Couldn't agree more, but you miss the point! The injury/dislocation requires
analgesia, but the reduction should not, if performed according to Kocker
(not me!) - that is without any traction (Helen Cugnoni, please note!)
Many surgeons are still in complete ignorance of the well proven fact that
analgesia does not mask abdominal signs - analgesia is something that we
should be routinely providing, by the best route, and in adequate doseage
(that is, sufficient to relieve the pain). We often don't do this at all
well, and even our nurses sometimes only seem to respond to specific
requests!
Philip Belsham
> -----Original Message-----
> From: Devesh Sharma [SMTP:[log in to unmask]]
> Sent: Friday, November 02, 2001 11:27 AM
> To: [log in to unmask]
> Subject: Re: Say NO to drugs!
>
> I am happy to accept that many shoulders can be reduced without sedation.
> I feel that the desire not to give analgesia may reflect our own
> preconceptions about the individual and whether he or she 'deserves' pain
> relief. As a specialty we have (rightly) made a big deal about the desire
> of some surgeons to withold analgesia until examination (a view which
> still seems to exist). It seems to me to be inconsistent to then argue
> that when we wish to avoid giving it for our own reasons (is a slightly
> shorter stay in the department for these few patients really so relevant)
> that is OK.
>
> Devesh Sharma
> SpR in A&E Medicine
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