List Archives

Tue Jan 9 07:14:34 GMT 2007

...............If this is accurate, the ER doc messed up

Maybe just a small point, but I don't believe the orignal post said that 
this was an "ER doc".

John

Dr John L Holmes
Director Emergency Medicine
Mater Adult Hospital
Brisbane, Australia

>From: bensonblues at comcast.net
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: "emergency cricothyrotomy" Date: Tue, 09 Jan 2007 06:15:20 
>+0000
>
>LanceO Oosthuizen <LanceO at sedibeng.gov.za> wrote:
>   Hi All I am an ALS paramedic from SA just south of Johannesburg. Just 
>recently I
>received a call of a male patient 29 who came off a quad bike in a remote 
>area
>
>Lance,
>
>Ouch! You paint an ugly picture. If this is accurate, the ER doc messed up 
>and you proved it to him and everybody else. His training and experience 
>needs to be reviewed by somebody responsible for him. There may or may not 
>be a problem with the physician, in that we all have knowledge gaps that 
>need to be filled. He found his, and now he has an opportunity to fix it.
>
>I would move to obtaining a surgical airway only if the patient is hypoxic 
>and difficult to ventilate, or, if I have reason to suspect that this will 
>rapidly occur due to some clinical situation (maxillofacial injury with 
>hemorrhage). Nonetheless, I would have someone else continue to ventilate 
>and attempt to intubate while I was performing the procedure, and I would 
>abort the cric if intubation was successful. Did this just the other day, 
>in fact. I felt kind of stupid having to consult surgery to close the 
>incision, but...if my colleague was unable to get the tube, well, you see 
>the dilemna that we are faced with in airway problems. Hypoxia is so 
>unforgiving.
>
>DB
>--
>trauma-list : TRAUMA.ORG
>To change your settings or unsubscribe visit:
>http://www.trauma.org/traumalist.html

List Archives

For your convenience, find the Trauma List Archive Below

"emergency cricothyrotomy"