I think this raises several issues then. Is it one paramedic, one station or
all paramedics? Perhaps it would be worth asking them on which criteria in
the guidelines they felt they could not clear the spine. Would it be worth
speaking to the Director of A&E ambulance services as if they are really
boarding people unnecessarily then they are tying up extra vehicles and
burning needless hydrocarbons and our taxes. It may be a training issue; if
they do not use the criteria properly, do they board people correctly? Do
they push people laterally or do a V slide, do they strap first or block
first? Do they use a KED or equivalent for rotational extrications?
The problem with pre-hospital care is that there is little or no feedback on
outcome. We do not get constructive educational information on what we do.
Perhaps that is the way forward?
Vic Calland
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Adrian Fogarty
Sent: 13 March 2007 01:30
To: [log in to unmask]
Subject: Re: Key clinical evidence in Emergency Medicine
Well, I'm not talking about motorway embankments in the middle of the night.
As you probably know, I don't work in that sort of practice (motorways, or
nights for that matter), well, not for the majority of my practice anyway.
I'm talking low speed shunts in the High Street in the middle of a weekday
afternoon. They all seem to get the board treatment as soon as a paramedic
gets his hands on them.
AF
----- Original Message -----
From: "Martyn Hodson" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Tuesday, March 13, 2007 1:24 AM
Subject: Re: Key clinical evidence in Emergency Medicine
> But the point is it's a lot easier to be object in the (relative
> comfort) of the emergency dept
>
> And what aobut 'adrenaline' as a further distracting factor at scene ...
>
> --
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