Guest guest Posted August 3, 2009 Report Share Posted August 3, 2009 I did not say anything about who would or would not benefit. He said the was identifying that person was the trick and I stated it was not a trick. Nuff said. **************A Good Credit Score is 700 or Above. See yours in just 2 easy steps! (http://pr.atwola.com/promoclk/100126575x1222846709x1201493018/aol?redir=http://\ www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=115&bcd =JulystepsfooterNO115) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2009 Report Share Posted August 3, 2009 Really not quibbling, just reread my post and get your point. Here's my problem, I just had wisdom tooth extracted at 1530 and should not be reading anything, much less writing. I have some comments that can wait until tomorrow. Sorry andy **************A Good Credit Score is 700 or Above. See yours in just 2 easy steps! (http://pr.atwola.com/promoclk/100126575x1222846709x1201493018/aol?redir=http://\ www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=115&bcd =JulystepsfooterNO115) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2009 Report Share Posted August 3, 2009 Grayson wrote: >>> I agree with your premise, Kenny, but the examples you cited are all things which are not terribly time sensitive. <<< It appears that I failed to communicate my message clearly. I remember when many EMS responders believed that thiamine administration WAS time sensitive; the drug must be given before the D50 or else brain damage would occur. We have since learned better. One day, we will learn to stop hurting people with the ET tube. >>> Airway management *is* time sensitive. Now, there is nothing to say that the management need be an endotracheal tube in the field, but neither does that apply to the ED, either. <<< Airway management may be time sensitive, but the available evidence suggests that endotracheal intubation (ETI) is not. As for the emergency department, I agree that the airways of many ETI victims could be more easily managed with alternative devices and techniques. The evidence does not suggest that ETI improves the outcome for any victim of cardiac arrest, whether the arrest is in the street or in the suite. However, the idea that some patients in the hospital benefit from ETI is PLAUSIBLE. For some on this list to suggest that the skill should be removed from everyone because we are hurting people in the field in a non sequitur. >>> Like you, I suspect that EMS will always encounter some patients for whom endotracheal intubation is beneficial. The trick is in identifying which ones. <<< I think the ethical thing to do is stop hurting people until we know which ones we are helping. Kenny Navarro Dallas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2009 Report Share Posted August 3, 2009 Quibbling over semantics, are we? It's certainly not a simple or straightforward question, or we'd have found the demographic who benefits by now. rachfoote@... wrote: > > I did not say anything about who would or would not benefit. He said the > was identifying that person was the trick and I stated it was not a > trick. > Nuff said. > **************A Good Credit Score is 700 or Above. See yours in just 2 > easy > steps! > (http://pr.atwola.com/promoclk/100126575x1222846709x1201493018/aol?redir=http://\ www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=115&bcd > http://pr.atwola.com/promoclk/100126575x1222846709x1201493018/aol?redir=http://\ www.freecreditreport.com/pm/default.aspx?sc=668072&hmpgID=115&bcd> > =JulystepsfooterNO115) > > Quote Link to comment Share on other sites More sharing options...
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