List Archives

Tue Mar 20 23:39:19 GMT 2007

It's tempting to politely ignore this perennial declaration of yours, Dr.
Mattox; but there are earnest and impressionable readers out there who need
to be reminded that, however occasionally, our heroes can be obstinate --
and wrong.

This is not a matter of opinion.  IO access has discrete logical, ethical,
clinical, and traumatic indications.  Rapid vascular access in hostile
environs is one, as I believe our military colleagues would agree.  And in
pediatric resuscitation, where access is harder than many of us would admit,
a few seconds of fruitful IO insertion beats several minutes of hopeless
poking around.  Abuse is relative.  Ask Al Gonzales.

I frankly agree with you in this given scenario, having doubts that most
civilian blunt trauma benefits in any important way from access, much less
fluids; but not all emergencies are surgical, and even surgical emergencies
can give rise to parallel medical crises (inadequate pain or airway control
as examples).  

Your passion is perilously narrow-minded on this topic, and risks
contaminating the dialogue.  Doesn't make you less of a hero in my view, but
please remember that you must use your powers only for GOOD.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of KMATTOX at aol.com
Sent: Tuesday, March 20, 2007 6:26 PM
To: trauma-list at trauma.org
Subject: Re: IO's?...good for?

I have looked and looked.   I can find NO logical, ethical,  clinical, or 
traumatic indication for IO infusions of ANYTHING in ANY Patient at
ANYTIME.     

Unless one is attempting a cruel form of child abuse, or adult  abuse.   

Especially today when it is acknowledged that both for children, teen
agers, 
adults, etc.,  permissive hypotension and restrictive (to no) fluid  
resuscitation is better than the old way, IO completely looses its market
and  appeal. 

I guess if you own stock in one of the companies that sell these
instruments 
of the devil, you might use them to try to increase your market  return.   

k

************************************** AOL now offers free email to
everyone. 
 Find out more about what's free from AOL at http://www.aol.com.
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

IO's?...good for?