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Mon Aug 24 04:34:21 BST 2009

We lowly EMT's have no say in the matter,  and their seem to no Docs who
care enough to push for such a change.  Maine has a field spine clearance to
allow EMT's to not use a backboard.   We in NJ are not permitted to use
Maine's protocol.  So other than that, if your mom is in an automobile
accident she is probably going to a very uncomfortable ride to a hospital
which will do more harm than good.

V/R

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

Joan Crawford<http://www.brainyquote.com/quotes/authors/j/joan_crawford.html>
- "I, Joan Crawford, I believe in the dollar. Everything I earn, I
spend."

On Sun, Aug 23, 2009 at 8:53 PM, McSwain, Norman E Jr.
<nmcswai at tulane.edu>wrote:

> Sorry I cannot help solve those problems. I guess the GSW's will just have
> to endure the hard backboards. The good part is that the boards and collars
> will produce no harm for several hours...only discomfort
>
> 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 Scott Beaudoin
> Sent: Sun 8/23/2009 12:33 AM
> To: trauma-list at trauma.org
>  Subject: RE: C-SPINE CLEARANCE - surprise
>
>
>
>
> It should be noted that Forrest is posting from the Country of New Jersey
> where the majority of EMTs do NOT function under a medical director and
> where the majority of BLS squads do NOT have treatment protocols and
> therefore rely only upon the DOT standard curriculum as a guide to
> treatment.
> -Scott Beaudoin, MICP
>
> Subject: RE: C-SPINE CLEARANCE - surprise
> Date: Sat, 22 Aug 2009 23:51:24 -0500
> From: nmcswai at tulane.edu
> To: trauma-list at trauma.org
>
>
>
>
> Re: C-SPINE CLEARANCE - surprise
>
>
>
>
> unfortunately that is way out of date. too much foot dragging to get out a
> new one. ATLS, PHTLS and BTLS are the current standards for physicians and
> EMTs respectively
>
>
> Norman
>
> Norman McSwain MD
> Trauma Director, Charity Hospital
> Professor of Surgery, Tulane University
> New Orleans LA
> 504 988 5111
> norman.mcswain at tulane.edu
>
>
>
> From: trauma-list-bounces at trauma.org on behalf of Forrest Robleto
> Sent: Sat 8/22/2009 10:38 PM
> To: Trauma-List [TRAUMA.ORG <http://trauma.org/>]
> Subject: Re: C-SPINE CLEARANCE - surprise
>
>
>
> DOT Standard Curriculum
>
>
> V/R
>
> Forrest Robleto, NCEE
> R House Health & Safety
> www.RHouseTraining.com <http://www.rhousetraining.com/>
> FRobleto at RhouseTraining.com
> 609-792-9047
>
>
>
>
> Pablo Picasso<
> 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 <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 <farcpr at gmail.com>
> >
> > Date: Sat, 22 Aug 2009 17:08:48
> > To: Trauma-List [TRAUMA.ORG <http://trauma.org/> <http://trauma.org/>]<
> 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 & Safety
> > www.RHouseTraining.com <http://www.rhousetraining.com/> <
> http://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?
> > >
> > > --
> > > trauma-list :  TRAUMA.ORG <http://trauma.org/> <http://trauma.org/> <
> http://trauma.org/>
> > >  To change your settings or unsubscribe  visit:
> > > http://www.trauma.org/index.php?/community/
> > >
> > >
> > >
> > >
> > >
> > > --
> > > trauma-list  : TRAUMA.ORG <http://trauma.org/> <http://trauma.org/> <
> http://trauma.org/>
> > > To change your settings or unsubscribe  visit:
> > > http://www.trauma.org/index.php?/community/
> > >
> > >
> > > --
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> http://trauma.org/>
> >  > To change your settings or unsubscribe visit:
> > > http://www.trauma.org/index.php?/community/
> > >
> > --
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> > To change your settings or unsubscribe visit:
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> > --
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> >
> --
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> To change your settings or unsubscribe visit:
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>
>
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