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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