ATLS Revision suggestions

[Andrew J Bowman]

I would recommend a 4 person technique: 1-Intubator, 2-Cricoid pressure and
watch the patient for problems, 3-Holding manual stabilization of the neck,
4-Push Rx for RSI and watch the monitors (ECG, SpO2, ?EtCO2)

> Pg 46 Intubation. Would like to suggest emphasising the temporary removal
of immobilisation devices during airway instrumentation and teaching a
minimum 3-person technique: One intubator, a second for cricoid pressure and
a third for in-line manual stabilisation. This is stated, but maybe not
strongly enough.


YES!!!

> Chap 7: Spinal Cord
> pg 188 Remove steroid therapy in spinal cord injury - evidence against >
evidence for. See Hurlburt J: Methylprednisolone for acute spinal cord
injury: an inappropriate standard of care. J Neurosurg. 2000 Jul;93(1
Suppl):1-7 and also Spine 2001; 26(24 Suppl): S39 - S46 - an evidence based
review. Also: Bledsoe BE, Wesley AK, Salomone JP; National Association of
EMS Physicians Standards and Clinical Practice Committee. High-dose steroids
for acute spinal cord injury in emergency medical services.
to consider these suggestions.

Andrew Bowman