In message <002901c267c5$dbbead80$5719e150@DADS>, Ray McGlone
<[log in to unmask]> writes
>No it is evidence based.....................
>
It certainly is, and that seems to be a good paper. Not that you can
blind this sort ofwork or even randomise it properly.
I think haematoma blocks should have one purpose only and that is to top
up an axillary block that hasn't done quite the trick. Is there anyone
out there who does these regularly? I am tyring to get a series
together.
As for bier's blocks, I have never seen one because of the mythology
surrounding them and the lack of prilocaine. Would you believe that?
I have just submitted some of my results as part of my CTR for the exam.
For those interested....
Bowden C.A. Mackay D.F. Axillary brachial plexus block- an underused
technique in the accident and emergency department.
J. Accident Emerg Med 1997; 14: 226-229
I use this technique all the time and the long duration of analgesia
seems popular, but more work is needed to quantify this. I also reckon I
get better quality of reduction (because the patient is unable to
fight!)
Presumably the past president of the RCP wishes us to stop us doing all
this and have us all as a clerking service for the on call physicians.
--
Stephen Hughes Bonesetter extaordinaire, 'Arlow.
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