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Sun Aug 23 05:44:28 BST 2009

One of the fundamental problems of each one of today's guidelines, protocols, books, etc is the need to take into account the ways and means to keep it current in light of new evidence (even if it is conflicting or contrary).

Today's medical knowledgebase is too dynamic for any document to keep up with consistently. Many consensus guidelines have acknowledged this by setting up a schedule of periodic reviews (ILCOR being one of them).

Therefore, IMHO the validity of any institution is short-lived if not based on a prospective modus operandi.

OTOH, curriculums do not dictate standards of care. Curriculums dictate the common ground. 

Finally, all systems who fail to evolve must look at one internal culprit: the medical director.

Gustavo E. Flores, MD, EMT-P
gflores at emergencyteam.net
gflores911 at gmail.com

787-630-6301 (Puerto Rico)Jules wrote:

Which is no longer going to be followed with the adoption of the National

EMS Education Standards in 2010.

No longer a standard that I am aware of, and was pretty antiquated anyway. I

haven't seen it taught for years...

On Sat, Aug 22, 2009 at 10:38 PM, Forrest Robleto &lt;farcpr at gmail.com> wrote:

> DOT Standard Curriculum

>

>

> V/R

>

> Forrest Robleto, NCEE

> R House Health &amp; Safety

> www.RHouseTraining.com

> FRobleto at RhouseTraining.com

> 609-792-9047

>

>

>

>

> Pablo Picasso&lt;

> http://www.brainyquote.com/quotes/authors/p/pablo_picasso.html>

> - "Computers are useless. They can only give you answers."

>

> On Sat, Aug 22, 2009 at 5:22 PM, Larry Torrey &lt;ltorrey at maine.rr.com>

> wrote:

>

> > Standard EMT protocol where?  I didn't think that anything was standard

> in

> > EMS

> >

> > Not protocol around here.

> >

> > LT

> >

> > -----Original Message-----

> > From: Forrest Robleto &lt;farcpr at gmail.com>

> >

> > Date: Sat, 22 Aug 2009 17:08:48

> > To: Trauma-List [TRAUMA.ORG &lt;http://trauma.org/>]&lt;trauma-list at 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 &amp; Safety

> > www.RHouseTraining.com &lt;http://www.rhousetraining.com/>

> > FRobleto at RhouseTraining.com

> > 609-792-9047

> >

> >

> >

> >

> > Marie von Ebner-Eschenbach&lt;

> >

> 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, &lt;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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> > >

> > >

> > >

> > >

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C-SPINE CLEARANCE - surprise