TAC is being used in Leighton Hospital, Crewe, I believe.
LAT is used in Alder Hey
Chris Kirke
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of John Ryan
Sent: 12 February 2007 22:53
To: [log in to unmask]
Subject: Re: LAT gel
What ever happened to TAC (tetracaine, adrenaline, cocaine) ? It worked
nicely for 'simple' lacerations under the chin in kids, you know; the
toddler who falls on his chin. One young Cian Ryan was happy to have wound
sutured by Dad using TAC. (tidy result also!). I seem to remember only a
few places produced it (? Plymouth and Cambridge) but it then became
financially non viable to produce. Is anyone still using it ?
John Ryan
----- Original Message -----
From: "Adrian Fogarty" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, February 12, 2007 2:00 PM
Subject: Re: LAT gel
> I was intrigued by the bit "simple lacerations of the head, neck, limbs or
> trunk." I don't think I've ever seen a "simple" laceration of the neck or
> trunk. Pretty much every wound I see on the neck or trunk is an incision
> caused by a sharp implement, i.e. a penetrating wound. "Simple
lacerations"
> they are not, particularly if you ever see them on a child.
>
> But back to the subject, and the Best Bets in particular. All this
research
> is doing is comparing two inferior forms of management - local
infiltration
> versus gel application - to see which is the most inferior. Many of the
> papers are studying the "wrong" age group, i.e. older children. The
> technique excludes digits, a big area in paediatric wound management
> (particularly in the under twos). And finally, I don't think the "tissue
> distortion" argument is significant.
>
> AF
>
> ----- Original Message -----
> From: "Atkinson, Paul" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Monday, February 12, 2007 12:01 PM
> Subject: Re: LAT gel
>
> > We use it at Addenbrooke's with mixed success - took a year and lots of
> > paperwork for approval
> >
> >
> >
> > Guideline attached - may be of use
> >
> >
> >
> > Paul
> >
> >
> >
> > Dr Paul Atkinson MRCP FCEM
> >
> > Consultant in Emergency Medicine
> >
> >
> >
> > Box 87, Addenbrooke's Hospital
> >
> > Cambridge University Hospitals NHS Foundation Trust
> >
> > Cambridge CB2 2QQ
> >
>
>
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