List Archives

Sat Aug 22 22:27:26 BST 2009

Somewhat tongue in cheek!!

We put C-collars on GSW's ( and those that fall and go boom) because those
MD/DO's that set our scope of practice decades ago were worried that once in
history a bullet reportedly went from one victim to another and back to the
first while they were in a car driving down a street one November day in
Dallas.  The legal potential of a spinal cord injury mandated the need for
prehospital spinal protection for all patients ever since.  The Dallas
evidence has since been refined, but EMS has never been allowed to update
our scope of practice, i.e. put our patient's care & outcome as the primary
focus AND motivation.

Take care,

Bob

307 920 2020

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of KMATTOX at aol.com
Sent: Saturday, August 22, 2009 2:38 PM
To: trauma-list at trauma.org
Subject: Re: C-SPINE CLEARANCE - surprise

clue

Why is EMS putting  cervical collars on GSW patients?
Why would ANYONE at ANYTIME and ANYWHERE give a patient with a spinal cord  
injury any form of a steroid or apply hypothermia
Are we hurting more people than we are helping using cervical  collars?    
Are cervical collars in concept basically flawed 

In a message dated 8/22/2009 3:22:11 P.M. Central Daylight Time,  
candymsnjd at aol.com writes:

K
can you give us a hint? is it that blue dye found in m and  m's?
but seriously, we are all waiting to learn the new information...hope  its 
sooner than later

-----Original  Message-----
From: KMATTOX at aol.com
To: trauma-list at trauma.org
Sent:  Sat, Aug 22, 2009 1:29 pm
Subject: Re: C-SPINE CLEARANCE -  surprise

Maybe,   I am  checking out the data, the research, the  publications.   

On at least 5 times in the past, suggestions of the data  that I have seen  
has been a massive attack upon those who proposed  it and a running into  
obscurity.      

As soon  as the information is solid and truly evidence based, I will share 

it.     

I do remember how much many on this list  tried to assassinate me when I  
initially questioned MAST pants,  helicopter use for urban use, interosseus 

infusions, aggressive IV  solutions, hypotensive resuscitation, EC 
thoracotomy, 
CT vs arteriogram  for aortic injury, and many others.   I have deep  scars 
to  prove it.    

k

In a message dated 8/22/2009  12:12:53 P.M. Central Standard Time,  
andrewj.bowman at gmail.com  writes:

Wouldn't  it be better for us and the patients we care for  if you  
shared the  information now?

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C-SPINE CLEARANCE - surprise