Rowley,
Assuming that you are proposing a system for use in the field to enhance
patient care, how about simply classifying entrapment as either physical
(i.e. entangled with wreckage) versus clinical (patient's injuries either
preventing self extrication or uncontrolled extrication undesirable). The
threshold for the Ambulance Service for mobilising medical support for the
former cases should be low especially if the patient has significant injury,
but still may be beneficial in the latter depending on injury pattern &
circumstances.
Surely the key point is the decision to mobilise medical support.
I have reservations about the value of more complex classification systems -
what are you (the doctor) going to do with this information prior to
arriving on scene? If responding you should be equipped to deal with any
eventuality.
The only value of such complex classification systems would be for audit of
entrapment case mix etc - maybe this was what you had in mind.
John Black
-----Original Message-----
From: Robbie Coull [mailto:[log in to unmask]]
Sent: 07 August 2002 13:21
To: [log in to unmask]
Subject: Re: Grades of entrapment.
> Didn't someone mention PAD
> recently? Bizarre!
That was me, Adrian. But you will not that I followed the correct use of
acronyms in my post:
>>the evidence for Public Access Defibrillation (PAD) shows that
You grouch, you.
Robbie Coull
email: [log in to unmask] website: http://www.coull.net
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