The fact that there is no Golden Hour does not mean you can take as long as
you want. The Golden Hour is roughly the time a healthy person with
uncontrolled haemorrhage, head injury or chest injury can compensate before
dying. The problem is that if the person is already stressing their
compensatory mechanisms because of pre-existing disease they can only
compensate for a part of that hour. Thus it is a period that should be
shorter rather than longer.
Incidentally Rowley, when are hospital doctors going to stop giving
themselves a Golden hour at every stage? We seem to dash in to hospital with
them and then they lie on a trolley in Resus whilst doctors make telephone
calls to negotiate scans, consults, theatre space, ITU beds, transfers etc.
In my innocence I'm left feeling something like "I got him to you in 34
minutes from 999 call, so you could have 26 to get him to theatre - and
you've taken that to get the surgeon in from home!"
Vic Calland (being Bolshie with tongue in cheek)
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Rowley Cottingham
Sent: 01 November 2006 11:26
To: [log in to unmask]
Subject: Re: Locality Hospital
Incidentally, Sir George is reported as saying that there is no basis
for the concept of the golden hour. The literature seems to back him up,
interestingly:
http://intl.aemj.org/cgi/content/abstract/8/7/758
http://www.aemj.org/cgi/content/abstract/10/9/949
www.tarn.ac.uk/research/Abstracts/leckie1.pdf+wyatt+golden+hour
What do the team think?
/Rowley./
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