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Tue Aug 18 06:55:07 BST 2009

While it is an old subject, there is a reason it has not gone away. The
research did not cover all of MAST use, so there are many people
claiming that, "The research was only on X. We use MAST for Y.
Therefore, it does not apply to us."

Currently, there appears to be no requirement for MAST/PASG in
Pennsylvania. A PDF of the required equipment is located at

http://www.pehsc.org/documents.htm

Scroll to the second from the bottom - Required Ground and Air Ambulance
Equipment and Supplies (2/09)

Pennsylvania has been taking much more of an evidence based approach to
EMS.

Tim Noonan.

On Sun, 16 Aug 2009 14:33 -0400, KMATTOX at aol.com wrote:
>  
> Yes, I know that this is an OLD subject and one which many of you  may 
> no 
> longer have any interest in, other than historic, but I do have a serious 
> question, for a totally different reason, albeit current trauma care and  
> protocols, and policy, and teaching.  
>  
> Several questions and if you are totally uninvolved, just delete  pleae.  
>  
> All questions relate to MAST in the trauma patient, especially one with  
> hypotension and a fractured pelvis that might have delay in definitive 
> treatment  and/or transfer of up to one to two hours via helicopter to a
> higher 
> level of  care facility.  
>  
> 1.    Does your region or hospital still have MAST  available, either in 
> the EMS, helicopters or your EC?
> 2.    Do you teach the use of MAST in any of your  resuscitation courses 
> (ATLS, ACLS, PALS, etc)
> 3.    In the continuing bleeding patient how has received  blood, LR, NS, 
> and has a know fractured pelvis, upon which someone else has  placed MAST 
> pants, do you remove them in the EC, OR, ICU, where?
> 4.    What do you know or teach about the removal of MAST  pants, 
> recognizing you might see them only once a year or once a decade?
> 5.    Would you or anyone in your hospital ever just cut  them off in
> such 
> a transferred patient arriving in your EC?
> 6.    Who would make the decision to remove the MAST pants -  paramedic,
> EC 
> doctor, EC nurse,  trauma surgeon, ICU doctor, anesthesia, OR  nurse,
> just 
> who and where?
>  
> thx
>  
> k
> 
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