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Sat Aug 22 22:25:50 BST 2009

Not using c-collars on GSW of the neck has been the standard of care discussed for the last 3 years in the PHTLS training. Perhaps many EMT trainers or EMS medical directors have not been listening

Norman

Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu> 

________________________________

From: trauma-list-bounces at trauma.org on behalf of Forrest Robleto
Sent: Sat 8/22/2009 4:08 PM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: C-SPINE CLEARANCE - surprise

Why is EMS putting  cervical collars on GSW patients?  Standard EMT
protocol.
Are we hurting more people than we are helping using cervical  collars? From
all I've read
Are we hurting more people than we are helping using cervical  collars? I
hope not but I have no recourse.

V/R

Forrest Robleto, NCEE
R House Health & Safety
www.RHouseTraining.com
FRobleto at RhouseTraining.com
609-792-9047

Marie von Ebner-Eschenbach<http://www.brainyquote.com/quotes/authors/m/marie_von_ebnereschenbac.html>
- "Even a stopped clock is right twice a day."

On Sat, Aug 22, 2009 at 4:38 PM, <KMATTOX at aol.com> wrote:

> 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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