dec 2007 21:37:34 -0500
> To: trauma-list at trauma.org
> Subject: "Standards" of EMS and Trauma Center Care 
> 
> I would agree with Dr. Ursic, that ideally, EMS, Trauma, CriticaL Care, and  
> Acute Care Surgery would be "standardized."   However, among the  trauma 
> centers in Houston (There are only two level I, and 8 Level II), there is  not 
> agreement as to even standards of care regarding fluid management,  hypothermia, 
> and continuity of care for simple hand and wrist  fractures.      
>  
> One major problem is that each "trauma surgeon" believes that her/his  
> particular approach should be the standard for their community.    Indeed, as our 
> government and HHS is now discovering, there are often more than  one, two, 
> three, or even 10 acceptable and standard approaches to one particular  clinical 
> problem.   The differences are  judgement.      
>  
> We are discovering that the "BEST PRACTICES" developed by hospital  
> non-physicians are often punitive and regulatory for control  purposes.     
>  
> Soooooooooooooo
>  
> How do we reach agreement as to what would be the standard. ??
>  
> k
> 
> 
> 
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full barrier precautions