Fair enough, but it doesn't answer the question. I can't remember the last time I needed to put in an 'emergency' neck line or do a cut down. Sometimes there just isn't enough of a need for a procedure to gain or even maintain the skill in doing it. This is an increasing problem in many departments I suspect. As staff numbers are increased to deal with the 'minor & major' workload there are less resus cases to go round and so exposure to critical care interventions is diluted for both trainer and trainee. I don't know what the solution is but I'm aware of my slow but inexorable deskilling in such procedures.
Simon McCormick
-----Original Message-----
From: Rowley Cottingham [mailto:[log in to unmask]]
Sent: 02 June 2005 20:18
To: [log in to unmask]
Subject: Re: Bone injection guns
I regard rapid vascular access as a core skill. IJ, subclavian, femoral
(closed and open) and cut down should all be part of the armamentarium.
Best wishes
Rowley.
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Andy Webster
Sent: 02 June 2005 12:23
To: [log in to unmask]
Subject: Re: Bone injection guns
If you can't get an A and E consultant
in fast enough (and some are neither resident nor living close to their
hospitals
That's assuming that the Consultant has had the opportunity to maintain
skills in central venous cannulation. How many/how often do you need to do
them to maintain competence?
Andy Webster
|