it might be a stereotype but one of the anaethetists i have worked with
allways manitained that they ( anaethetists) are the best speciality becuase
they are paid for both what they know and what they do, unlike the the
others who tend to be paid for one or the other :-).
What is it about Anaesthetists and A+E docs that mean they are so 'nice'
compared to the other specialities? -especially as they often don't mind
teaching people things ( i know about the on-going politics between A+E and
the gasses end of the business)just an observation .
Merry Christmas
Martyn Hodson
[log in to unmask] / [log in to unmask]
or [log in to unmask]
Student Nurse Sheffield University
SJA First Aider / First Responder, AED Operator
writing for myself, views expressed are entirely my own and may not reflect
those of any organisation
"Can you do it upside down, the dark, in the rain, in a field?"
----- Original Message -----
From: <[log in to unmask]>
To: <[log in to unmask]>
Sent: Saturday, December 16, 2000 12:27 PM
Subject: Re: thoracostomies
> The Seldinger technique for chest tubes is taught on the ATACC course
(Anaesthetic Trauma and Critical Care) which is an excellent British, and
obviously anaesthetic based, parallel to the very American and surgical
ATLS. Generally (and a bit facetiously!)speaking, whatever surgeons like to
cut for, anaesthetists like to use a Seldinger! (cf cut down with central
lines, cf methods of minitrach insertion).
>
> Giles Cattermole.
>
>
>
>
> On Fri, 15 December 2000, RAY McGLONE wrote:
>
> >
> > Although not in the ATLS manual yet you can use a Seldinger Chest Drain
> > (Cook) which uses a series of dilators. The only problem is it only goes
up
> > to 28 size, so would not necessarily be OK for large haemothoraces
(might
> > clot in tube). Has anyone else used them? Are there any other companies
> > producing them?
> >
> > My registrar (Peter Cutting) introduced me to the Portex 12 size
Seldinger
> > chest drains for spontaneous pneumothorax and effusions. It is extremely
> > patient friendly and all the hospital are using them now.
> >
> > Ray McGlone
> > A&E Consultant
> > Lancaster
> >
> > ----- Original Message -----
> > From: Belsham, Philip <[log in to unmask]>
> > To: <[log in to unmask]>
> > Sent: Friday, December 15, 2000 11:41 AM
> > Subject: thoracostomies
> >
> >
> > > I would be interested to hear the views on thoracostomies for the
multiply
> > > injures patient being transferred to A&E. They do seem to cause
> > significant
> > > problems - I have seen two patients with very major haemorrhage from
the
> > > wounds, not the chest cavity! Our surgeons are getting grumpy about
these
> > > cases!
> > >
> > > Philip Belsham
> > >
|