>
> I think this depends on how they are used, Rowley. I don't think they
> should
> ever be used as a "one size fits all" mentality. The ACLS and ATLS
> pathways,
> for example, are beneficial and in no way stifle thinking. I have them
> memorized and use them to stimulate my thinking and treatment, i.e., the
> causes of PEA, etc.. I think the same principle can be applied to other
> medical conditions as well.
>
> Renee
Just step back a moment and think how many of those rules either are evidence based or are still current
best practice. MAST suits? Getting an orthopaedic surgeon to squash open the pelvis? 7 litre Hartmann's
infusions? Diagnostic peritoneal lavage? Amiodarone? Atropine in arrest? 5mg bolus of epinephrine?
Epinephrine at all? 3 minutes/1 minute CPR?
Like Fiona Wallace, I find that I have to put my ATLS/ALS hat on to teach it and find myself
ppractisingsomething quite different on occasion. To be honest, Renee, I think you have made my point
very well!
Best wishes,
Rowley Cottingham
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http://www.emergencyunit.com
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