Isn't Cliff simply saying he needed IO access (because IV access failed),
to give the drugs for the RSI? I am sure the airway, oxygenation and
ventilation was being managed satisfactorily in the work-up to the
definitive placement of an ETT. The problem he encountered was that
standard teaching (ie marrow aspirate can be used satisfactorily for
cross-match) was not supported by essential service providers. When the
faeces is striking the impeller, the last thing you need is someone letting
you down for no valid reason. Or was the standard teaching invalid? I don't
know the answer. Does anyone else? Are these any haematologists lurking on
Increasing numbers of people are using cameras to take photographs for
clinical, teaching and medicolegal purposes. Just a few points: does anyone
get consent from the patient, if so what do they consent to, and what if
the patient is dead? Have you concocted your own consent form or did you
ask the hospital lawyer to help? What measures do you take to safeguard the
security of the data, as necessitated under the data protection act? Has
anyone ever encountered digital photos getting into the wrong hands?
Digital photos can be altered with considerable ease - what implication
does that have on their validity medicolegally as part of the clinical
On the topic of list content, I think the speciality is small enough that
informality and occasionally frivolity on the mailing list is healthy,
provided we maintain the key objectives - generating academic debate around
key issues within our speciality. I think we pitch it very well. I don't
have a problem with the odd personal addendum.
Howard Simpson. Basingstoke
(PS Cliff, how are you old mate? You must come over for a beer)
From: Jel Coward [SMTP:[log in to unmask]]
Sent: 25 September 2000 13:01
To: [log in to unmask]
Subject: Re: Intraosseous aspirate
In article <002701c026d4$35ac9940$c671073e@tinypc>, Simon Carley
<[log in to unmask]> writes
> Sounds pretty close to a here and now to me?
Did Cliff tell us that he was describing a sequence of care? Or was he
just setting the scene and telling us of one of the problems that was
The UK Wilderness Emergency Medical Technician and Command Physician
site has been updated - take a look for course dates in 2000!!
[log in to unmask]
'There's no such thing as bad weather - just bad clothing"